Download - CR È CHE AT THE WORKPLACE
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CRCRÈÈCHE AT THE CHE AT THE WORKPLACEWORKPLACE
Creating a Home and a School at the Workplace
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““to the to the women of the world women of the world
– – without whom, without whom,
none of us none of us would be anything would be anything
…”…”
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Everyone has Everyone has a…a…
Mother Mother SisterSister
WifeWife
DaughterDaughter
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Significant roles Significant roles in sustaining in sustaining
humanityhumanity
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……pastpastpresent…present…
future…future…
generations.generations.
The mother The mother is the strongest is the strongest link…link…
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In the worldIn the worldof work…of work…
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Every mother is Every mother is a working a working woman…woman…
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At the workplace, At the workplace, there are there are common common concernsconcerns between between the employer and the employer and the employees.the employees.
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Common Common ConcernsConcerns
Work Work productivityproductivityWell-beingWell-being
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How can the employer How can the employer maintain work productivity maintain work productivity levels?levels?• Retain good workersRetain good workers
• Harmonious Harmonious work work relationshiprelationship
• Quality work outputQuality work output
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How can the How can the employee/worker keep employee/worker keep job security and good job security and good work output?work output?• Absenteeism from Absenteeism from
workwork• Childcare problemsChildcare problems• IllnessesIllnesses• ExpensesExpenses
LESS
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Economic Economic CostsCosts
$$££
¥¥
PPFOODFOODLargest expenses Largest expenses
from the from the family budgetfamily budget
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HEALTHHEALTHUnexpected Unexpected
expensesexpenses
$$££
¥¥
PP
Economic Economic CostsCosts
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Women’s Women’s Worries … Worries … Women’s WorkWomen’s WorkInfant formula purchaseInfant formula purchase
covers one-fourth covers one-fourth of the minimum monthly of the minimum monthly
incomeincome(e.g. (e.g.
Philippines:P3,000.00)Philippines:P3,000.00)
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Women’s Women’s Worries … Worries … Women’s WorkWomen’s Work
Bottle feeding Bottle feeding paraphernalia: paraphernalia: bottles, teats, bottles, teats,
steriliser,steriliser,detergent, water, fuel detergent, water, fuel
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Women’s Women’s Worries … Worries … Women’s WorkWomen’s WorkRoutine and stressful Routine and stressful tasks:tasks:Cleaning and sterilising Cleaning and sterilising bottles, bottles, mixing the milk, feeding, mixing the milk, feeding, disruptive sleep, etc.disruptive sleep, etc.
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A sick child A sick child incurs medical incurs medical
expenses: expenses: doctor’s fees, doctor’s fees,
medicine, medicine, hospitalisation, hospitalisation,
transportation costtransportation cost
Women’s Women’s Worries … Worries … Women’s WorkWomen’s Work
$$££
¥¥PP
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Hoey and Ware, 1997, North Hoey and Ware, 1997, North Carolina, USACarolina, USA
United StatesUnited States$331-475 medical $331-475 medical
expenses expenses per baby per baby
during the first year of during the first year of lifelife
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If a child is bottlefed…If a child is bottlefed…•25 times at risk of 25 times at risk of getting getting sick and hospitalisedsick and hospitalised
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• 2,033 clinic 2,033 clinic visitsvisits• 212 excess days of 212 excess days of hospitalisationhospitalisation• 609 excess 609 excess prescriptionsprescriptions
per 1,000 bottlefed per 1,000 bottlefed babies:babies:
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Women’s Worries Women’s Worries … Women’s Work… Women’s Work
Asthma and allergiesAsthma and allergiesGastro-intestinal upsets Gastro-intestinal upsets
Infections: Infections: Respiratory tract Respiratory tract
Urinary tractUrinary tractEar infectionsEar infections
Ball and Wright, 1999, USABall and Wright, 1999, USA
Baby’s Illnesses :Baby’s Illnesses :
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Women’s Worries … Women’s Worries … Women’s WorkWomen’s Work
Heart AilmentHeart AilmentLeukemiaLeukemia
Juvenile DiabetesJuvenile DiabetesMeningitisMeningitis
Baby’s Illnesses:Baby’s Illnesses:
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Women’s Worries Women’s Worries … Women’s Work… Women’s Work
Unwanted PregnancyUnwanted PregnancyCancer: Breast and Cancer: Breast and
OvarianOvarianOsteoporosisOsteoporosisAneamiaAneamia
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Women’s Worries… Women’s Worries… Women’s WorkWomen’s Work
AbsenteeiAbsenteei
smsmFearsFears
Job Job LossLoss
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Worst Economic Worst Economic DepletionDepletion
•Jobs at stakeJobs at stake
•Work productivity level Work productivity level decreasesdecreases•Loss of savingsLoss of savings
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Parental absenceParental absence from work to care from work to care for a formula-fed for a formula-fed
babybaby is expensive to is expensive to both parents and both parents and
employers.employers.
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Who Who gains? gains? Who loses?Who loses?
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• Country loses dollar Country loses dollar reserves from milk and reserves from milk and medicine importationmedicine importation
• Country loses health Country loses health resources due to resources due to
increased illnesses and increased illnesses and hospitalisationhospitalisation
Phillipines 1997 : Phillipines 1997 : $416 million dollars$416 million dollars
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•Family loses savings, Family loses savings, emotional bonding and emotional bonding and quality time in nurturingquality time in nurturing
•Environment suffers Environment suffers from dumping waste and from dumping waste and depletion of resourcesdepletion of resources
•Disempowers womenDisempowers women
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•Irreparable damage to Irreparable damage to the future generationthe future generation
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For working For working mothers mothers the the best best resort,resort,thethe best best resourceresource isis breastfeedingbreastfeeding……
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have lower incidence of have lower incidence of serious diseases:serious diseases:gastro-intestinal upsets,gastro-intestinal upsets,
allergies and asthma,allergies and asthma,respiratory respiratory
and urinary tract and urinary tract infectionsinfectionsLawrence, 1997Lawrence, 1997
Breastfeeding Breastfeeding babiesbabies
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In Australia, risk of In Australia, risk of childhood asthma childhood asthma decreases by at least 40% decreases by at least 40% in infants breastfed for in infants breastfed for four months.four months.Oddy WH, British Medical Journal, 1999.
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Exclusive breastfeeding Exclusive breastfeeding • reduced the risk of asthma reduced the risk of asthma by 30% by 30% • 48% in families with a 48% in families with a history of asthma-related history of asthma-related illnessesillnessesGdalevich M, Mimouni D,
Mimouni M, Journal of Pediatrics, 2001.
Gdalevich M, Mimouni D, Mimouni M, Journal of Pediatrics, 2001.
A Medline review of 12 A Medline review of 12 studies concluded:studies concluded:
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If a mother is If a mother is breastfeeding…breastfeeding…through LAM through LAM
(Lactation Amenorrhea (Lactation Amenorrhea Method) Method)
•98.8% efficacy of 98.8% efficacy of not getting pregnant not getting pregnant within six monthswithin six monthsLabbok, Labbok,
1999 1999
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•50% reduced risk of 50% reduced risk of getting uterine, getting uterine,
ovarian and breast ovarian and breast cancercancer
If a mother is If a mother is breastfeeding… breastfeeding…
Zheng, 1994Zheng, 1994
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If a mother is If a mother is breastfeeding…breastfeeding…
• Less chance of getting Less chance of getting osteoporosis or brittle osteoporosis or brittle bonesbones• Less post-partum Less post-partum hemorrhagehemorrhage• HepatitisHepatitis• Thyroid cancerThyroid cancer
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three days of employee three days of employee sick leave sick leave per breastfed per breastfed baby in the first year of baby in the first year of
its lactation its lactation support programsupport program
Aetna Insurance Aetna Insurance estimated a estimated a savings savings $1,435 on medical $1,435 on medical
claimsclaims per breastfed per breastfed babybabyANDAND
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Aetna’s Aetna’s Return of Return of
Investment Investment 3:1.263:1.26
Aetna’s TOTAL Aetna’s TOTAL SAVINGS: SAVINGS: $108,737$108,737
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Balancing Balancing breastfeebreastfeeding ding and work and work benefits benefits all.all.
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HowHow??
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Breastfeeding Breastfeeding breaksbreaksA woman shall be provided A woman shall be provided
with the right to with the right to one or one or more daily breaksmore daily breaks or a or a
daily reduction of hours daily reduction of hours of workof work to breastfeed her to breastfeed her
child.child. (Art. 10, (Art. 10, ILO MPC 183)ILO MPC 183)ILO Maternity Protection Convention 183ILO Maternity Protection Convention 183
E.O. 51 and RA 7600E.O. 51 and RA 7600Philippine Breastfeeding Laws:Philippine Breastfeeding Laws:
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BreastfeedinBreastfeeding breaksg breaks
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Breastmilk Breastmilk expressionexpression
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Cup Cup feedingfeeding
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Expressed Breastmilk Expressed Breastmilk Lifespan Lifespan
• 10 – 12 hours at room 10 – 12 hours at room temperaturetemperature
• Will last for years in a Will last for years in a freezer as long as it does freezer as long as it does not thawnot thaw
• 3 - 5 days inside a 3 - 5 days inside a refrigeratorrefrigerator
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Wet Wet NursinNursingg
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Counseling Counseling supportsupport
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Mother-Baby Friendly Mother-Baby Friendly EnvironmentEnvironment
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Crèche at the Crèche at the workplacesworkplaces
Philippine Daycare Law E.O. Philippine Daycare Law E.O. 340340Philippine Philippine
Breastfeeding Laws:Breastfeeding Laws:E.O. 51 and RA 7600E.O. 51 and RA 7600
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How to set up How to set up a crèchea crèche at the at the workplaceworkplace
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A A CrècheCrèche is a French is a French word used word used
internationally to internationally to mean a daycare for mean a daycare for babies and toddlersbabies and toddlersDaycare means Daycare means whole day program whole day program
and servicesand services
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Elements of a Elements of a Mother-Baby Mother-Baby Friendly Friendly Crèche/DaycareCrèche/Daycare
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SENSE OF SENSE OF PRINCIPLESPRINCIPLES
• Child First based Child First based on Children’s Rightson Children’s Rights
• Human Human Bonding Bonding fosters Mother fosters Mother and Child and Child Interaction and Interaction and SecuritySecurity
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SENSE OF SENSE OF PRINCIPLESPRINCIPLES
• Earth-FriendlyEarth-FriendlyEco-friendly Eco-friendly activities, healthy activities, healthy diet through diet through indigenous foods and indigenous foods and breastfeedingbreastfeeding
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• Culture-basedCulture-based
SENSE OF SENSE OF PRINCIPLESPRINCIPLES
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Nurturing Young Nurturing Young EnvironmentalistsEnvironmentalists
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STRUCTURAL STRUCTURAL SPACESPACE
Developmentally Developmentally appropriate to the appropriate to the age of the childage of the child
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Communication Communication spacespace
•AccessibiliAccessibilityty
•Mobility - No Mobility - No barriers that would barriers that would imprison the childimprison the child
•Play spacePlay space
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Safety FeaturesSafety Features•Cradles or Cradles or hammocks (non-hammocks (non-plastic based) plastic based) for sleeping for sleeping babiesbabies
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Safety featuresSafety features
• Screened or thick Screened or thick glass walls for glass walls for visibilityvisibility• Well - Well - VentilatedVentilated• Electrical outlets Electrical outlets not within children’s not within children’s reachreach
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Learning Learning EnvironmentEnvironment• Creative shapes Creative shapes
and colors applied and colors applied to the shape of the to the shape of the doors, windows doors, windows and shelvesand shelves
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PROGRAM AND PROGRAM AND SERVICESSERVICES
Developmentally Developmentally appropriate to the appropriate to the age of the childage of the child
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• Early childhood Early childhood education for education for babies and toddlersbabies and toddlers
PROGRAM AND PROGRAM AND SERVICESSERVICES
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PROGRAM AND PROGRAM AND SERVICESSERVICES
• Custodial Custodial childcarechildcare
• Preventive Preventive healthcarehealthcare
• Natural healing Natural healing foodsfoods
• Continuous 10-hour Continuous 10-hour servicesservices
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•Continuous 10-hour Continuous 10-hour servicesservices Crèche Crèche
opens opens at 7:30 amat 7:30 am
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Crèche Crèche closes at closes at 5:30 pm5:30 pm
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• Early Childhood Early Childhood Education Education Curriculum MakingCurriculum Making
• Culture - BasedCulture - Based• Sensitive to the needs Sensitive to the needs of the childof the child• Learn and PlayLearn and Play
• InteractiveInteractive
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• Natural Healing Natural Healing FoodsFoods• Babies are Babies are exclusively exclusively breastfed for breastfed for six monthssix months• Breastfeeding Breastfeeding
and and complementary complementary feeding for ages feeding for ages above 6 monthsabove 6 months
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• Natural foods are Natural foods are given every two-hour given every two-hour intervalinterval
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Primary healthcarePrimary healthcare• Herbal drinksHerbal drinks
• Therapeutic massageTherapeutic massage
•Preventive healthcarePreventive healthcare
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• Custodial Custodial ChildcareChildcare
• BathingBathing• Escorting Escorting toddlers toddlers to walkto walk
• Dressing-upDressing-up• Toilet trainingToilet training
• SleepingSleeping• Changing diapersChanging diapers
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SUPPORT & SUPPORT & SUSTAINABILITYSUSTAINABILITY• ILO Convention 183 ILO Convention 183 on Maternity on Maternity ProtectionProtection• Mother Support GroupMother Support Group
• Income-generating Income-generating ActivitiesActivities• Participatory processParticipatory process
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Practical Steps…Practical Steps…
1.1.Meeting of Minds: Meeting of Minds: Proponent & BeneficiariesProponent & Beneficiaries
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2. General Assembly:2. General Assembly: Employer, Employees & Employer, Employees & ProponentProponent
3. Focal Point: 3. Focal Point: Human Resource Human Resource Department (HRD)Department (HRD)
4. HRD and Proponent: 4. HRD and Proponent: Crèche ProposalCrèche Proposal
Practical Steps…Practical Steps…
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5. Action Plan5. Action Plan
Practical Steps…Practical Steps…
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Practical Steps…Practical Steps…
6. MOA: Management & 6. MOA: Management & ProponentProponent
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Practical Steps…Practical Steps…
7. Pool of resources7. Pool of resources
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8. Setting-up of the 8. Setting-up of the CrècheCrèche
9. Processing of Parent 9. Processing of Parent EnrolleesEnrollees
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10. Contract with 10. Contract with Parents & ProponentParents & Proponent
11. Launching of the 11. Launching of the Crèche centerCrèche center
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POOL OF POOL OF RESOURCESRESOURCES
AvailableAvailable
AccessiblAccessiblee
Affordable
Affordable5 As
5 As
Appropriat
Appropriat
ee
Accountable
Accountable
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A Production of: Arugaan, Philippines
2002
Supported by:
World Alliance for Breastfeeding Action
(Maternity Protection Seed Grants)