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5 Maintaining Quality at Scale
5 Maintaining Quality at Scale
Pages 27-32
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From page 27... ...
• What processes to set and monitor quality standards during implementation were successful in maintaining quality at scale? • What has been your experience in using data information systems for monitoring and evaluation, and what successful feedback loops or continuous quality improvement systems have been used?
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From page 28... ...
The improvement in child survival in Brazil, Bonilha noted, has created momentum for the development of a national policy for children's health to build a foundation for healthy development throughout the lifespan. Bonilha explained that the government of Brazil created a national program called Brazil Carinhoso, which was inspired by Chile Crece Contigo, de Cero a Siempre2 in Colombia, and Educo a tu Hijo3 in Cuba.
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From page 29... ...
In discussing how to scale up the system across all of Chile, Torres emphasized the importance of multisectoral collaboration, with investment not only at the ministry level but also the local level, and drawing upon existing local and international successes and experiences, including Chile Solidario and Bolsa Familia in Brazil. Torres also highlighted the goal not of creating new structures within the government but rather taking advantage of what already existed, starting with the public health system, because 80 to 90 percent of children between 0 and 4 years of age receive care under that system.
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From page 30... ...
PRIMEIRA INFÂNCIA MELHOR5 Primeira Infância Melhor, as explained by Liése Gomes Serpa, is the early childhood policy implemented in the state of Rio Grande do Sul, Brazil, and is funded and coordinated by the Secretariat of Health alongside the Secretariats of Justice and Human Rights, Policies for Women, Culture, Health, Education, and Labor and Social Development. Gomes Serpa explained that the main objective of Primeira Infância Melhor is to make families feel comfortable and at ease with their children's development in order to establish strong parent–child bonds.
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From page 31... ...
In Brazil, home visitors are professional health agents, and they have the support of higher-level professionals such as physicians, nurses, and teachers. Torres remarked that the Chile Crece Contigo program identifies the most vulnerable children with disabilities and refers them to special institutions for care.
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From page 32... ...
She noted, however, that further effort should be made to improve the context in which health agents and home visitors work, in terms of resources, salary, and other areas. Similarly, Gomes Serpa stated that ongoing education is important, as is recognition of, and appreciation for, the work that staff is doing, in addition to providing an appropriate supply of materials and other resources.
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