integrated child protection system–chile crece contigo
TRANSCRIPT
Integrated Child Protection System– Chile Crece Contigo
Misnistry of Social Development
Presentation to the Delegation of Jamaica
1. Context
2. The origin of Chile Crece Contigo
3. Principles and Foundations
4. How does it work?
5. What does it offer?
6. Derivation and Monitoring Registration System,
Table of Contents
Context
4Government of Chile| Ministry of Social Development
Chilean context before the creation of Chile Crece Contigo
90% of pregnants under control and control of a newbord baby reach almost 100% 100% attention of professional delivery services
(Presidential Advisory Council for the Reform of Policies for Children, 2006:19)
3 out of 10 children don’t reach the milestone of development expected for their age.(II National Quality of Life Survery, Ministy of Health, 2006)
80,6% of children under 4 years old attend Public System (NHF)(PACRP 2006)
Boys and girl under the age of 4 years old in state of indigence correspond to 5,2% (3,2 overall) those in state of poverty not indigence correspond to 16,7% (10,5 overall)
(PACRP 2006)
39,1% of homes out of 40% with lower income with children, its overcrowded(PACRP 2006)
49% of exclusive maternal prevalence breastfeeding until 6th month(SHID, 2006)
Mothers of 50% of low-income households have an education level that does not reacha complete mid-level education.
(PACRP 2006)
The origin of Chile Crece Contigo
6
Institutionalization of Chile Crece Contigo
Intersectoral system of Social Protection and
Institualisation of childhood Integral Protection of Chile
Crece Contigo
Childhood ministrycommittee
Interministerial Technical Group
Measurementproposals for
implementationof Child Integral
Protection System
Analyses and generation of Governmentactions for
implementation
Early ChildhoodComprehensive
ProtectionSystem
Pre-investiment
studies
Law that createsthe IntersectoralSystem of Social Protection and
institutionalizesChicle Crece
Contigo
2005 2006 2007 2009
Government of Chile| Ministry of Social Development
Your design based on:
Scientific evidence:
• Consolidation and universality of experiences and successful benefits(national and international evidence)
• Windows of opportunities (high impacts of work in early childhood).
• Rate of return (Effective cost of high investment).
Broad consensus
• Unaminous approval by H. Congress of the law 20.379 that institutionalizethe Subsystem of Child Comprehensive Protection “Chile Crece Contigo”.
According to emerging paradigms
• Social Health Determinants.
• Child Rights Approach
• Systematic Approach - Ecological.
Principles and Foundations
9
Child development ecological module
Source: Children’s future it is alwaystoday. Proposals by PresidentialAdvisory Council for the Reform ofPolicies for Children. Pag 40.
Social Health Determinants
Government of Chile| Ministry of Social Development
Neurosciences evidence
• Indivuals basic fundamentals are stractured before its 4 years old, such as language, habits and social skills, emotional control and cognitive capacities, this is the reason the first years of our lives are the most meaningful for a persons formation.
• Chile Crece Contigo make usage of windows of opportunitiesoffering early childhood, allowing the propt attention of factors in risk (biological, psychological and/or social and the early lagged of detection and intervention.
Development Critical Periods
12
Descending return rates
Economical Investment Reasoning
For each dollar invested in the early
stages of childhood, a return of 8 dollars is
obtained.(Carneiro and Heckman, 2003)
Government of Chile| Ministry of Social Development
Multidimensionality and Intersectorality
•Children’s development is Multidimensionality.
•Intervantions should occur in a timely manner and appropriate way in particular necessities for every boy or girl.
•Intersectoral politcs allows to accompany a trajectory of people’s life cycle, boostresources and impact related factors in a simultaneously way.
Is a Comprehensive System to Accompany the developmentpathway of boys and girls, since its gestation until its enrollment in
pre-kinder of first level of transition.
Seek to generate and articulate various mecanisms of support forboys, girls and their families, allowing boys and girls to reach thehgh potential of development.
It is part of Social Protection Intersectoral System.
Chile Crece Contigo, what is it?
15
Social Protection Intersectoral System
Social Protection Intersectoral System
Chile CreceContigo
Citizenship in general
60% more vulnarableboys and
girls
Security Reform
PBSAPS
Unemployment Insurance
Families in extreme poverty
BRIDGE
Homeless people
STREET
Adults
LINKS
Chile Solidarity, Ethical Family Income
Labour Protection
Monetary Provisions (TMC – TMNC)
Social Protection Tab/ Instrument of focus
Boys and girls
attending public health sectors
Integrated Information of Social and Heath Systen.
Source:: Presentation Equity from the beginning Chile Crece Contigo: A national policy to protect early years
EARLY CHILD DEVELOPMENT MEETING World Bank; WDC. February 22 2010 and authors contribution
Son of PPL
OPENING WAYS
Government of Chile| Ministry of Social Development
Chile Crece Contigo seeks to articulate comprehensivebenefits that accompanies in the trajactory of boys and girlsdevelopment during their early childhood, it is whatstrenghten the carried out actions.
Personalized Simultaneous support
How does it work?
Communal Level
Provincial Level
Regional Level
National Level
Governatorates
Health Services
Support Struture
Red Comunal ChCC
Health Education(Coord. Com. Educ. parv.
MINEDUC – DAEM o Corp.)
Municipality
Central Design/ National with
local expressions
JUNJI
INTREGA
SEREMIHealth
SEREMISocial Development
SEREMIEducation
Ministry of healthMinisty of
Social DevelopmentMinistry ofEducation
Social Protection Intersectoral Committee
RegionalAttendents ChCC.
Coord. Reg.deEduc. Parv.
MINEDUC - Junji - Integra
ManagerChCC.
Provincial
Coordinator P.S
What does it offer?
Evrery children in Chile (100%)
• Educational Program withInteractives/Informative spaces(Websites, radioa programs, audio-visual materials, social networks, childhood fono.)
• BiopsychosocialDevelopment SupportProgram (BDSP)
• Newborn SupportProgram(NSP)
Support and benefits offered by Chile Crece Contigo
Children in vulnaberality
(60%)Children Public Health System
(81,6%)
• Free good quality Nursery and Kindergardeneducation
• Health teams home visit• Family subsidy• Integral attention of boys and girls.• Technical support for boys and girls with
disability.• Preference access to offer Public Programs.
Programmatic Support Tools
Central Program: Biopsychosocial Development Support Program(MDS/MINSAL)
Newborn Support Program (MDS/MINSAL)
Intervantions Fund of Children Development (MDS/ Municipalities).
Constestable Fund for Children Initiative (MDS/ Executors public/private).
Municipal Strengthening Fund(MDS/Municipality).
Agreements (Fono Children, Diagnosis Vulnerability).
Massive Educational Program
Derivation and Monitoring Registration System
Region Technical Assistance
Derivations and Monitoring Registration System
What is it?
DMRS it is the main management tool for the local teams. Stablished to support the compliance of the main goal of ChCC
Derivations and Monitoring Registration System
ChCC goal
Customized accopaniment and follow up to the developmenttrajectory of boys and girls, since its earlies gestation until his/herenrollment in a school system.
Derivations and Monitoring Registration System
Objetivos del SRDM
Registrate and Monitor the development process of boys or girls since itsgestation, generating the necessary alerts for a timely activations of actionsand integrated benefits that encourage its great development.
Register and monitor the activations of actions and intersectorialsprovision of ChCC, of universal character and differetiated support.
Increase knowledge to optminitize cases follow-up, the management ofterritorial network and efficient use of resources in the implementation ofChildren Comprehensive Protection System.
Main characteristics:
• Online platform. (http://gestion.crececontigo.cl)
• Connected to web services (FPS and Civil Register) and online.
• Usage of explorer as the incomebrowser.• Generate warning of vulnerability.
• Baja digitación (llenado de casillas).
Derivations and Monitoring Registration System
Modules
Users
•National Profile. (Central Level)
•Regional Profile. (Regional attendents, Health managers, Health Seremias, Provincial attendents)
•Communal Profile. (Communalattendents, typesetter, Sectorolists)
•NEP Profile. (Managers and Facilitators).
Currently it exists more than 10.000 users on this platform.
Derivations and Monitoring Registration System
Fingering Module
• Capture the information. (Quality – Oportunity – Pertinence)• Usage of forms that are online or well directed in the caution box when they have
a PC.• Occurs in healths area or in municipalities, accoding on how it is organized, local
red ChCC.• Exists 3 submodules (Pregnancy Control, Children Control and NEP.)
Derivations and Monitoring Registration System
DMRS – Fingering Module – Timeline
MandatoryYes, pregnants has social
vulnerabilities risks, se consigna entrega de material.
“Contacts”
First Prenatal control
Successive Prenatal Control
Born
W
A
R
N
I
N
G
PregnantWeek (hopefully before the 20th) Week 40
Derivations and Monitoring Registration System
MandantoryYes, Children has a social vulnerability risk; se consigna entrega de material;
Instrumento CHCC Alterado
“Contacts”
First Dyan Control or Health Child
ControlSuccessive Healthy Child Control
Enrollment in Pre-Kinder
Children Age: 0 year Age: 4 years
Derivations and Monitoring Registration System
W
A
R
N
I
N
G
DMRS – Fingering Module – Timeline
Management Module
Management Module- How does it operates?
Through Communal Assignment.
Generation online leads into the sectoral network ofcommunity. (Individual or mass).
Sectoral Specialist, Sectorialists join theirappropriate areas. (Social, FPS, Disability, Bridge,Education, Dwelling, Omil and health)
Finally the Communal attendant approves or rejectsthe actions executed by the sectorialists.
Management Module - Reports
Pregants Indicators Analyses: Generate local listing forestablishments of health and list of pregnants, thats are in riskand that are active on the platform.
Pregnant List: To Locate a particular pregnant by her rut,name or date of entry.
Children Indicator Anylises: Generate local listing forestablishments of health and list of children that are in riskand are active on the platform.
Children List: To locate a particular child by their rut, name ordate of entry.
DMRS– Derivation Examples
Gestionar la permanencia en el sistema escolar EducaciónAplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDISalud
2Gestante se registra con más de 20
semanas de gestación
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDISalud
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDISalud
Verificar Inscripción en el Registro Nacional de Discapacidad Discapacidad
Provisión de Ayuda Técnica según tipo de discapacidad Discapacidad
Verificar si corresponde APS o PBS de invalidez Discapacidad
Postulación de la Gestante a PBS o APS según corresponda Discapacidad
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDISalud
Promover la reinserción en el sistema educacional Educación
5Riesgo Psicosocial: conflictos con la
maternidad
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDISalud
6Riesgo Psicosocial: sintomas
depresivos
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDISalud
7Riesgo Psicosocial: abuso de
sustancias
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDISalud
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDISalud
Atender el caso y derivar a la gestente red comunal si
correspondeSocial
Incorporar a la gestante y su familia en programas de apoyo a la
dinámica familiar, si existe interés y motivaciónSocial
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDISalud
Facilitar la integración de la gestante y su familia a programas de
prevención y atención de violencia intrafamiliarSocial
Facilitar el acceso, cuando se requiera, a instancias de asistencia
judicialSocial
INDICADOR DERIVACIONES (Acciones)
3
4
8
9
N°Área Derivación
(Sectorialista)
Gestante menor 17 años y 11 meses
Gestante registra Discapacidad
Permanente
Gestante c/educación incompleta y
no estudia
Riesgo Psicosocial: insuficiente apoyo
social familiar
Riesgo Psicosocial: violencia de
género
1
Derivations and Monitoring Registration System
DMRS – Aplications
Mass Derivation
Derivations and Monitoring Registration System
DMRS – Statistical Module
Statistical Module
• Allows to generate cross overof information according to charts and variables that can cross with the databaseupdated in the system.
• It is adapted for Communals, Regional and NationalAttendents.
• Works through Mysqlconsultation.
Derivations and Monitoring Registration System
Thank you very muchThe future of children is always today.
Gabriela Mistral