comprehensive proteccion system for early childhood “chile … · crece contigo” (chile grows...
TRANSCRIPT
Comprehensive Proteccion System for Early Childhood “Chile Crece Contigo” (Chile Grows with you) July 2012
The Origins of Chile Crece Contigo
(Chile Grows with you)
Presidential Advisory Council on Early Childhood Policy
Reform (2006)
Ministerial Committe on
Early Childhood
Grupo Técnico interministerial
Public Policy Proposal
2006
Analysis and actions taken
for its implementation
2006
Comprehensive Protection
System for Early Childhood
2007
A broad range of actors participated in the Council Hearings with national and international experts
Hearings with organizations and individuals who worked in the matter.
Written commentaries of thousands of children and adults via the web site.
1
Law 20.379
The law wihich put
CHCC in effect
2009
2 3 4
Chile Crece Contigo is designed based on:
• Scientific Evidence:
• Consolidation and universal application of successful experiences and services (national and international evidence)
• “Window of opportunity” (high impact of the work done during early childhood)
• Return on investment (highly cost effective investment)
• Broad Consensus:
• Unanimous approval of Law 20.379 which institutionalises the Comprehensive Protection System for Early Childhood “Chile Crece Contigo”.
• Global paradigms:
• Social Determinants of Health
• Focus on children´s rights.
• Systemic – Ecological approach.
Principles and Foundations
Multidimensionality and Intersectoriality
• The child´s development is multidimensional. • Services and activities should happen at the right time and in a relevant way, according to each child´s needs. • Intersectorial policies allows us to accompany people as they move through different life stages,to improve their personal development skills and quality of life. • Through Chile Crece Contigo, we provide comprehensive assistance, to accompany children´s developmental trajectory during early childhood, which strengthens the impact of our actions.
Early
Stimulation
Nutrition
Health and Hygiene
Positive enviroment
How does it work?
Personalized follow up of early child development
Biopsychosocial Development Support Program Medical check up
Biopsychosocial
Risk identification
According to the
protocol
Healt
Vulnerability Health
Social
Vulnerability Municipality
The mother enters the
System up on her first
prenatal check up
nacimiento
Any contact of the children with the
different actors who are part of the
system should activate the network
if there is any kind of vulnerability
Differentiated responses
Ex: Home Visit Program
Inadequate
housing
Lack of
nursery
attendance
Ex: Implementation of the Social
Protection Score Card
Ex: priority access to housing
programs
Education Developmental
difficulties
Chile Crece Contigo is an comprehensive
Service network
Chile Crece Contigo Municipal Network
Family support unit
Public
Health
system
Public Education
system
Score card review
office
FAMILIA
Other
Social
Services
What does it offer?
All Chilean
Children(100%)
• Interactive teaching and informative
tools
• Legislative improvement
• Biopshychosocial
Development Support
Program (PADB)
• Newborn Support
Program (PARN)
Support and Services offered by Chile Crece Contigo
Vulnerable
children (74%)
Children part of the
public health system
(81,6%)
• Good quality free nursery school and
kindergarden
• Home Visits by health temas
• Family subsidy
• Comprehensive care for children with
developmental difficulties
• Technical help for disabled children
• Preferential access to the social protection
system
Personalized health plan
Alternatives to anesthesia
Differentiated Services and Activities
About Developmental Difficulties
Developmental Difficulties: when a child development process does not follow the pattern that corresponds to his/her age.
About 30% of children in Chile shows signs of developmental difficulties before their 4th birthday.
This number reaches almost 45% when referring to vulnerable children.
Scientific evidence has shown that early detection and response to developmental difficulties allow young children to catch up to the developmental stage expected at their age.
Chañaral
Mulchen
Chiloé: traveling service on the
medical ship Cirujano Videla
San Juan de la Costa
Other Differentiated Services
Aimed at the most socioeconomically vulnerable children (according to the law 20.379)
Automatic Family Subsidy Half day, full day or extended day at the nursery school or
kindergarden for mothers that are vulnerable, working, studying or looking for work. Preferential access to public social services (level playing field for
educational opportunities, work placement, housing, mental health care, among others). Technical assistance for children with special needs.
Guaranteed access to the Chile Solidario Program when requirements
are met.
Differentiated Services
Aimed at 60% of the
socioeconomically vulnerable
population as defined by the social
protection score card.
Achievements
Primary Chile Crece Contigo Evaluations
• Quasi-experimental assessment of the biopsychosocial Development Support Program on an historical cohort (baseline data already collected)
• Experimental evaluation of the three sections of the parenting skills workshop “Nadie es Perfecto” (Nobody´s Perfect)
• Satisfaction and usability surveys of the Biopsychosocial Program and the Newborn Program.
• National Implementation Survey
• Qualitative evaluation of the implementation of the Biopsychosocial Development Support Program.
• Qualitative and Quantitative Evaluation of the Chile Crece Contigo Municipal Networks.
Some of our achievements
Improvement and increase of the relevant services to support early childhood development: for example, identification of the risk factors during pregnancy, home visits, prenatal and parenting skills workshops, among other.
High levels of user satisfaction for biopsychosocial program and newborn program: 81% y 94%, respectively.
Systematic budget increase of Chile Crece Contigo, in particular of the funds aimed at supporting local management and nursery and kindergarden education.
Lessons we have learn
Thank you very much
The future of children is always today Gabriela Mistral