|
>View discussions about this entry Country: Brazil
Organization: Associação Saúde Criança Renascer
Focus of activity - Other
Year the initiative began (yyyy) - 1991
Positioning in the Mosaic of solutions
Define the innovation - What is the main focus (product, services, etc) of your innovation? Who are the primary beneficiaries? How does it make health and/or health care more affordable, accessible, and simpler to achieve/use? How does it differ from what currently exists in the market? Traditional medicine, not only in Brazil but all over the world, focuses on the diagnose and treatment of sickness ignoring the psychological and social conditions of the patients. As a result, there are high rates of re-hospitalization because of the same sickness or others due to living conditions of poor families. However, throughout history, many authors like Heraclitus, Hipocrates, Sigmund Freud, Martin Luther King, Frijtof Capra shows the importance of the holistic understanding of being healthy, not limited to traditional “curative” and medical health sectors. By addressing the family’s socio-economic conditions, Renascer makes that theory happen, effectively applying the holistic concept of health.
The beneficiaries are children treated at Lagoa’s Hospital and their families.The main objective is to change the terrible conditions of life in a holistic way in 5 areas: Health, Family Income Generation, Housing, Education and Citizenship. Almost all of them are bellow the poverty line: According to data published in 2001 by the National Household Sample Survey from the Brazilian Institute of Geography and Statistics 32% of the population, 54 million people, are poor, 49 million people earn less than half of the monthly minimum wage in Brazil, 5 million have no income whatsoever. As a result, tens of millions of Brazilians live in urban slums that lack decent housing, clean water, or proper sanitation. Millions of children’s growth is stunted from chronic malnutrition. Many diseases, pneumonia, tuberculosis, rheumatic fever, anemia, skin lesions, are caused or exacerbated by extreme poverty. Context for Disruption: - Describe how your innovation is transforming traditional health or related systems in the short and long term. The medical services being provided were inefficient and ineffective in improving children’s health if those children did not have the basic needs (housing, education, family income, food, access to social services) for maintaining a healthy lifestyle. Sick children, many with preventable illnesses, were being treated, only to return months later with a life-threatening infection. Renascer’s main objective is to break a vicious circle of misery / illness / hospital admission/ release /readmission/death
The work of Renascer of reestructuring the families lifes begining with the transformation and changing in the tradicional health system in public hospitals in Brazil is being proved to be eficient due to the great results. The work with these children helped to decrease their re-hospitalization in more than 60% and almost ended the re-hospitalization due to social causes. Over nearly 16 years, the services provided to the families have been analyzed, improved and systematized in order to improve its results. Delivery Model - How does your innovation reach its target populations? What mechanism(s) (e.g., communications, distribution channels, etc.) do you have in place? What is your current market penetration? How do you measure this? Renascer work in a focus way, only attend children treated at Lagoa’s Hospital in Rio de Janeiro and their families.Each child and family is followed during 2 years with a case load of 230 to 250 families per month.
Renascer don’t want to increase its penetration in order not to loose quality and the goods results obtained so far. The model reach the target population easily due to our concern in only be linked to one especific hospital. From our network The Child Health Network we are able to reach more people and replicate our innovate model. To communicate its work Renascer has a complete website, a book , the founder Vera Cordeiro is always giving speechs about the work in Brazil and abroad.She is considered throughout the world, as one of the most important social Brazilian entrepreneurs.Vera is a fellow of Ashoka, leader of Avina, social entrepreneur of the Schwab Foundation and a member of the Path Board. In addition , the history of Renascer is one of the chapters of the book How to change the world-Social entrepreneurs and the power of new ideas by American Journalist David Bornstein. Key Operational Partnerships - What key partnerships have you established to make your disruptive innovation model possible? Who are your partners (business, social, government, other) and what are their roles? How central are these partnerships for your initiative. Renascer was able to built and maintain many partnerships with companies, institutes and foundations. Since 1995 Renascer counts on the support of Unimed, (sponsor around 36% of the medicines the families need), Kinder Institute in Brazil ( sponsor for the profissionalization program, a Swiss-Brazilian institute which sponsors social projects in our country.), L’Oreal (a partner in the profissionalization project offering technical support, as well as training opportunities for students and teachers and providing us with products at a discount rate.), Senac( a technical studies institute in Brazil, Queiroz Galvão (sponsor of the housing refurbishing program), UNESCO ( sponsor of food, diapers, school material and medical equipment’s), Johnson & Johnson (sponsor of educational speeches for mothers and for adolescents, meals and transportation) Praxair (strengthening of Renascer’s network and salaries, courses and equipment for the professionalization of the Child Health Network ) and Skoll Foundation (sponsors the creation of new institutions).
Renascer also counts on the help of more than 1000 individual donors, 200 people acting as godfathers/godmothers for the families and a team of more than 140 volunteers in all areas. Financial Model - Describe the financial model for your innovation. What percentage, if any, of the total operating costs does earned income (from products, services, or other fees) represent? In the operating cost Renascer has earned income from products from the Fish Hook project, Renascer’s self sustaintability project and from fundraising events like bazars, concerts, plays etc. The percentage is an average of 15,7%
Effectiveness - What has been the measurable impact of your project to date? How many people have benefited from your program in total? What policies, communities, or institutions have been influenced to make fundamental changes because of your work? Over these years, the services provided to the families have been analyzed, improved and systematized in order to improve results. The model has been proven efficient through a study based on a random sample of 200 families who participated in the program . The study indicated that there was a decrease of 63% in the amount of re-hospitalization in Lagoa Hospital because of Renascer’s presence. Also, re-hospitalization due to social causes was eliminated.
Since its founding, Renascer has directly assisted more than 2,372 families totaling more than 8,134 children. Furthermore, Renascer has provided over 1,539 work tools and offered professional courses to more than 1,954 family members, enabling them to generate income or contribute to an increase in family income. Currently, Renascer supports 234 families and 819 children. The Child Health Network has now 17 institutions and attends 600 families and 2,400 children monthly. It can be estimated that the number of beneficiaries of the program to date is around 20,000 children. In recognition of Renascer’s proven excellence, the organization and its founder have won 18 national and international awards, among them, the Global Development Network’s Award for the “Most Innovative Development Project” in 2003. Renascer’s work changes completely the lives of the families, involving civil society in improving Brazil’s dramatic social concerns. The women, who are usually the heads of the families who participate in our project, are inserted into society. They are informed of their rights, helped in acquiring documents and government benefits, and improvements are made to their houses. In our lectures, they learn about hygiene, sexual disease, among other urgent issues. Through the professionalization courses offered, they acquire an opportunity to sustain their families. They grow from feeling helpless to being productive, which has great impact in their positioning
Scaling up Strategy - What is your priority for the next 3 years and please describe why. The priority of Renascer fot the next 3 years is to increase the replication and spread its social change idea through capacity-building and knowledge transfer to like-minded groups Furthermore Renascer is implementing a trust fund to ensure Renascer’s future and
Is working to strenght Renascer’s revenue generating project and keep a no ending search for new partenerships, sponsors and recognition with awards like yours in order to spread more and more the idea. All of these to maintain the good results with quality and transparency and spread more and more Renascer’s innovation program
Origin of the Initiative - Tell the personal story that will help people connect to your work. How did the initiative start? Was there a particular individual or event driving the idea? Tell the reader the story behind the innovation. Renascer was created in 1991 by Dr. Vera Cordeiro, a physician with twenty years of experience at public hospitals. She had a particular insight into the problem of the health system while working in the pediatrics ward of Lagoa’s Hospital in Rio de Janeiro, Brazil: the medical services being provided were inefficient and ineffective in improving the child’s health if that child did not have the basic needs (housing, education, income, food, access to social services) for a healthy lifestyle. Sick children, many with preventable illnesses, were being treated only to return months later with a life-threatening infection. This meant that health professionals were faced with the challenge of not only “curing” the child’s illness but the conditions of poverty this child lived in. Renascer’s main objective is to break a vicious circle of misery/illness/inpatientadmission/release/readmission/death by restructuring these children’s families in five essential areas: Health, Family Income Generation, Housing, Education and Citizenship Access through the development of a “Family Plan”.
What are your two main challenges to finance the growth of your initiative - What are the two (2) main challenges in financing the growth of your initiative with respect to operating costs and capital expenses? What amount of financing would your organization need in order to scale up operations? The two main challenge in financing the growth of Renascer is in getting sponsors to finance administrative costs( salaries, taxes, office material) and others costs that are not directed to our final work.
And the other challenge we are facing is building our trust fund so that Renascer work can continue forever. We are targeting private banks, social investors, foundations , companies and people from the highest sectors of Brazilian society. How did you hear about this contest and what is your main incentive to participate? - (This answer will not be published on the website.) We heard about the context from the website and from Ashoka as Vera Cordeiro, Renascer founder is a fellow and also we are pleased to hear from the Changemakers team encouraging the institution to participate on the contest.
Do you have an annual financial statement? - Yes Renascer’s has an annual financial statement and is audited every year by Deloitte for the purpose of ensuring the integrity and trasparency of the application of funds collected and of the results generated by its collaborators and partners. Renascer’s has been granted positive assessments since 1996. The accountant is published in the Quarterly Bulletim of Renascer, sent to all partners via e-mail and available on-line on the institution website.
Do you currently have an annual financial statement that tracks profit/loss? - Yes Renascer has an annual financial statement that tracks profit/loss.
Contact Information:
Vera Cordeiro
CEO Associação Saúde Criança Renascer (NGO) Discussions about this entry |
Saúde Criança Renascer- An integral perspective of health.
|
|
Individuals with diabetes mellitus and their providers view the world from their own perspectives and bring these different perspectives to the clinical encounter. Because individuals with diabetes enact the day-to-day management of their disease, their perspective will, therefore, largely determine their behaviours. A broad interpretation of how to think about individuals in their patient role, their social context and their relationships with providers creates opportunities for providers to assist patients in life-enhancing ways. Steps for providers include examining their own values and attitudes about diabetes and its treatment, contextualising patient responses and incorporating a different set of questions in the clinical encounter. Steps for organisations include involving patients in interdisciplinary meetings, evaluation of system and provider quality, creating a milieu which supports dialogue and relationship development, important elements of a caring environment.
Jongle
Hi Vijay,
Thought you and your readers might want to know that anyone can now vote for their top disruptive innovation in health and health care at the RWJF/Changemakers competition site at http://www.changemakers.net/en-us/competition/disruptive. Nine finalists were selected from more than 300 entries - voting ends Aug. 29 and three winners will be selected. Hope you all will participate - thanks.
---
PDA movies
Have the costs per family served been going up or down over the years that Renascer has developed its model? Is there evidence of scaling and replicability advantages or not?
I had assumed that part of the model was as a hub (meeting space) that helped peer families supporting each other's knowhow on factors to do with prevention etc. Please clarify whether this is part of the model or not
1- - It´s easily in one hand, because you can start only given to the families food and medicines. The new institutions based on Renascer have to pass through the challenge to grow up in order to offer a very good assistance. So, in my point of view, time and social work walk together. To implement a very good and comprehensive program we need time. As you can see below the new institution based on our model has to grow up in many areas in order to be a very good institution. But when they achieve a good performance, they are able to implement a complete reestructuration of the whole family.
Development Stages of Associations
Begginning Development Refinement Maturity
Attendance Support based on Expansion of attendance Wide attendance focused Family planning with well
food & medicine with professional courses on family structure defined release criteria
• Internal Volunteer work with Beginning of development Technical staff professional Professional and structure
Material simple structure of professional internal staff & structured technical staff and other areas
• Measurement Based only on the Simplified with information Thorough but superficial Complete with standardized
• Source of Based on Absence of stable sponsors Search of new sources Low external dependance
resources donations/members & donors/limited # of but large external with many sources of
members dependances resources
2 – I think that Brazil is a continental country. Till our days, we only have the civil society and companies as our sponsors. I think that in the future we will need the government support, not taking care of the program but paying some part of operationaç cpst, but being led by civil society.
3 – Please, for more information see your web www.criancarenascer.org.br
Dear Dr. Cordeiro:
How easily and rapidly has your model scaled up? With the patients not being able to pay for the help that they receive, coupled with the training required for those who treat them, will the program expand into wider Brazil? How sustainable is this model given that the revenue stream is limited? We would love more information on how the model works to help us better understand your programs.
Thank you in advance for your response!
Changemakers Team