1

TOWARDS EQUITABLE EARLY CHILDHOOD DEVELOPMENTBy Lieke van de Wiel, ROSA

© U

NIC

EF

/201

1/D

ang

• Global Context

• UNICEF’s Focus

• UNICEF’s Strategies

CONTEXT AND UNICEF MANDATE

• Nutrition

• Protection: Early detection

• Health

• Education

• Adolescents Development

RELEVANT SECTORS AND ENTRY POINTS

• Evidence Strengthening

• Convergence between sectors

• Equity: Groups and Geographically

SOUTH ASIA FOCUS

RATIONALE:

•Improves nutritional and educational outcomes

•Prevents developmental delays and adverse health outcomes

•Improves quality of life of young parents

CASE OF EARLY CHILDHOOD STIMULATION

What interventions in early childhood stimulation are:

•Most effective in bringing about equitable outcomes and

•Most strategic = cost-effective, sustainable, feasible

KEY QUESTIONS

EARLY STIMULATION

OVERALL OBJECTIVE

To recommend a set of strategies to promote early stimulation and reduce disparities in child outcomes

SPECIFIC OBJECTIVES

•Address barriers to access for most deprived

•Integration of stimulation in existing interventions

•Strengthening stimulation interventions

© U

NIC

EF

/200

6/D

ang

METHODOLOGY

BHUTAN NEPAL SRI LANKA

PREPARATORY WORK

Background research completed ✔ ✔ ✔

Indicators and data sources identified BMIS 2011 MICS 2011WFP/UNICEF Survey 2009

Preliminary bottleneck analysis undertaken

✔ ✔ ✔

COUNTRY LEVEL

Government & partners mobilised ✔ ✔ ✔

Cross-sectoral discussions initiated ✔ ✔ ✔

Scenarios assessed ✔ ✔ ✔

PROPOSITION DEVELOPMENT

Integration/strengthening recommendations designed

✔ ✔ ✔

Recommendations implementation ✔ ✔

KEY QUESTIONS•Which children under the age of three are most deprived of early stimulation?•What strategies can address this deprivation and bring about equitable outcomes?•What is the estimated marginal cost of implementing these strategies?

BOTTLENECK ANALYSIS

10SUPPLYSUPPLY DEMANDDEMAND

COMMODITYCOMMODITY HUMAN RESOURCES

HUMAN RESOURCES

ACCESSACCESS UTILISATIONUTILISATION CONTINUITYCONTINUITY EFFECTIVE COVERAGEEFFECTIVE COVERAGE

TANAHASHI MODEL EXAMPLE

Child-caregiver contact

Training

Caregiver-service provider contact

Stimulation

Playing with homemade toys

Attending early childhood education

COVERAGE DETERMINANTS

11

BHUTAN SRI LANKA NEPAL (Mid/Far West)

COMMODITY % children (<5) not left alone/with a child

% children (<5) not left alone/with a child

% children (<5) not left alone/with a child

HUMAN RESOURCES

% non-formal education (NFE) facilitators trained in early stimulation

% mothers who accessed child welfare clinic (CWC)

% FCHVs who attended a meeting (last month)

ACCESS % population (15+) enrolled in NFE

% mothers who received ECCE advice from CWC

% FCHVs who participated in 7+ mothers’ group meetings (last 12 months)

UTLISATION % children (3-4) with whom an adult engaged in 4+ activities

% children (3-4) with whom an adult engaged in 4+ activities

% children (3-4) with whom an adult in 4+ activities

CONTINUITY % children (<5) who play with homemade toys

% children (<5) who play with homemade toys

% children (<5) who play with homemade toys

EFFECTIVE COVERAGE

% children (3-4) attending ECCD

% children (3-4) attending ECE

% children (3-4) attending ECE

SRI LANKA: MOTHER’S EDUCATION

12

WFP/UNICEF Food Security and Nutrition Survey 2009/10 CWC: Child Welfare Clinic

• Enhance early stimulation components of MCH and nutrition

• Provide technical support to implement an M&E system for stimulation

• Develop of an ECD strategy for children with special needs

SRI LANKA

• Establish a working group to refine the integrated stimulation-nutrition plan

• Reinforce stimulation in the MoE’s parenting classes and reach the vulnerable groups with the classes

• Research stimulation-nutrition pilot to guide collaborative initiatives between ECD facilitators and FCHVs

NEPAL

• Disseminate early stimulation (comprehensive parenting class) through Non-Formal Education

• Include early stimulation in IMNCI and an IYCF package

• Develop an advocacy strategy to integrate stimulation in nutrition and other sectors

• Increase preschool in disadvantaged areas

BHUTAN

• Strategic Positioning and Concretizing

• Capacity in disability and multi-lingual early education

• Adolescents Development

LOOKING FORWARD

17

THANK YOU