|
|
|
|
* Atleast Project Title is Required.
|
Project No. |
HWG 06 2022A
|
Project Title |
Empowering the Next Generation - Investment in Preventable Infant Deaths by a Healthy Start
|
Project Status |
Completed Project
|
Publication (if any) |
|
Fund Account |
APEC Support Fund
|
Sub-fund |
ASF: Innovative Development, Economic Reform and Growth (IERG)
|
Project Year |
2022
|
Project Session |
Session 2
|
APEC Funding |
59,378
|
Co-funding Amount |
70,000
|
Total Project Value |
129,378
|
Sponsoring Forum |
Health Working Group (HWG)
|
Topics |
Health
|
Committee |
SOM Steering Committee on Economic and Technical Cooperation (SCE)
|
Other Fora Involved |
|
Other Non-APEC Stakeholders Involved |
|
Proposing Economy(ies) |
Chinese Taipei
|
Co-Sponsoring Economies |
Canada; Mexico; Singapore; Thailand
|
Expected Start Date |
01/03/2023
|
Expected Completion Date |
30/06/2024
|
Project Proponent Name 1 |
Wu Chao-Chun
|
Job Title 1 |
Director-General
|
Organization 1 |
Health Promotion Administration, Ministry of Health and Welfare
|
Postal Address 1 |
Not Applicable
|
Telephone 1 |
(886-2) 25220631
|
Fax 1 |
Not Applicable
|
Email 1 |
tsaiwy@hpa.gov.tw
|
Project Proponent Name 2 |
Not Applicable
|
Job Title 2 |
Not Applicable
|
Organization 2 |
Not Applicable
|
Postal Address 2 |
Not Applicable
|
Telephone 2 |
Not Applicable
|
Fax 2 |
Not Applicable
|
Email 2 |
Not Applicable
|
Declaration |
Wu Chao-Chun
|
Project Summary |
| According to the UNICEF global health statistics in 2018, the neonatal and infant mortality rates in APEC economies have shown a downward trend with considerable diverse among economies, ranging from over 30 ‰ to below 2‰, and still have room for improvement. To achieve continuous reduction of child deaths and protect valuable human capital, Chinese Taipei has built a comprehensive health system to deliver integrated, evidence-based care for both mothers and babies during pregnancy, childbirth and the postpartum, such as 14 prenatal visits and prenatal genetic screening at public expense, the health system providing universal health services. In particular, the economy strengthened the medical capacity for premature infants and extended home care services. | In this project, Chinese Taipei will hold an APEC conference and invite experts, NGOs and APEC economies to participate and share the experiences of creating a supportive environment on policies, plans and innovation digital information system. This project will provide a platform to exchange experience and allow economies to investment care system with a view to continuing to reduce preventable infant mortality and create a bright future for next generation. |
Relevance |
Issues: (1) The UN Sustainable Development Goals (SDGs – 3.1 & 3.2) expect that the neonatal mortality rate will drop to below 12% by 2030; the mortality rate of children under 5 years old will drop to below 25% by 2030. According to UNICEF global health databases in 2018, the average neonatal mortality rate in the Asia-Pacific region was 17.7‰ in low-income and lower-middle-income economies; 4.6‰ in middle- and high-income economies; and 2.4‰ in high-income economies. It is obvious that although the neonatal and infant mortality rates in APEC economies have decreased significantly with the rapid development of advanced medical measures, the rate of decline varies greatly among APEC Economies. Most Economies have reached their targets before 2030, but there is still room for continued decline, and some economies are still struggling to reach the SDG targets 3. (2) Low birth weight, prematurity, and intrauterine growth not in accordance with expectations remain the major initial causes of neonatal mortality. In order to reduce neonatal and infant mortality of the past decades, Chinese Taipei has demonstrated actively promoting health care services in different stages of pregnancy, perinatal period, and infants through cross-departmental, public-private cooperation and partnership , disease diagnosis and treatment, health literacy, prenatal genetic diagnosis and counseling services, and tracking and care services for high-risk pregnant and lying-in women (children) during the perinatal period; perinatal medical care includes: setting up perinatal maternal and infant medical centers, responsible for high-risk pregnancy. The vast majority of infant deaths are from preventable causes. Penetrative services such as enhancing newborn care coordination, improving the quality of pediatric emergency medical care, and resource integration: Infant health care includes: "Optimized Child Medical Care Program" and "Home Care Program for Low (including Very Low) Birth Weight Infants", with a view to improving the accessibility, coverage and quality of health care services by government budget or public funding. (3) The conference will provide a platform for experiences sharing on the topic of evidence-based maternal and child health care through multi-sectorial approaches and resources allocation. By doing so, we hope all APEC economies will increase the awareness and address the investment in child health from the beginning of the newborn's life course, continue to reduce preventable deaths and create a bright and sustainable future for our infants. Eligibility and Fund Priorities:
(1) This project eligible for the IERG Sub-Fund based on the project intends to achieve the 2016 UN's Sustainable Development goals (SDGs) Target 3.2.1 and 3.2.2: By 2030, end preventable deaths of newborns and children under 5 years of age, with all economies aiming to reduce neonatal mortality to at least as low as 12 per 1,000 live births and under‑5 mortality to at least as low as 25 per 1,000 live births. In the past few decades, Chinese Taipei has demonstrated the significant and successful experience in maternal and child health care services and attained a remarkable reduction in the mortality rate of these groups. (2) In this project, Chinese Taipei will hold an APEC conference to raise awareness and encourage the investment on maternal and child healthcare showcases and good practices to promote experience sharing by NGOs and APEC economies, also through governmental policy dialogue and capacity building in healthcare project planning, implementation and evaluation contribute to the goals and priorities of the APEC Accord on Innovative Development, Economic Reform and Growth, and primarily benefit developing economies to formulate the tailored health care projected. (3) With the global covid-19 epidemic affecting the medical and health service systems of various economies, the new ICT information technology cases shared in the conference can not only reduce the interference of the unexpected epidemic on the existence service system with heavy loading, and reduce the administrative burden of health providers, but also strengthen the overall efficiency of the service, safety care process, innovative COVID-19 responses, and higher customers’ satisfaction. This kind of digital innovation could bring about a new economic model and business opportunities, and accelerate the speed of digital transformation. Capacity Building: (1) According to UNICEF global health databases, in 2018, the average neonatal mortality rate in low-income and lower-middle-income economies in the Asia-Pacific region was 17.7‰; the average in high-middle-income economies was 4.6‰; is 2.4‰. It is obvious that although the neonatal and infant mortality rates in APEC economies have decreased significantly with the rapid development of medical technology, the rate of decline varies greatly among APEC economies. Most economies have reached their SDGs targets for 2030, but there is still room for continued decline, and some economies are still struggling to reach the SDGs targets by 2030. In the construction of Tailor-made maternal and child healthcare projects with limited public health and primary care resources of APEC economies or the limited resources from foreign aid, it is vital procedure to regularly review the collection and comparative analysis of regular maternal and child healthcare data to obtain the status of domestic maternal and child health status. To identify affordable priorities health care and service gap, this seminar will share the experience of these successful projects with practical showcases and continue to increase the awareness, capacity and ability to promote various best-buy preventive services by priority settings, and increase service coverage and improve quality.
|
Objectives |
1. Experience sharing among APEC economies and NGOs in strategies and efforts to reduce infant mortality 2. Improving APEC economies’ willingness to invest and develop effective strategies of decreasing infant mortality. 3. Sharing Chinese Taipei’s experiences in the effectiveness of introducing innovative technologies in public health and medical services, including easement of the administrative burdens, data collection and quality surveillance.
|
Alignment |
Alignment to APEC: This project responds to the APEC Health Working Group (HWG) objective” To support healthy populations across the life-course, including the prevention and control of non-communicable diseases and improved maternal, newborn and child health” and” To strengthen health systems to improve accessibility, sustainability and quality of healthcare”. Alignment to Forum: The general Infant mortality and health improvement is based on the accumulated evidence that multiple factors, including biological, social, geographic, governance of health system and economic status, shape maternal and infant health over the life course. This project supports the actions of: 1. “The North Star: A 2030 Strategy for Enabling Resilient Health Systems and Promoting the Health of our Populations in the Asia Pacific.”, especially on the topic of childhood nutrition and developmental health issues across the life-course. 2. “APEC Putrajaya Vision 2040”: To ensure that the Asia-Pacific region is resilient to shocks, crises, pandemics and other emergencies, we will foster quality growth that brings palpable benefits and greater health and wellbeing to all, including MSMEs, women and others with untapped economic potential. 3. “The Aotearoa Plan of Action”: Enable quality and equitable health access and outcomes for all with a view to achieving universal health coverage, including by strengthening health systems, by cooperating on the use of digital technologies that foster health system innovation, such as telemedicine and digital health. |
TILF/ASF Justification |
|
Beneficiaries and Outputs |
Outputs: (1) Research work a) Research scope: We will conduct an informal literature review, that provide insights by the relevant data, such as, neonatal mortality and infant mortality of all 21 APEC economies, and strategies for improving maternal and infant healthcare. b) Methodology: By doing desktop research analysis and internal discussion, we will search for the neonatal mortality and infant mortality for all APEC economies from existing open access data from Global Bank or WHO official website. For experiences sharing for maternal and infant healthcare improvement, we will search for the successful strategies to decrease neonatal mortality and infant mortality from updated published paper or official documents from WHO or UNICEF website. c) Target economies and identify the potential audience: a total of all 21 APEC economies and assumed the audience needs and interests by attending this conference. d) All these data and documents will be organized into conference manual, therefore, there won’t be any written documents produced by this research work. (2) A 1-day In-person International Conference The project will be implemented through a 1-day in-person APEC conference. The conference will serve as a platform for exchanging experiences, knowledge and action plans among APEC economies will be established. Because of travel restrictions, this conference will consist of both on-line and on-site participants, the foreign speakers, moderators, panelists and participants from travel-eligible economies will be invited to physical conference in principle or in virtual manner and to compliance with Chinese Taipei infectious regulation and border control measurements, other foreign participants attend conference in virtual manner; all domestic participants will be invited to take part in the physical conference. a) The APEC conference will be held in Taipei City of Chinese Taipei in March 2024. The tentative theme is “Empowering the Next Generation - Investment in Preventable Infant Deaths by a Healthy Start”. In this conference, keynote speeches are scheduled in the morning and plenaries are scheduled in the afternoon, and there will be panel discussion at the end of each plenaries. b) The topic of keynote speeches will include 1.the future of child health in APEC economies and 2.the latest policies for child healthcare in Chinese Taipei. Plenary topics will be focused on experiences of improving 1.prenatal healthcare; 2.neonatal and infant healthcare for decreasing infant mortality. Panel discussion topics will include 1. Solutions for APEC economies to continuously reduce neonatal and infant mortality; 2. How to increase service coverage by reaching the unreached and monitor service progress and quality; 3. Share experience in the utilization of innovative digital information service systems; 4. Routine health outcome monitoring and accountability; 5.Key takeaways for practical implementation in unique context of different economies. PO will pick priority topics for keynote speeches, plenaries after further discussion. c) Professionals and experts dedicated to child health from APEC economies and international organizations will be invited as moderators, speakers or panelists to provide their insights and share the latest progress on efforts to reduce infant mortality. d) Conference evaluation will be conducted by a questionnaire survey to assess participants and experts’ satisfaction, suggestions and comments. e) Target audience: 6speakers will be invited, around 100 participants for APEC economies, including public health officials, researchers, healthcare workers, NGO leaders regarding child health and stakeholders from Chinese Taipei will physically attend to the conference and other foreign participants including stakeholders from 2/3 of the APEC economies will attend the conference in virtual manner. f) Draft agenda: | Conference Topic: Empowering the Next Generation - Investment in Preventable Infant Deaths by a Healthy Start | | Agenda | Speakers | | Opening Remarks | Tbc (Representative of Chinese Taipei ) | | Keynote Speech 1. The future of child health in APEC economies 2. The latest policies for child healthcare in Chinese Taipei | Tbc (2 speakers) | | Plenaries Experiences of improving 1.prenatal healthcare; 2.neonatal and infant healthcare for decreasing infant mortality | Tbc (2speakers) | | Panel discussion 1. Solutions for APEC economies to continuously reduce neonatal and infant mortality 2. How to increase service coverage by reaching the unreached and monitor service progress and quality; 3. Share experience in the utilization of innovative digital information to facilitate service delivery; 4. Routine health outcome monitoring and accountability 5. Key takeaways for practical implementation in unique context of different economies | Tbc (2speakers) | | Closing Remarks | Tbc (Representative of Chinese Taipei ) |
(3) Conference Manual (minimum number of page: 12 pages)
The working group in Health Promotion Administration (HPA), Ministry of Health and Welfare, Chinese Taipei will produce a conference manual after the conference completion, which will include the summaries of key presentations, and result of the surveys, conclusions and lesson learned, key findings, recommendations and successful experiences shared by economies. It will also be shared with conference participants and interested stakeholders electronically. The Conference Manual for publication will be approved by APEC members and abide by relevant APEC guidelines and project guidebook. Outcomes: The neonatal and infant mortality rates in APEC economies have shown a downward trend with considerable diverse among economies, but still have room for improvement. Therefore, through this conference, we anticipate the outcomes as follows: (1) Providing a platform for experience sharing and benchmarking in strategies of decreasing infant mortality. In this conference, the showcase of best practice will be demonstrated by APEC economies in plenaries, participants will improve knowledge, awareness and seek suitable solutions for their own economies. These outcomes will be measured by the ex-ante and ex-post event participation evaluation survey via questionnaire. For knowledge gain, comparison between ex-ante and ex-post event survey will be accurately measured. As regards whether the participants find suitable solutions for their own economies, the question “Which recommendations, practices are suitable for you to apply in your workplace?” will be included in post-event survey. (2) Raising the participants’ awareness and improving the willingness of APEC economies to invest and develop effective strategies, which includes introducing innovative technologies into healthcare system or quality surveillance. This will be measured by post-event participation survey. (3) Supporting collaboration between experts from different professional fields in APEC economies, we hope through this conference, all on-line and on-site participants will seek opportunities for further collaboration. This will be measured by the number of participants, speakers and stakeholders. Beneficiaries: The direct beneficiaries of this project listed as below, and APEC Non-Member Participation Process is followed :
a) Government officials (e.g. health policy makers and public health officials in both department of health promotion and medical affair). b) Private sectors (e.g. health care providers and medical administrators) from APEC economies. c) Other partners such as relevant international NGOs (such as WHO or UNICEF). d) We also welcome researchers who work in the area of health care delivery, digital health technology, epidemiology, pediatrics and neonatology to participate and contribute. Through sharing experience and knowledge regarding strategies of promoting child health and decreasing infant mortality in this conference, we expect that audiences will directly benefit from 3 aspects: a) Learn the successful experiences from other economies. b) Adapt the effective way to reduce infant mortality rate through introducing innovative technologies into healthcare delivery system. c) Gain the latest knowledge for developing strategies to tackle the challenges they faced. Long—term or indirect beneficiaries: APEC economies will benefit from this project by raising the awareness and willingness of investment by stakeholders. |
Dissemination |
To ensure a productive conference, the presentation slides and relevant materials will be collected ahead of the conference and distributed to the participants on site. Documents and materials in the conference, such as conference agenda, participation evaluation survey and other materials will be prepared in either hard or soft copies, and about 100 copies will be released. The conference manual will comply with the APEC rules regarding publications, logo guidelines and copyrights. Conference manual will also be uploaded to the official website of the Health Promotion Administration (HPA) for general public access. That website is owned by Chinese Taipei. In addition, a QR code will be developed and included in the conference handbook. All information can be accessed online through scanning the QR code, linking to the official website of HPA. The online information will be made available to public health workers and health care professionals for free, even if they are not able to attend the conference. |
Gender |
Male and female participants will be welcome to participate in the conference. Some strategies will be adapted to ensure both men and women will equally participate and engage, such as (1) the participation rate of both men and women will be continuously calculate in the registration system; (2) the conference invitation will be sent to at least 50% female experts and NGO leaders; (3) for the speaker, moderator and panelist candidates, both men and women will be considered in each speech topic (4) female researchers and government officials will actively encouraged to take part in this conference. PO is committed to collecting sex disaggregated data for all speakers and participants (not only those funded by APEC) at the project event. This data will be included when submitting a Completion Report to the Secretariat upon completion of the project, as well as providing guidance to future POs on their own gender parity targets. | Targets | | Female Participants (%) | 50% | | Female Speakers/Experts (%) | 40% | Referring to the Guide on Gender Criteria for APEC Project Proposals in the Guidebook on APEC Projects, please tick the pillar or pillars that this project supports, in promoting women’s economic empowerment: | | 5 Pillars (you may tick more than one) | | 1 | Access to Capital and Assets | | | 2 | Access to Markets | | | 3 | Skills, Capacity Building, and Health | V | | 4 | Leadership, Voice and Agency | V | | 5 | Innovation and Technology | V | This project will ensure both women and men will equally benefit from and participate, engage in this conference, women’s skills, capacity will be improved and empowered furthermore, female speakers will not below 40% of all speakers, by doing so, we believe women in this project are valued as contributors, professionals, and leaders in child healthcare field, therefore, this project is align with Skills, Capacity Building, and Health, Leadership, Voice and Agency, and Innovation and Technology. |
Work Plan |
| Timeline | Tasks | Deliverables | | Mar 2023 | Seek appropriate place to host conference | Reserve the conference room | | Apr ~ May 2023 | 1. Research child health policies and infant mortality rate of APEC economies. 2. Identify conference theme and topic of keynote speech and plenaries | Conference theme and topic of keynote speech and plenaries confirmed | | Jun ~ Aug 2023 | 1. Draft and finalize procurement document 2. Identify and sighed contractor | Signed Contract | | Aug 2023 | Review the delivery format of the Conference | Conference format confirmed | | Sep 2023 | Establish a planning team and assign responsibilities. | Planning team established | | Oct ~ Dec 2023 | 1. Consult with related agencies, academic sector, NGOs and other interested stakeholders from the host economy and co sponsoring economies. 2. Identify conference program including speakers and content of sessions. | 1. Agenda (draft) 2. Speakers, moderators and panellists list 3. Invitation list | | 1 Oct 2023 | Submit the APEC Project Monitoring Report to APEC Secretariat. | APEC Project Monitoring Report | | 8 weeks before the conference date | Send out invitation letters and General Information Circular to all APEC members. | General Information Circular | | Jan 2024 - Feb 2024 | 1. Prepare conference documents and draft Conference Manual. 2. Develop a questionnaire to assess participants’ satisfaction. 3. Conduct a questionnaire survey before the conference. | Participants list | | Mar 2024 | Implement a 1 day conference 1. Double-check all configurations and setups before the registration starts. 2. Inspect any equipment, and ensure there is someone to take care of any possible defects. 3. Coordination of entire conference. | 1. Conference 2. Final Conference Agenda 3. Event Attendance List. | | Mar 2024 | 1. Conduct a questionnaire survey after the conference. 2. Formulate an evaluation result from the questionnaire. | Results of the evaluation survey | | Apr 2024 | Complete Conference Manual and submit it to APEC Secretariat | Conference Manual | | Jun 2024 | Project Completion Date | | | Aug 2024 | Submit the APEC Project Completion Report and supporting documents to APEC Secretariat | APEC project Completion Report (including an evaluation result as an attached file) | | Dec 2024 to June 2025 | Participate in the Long Term Evaluation of the APEC Projects (LTEAP) conducted by the Secretariat | |
Risks |
| No. | Risks | How will it be managed? | | 1 | Low interest in participation | 1. Inviting relevant participants, such as government officials, NGOs, health care providers, medical administrators and researchers who work in the area of health care delivery, digital health technology, epidemiology, pediatrics and neonatology to participate and contribute. 2. Continuous consultation with relevant NGOs and economies on plenary topics, speakers and agenda. | | 2 | Unexpected disasters during or before the conference period | If an unexpected natural disaster, such as a typhoon, earthquake or global pandemic like the Covid-19 outbreak, happens before the conference, we will discuss with the APEC Secretariat and APEC economies to decide whether or not the conference should proceed, or be conducted online only. The decision will be made and action (such as remind all participants the altering of the conference format) will be proceeded after consideration and discussion. | | 3 | Topic duplication with other conference | Comprehensive researching the similar conferences (including topics and speakers) and consulting with relevant NGOs on suitable topics and speakers to meet outcomes and objectives of this project. | | 4 | Difficult to support policy change of target economies | 1. Engaging with stakeholders when initiate topics and select speakers. 2. Issues of panel discussion will be aligned with the unmet need of APEC economies regarding to child health. | |
Monitoring and Evaluation |
| | Evaluation Focus | Indicators | Target Goals | Evaluation Method | Reporting Method | | Outputs | 1. A 1-day International Conference | 1. Contracted executed | Jun 2023 | Certification by PO | Contract | | 2. No. of speakers/experts engaged | 10 | Event Attendance List | Completion Report | | 3. No. of attending economies | 10 | Event Attendance List | Completion Report | | 4. No. of participants | 100 | Event Attendance List | Completion Report | | 5. % of participating men/women (excl. speakers/experts) | 50/50 | Event Attendance List | Completion Report | | 6. % of speakers/experts (men/women) | 60/40 | Event Attendance List | Completion Report | | 7. Content developed and deployed | Mar 2024 | Certification by PO | Contract | | 2. Conference Manual | 1. No. of pages | 10 | Certification by PO | Email to the Secretariat | | 2. Submission to the Secretariat | Apr 2024 | Submission to the Secretariat | Email to the Secretariat | | Out-comes | 1. Knowledge gained and capacity built for all participants | 1. % of participants report substantial knowledge increase 1. | 60% | Ex-ante and ex-post evaluations | Completion Report | | 2. Developing APEC economies report substantial knowledge increase | 20% | Ex-ante and ex-post evaluations | Completion Report | | 3. Women report substantial knowledge increase | 33% | Ex-ante and ex-post evaluations | Completion Report | | 2. The willingness of APEC economies to invest in child health improved | APEC economies report willingness of invest in child health increase. | 20% | Ex-ante and ex-post evaluations | Completion Report | | 3. Collaboration between experts from different professional fields | % of participants report “yes” to the question “this conference provide the opportunity to collaborate with different professional fields | 30% | Ex-ante and ex-post evaluations | Completion Report | |
Linkages |
We plan to engage all the Ministries/ Departments of Health of APEC economies in nominating eligible participants in this conference without Chinese Taipei’s epidemic control regulations restriction. During the preparation of the project, we will engage the co-sponsoring economies and related agencies. We will invite representatives from the HWG to attend the conference. Experts from APEC member economies will also be invited to participate as either moderators or speakers. |
Sustainability |
This conference will be a platform for APEC economies to exchange latest knowledges and experiences of child health (e.g. Pediatrics, neonatology, perinatal healthcare), effective benefits for healthcare system sustainability, and further applying to healthcare industry. In this conference, speakers will also demonstrate applicable and successful model for promoting child health (from prenatal, perinatal and postnatal perspectives), participants from APEC economies will apply these models and knowledge learned from these speeches to review policies and reorient healthcare system for their own economies. Hard and soft copies of this conference will be disseminated to relevant stakeholders for future references, we will welcome speakers, moderators and panelists to leave their contact information for all participants for further discussion. We also wish facilitate meaningful communication regarding to the solutions of reducing infant mortality among APEC economies after conference. By doing so, we believe that long-term cooperation will be strengthened. |
Project Overseers |
Dr. Chao-Chun Wu is the primary Project Overseer. Dr. Wu is currently the Director-General of Health Promotion Administration (HPA), which is the authority responsible for managing the economy-wide health promotion system Chinese Taipei. Dr. Wu envisioned the enhancement of assessment on chronic disease risk factors and health status of older people. Dr. Wu is not only involved in the development of the health information sharing system, but also promoted the system to healthcare providers and the public. Contact person:
Tsai, Way-Yi
The deputy division director, Maternal and Child Health Division
Health Promotion Administration, Ministry of Health and Welfare, Chinese Taipei Tel: +886 2 2522 0631
Fax:+886 2 2522 0629
E-mail: tsaiwy@hpa.gov.tw |
Cost Efficiency |
|
Drawdown Timetable |
|
Direct Labour |
|
Waivers |
|
Are there any supporting document attached? |
No
|
|
Attachments
|
|
|
|
|
|
|
|
|
|
|