Helping children grow more: Learning from the successes and challenges of Chile Crece Más (2007–2026)

BACKGROUND: Chile Crece Más ("Chile Grows More", CCM) is a comprehensive, multisector, equity-focussed health and social development program which provides essential support to Chilean children and families. Since its rollout in 2007 it has become the centerpiece of Chile's child development policy, but has faced challenges in its design, delivery, and functionality. REFORM CONTENT: This Health Reform Monitor paper identifies four key policy opportunities to improve CCM. To augment the program's impact, the Chilean government could universalize the program to cover all children, not just those insured publicly; adopt a risk-based, family-centered approach to care; modernize record-keeping practices and electronic medical record use in primary care centers; and create (over time) a nationwide, centralized medical record database for all Chilean children. EXPECTED RESULTS: These reforms will improve access, efficiency, and quality of the program. Together, they are likely to improve child development and health outcomes, and will likely be popular among program users. They are also in line with broader reforms underway in Chile, enhancing political feasibility and salience. CONCLUSIONS: By improving CCM, the Chilean government has an opportunity to improve child health in the country. Other countries seeking to develop or refine similar programs could utilize these principles when reforming their own policies.