Future Generations, Peru Project Sites

FutureGenerations Country Program Peru, Project Sites




C O N T E N T S INTRODUCTION MASTER'S DEGREE COUNTRY PROGRAMS AFGHANISTAN INDIA PERU Project Sites Going to Scale Related Links CHINA PROCESS OF CHANGE LEARNING CENTER ABOUT US NEWS ART AND INSPIRATION JOIN US CONTACT US		Project Sites Las Moras Model CLAS An Introduction to CLAS Like many countries, Peru faces the challenge of how to provide basic health care to its citizens, particularly the rural and urban poor. In 1994, the Peruvian government established the Shared Administration program to try to meet this challenge by putting greater control of the health system in the hands of local communities. This innovative program, under the Ministry of Health of Peru , is a decentralized financing and management system that allows communities to establish CLAS Associations which co-manage government primary health centers. CLAS (Comunidades Locales de Administración de Salud) are private non-profit legally registered civil associations comprised of a seven-member locally-elected committee of six community members, with the seventh member being the health facility manager, usually a doctor or nurse. Legal norms and statutes allow for the transfer of public funds to the commercial bank account of each CLAS, from which the CLAS pays salaries of health personnel who work in the government primary care facility. Each CLAS Association is accountable to its community members and controls its own funding. Since 1994, over 800 local community health associations known as CLAS have been established to manage over 2000 health clinics in urban and rural areas throughout Peru. What is a Model CLAS ? Future Generations Peru is working to build the capacity and effectiveness of the growing number of CLAS by collaborating on the design and implementation of a Model CLAS. Model CLAS are exemplary CLAS that go beyond the maintenance of a health clinic. Model CLAS aim to become centers for action learning and experimentation that: provide quality services; promote equity in terms of access and outreach; establish municipal and multi-sector partnerships; mobilize community action and partnership to meet other needs, including improved sanitation, prevention in the home, income generation etc. , and train other CLAS in the region. Design of the Las Moras Model CLAS In November 2002, Future Generations Peru began working with CLAS Las Moras which serves a population of 16,000 inhabitants in a poor peri-urban community on the outskirts of the city of Huánuco on the eastern slope of the Andes in central Peru , an eight-hour overland trip from the capital city, Lima . CLAS Las Moras, established in 1994, had shown progress and commitment to quality service. By 1999, Las Moras had re-invested its fees-for-service in a new building and in the hiring of new health personnel. Today, the health facility is a modern, two-story building with a staff of 28 health workers. The Las Moras CLAS Association, the Huánuco regional office of the Ministry of Health, and provincial municipal government of Huánuco have signed a cooperative agreement with Future Generations Peru to expand upon their success by creating a Model CLAS. The first phase of this Model CLAS partnership involves: Baseline data collection Initial training and orientation to the SEED-SCALE process that includes the importance of three-way partnerships and community workplans; Implementation of a co-managed community health system known as SICOS. Volunteer health promoters are trained to extend prevention education and health care into the home. Each promoter is trained and assigned 20 to 30 households. Responsibilities of each promoter include: household census, community mapping, household interviews, identifying high-risk patients, monthly home visits to high risk households including those with any child under age three or pregnant woman, referrals to the health facility when needed, and monthly monitoring meetings with supervisory health personnel. Organization of local sectors or communes (19 total in Las Moras) to develop local work plans with collaboration of health promoters, community leaders, and other community groups that respond to community self-identified needs and are implemented by collaborative community effort, requesting outside assistance and financing from appropriate public or private sources. The second phase of the Model CLAS program focuses on strengthening collaboration and building government and multi-sectoral partnerships. This involves creating strong partnership with the District Ministry of Health, municiple government, non-government organizations and educational institutions. The third phase is designed to scale-up the Model CLAS program to be a training center for other CLAS in the region.


RETURN TO TOP
All contents of this site © Future Generations, unless otherwise credited.		Contact Information PERU Av. Primavera 2049 Santiago de Surco, Lima 33, PERU Tel. +511-436-9619, 436,9623 Email: > peru@future.org Future Generations HC 73 Box 100 North Mountain Franklin, WV 26807 USA Telephone (304) 358-2000 / Fax (304) 358-3008 Email: > info@future.org