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GOAL:
* To decrease mother and child morbidity and mortality among teenaged mothers;
* To improve access to preventive health care; and,
* To increase awareness of, and to provide information about, sexual and reproductive health.
This intervention project is geared to pregnant teens living in the Armenia, Quindío community to provide support and evidence-based information to improve health outcomes for mothers and their children. We believe that the empowerment of adolescent mothers must include a holistic process. We have divided our project into three stages that include:
1) preventive medical care during pregnancy, postpartum and training for self-care and care for the new-born;
2) psychosocial support for developing their life project (the mothers' future plans for her and her baby) and to strengthen maternal/filial ties in the beneficiary's family environment. These lines are strengthened through a process of training in leadership, skills and abilities that empowers them and helps them gain autonomy; and
3) training opportunities in specific job skills to improve access to sustainable livelihoods.
The Pan American Health Organization (PAHO) found that in Latin America and the Caribbean, women from the poorest quintile:
• Have higher unmet health needs
• Do not have equal access to reproductive health education, compared to women from the richest
quintile.
• Have been associated with early sexual initiation, which in turn is associated with risks of pregnancy in
adolescent women
• With adverse sexual health outcomes, adolescents face a higher risk of complications and death as a
result of pregnancy, as well as increased susceptibility to sexually transmitted infections.
(www.paho.org/salud-en-las-americas-2017/mhp-inequities-es.html
According to a study by United Nations Children's Fund (UNICEF) in 2020, levels and trends in child mortality, socio-cultural conditions, income level and the educational level of the mother can have an important influence on the Infant Mortality Rate (IMR). Particularly in Colombia, infant mortality is 4 times higher in the poorest quintile, compared to the richest quintile. In turn, it is 5 times higher when the mother has a low level of schooling. according to Organisation for Economic Co-operation and Development (OECD) and The World Bank.
(www.asivamosensalud.org/indicadores/popaciones-vulnerables/tasa-de-mortalidad-infantil-georeferenciado)
This project will focus on pregnant teenage mothers who are currently living in poverty. Keeping in mind that evidence indicates that education, especially for girls:
• Reduces maternal and child mortality
• Reduces poverty
• Contributes to instilling behaviours and habits that have a positive effect on people's health
Education will be a key component within this project. Our educational and preventive strategies will be implemented in a community environment as part of an integrated effort to support the development of stronger health knowledge. We will include an emphasis on breastfeeding and contraception methods (so that this population is more likely to manage the size of their families according to their economic abilities). Our hope is to instill and teach good health habits so that the young mothers can become responsible parents, develop greater self-confidence, and therefore offer better care to their children.
This grant for El Nido will function as a pilot program, which will enable the foundation to purchase the equipment necessary, hire professionals, and give them 24 months to be able to fundraise to ensure that the program continues after the 24 month period. The foundation has already purchased the building they are using and will continue to hold fundraising events as well as a Mother/Child sponsorship program in order to raise the funds needed to pay the salaries of the medical professionals.
Beneficiaries:
Direct Beneficiaries Indirect Beneficiaries
Up to 50 Adolescent Mothers Surrounding Family (Couple, Close Family, Friends, etc.)
Up to 50 Babies Surrounding Family (Couple, Close Family, Friends, etc.)
Phase 1 (1 month): Identify and diagnose the beneficiaries (restoration of rights, educational status, abilities and skills).
Phase 2 (6 months): Carry out psychosocial and medical monitoring during the gestation period, and work on their life project.
Phase 3 (6 months): Strengthen the mother-child bond, advance psychosocial support and work on skills and attitudes.
Phase 4 (6 months): Training in various skills, leadership, empowerment, strengthen life project, and develop basic occupational skills.
Phase 5 (5 months): Provide psychosocial support and preparation for the end of the project.
SUSTAINABILITY AND COMMUNITY INVOLVMENT
1. The Zona J Foundation will compile a group of potential candidates to be the beneficiaries of the project from their collected database. 2 WEEKS
2. Interview and selection process of beneficiaries by the doctor, social worker, psychologist and program director. 1 month
Purchase of the equipment. 2-3 WEEKS
3. Professional training and monitoring from the Doctor in maternal health and child care as well as regular preventative check-ups. 22 MONTHS
4. The social worker will implement a strategy to strengthen the parenting skills of the beneficiaries through individual, family, group and context intervention as well as any topic that arises from their contact with the young mothers and children.
22 MONTHS
5. The professional social worker and the psychologist will help guide the beneficiaries to identify their life goals and help them implement strategies for holistic development. 22 MONTHS
6. Implementetion of educational training in job skills through the online platform of el SENA y Capacitateparaelempleo.org
6 MONTHS
7. Monitor and evaluate the progress of all parties involved. 24 MONTHS
8. An implemented and systematized Model that allows its effective replication in different environments.
BUDGET FOR EL NIDO PROJECT
TRAINING
Training and monitoring in maternal health and newborn care Doctor 40 hours per month (30,000 per hour)
$28800000 COP $7579 USD
Training in strengthening the life project, workshops for participant and immediate family. Part-time Social Worker for the provision of services (1,200,000/month)
$28800000 COP $7579 USD
Psychologist to train and offer intervention services
$19800000 COP $5211 USD
Education/Skills Training in the Area of Administrative work
$15000000 COP $3947USD
Leadership and entrepreneurship training
$3120000 COP $821 USD
EQUIPMENT
Medical and biosafety supplies (gloves, tongue depressor, mask, cotton, alcohol, etc.)
$2000000 COP $526 USD
4 work tables for workshops, training, etc
$1040000 COP $274 USD
10 laptops with 3yr warranty for training and school use
$16000000 COP $4211 USD
PROGRAM MANAGEMENT AND OPERATIONS
Project Coordinador over 24 month period ZonaJ
$36000000 COP $9474 USD
Medical aid (only in case of not receiving the service from the health system). This will be used for appointments with specialists, laboratories, or ultrasounds. * 75,000 monthly
$1800000 COP $474 USD
Cellphone plan to communicate with the beneficiaries
$480000 COP $126 USD
Accounting (175.000 por 24 months)
$4200000 COP $1105 USD
Systematization of the project model (project documentation, cross-sectional analysis of good practices and reports) $10000000 COP $2632 USD
Unforeseen costs due to inflation, exchange rate, rising rate of minimum salary, etc.10%
$16704000 COP $4396 USD
TOTAL BUDGET: $183744000 COP $48355 USD
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