Age Appropriate Program Guideposts

8/14/2019 Age Appropriate Program Guideposts

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Integrated Community Management of Childhood Illness andNutrition

Safe Motherhood and Neonatal Health

Early Childhood Care Development and Protection

Health and Nutrition

Community Based IMCI

Water and Sanitation

PDI Hearth



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GUIDEPOSTS STRATEGIES

ECCD Support to Center-basedECCD

Generally, honorariumfor Day Care Workers /Child DevelopmentWorkers is not allowedexcept in the followingcases:

a. There is no daycare center in thebarangayb. The ratio of DCWto children is 1:more than 40 per

session. With twosessions per day.[1]

Organization of Home-based ECCD

Support to Center-based ECCD

Capacitydevelopment amongparents andcaregivers on properchild caring ,Institutions onprogrammanagement



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ECCD DCWs must be on atemporary basis andshall be used only asleverage in order for thebarangay/community toput-up DCC facilitieshence ensuring thecontinuity of theservices.

The length of service of CCF-paid DCWs will beone academic/day carecalendar, the longest.Henceforth, it shall be






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ECCD In highly urbanized areaswhere CCF is operatingpayment of honorariumfor DCWs is not allowed. The basic assumptionhere is that beingcity/urbanized, thebarangays have higherInternal RevenueAllotment (IRA) comparedwith their ruralcounterpart and thereforehave the capacity to hireDCWs.






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ECCD In place of honorarium/salaries, CCFthough can provide forlearning materials.

Repairs of physicalfacilities are not allowed.We can put up anothercounterpart though for itto materialize dependingon the situation. (Good judgment however mustbe exercised)






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ECCD Home-based ECCD

Since Day Care Service orcenter-based ECCD is themandate of DSWD, effortsshould focus more onhome-based ECCD since ithas wider reach. This isconsistent with theprogram principle of usingexisting resources in thecommunity.






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ECCD ECCD, be it home-based orcenter-based, is for under-six children and not underfive as always planned andreported. Home-basedECCD is not limited to 0-3years old but to under sixchildren with no access to

day care services All under-six children mustbe administered with theECCD checklist and mustbe monitored and referred

when necessary






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ECCD Capacity Building

Review E.O. 349(Expanded Day Care) andRA 8980 (ECCD Act). These two documentsclearly define the roles of the different agencies andstakeholders as well asguide on how to go aboutECCD.






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ECCD Capacity building supportmust be provided toBCPCs or BECCs/MCPCs orMECC on themanagement of ECCDprogram.

Capacity building supportfor service providers mustbe based on TrainingNeeds assessmentconsistent with the skillsneeded to directly deliverthe skills needed asservice providers






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infant/maternal

deaths

Program Quality. Allprojects and activities

must be in accordancewith CCF health policies. -Adopt local healthguidelinesSupports Department of Health’s program and local

health protocols-Adopt Community IMCIPreventing childhoodillnesses in the communitylevel by early detection,referral and treatmentsuccess of the health projects

pre/during/post nataldelivery(counseling/capacitybuilding)CEMONC/BEMONC



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infant/maternal

deaths

-Adopt best practicesthat are evidencedbased in choosing or inadopting health andnutrition best practice,it must be supportedby documentedresearch, stories andtestimonies thatresulted to change inknowledge, attitudeand practice-Responsive to localhealth needs “build on

what they have” concept;




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infant/maternal

deaths

Implementation of theinterventions will bedirected through thefamilies and communitiessince families cannoteasily access qualityhealth care services fromthe government healthfacilities.




KEY INTERVENTIONS GUIDEPOSTS STRATEGIES

Malnutrition Thus, health outcome isdependent on community-based services. The CBHPapproach can

substantially increasereach which is notpossible if services aredelivered solely throughthe fixed health facilities.

- Immunization- Infant and Youngchild feeding (supportin relation to breast

feeding andsupplementaryfeeding)-Deworming andMicronutrientsupplementation

- PDI, Pabasa saNutrisyon, FAITH andDiscoveringIndigenous Practices




Malnutrition This approach recognizescommunity participation andaims at enabling the peoplein the community to assumeresponsibility for managingtheir health and relatedneeds. This involves themobilization andstrengthening of community-based organizations to take amore pro-active role in

responding to their healthneeds.

- Immunization- Infant and Youngchild feeding (supportin relation to breast

feeding andsupplementaryfeeding)-Deworming andMicronutrientsupplementation

- PDI, Pabasa saNutrisyon, FAITH andDiscoveringIndigenous Practices




- Preventable Illnesses While it is initiated outside of the fixed clinical facilities, theCBHP needs to be linked withthe local government units,the fixed health facilities andother health related agenciessuch as, the Department of Agriculture (DA), theDepartment of Social Work &Development (DSWD), theDepartment of Education

(DepEd), and religioussectors for more coordinatedefforts in providing acontinuum of health care toreach more children andfamilies effectively

IntegratedManagement of Childhood Illnesses(IMCI)

Support to:a. health system(support toBHC/formation of CHAT)b. health workers

(capacitybuilding/upgrading)c. household andfamilies (KAP)




- Preventable Illnesses CCF’s health programpackages are designed toaddress the nationalhealth issues and the

priority health problemsidentified in the priorityprovinces. Each of thepackages can beimplemented separately.However, since health

problems are inter-related, they are designedfor flexibility andintegration.

IntegratedManagement of Childhood Illnesses(IMCI)

Support to:a. health system(support toBHC/formation of CHAT)b. health workers

(capacitybuilding/upgrading)c. household andfamilies (KAP)




- Water and Sanitation The interventions willdepend on the real andfelt need of thecommunity based on

results of the communityassessment, which is acritical step in theprogram’s developmentprocess.

-Continuation in educatedand confident children-

- WASH campaign- Latrines provision-support to water users’ group



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BCYA Engage the youthespecially the OSY in SNPactivities… They can be a facilitatoror a co-facilitator of SNP. Activities which involves 0to under 6 may come

from the CD sessionswhich may be identifiedby the children and youthe.g. arts and crafts. Include child protection

issues here… birth

CD –SR sessions Birth Registrations



Promotion of child friendly schools Participatory school governance Child protection



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-Malnutrition- leading causes of morbidity/mortalityamong school, agechildren-absenteeism/drop outdue to childhood

illness andmalnutrition

A. Community-BasedProject Support: Generally, construction of facility is not allowed.Instead, the communityshould be mobilized forinfrastructures. Other

support could be workedout depending on thecapability of thecommunity likeprocurement andpurchase of basic

equipment necessary in

- School BasedHealth and Nutrition- Deworming andMicronutrientsupplementation- Community IMCILocal Health

System- Functionality of BHC-Partnership andNetworking-Health Support

Group/CHAT



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Provision of drugs andherbal medicines is notallowed. Instead, itshould encourage andfacilitate theestablishment of community drugstores

(Botika ng Barangay) andpromote the use of clinically proven herbalmedicines.



Group/CHAT



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Training expenses to buildthe capacity of the CHTand the volunteer healthworkers is allowed butthese should only coversupplies and materials,

venue and food.



Group/CHAT



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Honorarium for PHO/RHUstaff who will conduct thetraining sessions is notallowed. Instead, thetransportation, meals andaccommodation expensesshall be provided.



Group/CHAT



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The agreements, termsand conditions of thepartnership between andamong the PAs and thePHO/RHU must bestipulated in a MOA.



Group/CHAT





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ACCESS TOQUALITY BASICEDUCATION

Provision of financial /educational assistance

As a standard, directassistance for post-secondary or college shallonly be provided if 90%of age-eligible CCF

children have access tobasic education.

Facilitiesimprovement

Strengtheningfunctionality of thePTCA, BCPC andPGOs

Establishment of Community-ownedand/or managedALS, A&E(Catch-up Program)



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In areas where the target

90% is still not achieved,special consideration willbe given for those on-going college/postsecondary students toavoid disruption, that is, if

the 80% has beenachieved. No assistancehowever shall be given tonew college entrants.



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In cases where

educational assistancewill be provided beyondbasic education, post-secondary education isstrongly advocatedthrough the ladderized

education program. Thisis more preferable thantaking up a four-yearcourse then eventuallyfailing to complete it.



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Recipients must be enrolledin public

colleges/universitiesexcept in cases where thereare no public schools in thearea and enrolling themwould incur more expensessuch as transportation and

board and lodging. Portion of the tuition fee though shallbe shouldered by the familysince the bulk of expensesfor private college educationis in tuition fees. There will

be no full subsidy for tuition



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Data must be madeavailable stipulating the

previous year’s allocationfor direct assistance, thenumber of children whohave availed, type of assistance availed of,school levels of the

recipients and a trackingsystem to determinewhere these children areand if they were able tocomplete the level theywere enrolled in when the

assistance was extended.



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Subsequent directassistance must show a

gradual decrease in valueor total amount of assistance provided. No assistance foruniforms and shoes shall

be provided except incases where thesponsored child have atleast one sibling in school.



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A set of criteria andguidelines must be drawn

as basis for determiningthe eligibility of childrenfor direct assistance withcorresponding weights. The three possible criteriafrom among the several

to be developed whichhave the most significantweight are:



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Income of familycomputed per

individual (earningsiblings are excluded)

Capacity of family toprovide both financialand non-financial

support to the child

Capacity of the childto further his/hereducation



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Support to child-friendly schools and

communities (CFSC)

CCF shall not be fundingfacilities construction ortraining of teachersbecause it is the mandate

of the educationdepartment. However,counterpart can be put upas leverage just soteachers are trained andfacilities are improved.



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Income of familycomputed per

individual (earningsiblings are excluded)

Capacity of family toprovide both financialand non-financial

support to the child

Capacity of the childto further his/hereducation



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CCF can provide trainingassistance to teachers up to

the regional level providedcounterpart of theschool/teacher will be put up.Generally, CCF can providefor the transportation as wellas meals.

Interventions must also lookinto the school’s SchoolImprovement Plan for betteranchor. In cases whereschools have no SIPs, the firstassistance will be to facilitatethe development of SIPs.

Again, the school must beable to ut ut a counter art.



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All PAs must refer to theChild- Friendly School

checklist

In cases where healthinterventions shall beundertaken, i.e. watersystem, it shall be treated

under education ratherthan health if its objectiveis to reduce absencesbrought about byincidence of water bornediseases



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Prior to the strengtheningof PTCA, Local School

Board and PGOs,assessment must bemade of theirfunctionality. Schools must be assessed

of its child-friendlinessusing the existingtool/criteria forassessment



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Provision of learningsupport

In areas where assistancefor post-secondary and/ortertiary education is beingprovided, these scholarsmust render communityservice through peer

teaching, mentoring ortutoring of children withsubject difficulties.Members of childrenand youth associationsare strongly

encouraged to



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Tutorials/learningreinforcements must be

made within the schoolyear and not duringvacations. This is oneexample of a childdevelopment session.

A reading corner (foremergent readers) mustbe established withineach school orcommunity. Hence, booksto be donated must be for

this group.



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PAIR (Parent Assistance inImproving Reading)

approach is stronglyadvocated



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Establishment of Community-owned

and/or managed ALS,A&EAn ALS Center must beidentified and establishedwithin the community

Partnership with TESDA,CHED and Dep. Ed. mustbe clearly establishedthru MOA



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While priority recipientsare unschooled children

and youth, parentsstrongly encouraged toenroll. Learners shall be bothCCF and non-CCF children

and youth



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BCYA

Activities must be

conducted at the

barangay level and

project level.

CD sessions must be

conducted at the

barangay level.

Formation and

Strengthening Barangay

Children’s Associations

Continuous Ladderized

Regular Meetings

and Capacity

Buildings



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BCYA

Gender sensitivity

(number of boys and girls

participating in the

activity)

Conduct Organizational

Capacity Assessment

using the spider web tool

Formation of Health/Eco

Scouts

Train 2nd

Liners of Facilitators



Livelihood education and preparation Youth friendly reproductive health services

and education Leadership and social engagement Child protection



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Vocational,

technical,livelihood

and Business

training foryouths

a.) Training needsanalysis, skills inventory

and a scan of opportunities foremployment and/orentrepreneurship must beconducted beforeproceeding with training.

Identified traininginstitutes and coursesshould be based onmarket needs which showdemand for jobs and self employment rather than

organize trainings merely

Technical,livelihood and

business trainingfor youths



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Vocational,

technical,livelihoodand

Businesstrainingfor youths

b.) A capable partner suchas TESDA, Local technical

schools or similarinstitutions will conductthe training.

c.) The first two guidelinesare intended to increase

chances of employmentor opportunities forentrepreneurship.



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Vocational,

technical,livelihoodand

Businesstrainingfor youths

d) A tracer study must be

conducted for those whoundergone training( agricultural oremployment skills)Succeeding training of thesame nature must not be

implemented unless theresults of the tracer studyare analyzed andcorresponding decision onthe results are made.



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Early PregnancyReproductive Health

Peer Pressures

Drug Addiction

B. Direct Support for Health-Related Concerns:

As a rule, health-relatedconcerns of enrolled/sponsored childrenand their immediate familymembers that have not beenaddressed in the home, can

be adequately addressed byrural health professionalworkers or in public hospitals.As such, the PAs/IOs shallestablish a referral systemwith these facilities. ThePAs/IOs should encourage the

families to rely on thesefacilities for treatment and

- RH services- healthy Lifestyle

- functional LHB/PHB



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Peer PressuresDrug Addiction


Medical assistance shallbe provided only to the

sponsored child or her/hisimmediate family member(siblings, parents) underemergency situationwhich has threatenedtheir lives.





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In cases where child’s orher/his direct family

member’s medication islong-term (three weeks orlonger), it is necessary forthe PA/IO and theparent/guardian to worktogether, projecting the

costs and discussing aworkable arrangement inobtaining the medicines.





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In cases where child orher/his immediate family

needs lifetime medicalmanagement, the mainresponsibility of the PA/IOis to create a system thatwill address the child’sneeds, especially the long

term. This includesidentifying agencies whichcan shoulder the cost of medication or provide themedication itself, e.g.,PCSO





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Support to enrollment toPhilHealth will be

considered based on acriteria and plan to bedeveloped by the PA/IO. The plan shall stipulatemechanisms by which theenrolled families may be

able to continue financingtheir health plan after thefirst year.





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Housing assistance can beprovided under the following

conditions:- house is damaged due tocalamities-the family is assessed to befinancially incapable-the family should provide atleast 10% of the total

projected housing cost, incash or in-kind.- participation of thecommunity in building thehouse (i.e., bayanihan)should be encouraged- a cost-recovery mechanism

is very well-defined







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BCYA Formation andstrengthening of Youth

Associations Continuous ladderizedCapacity Building Conduct of Organizational

Capacity Assessmentusing the spider web tool



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BCYA Training of pool of trainers

Partnership and Networkingwith SK and other similargroups Parties (pageants) are NOTallowed.Prioritize Values Clarification.



Core Outcome: Families and localorganizations are networked in theircommunities to promote the developmentand protection of children

Capacity of Civil Society Organizations Networking of Civil Society Organizations Advocacy among Civil Society Organizations

Child protection

Documents

Age Appropriate Program Guideposts