Health and Community Development of Cd. Juarez ... - FEMAPfemap.org.mx/publicaciones/informe_anual/femap2004-ingles.pdf · An aspiration to equity SADEC – FEMAP 31 years serving

An aspiration to equity

SADEC – FEMAP 31 years serving the communities of Ciudad Juarez, Chihuahua

Annual Report 2004

Health and Community Development of Cd. Juarez


Institutional mission

“Contribute to improve the quality of life of people living in

poverty”


Practice of SADEC’s institutional mission

SADEC’s mission, sustained on research, education and community participation is carried out through the provision of health services, the promotion of environmental

health and sanitation and the establishment of actions to facilitate the

individual, economic and social development of SADEC’s target population.


Family income of people living in urban-marginated areas of Juarez municipality

3 & + MW,

7.6%<1 MW,

2.4%

2 a 2.99 MW,

47.3%

1 a 1.99 MW,

42.7%

Sample: 500 home units of Juarez municipality. Urban Poverty. SADEC-SEDESOL, 2003

MW= Minimum Wage = US $117.43 dollars (P$11.30 x US $1.00)


Health Coverage 2000: Mexico

31.5

7.6

58.3

Co

vera

ge

IMSS Other SS Institutions Population with out access to SS

Millions of people

XII General Census of Population and Housing 2000, INEGI, Mexico. 2001. SS: Social Security


SADEC’s target population

Juarez population growth during the last decade was 52.6% from 798,499 in 1990 to 1,218,817 inhabitants in 2000.

In the year 2000, Juarez represented 40% of the total population of Chihuahua state.

During the 90’s Juarez received an average of 42,000 immigrants per year, in search of better living conditions.

In the year 2000, 40% of Juarez’s total population was 19 years old or less (485,804 inhabitants).

It is estimated that 43% of the Juarez total population live in poverty and social marginalization (524,091 inhabitants) and 17% do not have access to health services (207,199 inhabitants).

17% (207,199 inhabitants) had limited access to health services.


SADEC’s Geographical & population coverage

Guadalupe

Praxedis G. Guerrero

Porvenir

Zaragoza

During the year 2004, SADEC cover with information, education and services to an estimated population of 298,732 inhabitants.


Areas of urban poverty


Program's

Coordination

House Improvement

Program

Progresive Housing

Program

Community Banks

Seeds Across

the Border

Microenterprise

Program

Economic

Development

Reproductive

Health Program

HELP Community

Based Program

Referal to

Medical Services

Community Based

Health

Program

Nursing School

Biomedical

Research

Medical Services

HELP Program

Family

Hospital

Environmental

Education

Solid Waste

Recycling Program

Maq. Industry

ECOTEC

STD, HIV/AIDS

Prevention Program

Comunidad

Alcohol & Tobacco

Prevention Program

Community Based

Prevention

Programs

Drug Stores

Cafetería

Social Marketing

Maquiladora

Industry

Sale of Services

and Products

MAFE Group

Border Profile

Development Index

of the Mex-US Border

Social & Economic

Research

INFOMEXUS

Juarenses for a

Healthy Youth

SADEC

for a

Healthy Youth

Excecutive Direction Administration &

Finances

President

Guadalupe Arizpe de De La Vega

Board of Directors

SADEC

SADEC’s organizational chart


SADEC has 31 years promoting the community development and empowerment through:

Access to health care.

Involvement in informal education processes.

Development of a sense of social responsibility.

Access to formal education.

Improvement of the environment.

Access to micro-loans.


Service delivery infrastructure

1,311 Volunteers: (Outreach Worker Coordinators, Health Outreach Workers,

Youth Outreach Worker Coordinators, Youth Outreach Workers).

421 Employees: 390 (92.6%) working at Family Hospital & Santa

Maria-SADEC Hospital. 31 working in Community Based Programs 400 (95%) are service providers and 21 (5%)

administrative employees. Dos Hospitals.

One outpatient care clinic. One nursing school with 200 students (SADEC-UACJ) Two Drug Stores.


Volunteer community health workers “Promotoras”

The founding members of the first “Promotora Model” in Mexico (1973):

•Licha Ibarra,

•Licha Castro,

•Naty López,

•Bruna Díaz,

•Evangelina Martínez,

•Guadalupe Arizpe de De La Vega


SADEC’s “Promotora Model”

1 Social Worker

8 Coordinators of Promotoras

160 Promotoras (20/Coordinator)

4,000 Families (25/Promotora)

Clinics y Hospitals

Health Information

Early Cancer Detection (Ca CU & B)

Early Detection of Chronic Degenerative Illnesses

Oral Re-hydration Salts

Immunization Campaigns

Family Planning

Quality of Health Services

Other Community “Problems”

Health Demands and Needs

Referral to Health Services

Promotora Training

Promotora Follow-Up & Supervision

Coordinator Training

Coordinator Follow-Up & Supervision

Referral for Community Follow-Up

Administrative

Offices

Presidency


Promotora participation in institutional events


Coordinators of Promotoras


Community health promoters


Community health services delivered by health promoters, 2004

Service Number

One to One information 131,400

Family planning active users* 30,108*

Pediatric immunizations 10,492

Oral Re-Hydratation salts distribution 7,861

References to health services 39,082

Early detection and prevention 2,624

*Include other family planning users from other SADEC’s community based programs & social marketing


Holistic health and health promoters community based organization for commercial sex workers

Holistic health community based program. 48 training workshops (2 hours per week).

Scholarships for employment education (4).

Adult education (basic level). Health brochure, design, promotion

and communication. Coordination activities with other

social organizations and informal groups.

48 Yoga workshops for health promoters.

12 training meetings for health promoters.

Other workshops: The inner child. Violence & family structure I y II. Family development I, II y III. Alcohol prevention.

Organization of 3 micro-enterprises.

Coverage with community based programs of information, education and training

Coverage: 219,895 inhabitants


Research results that justify an immediate health intervention with health education, prevention and early screening of diseases*

* Suárez, Enrique. Health situation of women living in urban-poverty areas of Juarez municipality, SADEC – SEDESOL, 2002.

Condition Percentage

BMI <18.5 Kg./m² (malnourished) 1.2%

BMI 18.5 a 24.9 Kg./m² (normal) 20.0%

BMI 25.0 a 29.9 Kg./m² (overweight) 34.0%

BMI 30.0 Kg./m² & more (obesity) 44.8%

Hypertension 15.2%

Hyperglycemic (fasting) of 110 mg. & more 23.8%

Hypercholesterolemia of 200 mg. & more 43.6%

Hiperlipidemia of 150 mg. & more 48.0%

Hypocromic anemia 17.7%


Community information, education and training


Community information, education and training


Community based program of prevention of chronic degenerative diseases, and early cancer detection

Activity Achievement

Trained persons 257

Nutrition workshops 71

Participants in nutrition workshops 1,552

Health fairs 46

Participants in health fairs 24,978

Distribution of educational brochures 46,326

Risk evaluation:

Nutrition

Diabetes mellitus

Cardiovascular risk

34,136

12,543

11,023

10,570

Early detections:

Cardiovascular risk and hypertension

Diabetes mellitus

Nutritional situation (body mass index)

Ervical cancer

Breast cancer

Prostate cancer

36,973

6,110

6,746

6,886

8,691

7,778

762

Reference of people in high risk to health services 9,523


Health fairs


Health fairs


Health fairs


Juarenses for a healthy youth (action for youth)


Juarenses for a healthy youth




SADEC along three other organizations integrate the initiative Juarenses for a healthy youth (action for youth).

Action for youth is supported by El Paso del Norte Health Foundation.

Volunteer youth promoters (125). 39 planning, follow-up and evaluation meetings. 8 local community committees. 262 training session (2 hours per activity) with a coverage

of 2,731 youngsters and 237 adults. Community promotion of Juarenses for a healthy youth

program through 11 events with 6,711 participants. 13 sport, cultural and recreational activities with the

participation of 798 adolescents and 86 adults. Evaluation of “Juarenses for a healthy youth” initiative.

Juarenses for a healthy youth, SADEC activities 2004



Development Assets

Before and after evaluation: Program’s impact on attitudes and risk behavior of youth: 1999 vs. 2004


15.916.9

16.4

20.4 20.6 20.5

0

5

10

15

20

25

1999 2004

Male Female Total

Number of Assets

33%

22%

25%

Development assets by gender


External assets*: Male Female Total Dif.

Category (average) 1999 2004 1999 2004 1999 2004 99-04

Support 42.1% 63.2% 43.8% 53.6% 42.3% 58.6% + 16.3%

Empowerment 41.0% 48.9% 40.0% 39.7% 40.5% 44.1% +3.6%

Limits and expectations 51.8% 70.4% 57.0% 73.5% 54.4% 72.0% + 17.6%

Constructive use of free time 16.1% 29.0% 18.9% 27.5% 17.4% 28.1% +10.7%

Internal assets*:

Commitment to learning 34.7% 59.9% 38.4% 62.1% 36.5% 61.1% + 24.6%

Positive values 46.2% 64.6% 49.2% 71.6% 47.6% 67.2% + 19.6%

Social competence 20.0% 48.8% 28.2% 56.7% 23.8% 53.0% +29.2%

Positive identity 51.2% 75.3% 45.7% 67.6% 48.6% 70.7% + 22.1%

Categories of external and internal assets: 1999 vs. 2004

* % of youngsters with assets


Risk behavior: 1999 vs. 2004

Male Female General

Risk behavior 1999 2004 1999 2004 1999 2004

Tobacco use or abuse* 30.9% 17.2% 20.9% 19.7% 25.9% 18.5%

Alcoholism** 32.0% 26.5% 23.9% 24.8% 28.1% 25.6%

Drug use or abuse* 18.5% 9.3% 15.2% 5.8% 16.9% 7.4%

Reproductive risk* 73.4% 18.2% 94.7% 20.0% 77.2% 18.9%

Violence behavior* 27.2% 23.2% 14.7% 9.2% 21.2% 15.7%

Bulimia* 24.1% 9.3% 28.0% 21.4% 26.0% 15.7%

Depression* 16.8% 11.9% 23.8% 22.5% 20.3% 17.6%

Suicide attempt* 14.0% 9.9% 24.1% 19.1% 18.8% 14.8%

*During the last year

**Five or mere alcohol beverages, in one or more occasions during the last two weeks


Development Assets, 2004,

accordingly to his/her participation in the initiative

19.2318.98

19.32

19.93

22.34

18

19

20

21

22

23

None 1 to 2 3 to 4 5 to 6 7 to 8

Assets

Number of Assets

Participation


Deficits (factors that facilitate the emerging of risk conducts)

Home alone.

Over exposition to TV.

Family violence (some time in life):

Parents.

Siblings.

Others (non family).


Average of deficits, 2004, accordingly to his/her participation in the initiative

2.482.44

2.28

2.01

1.89

1.7

1.9

2.1

2.3

2.5

0 1 to 2 3 to 4 5 to 6 7 & +

Deficits

Número de Déficits

Participation

Deficits:

Maxim = 3

Minimum = 0


Factors that promote development

School achievements.

Helping others.

Values diversity.

Keep good health.

Leadership.

Resist danger.

Control of impulses, defer gratification.

Overcome adversity.


Average of development factors, 2004, accordingly to his/her participation in the initiative

4.51

4.05

3.893.823.8

3.6

3.8

4

4.2

4.4

4.6

4.8

0 1 to 2 3 to 4 5 to 6 7 & +

Factors

Number of factors

Participación

General average: 3.99

Range: 0 a 7 factors


Drug use/tobacco use by number of assets, 2004

0

10

20

30

40

50

60

10 & - 11 to 20 21 to 30 31 to 40

Male Female General

Drug use Tobacco use

Percentage

0

10

20

30

40

50

60

70

80

10 & - 11 to 20 21 to 30 31 to 40

Male Female General

Percentage


Carrying weapons for protection/deliberated skipping days of school during the last year, by number of assets, 2004

Carrying weapons for protection Deliberated skipping days of school

Percentage Percentage

0

10

20

30

40

50

60

70

80

90

100

10 & - 11 to 20 21 to 30 31 to 40

Male Female General

0

10

20

30

40

50

60

70

80

90

10 & - 11 to 20 21 to 30 31 to 40

Male Female General


Depression/suicide attempts during the last year by number of assets, 2004

Depression Suicide attempts

Percentage Percentage

0

5

10

15

20

25

30

35

40

10 & - 11 to 20 21 to 30 31 to 40

Male Female General

0

5

10

15

20

25

30

35

40

45

10 & - 11 to 20 21 to 30 31 to 40

Male Female General


From the street to life: Constructive use of free time

Supported by DIF, this project was carried-out from september to december 2004 covering 70 children and 21 youngsters.

Activities: School counseling: 57 sessions (240 hours). Reading circles: 10 sessions (40 hours). Theater introduction: 7 sessions (14 hours). Table games: 16 sessions (64 hours). Handcraft workshops: 7 sessions (14 hours). Attitudes and behavior evaluation: 1 session (1

hour).

In conclusion: 6 activities including 97 sessions carried out through 23 hours per week for 4 months (total: 372 hours).


From the street to life

Sustainable community development

Colonia Tierra Nueva I

SADEC - SEDESOL – INDESOL - FECHAC

http://www.fundacion.org.mx/esp/inicio.php


Phase II results, 2004

Health project: Health promotion, early cáncer detections and

nutritional situation evaluation.

Sport activities: Sport tournaments with 180 participants. Team sport promotion with 45 children and 10

youngsters.

Community park remodeling: Park #1: Painting, cleaning, water system

installation. Park #2: Priority definition.

Health education: Training of volunteers (5 participants). Educational talks to 50 students.


Sustainable community development, Tierra Nueva I


Economic development program

Education, training technical assistance and transfer of technology.

Community banks.

Seeds across the border program: Community banks in the U.S.A: (Sunland

Park, NM, El Paso, TX., Socorro TX., San Elizario TX., Mc

Allen, TX., Edinburgh, TX., and Brownsville TX.).

Micro-enterprises.


Community banks


Community banks


Community banks


Economic development program Results: 1987-2003 y 2003 vs. 2004

Cumulative:

1987-2003 2003 2004

No. of community banks 332 43 73

No. of participants 4,090 646 829

No. of loans 19,097 1,959 2,269

Capital loaned US $1,931,469.98 US $226,784.95* US $300,587.79*

Loan average US $105.01 US $115.76 US $132.48

Persons trained 6,311 982 659

Families benefited 3,995 633 789

Female participation 93.5% 94.5% 95.0%

* Exchange rate: 2003 = P $11.10 x US $1.00; 2004 = P $11.22 x US $1.00


Community banks: 2003 vs. 2004

2003 2004 Variation

2003/2004

No. of community banks:

Juarez municipality:

El Paso, Texas:

43

19

24

73

44

29

69.8%

131.6%

20.8%

Number of participants

Juarez municipality:

El Paso, Texas:

646

412

234

829

514

315

28.3%

24.8%

34.6%

Number of loans 1,959 2,269 15.8%

Capital loaned P $1,920,491 P $2,996,840 56%

Average loan per participant P $2,972.90 P $3,615.01 21.6%

Average per loan P $980.34 P $1,320.78 34.7%

% of defaults 4.9% 3.9% -1.0%


The Mexican northern border profile (2004). INFOMEXUS, SADEC-FEMAP. Development, well being and quality of life index of the mexican northern

border (2004). INFOMEXUS, SADEC-FEMAP. The children counts in the Mexican northern border. (2004). INFOMEXUS,

SADEC-FEMAP Behavior risk factors survey in Juarez, Chihuahua. (BRFSS). SADEC, PDNHF,

CBHR, TTUHSC at El Paso. “Encuentros” Lead prevalence study in the Paso del Norte Region (2003-

2004). NIEHS, SADEC, AYUDA, OPI, The FEMAP Foundation. Hypertension and risk reduction factors in Juarez, Chihuahua, México.

(2004). Beneficencia Pública de la SSA, Centro Nacional de Vigilancia Epidemiológica y Enfermedades no Transmisibles, SADEC.

Fetal monitoring during pregnancy. (2003-2004). SEDESOL, Hospital de la Familia, SADEC.

Reduction of risk factors in women with 19 years old or less. (2003-2004). Hospital de la Familia, SADEC.

Design of delivery (partum) planning. (2003-2004). SADEC-FEMAP, The Population Council.

Oral Contraceptive Users at Juarez, Chihuahua & El Paso, Texas. Pilot Project. (2003-2004) SADEC-FEMAP, The Population Council.

Research studies I: 2004


Research studies II: 2004

Condom Use Satisfaction in three population segments. Commercial sex workers, plant operatives and students). (2003-2004) SADEC-FEMAP, The Population Council.

Impact evaluation of the Values Education Program (2004). SADEC, PEV.

Community action to prevent infection due to West Nile virus in the Paso del Norte Region. (Mexico y EUA). (2004). Consorcio Centro Fronterizo de Promoción de la Salud, PDNHF, NMSU at Las Cruces, SADEC, UACJ.

Physical activities promotion in the Paso del Norte Region (Mexico y EUA). (2004). Consorcio Centro Fronterizo de Promoción de la Salud, PDNHF, UTEP, SADEC, UACJ.

Share safe sex…, Intervention in high risk female (sex workers) on the Mexico’s northern border. (2004-2005). SADEC, UACJ, UAT, UABC, UCSD, UC Davis, SSA del Estado de Baja California (ISESALUD).

Binational tracking system for respiratory diseases related to the environment. (2004-2005). SADEC, PAHO, Thomason Hospital, TTHSC at El Paso, EPA, The FEMAP Foundation.

Evaluation of a tool accuracy to assess risk of breast cancer in Juarez, Chihuahua. (2004-2005). Beneficencia Pública de la SSA, Centro Nacional de Vigilancia Epidemiológica y Enfermedades no Transmisibles, SADEC.

SADEC’s medical units


SADEC increased its hospital installed capacity

Health and Community Development of Cd. Juárez A.C., increasing its hospital capacity by 54.5%, from 110 to 170 hospital beds in 2004. This growing was possible tanks to the

signing of an strategic alliance between Desarrollo Comunitario Santa María, A.C., represented by Aristeo Trinidad Baca Baca and Salud y Desarrollo Comunitario de Cd. Juárez, A.C., represented by Guadalupe Arizpe de De La Vega. The central objective of

this alliance is to assure the continuity of medical service delivery to the population living in poverty, especially those who live in the south-west area of the city. Through this

alliance Santa Maria Community Development confer SADEC the Santa Maria Hospital for his administration.


SADEC medical units installed capacity, 2004:

Family hospital with 110 hospital beds (Ave. Malecón, Centro).

Santa Maria-SADEC with 60 hospital beds (Prolongación Boulevard Zaragoza s/n, Colonia Cd. Moderna).

One out-patient care clinic (Perim. Carlos Amaya y Cartagena).

125 medical doctors, 76% of the total, 95, are specialized doctors.

150 nurses. 170 hospital beds. 6 surgical rooms 6 delivery rooms. 12 labor beds equiped with fetal

monitoring units. Two emergency units with 14 beds. Two ambulances. Two neonatology units with:

14 incubators. 8 neonatal intensive care units.

One clinic for fetal monitoring during the prenatal care.

Two units for preventive medicine. One clinic for diagnosis and treatment

for cervical cancer: Colposcopy. Cryosurgery. Electro surgery.

Two clinical analysis laboratories with a capacity to perform over 60,000 exams per month.

Two imagenology units with: One X ray equipment with

fluoroscopy. One X ray equipment Three portable X ray equipments. Four ultrasound equipment. Two mammography equipments.

One dental unit. 32 medical offices. The two hospitals have, 24 hours a

day in house gynecologist, pediatrician and anesthesiologist.

15 medical specialties.

9 medical sub-specialties.


Medical services delivered: 2004

Family Hospital,

611.905

90.4%

Clinic #1,

16,550

2.4%

Santa Maria H,

48,456

7.2%

Total: 676,911 medical services


Services Persons Services Persons

General consultations 123 Early detection of breast cancer 23

Prenatal care 47 Early detection of cervical cancer 25

Pediatric consultations 82 Gynecology consultations 68

Immunizations 38 Early detection of CDD 70

Other specialty consultations 43 Urgencies 63

Ultrasound studios 79 X Rays 53

Laboratory studies 133 Deliveries 15

Surgeries 14 Hospitalizations 94

Other services:** 71 Persons per day 1,041

Services per day 1,863 Average of services/person 1.79

* CDD: Chronic degenerative diseases.

** Other: preventive medicine, cryosurgery, electro surgery, ECG, etc.

Services delivered, and persons attended per day


Out-patient care and hospital services

0

100000

200000

300000

400000

500000

600000

Ambulatory 555971 44236 16560

Hospital 55934 4220 0

Family Hospital Santa Maria Hospital Clinic # 1

Ambulatory services: 616,767

Hospital services: 60,154

Relation ambulat./hospital: 10.3 a 1.


Deliveries per year: 1976 a 2004

0

1

2

3

4

5

6

Deliveries 0.5 1.4 2.5 2.8 2.6 2.4 1.9 1.5 1.7 2.2 3.3 4.1 4.8 4.6 5.5

76 78 80 82 84 86 88 90 92 94 96 98 0 2 4

Number of deliveries (thousands)

Total 1976-2004: 79,308 deliveries

Community based health education program, its impact

Maternal & child prevention services, early detection of chronic degenerative diseases, and

cervical, breast and prostate cancer.


SADEC &

Services 2001 2002 2003 2004* Total

Pregestacional care 833 1,931 1,898 2,135 6,797

Prenatal care 10,823 9,851 12,915 17,004 50,593

Early detection of high risk pregnancy

559 778 903 1,051 3,291

Early detection of gestacional diabetes

840 974 789 1,259 3,862

Deliveries 4,655 4,551 4,450 5,465 19,121

Postnatal care (child) 11,637 11,377 12,670 13,893 68,698

Postnatal care (mother) 5,586 6,023 5,839 7,992 25,440

Breastfeeding support 5,934 5,342 5,749 7,043 24,068

Pediatric Immunizations 12,243 14,236 13,244 13,821 53,544

* Include, Family hospital, Clinic # 1 and Santa Maria hospital, 2004


Early detection of chronic degenerative diseases, and cervical, breast & prostate cancer

Services 2001 2002 2003 2004 Total

Papanicolau studies

Colposcopy studies

Cervical cancer detections:

4,001

2,896

6,897

5,949

3,085

9,034

4,362

2,908

7,270

5,972

3,190

9,162

20,284

12,079

32,363

Electro and cryosurgery of premalignant and malignant cervical lesions:

277 314 509 629 1,729

Mammography's

Mammary ultrasounds

Physical breast explorations

Breast cancer detections:

892

1,493

2,167

4,552

1,883

1,474

2,096

6,140

2,407

1,648

2,791

6,846

2,487

2,505

4,038

9,030

7,669

7,120

11,092

25,881

Biopsy and/or breast surgery: 89 136 142 174 541

Prostate antigen: 59 134 356 762 1,311

Early detection of C. Degenerat. Diseases 27,085 17,085 17,480 25,765 87,415

References for medical care*: 10,292 6,934 6,992 12,949 37,167

*People in high risk: nutritional problems, overweight obesity, diabetes and cardiovascular risk.


Pediatric orthopedic clinic

Dr Jacob Heydemann Group: 19 years of continuous work 26,654 consultations. 21,303 therapy sessions. 696 surgical procedures in 613 children.

The prestige of this clinic is attracting children from other municipalities of the State of Chihuahua, and from Coahuila, Durango, Sinaloa y Sonora States.

Dr. Jacob S. Heydemann was honored with the “Orden Mexicana del Águila Azteca en grado de Insignia”. This was published in the official dairy of the Mexican Federation the 21 of April of 2004. The award was granted to him for its altruistic work favoring thousand of Mexican children.


Dr. Jacob Heydemann clinic


Patch Adams and his team, visit Family Hospital


Stanford University and The Family Hospital

SADEC and The Family Hospital continues during 2004 its relationship with Stanford University.

Two third year medical residents (obstetrics and gynecology) from Stanford University had, each one, a 15 day rotation in The Family Hospital.

Four medical doctor from The Family Hospital (two gynecologist, one anesthesiologist and one neonatologist) had a 7 day observational visit to the department of Maternal-Fetal of the Stanford University.


Population access to high level medical technology


Juarez, Chihuahua has 0.85 nurses/doctor.

The school was established in 1990.

It is affiliated with Juarez Autonomous University

200 students with the highest enrollment in the State of Chihuahua.

During the year 2004, the school reached its economic self-sufficiency, facilitationg its sustainable development

SADEC’s nursing school


2004 graduation of SADEC nursing school


Pre-graduate Medicine Internship

Hospital de la Familia, certified by Mexico’s Health Department, is providing education and training to fifth grade school medicine students for one full year.

Since the year 2000, Family Hospital is receiving an average of 12 students per year.

The hospital is receiving medical students from the Mexican states of Chihuahua, Durango, Sinaloa, Guerrero and Oaxaca.


Participation of medical interns in health fairs

Hospital delivery statistics

Statistics that shows SADEC’s programs impact on population’s

health


Age at first pregnancy 1982-2004

17.1

17.8

19.5

19.3

19.4

19.41919.3

19.2

19.118.7

17.5

17

17.5

18

18.5

19

19.5

20

82 84 86 88 90 92 94 96 98 0 2 4

Age

Years of age


% of women having prenatal care 1982-2004

40.4

83.6

80.4

80.2

83.8

83.4

79.6

78.6

78.3

78.4

68.1

56.8

40

50

60

70

80

90

82 84 86 88 90 92 94 96 98 0 2 4

% women

Percentage


Infant mortality and miscarriages, 1982-2004

0

10

20

30

40

50

60

70

80

90

100

0

10

20

30

40

50

60

Infant Mortality 96 63 45 43 39 39 38 35 34 24 24 21

Miscarriages 54 36 29 19 17 16 16 16 14 13 13 12

82 84 86 88 90 92 94 96 98 0 2 4

Infant deaths per 1,000 born alive Miscarriages per 1,000 born alive


FEMAP Foundation

The FEMAP Foundation is a U.S. based public charity, chartered as a Texas nonprofit corporation on July 13, 1992.

It is exempt under section 501(c)(3) of the Internal Revenue Code.

The FEMAP Foundation was established to provide support for particular projects of SADEC and FEMAP.

Located on the border in El Paso, Texas.

the FEMAP Foundation, in conjunction with FEMAP and SADEC, headquartered in Ciudad Juarez, Mexico, provides links between the two cities and countries in order to address mutual economic needs and public health concerns.

The FEMAP Foundation has grown over the past decade into an organization that is a strong advocate for the U.S./Mexico border region, and is an example of the goodwill that exists between both countries and peoples.

The FEMAP Foundation is equally committed to improving conditions on both sides of the border, through the support of many of SADEC’s - FEMAP programs.


Projects supported by The FEMAP Foundation during 2004

Seeds across the border (economic development project in the south border of the State of Texas).

Action for youth (Juarenses for a healthy youth). “Encuentros”, lead levels in the Paso del Norte region. Prevalence of violence in Ciudad Juarez. Binational tracking system of respiratory diseases and its

correlation to environmental situations. Medical equipment for the Family Hospital. Border diabetes in the Paso del Norte region. Scholarships for commercial sex workers. Qué sabrosa vida. Physical activity promotion. Community action to prevent West-Nile virus infection in the Paso

del Norte region.


SADEC international donors

The FEMAP Foundation. Paso del Norte Health Foundation. Center for Border Health Research. Cooper Industries. Johnson & Johnson. Dean Foods. National Institute for Environmental Health

Sciences (NIEHS) & UTEP. The Population Council. El Paso Empowerment Zone. El Paso Community Foundation/Leon Apteckar


SADEC’s national donors

Patrimonio de la Beneficencia Pública. Gas Natural de Juárez, S.A. de C.V. Desarrollo Integral de la Familia (DIF). Fundación del Empresariado Chihuahuense, A.C. (FECHAC). Secretaría de Desarrollo Social (SEDESOL).

Instituto Nacional de Desarrollo Social (INDESOL).

Fundación Wal-Mart de México, A.C. Fundación Comunitaria de la Frontera Norte, A.C. Distribuidora de Medicamentos y Servicios del Norte, S.A. Sra. Elsa Chávez de Barraza. Grupo Pisis, S.A. de C.V. Sra. Guadalupe Arizpe de De La Vega Operadora ALPI de Ciudad Juárez, S.A. de C.V. Almacenes Distribuidores de la Frontera, S.A. de C.V. Carta Blanca de Ciudad Juárez, S.A. de C.V. Electro-Tec, S.A.

Binational programs, 2004

Paso del Norte Region (Ciudad Juárez, El Paso, Sunland y Las Cruces)


Training in the “Promotora Model”

Promotora Program, Dona Anna County, Nuevo Mexico.

Center for Community Advocacy, Salinas, California.


Binational programs FEMAP Foundation. Action for Youth (Juarenses for a Healthy Youth). HELP program (PDNHF Border Fund Cooper Industries)

“Encuentros” lead prevalence in the Paso del Norte region. Seeds across the border. Binational coalitions:

Paso del Norte Air Quality Task Force. Paso del Norte Environmental Health Task Force. Paso del Norte Water Quality Task Force.

Border diabetes. Binational tracking system of respiratory diseases and its

correlation with the quality of air. Qué sabrosa vida. Physical activity promotion. Community action to prevent Wets-Nile virus infection in the Paso

del Norte region. Violence prevalence in Ciudad Juárez.

Finances

Income and Expenses SADEC: 2004


SADEC income, 2004

Finance products

$527,262

0.7%

SADEC Board

$5,909,025

8.3%

International donors

$2,786,918

3.9%

National donors

$1,204,798

1.7%

Generated Income

$61,054,258

85.4%

Ingresos totales: $71,482,260 pesos


SADEC expenses, 2004

Ingresos totales: $75,121,741.00 pesos

Administration

$1,000,908

1.4%

Equipment &

construction

$3,639,480

5.1%

Community

Programs

$7,317,074

10.2%

Medical Units

$59,524,798

83.3%

Expenses: P $71,482,260 (pesos)


Operational cost of SADEC’s medial units

$37,830,907

$44,382,401

$48,020,923

$52,469,973

$59,524,798

2000

2001

2002

2003

2004

2000 2001 2002 2003 2004


SADEC medical units expenses: 2004

Construction &

equipment

$3,639,480

5.8%

Family H.,

$55,013,030

87.2%

Clinic #1

$1,285,243

2%

Santa María H.,

$2,554,656

4%

Nursing School

$671,869

1%

Expenses: P $63,164,278.00 pesos


Average of expenses per service provided, SADEC’ medical units: 2004

0

10

20

30

40

50

60

70

80

90

Expense/Service 70.08 76.63 79.02 83.81 87.94

2000 2001 2002 2003 2004


Cost per service provided: SADEC vs. Public Sector

0

50

100

150

200

250

300

350

400

450

500

SADEC 70.08 76.63 79.02 83.81 87.94

Public Sector 281.7 346.49 396.46 470.19 492.68

2000 2001 2002 2003 2004


Economic cost of SADEC’s medical services if those where provided by the Public Sector

$152.43

$200.61

$242.10

$297.82

$333.50

$0.00

$50.00

$100.00

$150.00

$200.00

$250.00

$300.00

$350.00

Millones

2000 2001 2002 2003 2004

Average cost per service in the Public Sector (in Mexican Pesos): 2000=$281.70, 2001=$346.49, 2002=$396.46, 2003=$470.19,2004=$492.68

2000-2004: P $1,226.46 millions of pesos


Economic cost of medical services not charged in The Family Hospital of SADEC

$2.94

$4.20$4.46

$5.27

$7.26

$0.00

$1.00

$2.00

$3.00

$4.00

$5.00

$6.00

$7.00

$8.00

Millones

2000 2001 2002 2003 2004

2000-2004: P $24.13 millions of pesos

Documents

Health and Community Development of Cd. Juarez ... - FEMAPfemap.org.mx/publicaciones/informe_anual/femap2004-ingles.pdf · An aspiration to equity SADEC – FEMAP 31 years serving