integrated approach to early childhood development ‘essential package of services’ care india
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Integrated approach to Early Childhood Development ‘Essential Package of Services’ CARE India. CARE: ECE Interventions. 2002. 2004. 2005. 2008. 2009. 2010. 2013. Bihar ( 2008-2011) Flood Relief Programme & Linked for Learning. UP (2002-2005) Aanchal. Gujarat (2004-2009 ) Snehal. - PowerPoint PPT PresentationTRANSCRIPT
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Integrated approach to Early Childhood Development
‘Essential Package of Services’
CARE India
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CARE: ECE Interventions2002 20092005 2010
UP (2002-2005)
Aanchal
ANI (2005-2009)Sanjog-Tsunami
Response Programme
Gujarat(2004-2009)
Snehal
Bihar (2008-2011)
Flood Relief Programme & Linked for Learning
20082004
Chhattisgarh(2010-2013)
Essential Package-ECD
2013
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Moving towards integrated approach
ANI: 3-6 yrs-850 AWC◦ 80% AWC operationalised preschool education◦ 100% Functional sectors ◦ Resource centre/cadre of local resource persons
Bihar: 3-8 yrs◦ Technical resource developed for age appropriateness for preschool
education and readiness, tested and operationalised in 50 AWC ◦ Established linkages with primary school: morning assembly (oral
skills….structured learning)Chhattisgarh: 0-6 yrs-400 AWC
◦ Early stimulation for under 3, linkages between nutrition, health, rights, education, livelihood
◦ Focused intervention with parents, community, AWC
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Integrated approach-Assumptions
Early years of life critical for lifelong domains of Child development-physical, social, emotional, Language and cognitive
Interdependency of Developmental domains◦ Focus on one domain & not on other/s leads to lopsided
development Maternal and child rights to education, health, safety, security
critical
Poverty principle vehicle affecting disadvantaged children in growth & devpt
Early interventions best for most vulnerable (compensate for negative experiences & deprivation)
Economic strengthening interventions provide direct benefits to children
Nutrition plays a pivotal role in early health care & devpt
Integrated programming sectors provide holistic support
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Premise for a successful integrated approach……………
Integration of health, nutrition, education, social, economic development & collaboration between government agencies and civil society
Direct contact with children early in life at various levels
Parents and families as partners with teachers/caregivers to support child development (CD)
Psychosocial support helps children understand and deal with change, loss
Blend traditional child-rearing practices/beliefs with evidence based approach
Trained staff in content, supervision, assessment are able to better monitor CD & program effectiveness
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Benefits of Approach Simplified, holistic & replicable program
◦ capable of delivering ECD in resource constrained areas through community based childcare centres
Highly cost effective◦ Link resources of health, education, nutrition & sanitation, livelihood
Increases efficacy of other investments in child development◦ Essential sequel and complement to early child care and development programs. Prepares
healthy recipient for next level.
Ensures better educational outcomes◦ Good health boosts enrolment and attendance, reduce dropout, increase achievement
Improves social equity◦ Most disadvantaged children access school and benefit from health & nutrition
interventions.
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Central Focus-Child• Focus on children from most marginalized
communities/sections
• Enable children to achieve age specific milestones (physical-motor, socio-emotional, Language, cognitive)
• Address whole child, “between 0- 8 years”age specific needs are identified and interventions designed accordingly
Focused age/stage Pre-natal; 0-3 years; 3-5 years; 6-8 years
• Rationale:– When they are young they grow faster, needs differ accordingly– Physical Needs not so dynamic at 3-4 age though stimulation needs
continues– 5-6 age to ensure school readiness– Beyond 6-8 primary school retention
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Promising Approach: Essential Package (EP)
5 level
s of
interv
ention
s •Integrates programming sectors
•Provides holistic support to child and caregivers
•Refers to child’s 5 essential needs-areas of intervention
•5 environments to support child-levels of interventions
•Rights based Approach
CONVERGENCE: CARE Intl and Save the Children developed EP through to address critical needs of the child, strategy being tested in different settings in Africa, Latin America and Asia
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Family
Government
Community
BirthHome to
Early Learning
Environment
Pre-School
to Primar
y School
Child’s Development
Caregiver/Family
Child
Ages 3 - 5Prenata
lBirth - 3 Ages 6 -
8
Care giver settings
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Key Strategies Measurement of impact on children’s physical, socio-
emotional, cognitive development to track and strategise◦ through validated/culturally relevant tools/indicators & std health & nutrition
indicator data
Enhancing parenting skills◦ Through home visits/monthly meetings with caregivers◦ Orientation of parents on child devpt-nutrition, safe food, water, education,
rights…
Improving household income securityto improve household earning potential◦ Linkages with Government schemes – Strengthening SHGs
Empowering caregivers and communities to improve lives of young children & their families, provide positive social setting
for children◦ Continuous training of service providers – ICDS and health workers◦ Strengthen support system for service providers, Increase Motivation◦ Awareness building, involving in management, use of community resources
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Key Strategies Building capacity of child care centres
to facilitate early childhood development and education◦ Improve quality of infrastructure at AWC ◦ Strengthen supportive supervision for AWW◦ Develop as focal point around which services benefiting caregivers,
households, child can be organised/delivered◦ Use forums for civic engagement in policy change
Advocacy around EP to lead to changes in larger policy environment reflecting ECD as national
priority◦ Expand wider political network to strengthen provisions◦ Work with local partners, organisations, key stakeholders
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Five Areas of Impact Food & Nutrition
◦ Nutritious meals in AWC, at home
Child development◦ Use of ECD age appropriate curricula to build capacity of teachers/caregivers in childcare
settings◦ Linkages between ECD centres & formal primary schools
Economic Strengthening◦ Linkages with livelihood schemes
Health◦ Access to quality health services, safe water, sanitation◦ Awareness on life threatening, preventable, communicating diseases◦ Health screening, vaccination
Child Rights & Protection◦ Advocacy initiatives & trainings to increase awareness ◦ Link with existing legal services ◦ Trainings on child rights for community members & others
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EP in IndiaBeing piloted in Korba and Jhanjgir Districts of
Chhattisgarh from 2011
Partnership and engagement ◦ ICDS , Health Department and Panchyati Raj◦ SHG, Community and Caregivers
Resources generated…◦ Conceptual EP◦ Technical Package
Early stimulation +(health, nutrition, emotional, cognitive needs) Flip book, calendar, 3 reference booklets Specific booklet on preschool education to ensure school readiness Activity bank for AWWs IEC material Supportive monitoring framework
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OPEN DISCUSSION