At the second meeting of RedCuidar+, held on 13 November 2020, there was a debate on how to increase the supply of dependency care services, both through diversification (residences, day centres, home care, teleassistance services, family support, etc.) and through the involvement of other actors (private sector , non-profit organizations, local communities, etc.). It was based on the concrete experience that some countries in the region (Costa Rica and Chile) and the European Union (Italy) and generated an exchange space where participants were able to delve into the experiences presented.
00:00 - OPENING
09:00 - TOWARDS BUILDING A CARE POLICY IN COSTA RICA: CHALLENGES AND SUCCESSES IN COORDINATING THE SUPPLY OF SERVICES
Francisco Delgado Jiménez, Vice-minister, Instituto Mixto de Ayuda Social [Mixed Social Assistance Institute], Costa Rica.
29:00 - PUBLIC LONG-TERM CARE PROGRAMS AND SERVICES IN CHILE
Mónica Cristina Gamín Guzmán, Head of the Department of Operations of the Social Protection and Promotion Division of the Ministerio de Desarrollo Social [Ministry of Social Development], Chile.
57:28 - LESSONS LEARNED FROM THE EUROPEAN EXPERIENCE IN LTC SERVICES
Emmanuele Pavolini, Italian expert on well-being and care and professor at the University of Macerata, Italy.
Vice-ministerInstituto Mixto de Seguridad Social, Costa Rica
Francisco Delgado is Vice Minister of Human Development and Social Inclusion of Costa Rica. He holds a Master's degree in Public Administration in International Development from Harvard University and a bachelor's degree in Economics from the University of Costa Rica. He has worked as a social policy economist in Costa Rica at the Joint Aid Institute and the Social Development and Family Allowances Fund. Deputy Minister Delgado has published academic research on poverty, inequality and the labour market, and has taught at the School of Economics of the University of Costa Rica.
Head of the Operations Department of the Division of Promotion and Social ProtectionMinistry of Social Development, Chile
Anthropologist and Master in Rural Development of the Universidad Austral de Chile, Diploma in Social Management and Public Policies, Latin American Faculty of Flacso Social Sciences -Chile and Diploma in Social Protection for Cohesive Societies. Faculty of Economics and Business, University of Chile (Eurosocial Convention). She currently serves as Head of the Operations Department of the Division of Promotion and Social Protection, undersecretary of social services of the Ministry of Social Development and Family, and member of the design and implementation team of the National Support and Care System of which she has been coordinator for 3 years.
Full Professor in Economic Sociology and Social Policy University of Macerata, Italy
Emmanuele Pavolini is Full Professor in Economic Sociology and Social Policy at the University of Macerata (Italy). As an economic sociologist he has focused his research interests in two fields: a) welfare state studies from a comparative perspective, with specific attention to the Italian and Southern European welfare states, social policies (i.e. family policies, elderly care / LTC, child care, social care and health care and, more recently, education), inequalities in the access to welfare state provision, occupational welfare, welfare mix and third sector organizations; b) labour market research and economic development. A large part of his research has been dedicated to long-term care. He is co-chair of the board of Italian ESPAnet and he has been a former member of the ESPANet board. He is currently a National Expert for Italy of the European Commission Expert Network ESPN (European Social Policy Network) and co-editor of the Journal of European Social Policy.
The speed and scale of the response required by the COVID-19 pandemic has highlighted how the fragmentation in current health and care systems significantly impairs their ability to respond effectively. The health and long-term care service delivery system is in general compartmentalized. Health services are provided by physicians or medical specialists responsible for inpatient and outpatient care. This care is often separate from primary care and from rehabilitation and home care provided after patients leave hospital, and from long-term care that provides extended care for people with functional dependency, whether in a nursing home or in the community. Long-term care includes services provided by a nurse or therapist or trained caregiver, or a family member/informal caregiver. The challenges posted by COVID-19 present an opportunity to reset fragmented health and care systems so that they are integrated, driven by people and communities and resilient in the face of future systemic shocks.
In this webinar, Dr Edelweiss Aldasoro from The International Foundation for Integrated Care (IFIC), will present an overview of integrated care and IFICs recent report “Realising the true value of integrated care: Beyond COVID-19”. After this presentation practice-based examples that enable better linkage, coordination and integration of care will be examined. First, Fatima Palmeira Bombarda, Health Care Networks Manager at São Paulo State Secretariat of Health’s Health in Action Programme, and Anne Hendry, Senior Associate and Director of IFICs hub in Scotland, will present the experience of integrated care in the development of a Regional Health Care Network across four municipalities (Ubatuba, Caraguatatuba, São Sebastião and Ilhabela) in the Litoral Norte region of Brazil. Finally, Galileo Pérez Hernández, Board member of IFIC, will analyze implications for current and future integrated care projects in Latin American countries using implementation science lens and will discuss its relationship with the health systems resilience concept.
Senior ResearcherInternational Foundation for Integrated Care
Edelweiss joined IFIC in 2018 as a Senior Fellow to support the creation of the Knowledge Centre and Resource Area. She works on a range of education and communication projects, and three European research projects: EURIPHI, VIGOUR and Digital Health Europe. A qualified medical doctor, Edelweiss specialized in General Internal Medicine and Infectious Diseases (Osakidetza, Basque Country, Spain), and completed postgraduate studies including an MSc in Epidemiology (London School of Hygiene and Tropical Medicine), Diploma in Health Research Methodology (Autonomous University of Barcelona) and Advanced Studies in Development, Globalization and International Cooperation (University of the Basque Country and HEGOA). Edelweiss is a PhD candidate in the Doctoral Programme in Medicine and Translational Research in the International Health track in the subject of adult Chagas Disease treatment (University of Barcelona and ISGlobal, Spain). Her main clinical and research expertise is in international health and specifically in adults with Chagas disease. She has also worked with adults with cystic fibrosis, chronic diseases and elderly and general internal medicine. Edelweiss is specially interested in the integrated care for vulnerable populations with chronic and incurable conditions that have a wide clinical expression and life quality impact.
Senior Associate and Director for IFICs hub in ScotlandInternational Foundation for Integrated Care
Anne is a Senior Associate with the International Foundation for Integrated Care, Director for IFICs hub in Scotland and holds honorary academic posts with the University of the West of Scotland, the University of Glasgow, and NHS Lanarkshire. Currently deputy honorary secretary of the British Geriatrics Society, previous national roles include clinical lead for the Long-Term Conditions Collaborative; Healthcare Quality Strategy; Reshaping Care for Older People programme; and Integrated health and social care in Scotland. From 2017 to 2019, Anne led the models of care work package for the European Commission’s policy Joint Action on Frailty involving a broad range of stakeholders from 22 Member States. Throughout 2019 Anne led an interdisciplinary team to support São Paulo State Secretary of Health and Regional Department of Health implement a pilot project on integrated care in Litoral Norte region of Brazil. She is currently part of an international expert group working with Age Platform Europe to support the government of Bizkaia province in the Basque region to establish a model for long term care.
Health Care Networks Manager, Health in Action ProgrammeSão Paulo State Secretariat of Health
Fátima graduated in Nursing and Obstetrics by the Faculty of Health Sciences Farias Brito. He holds a Specialization in Public Health and Health Law and a Master’s in public health by the University of São Paulo. She is former Coordinator of the Health Regions Coordination of São Paulo State Secretariat of Health. Currently she is working as Health Care Networks Manager at the state Health in Action Programme, co-financed by the Inter-American Development Bank. Within the scope of this Programme, Fatima has supported Transforming Together - a pilot project on Integrated Care - and many other projects that aim to strengthen primary, secondary, and tertiary care and focus on the needs of the population.
Board MemberInternational Foundation for Integrated Care
Dr. Pérez-Hernández is holds a medical degree from the Metropolitan Autonomous University (Mexico), an MSc of Global Health from the University of Barcelona (Spain) and postgraduate training on Health Management and Integrated Medicine. He is a Board Member of the International Foundation for Integrated Care. He is also an Associate Editor of the International Journal of Integrated Care. Currently, he is dedicated to creating collaboration networks on integrated and people-centered care in Latin America. Galileo has also worked with the Pan-American Health Organization/World Health Organization providing technical cooperation on different projects including consultations on chronic care, integrated and people-centered services, and universal health. At national level he has served at the Ministry of Health of Mexico as a clinician and manager. He was also named Honorary Professor of Integrated Medicine at the Faculty of Health Science of Anahuac University (Mexico). His experience includes developing, implementing, managing, and evaluating Non-Communicable Diseases, emergencies, and disasters programs.
As people get older, it becomes more likely that they will need day-to-day help with activities such as washing and dressing or help with household activities such as cleaning and cooking. They need what is commonly termed long-term care (LTC). Demand for long-term care is expected to rise, in part due to ageing populations and increasing prevalence of long-term conditions such as dementia. Across OECD countries, LTC systems are under pressure to adapt.
Join us in our webinar on June 16th, 2020 at 10:00 am EST titled “Who provides long-term care? Enduring adequate workforce and social protection in long-term care”. In this event, Ana Llena-Nozal, Senior Economist and Long-term care team leader at the OECD, and Tiago Cravo Oliveira Hashiguchi, Health Policy Analyst at the OECD, will present the results of two new publications of the OECD.
In the first part of this webinar they will present cross-country and regional comparable estimates of the adequacy, equity and efficiency of public social protection systems for LTC in old age in OECD countries and EU Member States.
The second part of the webinar will be focused on long-term care workforce, the difficult working conditions in the sector and the training gaps. The presenters will also discuss the policies implemented across OECD countries to improve LTC workers recruitment, training and retention.
The webinar will be in Spanish/English with English/Spanish interpreting.
Senior Economist and Long-term care team leaderOCDE
Ana Llena-Nozal is leading the long-term care work since January 2018. She coordinates several topics on long-term care such as dementia care, the future of the long-term care workforce, social protection in long-term care, policies to promote healthy ageing and more recently, end-of-life care. She joined the OECD in 2006 where she has worked in various projects related to health, employment and social policy. She has been a member of the income inequality team working on policies to address social mobility, she has also been part of the team reviewing sickness and disability policies in selected OECD countries and was also one of the authors of the Employment Outlook, working on issues related to health and work. Before joining the OECD, Ms. Llena-Nozal was a researcher at the Institute of Development Studies (Sussex University), Utrecht University and the Vrije Universiteit Amsterdam. Her previous research includes international comparative projects in the areas of education, labour market policy and health inequalities. Ana Llena-Nozal is Spanish and has a degree in development studies from the London School of Economics (MSc.) and in economics from the Pompeu Fabra University (MSc) and the Vrije Universiteit Amsterdam (PhD).
Health Policy Analyst at the Directorate for Employment, Labour and Social AffairsOCDE
Tiago Oliveira Hashiguchi is a Health Policy Analyst at the Directorate for Employment, Labour and Social Affairs of the Organisation for Economic Co-operation and Development in Paris, France. His work at the OECD seeks to measure social protection for older people with long-term care needs, including whether everyone can afford the care they need. Tiago also works on antimicrobial resistance and the digital transformation in health. Before joining the OECD, Tiago held research positions in London at Imperial Business Analytics with KPMG, and in Seattle at the Institute for Health Metrics and Evaluation. He has a PhD in Health Management from Imperial College London and an MSc in Biomedical Engineering from the Technical University of Lisbon.
The Inter-American Development Bank (IDB), the Agence Française de Développement (AFD), the European Union through its EUROsociAL+ programme, and the Secretariat of Central American Social Integration (SISCA) hereby invite you to the second webinar in the Panorama of Aging and Long-Term Care series, dedicated to supporting Latin American and Caribbean countries in mitigating the impact of COVID-19 on older adults.
Home care for care-dependent persons—through home or telecare services—is a generally recommended practice because of its positive effects in terms of patients’ quality of life. Within the context of care policies, it also reduces the pressure on the health sector and on nursing homes, allowing for better resource redistribution.
However, in the current context of the worldwide spread of COVID-19, these services are highly affected by the risk of contagion to which both patients and caregivers alike are exposed. Because of this, in some countries home care services have been reduced or even canceled. So how can the continuity of home care services be guaranteed, preventing the spread of infection and promoting patients’ physical and emotional well-being? Can telecare services that have been established over the past few years to support moderately care-dependent persons coordinate their efforts to guarantee care?
After the first webinar on the mitigation of the COVID-19 pandemic in nursing homes and day centers, the second webinar, titled Continuity of Home Care and Telecare Services for Older Adults in the Era of COVID-19, will be held on May 18, 2020, at 10 AM (EDT). In this webinar, Alfonso Lara Montero, Director of the European Social Network, will share the European experience. For his part, Juan Luis Bermudez, Minister of Human Development and Social Inclusion and Executive President of IMAS in Costa Rica, and Daniel Radío, the National Secretary of Care in Uruguay, will share the measures that are being taken in Costa Rica and Uruguay, respectively, to guarantee home and remote care services during the emergency caused by the pandemic. The discussion will be enriched by the participation of institutional representatives in the sector from other countries in Latin America, the Caribbean, and Europe.
The webinar will be in Spanish with English interpreting.
Alfonso is Chief Executive of the European Social Network (ESN), network of social services. He oversees the Network’s management and strategic direction, leads the policy programme co-financed by the European Commission and the annual European Social Services Conference. He has over 10 years’ experience in public policy, has authored and co-authored several publications and is a regular contributor to academic journals, newspapers, and specialist social services magazines. Before joining ESN, Alfonso worked in project management in the private sector, consultancy and CSR. He holds an MA in modern languages from the University of Granada, an MA in European Governance from the College of Europe, an MSc in Public Policy from University College London and a Masters in Executive Management of International Associations at Solvay Brussels School for Economics and Management.
Minister of Human Development and Social Inclusion and Executive PresidentMixed Institute of Social Aid
Juan Luis Bermúdez is Executive President of the Mixed Institute of Social Aid and Minister of Human Development and Social Inclusion. Juan Luis has a Master in Development Economics with an Emphasis in Macroeconomic Management and Public Policy, a Bachelor in International Relations with an Emphasis in Administration and Management of International Cooperation, both from the National University of Costa Rica. During the previous years he served as coordinator of the advisory team to the President of the Republic and previously to the Executive Presidency of the Costa Rican Social Security Fund. In addition, it stands out in his record having served as Technical Secretary of the Government Social Council and National Coordinator of the Millennium Development Goals, President of the Board of Directors of the National Commission on Education Loans - CONAPE.
Daniel Radío has been Director of the National Care System since March 2020. He previously served as Vice President of the Addictions Commission (2018), Vice President of the Constitution, Codes, General Legislation and Administration Committee of the Chamber of Deputies (2016) , Vice President of the Health Commission of the Chamber of Deputies (2014) and President of the Health Commission of the Chamber of Deputies (2012). He was Deputy Secretary General of the Christian Democratic Youth of America (JUDCA) (1990-1993), former Resident of Family and Community Medicine and was Deputy Director and Deputy to the Management of the Jardines del Hipódromo Health Center (ASSE). He is a member of the Special Commission of the General Assembly for monitoring the prison situation.
In recent years in the sector of care services for the elderly with dependency, there is a growing interest in person-centered care. This approach is recognized internationally as one of the elements needed to ensure quality care either at home, in a day center, or a residence.
Person-centered attention is an integrated and professional model that seeks to support people with dependency so that they can continue to have control in their environment and their daily lives while developing their capabilities. Unlike traditional care models, focused on services determined by uniform procedures and classifications of diseases and degrees of dependence, this model seeks to increase the quality of care with a focus on quality of life.
In this webinar Mayte Sancho will answer the following questions: What is the person-centered care model? How is it different from traditional service-centered models of care? What skills should professionals develop? How can this model in the Basque Country be implemented in gerontological centers and services in Latin America and the Caribbean?
This webinar is aimed at public policy designers, service providers, elderly users, and their families interested in knowing this innovative approach to care. Based on the experience in the Basque Country, the presentation will include specific cases of profiles of people with different levels of dependency and the services they receive based on the model.
Expert in gerontological planning and accommodation modelsIndependent consultant
Mayte Sancho is a psychologist and gerontologist. She has been an IMSERSO official for 30 years, where she had the opportunity to participate in the process of preparing the Law for the Promotion of Personal Autonomy and Attention to Dependency Situations. Among other research projects, she coordinated the first Aging Observatory in Spain and, in collaboration with the Higher Council for Scientific Research, the “portalmayores” web platform between 2000 and 2008. She has been vice president of the Spanish Society of Gerontology and Geriatrics. She was Director of Planning at the Matia Foundation until 2019, where she also served as Scientific Director of her Institute until 2017.
The Inter-American Development Bank, French Development Agency, European Union through its EUROsociAL+ programme, and Central American Social Integration Secretariat are organizing two webinars in the Panorama of Aging and Long-term Care on the steps that are being taken in Latin America and the Caribbean and in Europe to ensure the right to care for dependent elderly persons. In the current situation, with the COVID-19 virus spreading worldwide, long-term care services for dependent persons warrant special attention.
Persons who are functionally dependent constitute the group that is most vulnerable to the pandemic, and in many nursing homes and day centers for the elderly have become the nucleus for spread of the disease, affecting both those who live in or use the facilities as well as those who work there. In addition, in the current situation, caring for older and disabled adults in these facilities is an even more essential service because it eases the burden on the health system that is at its saturation point due to the emergency. At the same time care-givers, mostly women, are in the first line of this emergency. To counter the pandemic, it is important to continue supporting this group of people, both by providing health care and by helping them with their physical and emotional well-being.
The webinar, entitled "Mitigation of COVID-19 pandemic in nursing homes and day centers", will be held on April 30, 2020 at 10:00 am EST (Washington, DC time) . Lourdes Bermejo, Vice President of the Spanish Society of Geriatrics and Gerontology will share the European experience. The Vice Minister for Vulnerable Populations in Peru, Cecilia Esther Aldave Ruiz, will present the steps being taken in that country to reduce the risk of contagion in long-term and daily care facilities. The discussion will be enriched as well by the participation of institutional representatives from the sector in other countries of Latin America and the Caribbean and Europe.
The webinar will have simultaneous translation into English.
Vice President of GerontologySociety of Geriatrics and Gerontology, Spain
Lourdes Bermejo is a Dr. In educational sciences, an expert in social gerontology and integral social intervention. With more than 30 years of experience, including the management of centers, services and research. For the last 20 she has been working for public and private entities as an independent consultant on issues of active aging, gerontological and social policy; care for people in situations of dependency and / or disability. She is an organizational coach for change management in long-term institutions and in long-term care centers. As an educator, she is an expert in educational methodologies and the author of numerous publications and audiovisual material for the training of professionals and social awareness. Currently the Vice President of Gerontology is the Spanish Society of Geriatrics and Gerontology.
Vice Minister of Vulnerable PopulationsMinistry of Women and Vulnerable Populations, Peru
Cecilia Aldave Ruiz has a bachelor's degree in law and a law degree from the Pontifical Catholic University of Peru. She has a Master's in Criminology from the "Université Catholique de Louvain" in Belgium, with experience in the public sector. He specializes in governance, social inclusion (social offense), gender, social development, public management, and decentralization.
Latin America and the Caribbean is the fastest aging region in the world. This creates opportunities to improve the quality of life of older adults, create new jobs, promote gender equity and reduce health costs, among others. At the same time, it poses important challenges. One of them is the growth in the number of people with functional dependence, which could more than triple by 2050, exceeding 27 million. This increase, together with the decrease in the availability of informal care due to the decrease in the size of families and to the larger labor participation of women, pressures the countries of the region towards the search of solutions for long-term care. In this context, some countries in the region have begun - little by little - to implement national dependency care systems or, at least, to include the issue in the policy agenda. However, much remains to be done. In this Webinar we present the challenges facing the region to meet the growing demand for long-term care, and we offer concrete recommendations for the design and implementation of such systems.
Lead Specialist - Social Protection and Health DivisionInteramerican Development Bank
Pablo Ibarrarán is a Social Protection Economist at the IDB. He joined the Social Protection and Health Division in March 2012 after working for three years in the Office of Strategic Planning and Development Effectiveness and for four years in the Office of Evaluation and Oversight. He has designed and coordinated evaluations on topics relating to social protection and labor markets, and has advised project teams on evaluations of health, citizen safety and urban development projects. His work has been published in the Journal of Labor Economics, Journal of Development Effectiveness, and Journal of International Trade & Economic Development. A Mexican national, Pablo worked at the Secretaría de Hacienda y Crédito Público in his country after obtaining his degree in economics from the Centro de Investigación y Docencia Económicas (CIDE) in 1998. In 2004, he earned his Doctorate in Economics from the University of California, Berkeley, and since 2009, he has been an Associate Researcher at the Institute of Labor (IZA) in Bonn, Germany.
Social Protection and Health ConsultantInteramerican Development Bank
Maria Laura Oliveri is a consultant in the IDB's Social Protection and Health Division. She joined the IDB in 2013 to work for the Labor Markets and Social Security Division. She previously worked at the World Bank's Latin America and the Caribbean Human Development Department and Poverty and Equity Global Practice. She has undertaken consultancies for the International Labour Organization and the Argentinean Ministries of Economy and Health. She has experience in labor market and social protection and poverty topics in the Latin America and the Caribbean region. An Argentine national, María Laura holds a BA in Economics from Universidad de Buenos Aires and a MA from the Universidad Nacional de La Plata.