Diagnostic Review of Early Childhood Development - PowerPoint PPT Presentation

Loading...

PPT – Diagnostic Review of Early Childhood Development PowerPoint presentation | free to download - id: 6fe84a-MWU3N



Loading


The Adobe Flash plugin is needed to view this content

Get the plugin now

View by Category
About This Presentation
Title:

Diagnostic Review of Early Childhood Development

Description:

Diagnostic Review of Early Childhood Development Presentation to Portfolio Committee on Basic Education 18 June 2013 * 2011 Green Paper on Families does not address ... – PowerPoint PPT presentation

Number of Views:266
Avg rating:3.0/5.0
Slides: 25
Provided by: Samu117
Category:

less

Write a Comment
User Comments (0)
Transcript and Presenter's Notes

Title: Diagnostic Review of Early Childhood Development


1
Diagnostic Review of Early Childhood Development
  • Presentation to Portfolio Committee on Basic
    Education
  • 18 June 2013

2
Background
  • Department Performance Monitoring Evaluation in
    the Presidency and the Inter-Departmental
    Steering Committee on ECD commissioned
  • A Diagnostic Review (HSRC-led team)
  • In addition
  • Review of the National Integrated Plan (NIP) for
    Early Childhood Development in SA 2005-2010

3
Review Team
  • Prof Linda Richter (lead) Human Sciences Research
    Council
  • Linda Biersteker Early Learning Resource Unit
  • Prof Justine Burns University of Cape Town
  • Dr Chris Desmond Consultant to HSRC
  • Dr David Harrison DG Murray Trust
  • Dr Nosisi Feza Human Sciences Research Council
  • Prof Haroon Saloojee University of the
    Witwatersrand
  • Patricia Martin Advocacy Aid
  • Wiedaad Slemming University of Witwatersrand

4
NIP 2005-2010 Definitions
  • Early childhood development (ECD) a
    comprehensive approach to policies programmes
    for children 0-9 years
  • Specific focus on 0-4 years

5
Methods of the Review
  • Assembled a team of 9 people with specific
    expertise
  • Reviewed 112 background policy documents on
    ECD in South Africa
  • Contacted or consulted more than 166 stakeholders
  • Held 4 provincial panels Gauteng, KZN, WC and
    FS
  • Met 4 times with the Steering Committee
  • Produced 12 detailed Background Papers

6
Presentation
  • Key Findings
  • Key recommendations
  • Progress to date

7
Key findings
  • New science of development
  • Long term consequences of exposures
  • Health? (MORE DETAILS ON SLIDE 22)
  • Human Capital ?(MORE DETAILS ON SLIDE 23)
  • Psychosocial adjustment ?(MORE DETAILS ON SLIDE
    24)

1000 days window of influence 270 (pregnancy)
365 (year 1) 365 (year 2) 1000 days
8
Key findings (2)
  • Poverty
  • Direct causes
  • Indirect causes
  • Resilience
  • Even in adversity children do OK, some excel
  • Parenting critical
  • Intervention
  • Effective and cost effective

9
Key Findings (3)
  • Good progress
  • 87 households with young children have access to
    safe drinking water
  • 82 connected to mains electricity
  • 97 of women attend at least 1 antenatal clinic
  • 98 health facilities offer PMTCT
  • 91 of babies are delivered by a professional
  • 89 of children fully immunised by one year
  • 83 of births are registered
  • 73 of eligible young children receive the CSG
  • 80 of children enrolled in Grade R

10
Key findings(4)
  • We are doing very little to support parenting
  • We are doing almost nothing for the care of
    0- 2-year-olds (28 of whose mothers work)
  • The per-child registered centre subsidy may be
    taking us in the wrong direction

No access
11
Main Recommendations
  • Build multi-sectoral support for an integrated
    approach
  • Led by an authoritative body with
    multi- stakeholder support
  • Increase funding, including to pay practitioners
  • Aim to reach the poorest children and families
    first
  • Through home and community based programmes
  • And multi-media campaigns to reinforce and
    support parenting

12
Developmental Progression
First 1000 days
13
Special Window of Opportunity
First 1000 days
14
Integrated multi-sectoral approach
15
Developmental Approach
  • Planned safe pregnancy, delivery aftercare
  • Nutrition and health care for pregnant women and
    children
  • Social protection for families
  • Preparation and support for parenting
  • Child care for working parents other families
    needing assistance
  • Opportunities for learning at home and with
    other children in structured activities
  • Preparation for formal schooling

16
Planned Pregnancy
  • 50 of SA pregnancies are unplanned or unwanted
    (most teen pregnancies)
  • As many as 50 of these are terminated (self or
    services)
  • Unintended pregnancies are associated with
  • Later and fewer antenatal clinic visits
  • Low birth weight, greater prematurity, congenital
    abnormalities
  • Shorter duration breastfeeding
  • Incomplete vaccinations
  • Higher likelihood of stunting
  • Greater risk of maternal depression

17
Safe Pregnancy
  • Morbidity
  • Neonatal deaths 38 of under-5 mortality
  • Maternal deaths 237 per 100 000
  • Child deaths - a child in a poor country who has
    lost their mother has 4 less chance of
    surviving to age 10 years
  •  Disability
  • Pre- and perinatal factors are the major cause
    of child disability in South Africa

18
Good Nutrition, Health Promotion
  • Poor maternal nutrition ? IUGR
  • Low birth weight ( 16)
  • Best overall general predictor of child survival
    growth, health and wellbeing
  • Breastfeeding 10 exclusive at 4mo
  • 13 deaths averted highest proportion
  • Early growth stunting (18)
  • lt2 SDs height less 1 yr of schooling (SA)
  • Loss of adult earnings (up to 19)
  • Affect birth weight length in next generation

19
Parenting
  • 50 of women 1st child by 20 years, most single
  • Partner support 60 men dont live with their
    young children (22 in HH expenditure R10 000
    71 below R1 200)
  • Mental health - maternal depression (31 PND in
    LMICs)
  • Alcohol/drug abuse 13 among SAs
  • Intimate partner violence 25 of women
  • Severe punishment of young children 3-4yr olds
    r receive most beatings (from women)
  • Retain beneficial practices demand feeding,
    co-sleeping, carrying

20
Next steps
  • Finalise the Improvement Plan
  • Development of an Integrated Programme of Action
  • Inter-sectoral collaboration
  • Joint vision
  • Joint targets
  • Joint budgets
  • Joint monitoring and evaluation

21
THANK YOU!
22
Health
  • Early growth patterns during foetal development
    infancy
  • Influence adult height, offspring size
  • Increase risks for chronic disease obesity,
    diabetes, cardiovascular disease
  • Increase risks for mental illness
  • Early exposure to adverse experiences (neglect,
    domestic violence, parental mental illness or
    substance use)
  • Increase risk of chronic disease, mental
    ill-health and social maladjustment?

23
Human Capital
  • Stunting before age 3 years (lt2SD) is associated
    with
  • Less education
  • Lower cognitive test scores
  • Fewer grades passed
  • Less learning
  • minus1 grade of schooling
  • Earnings food supplemented lt3 years
  • Up to 46 difference in income
  • Fewer hours worked ?

24
Psycho-social Adjustment
  • Poor growth ? mental illness (famine studies)
  • Adverse childhood experiences (ACE) ?
  • Tobacco, alcohol and drug use, suicide risk,
    depression
  • Toxic stress stress responsivity - revving
    engine, hair trigger reaction
  • Influences internal working models or
    expectations - of relationships ?
About PowerShow.com