170.04 Analysis of public health related organizations: Proposal for Mesoamerica and the Dominican Republic

Thursday, April 30, 2009
Florence Nightingale (The Hilton Istanbul Hotel )
Miguel Ángel Gonzalez-Block National Institute of Public Health, Mexico, Mexico
Silvia Magali Cuadra-Hernández National Institute of Public Health, Mexico, Mexico
Jorge Motta-Borrell GORGAS Instituto Conmemorativo Gorgas de Estudios de la Salud, Panama
Background. The Mesoamerican-Dominican Republic region, composed of 3 Mexican border states, the Central American countries and the Dominican Republic, share common social and health conditions. Additionally, they have undertaken joint efforts in support of policies for improving public health. Except for Mexico, the region has no national health institutes and at times conducts public health initiatives in an isolated manner.  
Objective. February 2008-2009, a diagnosis was conducted regarding the capacities of Mesoamerican-Dominican Republic public health related organizations which carry out actions on vector-transmission and malnutrition illnesses, sexual and reproductive health, vaccine campaigns and information systems. Results constitute a strategic plan for an agenda toward the establishment of a Mesoamerican Public Health System.
Methodology. The Project was implemented in 3 stages: I) a diagnosis of organizations, II) the formulation and validation of a support plan, and III) preparation of an agenda for political actors in the region. Under Stage I, a qualitative-quantitative approach was applied through an on-line survey of 90 organizations, and case studies have been elaborated based on 58 semi-structured interview.
Results. Presentation of a work plan during a regional meeting with health ministries and funding agencies, indicating each country’s specific and regional requirements, among them: 1) launch of health system research lines in the policy, economy and social conditions areas; 2) formalizing of bonds among organizations dedicated to research and public health programs and universities with programs on human resources for health; 4) establishment of a regional information system, and 5) integration of a consortium susceptible of supporting the creation of a Mesoamerican Public Health Institute.
Acknowledgements. Luz María González, María Beatriz Duarte, Sergio Meneses, Ricardo Correa, Coridalia Wald, Marlene Roselló and Jaqueline Peraza collaborated under this project. A special acknowledgement is expressed to Patricia Allen, Executive Director of Inciensa, Costa Rica, for her valuable participation.

Learning Objectives: 1. Acquire a map of organizations integrating the public health field in the southern border of Mexico, Costa Rica, Panama, Nicaragua, El Salvador, Guatemala, Belice, Honduras and the Dominican Republic (Mesoamerica-DR). 2. Identify strengths and weaknesses of the most relevant organizations in the region. 3. Analyze the case studies derived from the project diagnosis as an exchange of experiences from other countries and regions. 4. Structure an institutional support plan for Mesoamerican-DR organizations. 5. Analyze, create and articulate communication channels between decision makers and organization representatives in Mesoamerica-DR.

Sub-Theme: Strengthening Global Public Health Systems