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Nurturing Childhood Sowing Change
Mobile CrechesCase Study from India
Presentation Outline• Situation of the Young Child
• The migrant child – going nowhere - Impact of Migration on Children
• Mobile Creches’ Response - Daycare centre at construction sites - Delivery model - Programme, Impact, cost - Features responsible for ensuring and sustaining
quality
• Growing up in Delhi’s Slums
• Mobile Creches response for children in urban settlements
- Strategies adopted for settled populations - Impact and achievements - Features responsible for success
Situation of the Young Child
• 160 million children under 6yrs - 60 million living in poverty
• 47% children are malnourished
• 61% children not fully immunized
• 80% children born with low birth weight
• 38% children 3-6yrs attend pre-school
• 76% children complete primary school
The Unmet Need: ECCD
60 million children in need of ECCD services
•The ‘What’: maternal health, new born health; maternity support; breastfeeding; immunization; early stimulation; growth monitoring; appropriate and adequate nutrition; pre-school
•The ‘Why’: Citizenship; Science; Equity; Economic rationale
Mobile Creches Response
MC Strategic Thrust affected by migration
For Young Child
in settled urban communities
I. Service Delivery - Daycare Centres at Construction Sites
- service delivery models; facilitation models
II. Community Facilitation - Ensuring childcare at Urban Settlements
- awareness and demand creation models
↓ ↓ ↓
Learnings feed into •Networking with NGOs and other campaigns to strengthen movement - demand for quality services for young child•Training in Childcare – build capacities for early childcare and good practices for other NGOs •Advocacy with the Government – improved policies and programmes for migrant and young children
The Migrant Child - going nowhere
Impact of migration on the child
• Average duration of stay on a site - 4 months
• 70% malnutrition
• Incomplete immunization
• No response or outreach from state services
• Young child (under 3 yrs) - breast feeding impossible, delayed weaning, denied immunization – increased malnutrition, morbidity and even mortality
• Preschool child (3-6 yrs) - supplementary nutrition and health compromised, lack of care and learning opportunities
• Older child (6 yrs and above) - interrupts schooling, dropouts, child labour, no peer support, likely early marriage
I. MC Daycare Centres at Construction Sites Integrated
Program
Impact of Day Care Program (through 18-20 centres)
• Safety, security and protection for 1200 children
• Sibling Care Relief - 400 children
• Nutritional Grade Improvement – 67%
• Age Appropriate Immunization – 94%
• Learning Levels: improved performance on gross motor development, confidence levels, cognition (91%)
• Mainstreaming older children – 20-30% • Linkage with Government Health Services – 90%
Outcomes
49%
24%
17%
10%
Grades improved
Grades retained
Grades unchanged
Grades deteriorated
Children at MC (More than 200 days):• Improved performance on parameters of language (87%),
cognition(91%), creativity and physical development (77%).
• Total Score: 85% in comparison to 67% for those spending 50-100 days
Learning Capacities
Impact of Educational interventions (Balwadi Evaluation Study):
Nutritional Status: improved due to supplementary nutrition program – 500cal/20gm protein/day(Children at centre for six months or more – 73% showed improvement)
Organization Features - Three Critical Pillars
1.Programme Design – Professional inputs, periodic evaluations and reviews, procedures, guidelines
2. Supporting Systems (MIS, Procedures,
guidelines and Admin support)
3. HR Systems
Fundamental Principles guiding Programme Design for all components
• Focus on all the age groups – conception - 12yrs
• Holistic approach – focusing on all domains of development
• Minimal facilities and low cost materials
• Accessibility – timings, location
• Flexibility – Responds to specific needs
• Inclusive – children with different abilities
• The Rights approach
• Stake holders Participation– children, parents, contractors
• Respect for community culture, tradition and ethos
• Community awareness and participation- sustaining impact - building community leadership (Saathi Samooh) - parent’s meetings, street plays, media, campaigns, community events
•Accessing government facilities – mainstreaming, immunization
Supporting Systems
1. Operational guidelines documented
2. Control systems for follow up and supervision
3. Structured Supervision & Monitoring systems
4. Reporting structure including MIS for feedback to MC senior management
5. Oversight by Governing Board
HR Systems• Organizational structure
• Clarity on roles and job responsibilities
• Building and strengthening human resource systems - a positive work culture fostering shared learning
• promoting staff motivation through continued professional growth and joint problem-solving
• Regular performance management system with recognition, acknowledgement, promotional and incentive systems
How much does it cost to provide quality ECCD
• Approx. Rs.1000/- per month / child
• Operational costs 80%
• Supervisory, support, monitoring, capacity building 20%
Growing Up in Delhi’s Slums
• Total under 6 population 19.23 lac (census 2001)• 12 lac under 6 children (64%) live in Urban Poor Settlements (DES 2007-2008)
Children Health Status
75%children under 3 suffer from diarrheoa and 63% have anaemia
MC’s Response for settled populations Facilitation
• Awareness on importance of 0-6 yrs and implication of neglect
• Building community groups
• Family based interventions for change in child care practices
• Demonstration model of Community based child care services with training and capacity building support
• Linkages with government services and schemes – health
Impact of Urban Interventions
• Reaching approximately 4800 children under 6
• 72% - Improvement in nutrition grade • 80% - Birth registration • 92% - Immunization
•Linkage to ICDS 1400 children
• Reached out to 7,50,000 children
• Multiple models in partnership with communities and Builders/contractors
• 8 community groups - 4 are registered with young child issues in their bye- laws
• 80 anganwadis opened through demand generation from community
• Trained 6,500 Childcare workers
• National Advocacy – Lobbied for and provided inputs for better Laws , Policies, Programmes and Schemes
MC’s Achievements
Let us work together to give back a happy childhood to all
children…
www.mobilecreches.org