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ECD/HIV IN ZAMBIA

ECD/HIV IN ZAMBIA. Presentation at the Regional Workshop on ECD/HIV Dar es Salaam, Tanzania 14 April 2004. BACKGROUND. Area size: 752,612 km 2 9 provinces; 72 districts Population : 10.9 m Population density: 13.7 0 - 18 years: 52% Life expectancy: 47 yrs

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ECD/HIV IN ZAMBIA

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  1. ECD/HIV IN ZAMBIA Presentation at the Regional Workshop on ECD/HIV Dar es Salaam, Tanzania 14 April 2004

  2. BACKGROUND • Area size: 752,612 km2 • 9 provinces; 72 districts • Population: 10.9 m • Population density: 13.7 • 0 - 18 years: 52% • Life expectancy: 47 yrs • Literacy rate: 60.6% • Ratified CRC 1991

  3. BACKGROUND cont’d • Poverty levels 73% • Males 72% • Females 78% • Mortality • IMR per 1,000 live births 95 • U5MR per 1,000 live births 168 • MMR per 100,000 live births 729

  4. BACKGROUND cont’d 1 • GRZ inherited good ECD infrastructure in the mining areas (urban areas) - 1964 • In most communities family was core of ECD activities • Socio-economic problems eroded these activities: • migration rural-urban • HIV/AIDS

  5. BACKGROUND cont’d 2 • Retrenchment • High rate of urbanisation • Increase in number of orphans in a society with a decreasing extended family support

  6. Northern 8% Luapula 11% 20% North-Western Eastern Copperbelt 9% 14% Central 15% Western Lusaka 22% 13% Southern 18% HIV Prevalence,Ages 15 to 49 - 2002 Male 13%, Female 18% Urban 25% Rural 13% Overall 16%

  7. Estimated HIV Prevalence, Annual AIDS Deaths and AIDS Orphans, Zambia 1975-2010

  8. Estimated Total Orphans,Zambia 1980-2010

  9. Estimated Maternal, Paternal and Dual Orphans, Zambia 1985-2010

  10. PROGRAMMES ADDRESSING ECD • ECD programs in Zambia are segmented with various ministries & stakeholders focusing on different aspects of ECD • MOH focuses on child health (0 - 14y)with emphasis on the under-five (EPI, IMCI, nutrition) • MOE focuses on curriculum development & capacity building for pre-school (3-6y) • M. Local government: Administration of the Nursery Act

  11. MSYCD coordination, monitoring & advocacy on Child Welfare & Development programs, including OVC programs • MOHA - protection & re-enforcement of legislation • MCDSS administers Acts pertaining to children • Some NGOs (International & local) – supplement governments effort

  12. CONSTRAINTS • Outdated legal & policy frameworks • Economic constraints - inadequate funding to key programs addressing ECD • HIV/AIDS • Lack of focus on ECD in the HIV/AIDS program • Non-integration of some HIV/AIDS interventions into ECD activities • Limited social welfare services (child protection)

  13. CONSTRAINTS cont’d • Poor access to quality health services • Poor coordinating mechanism among key stakeholders • High attrition of skilled human resource • Poor Management Information System • Lack of awareness on the stages of child development • Lack of common understanding about ECD (even among professionals)

  14. OPPORTUNITIES • Presence of variable stakeholders • Political commitment • Enabling environment • Community good will towards child programs • Funding opportunities: GRZ, MAP, GF • In 2004, GRZ is reviewing policies including National Child Policy

  15. WAY FORWARD • Advocacy • Review of policies & legal framework • Development of a collaboration mechanism for key stakeholders • Development of Management of Information System • Capacity building at all levels • Develop & review curriculum materials for care givers & teacher training colleges • Pilot Early Childhood Care, Education & Development (ECCED) in selected government schools

  16. TWATASHA, ZIKOMO THANKYOU, for your attention

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