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The role of health sector in early childhood development

The role of health sector in early childhood development. Seminar on Early Childhood Development: Transforming Society through Early Childhood Development September 10, 2018. Burden of risk. 11% Decline. The Nurturing Care Framework. A road map for action

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The role of health sector in early childhood development

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  1. The role of health sector in early childhood development Seminar on Early Childhood Development:Transforming Society through Early Childhood Development September 10, 2018

  2. Burden of risk 11% Decline

  3. The Nurturing Care Framework • A road map for action • Building on state of the art evidence • Outlining • Why efforts must begin in the earliest years from pregnancy to age 3 • How it protects them from adverse effects • What care givers need in order to provide nurturing care

  4. Parenting and nurturing care • Nurturing care envelops early child development • Comprises all essential elements for a child to grow physically, mentally and socially: • Nutrition • Health care • Love and security • Protection from danger • Opportunities to learn and discover the world

  5. Nurturing care is fostered by a supportive environment – the ecological model Health, nutrition, education, social and child protection services Capacity to provide nurturing care Nurturing care by parents and caregivers National policies

  6. Key Messages from the evidence • The early years, starting from conception, are a period of special sensitivity for child hood development • The most formative experience of young children come from Nurturing Care • Early investment has life long and intergenerational benefits • Policies, information and services are important • Multisector collaboration is essential and health sector has a special role to play

  7. Why Health Sector? • Including early child development in health systems is consistent with the broad definition of health as a state of well-being. • Health systems along with families and communities play a critical role not only in curative or therapeutic care for children with special needs, but also in preventive care for children at biological or social risk, and promotive care to support good parenting practices in caregiving and early stimulation for all children. • The health sector has the greatest access to mothers and children during the critical first few years.

  8. Promotive Care The health worker is often the most trusted source of information and advice to families. Health care providers can give critical guidance communicate with infants and children stimulate children, handle common developmental problems such as sleep, feeding, and discipline reduce injuries through alerting families to rapid changes in development that result in periods of increased susceptibility for accidents

  9. Preventive Care The health sector’s role in preventive care includes identifying children in need of increased interventions accurate and timely diagnosis, and well planned and child-centredinterventions family, home, or community-based, facility based Children who are known to be high-risk for impaired development, such as those born premature with low birth weight (LBW), have achieved normal levels of development with supportive interventions

  10. Curative Care • early detection of children with delays or disabilities • early interventions for children • empowerment of families • deal with child mental health, behavioral disturbances or withdrawn behavior • developing and coordinating multi-sectoral linkages • increasing access to health care for children and their families

  11. Impact of AKF program in last five years

  12. Maternal Health Care Tetanus Toxoid Vaccination Skilled Birth Attendance 77 % 59% End line 84% 16 Baseline 68%

  13. Other health issues 11 % Of women have been diagnosed with hypertension 22% 64 % access CHWs for health information 49%

  14. Child Health % of children ages 12-23 months were fully vaccinated increase of 22 percent between the 2014 PHNS and the 2017 52 % ORS packets or recommended home fluids (RHF), was used to treat diarrhea 64 % 96 % of women with a birth in the five years before the survey had heard of oral rehydration salts or Nimkol

  15. Child Nutrition 12 to 14% are wasted

  16. What should health sector do? • 1. Ensure women and young children have access to good-quality health and nutrition services • 2. Make health and nutrition services more supportive of nurturing care • Increase outreach to families and children with the greatest risk of sub-optimal development • 4. Establish specialized services for families and children with developmental difficulties and disabilities • 5. Collaborate with other sectors to ensure a continuum of nurturing care

  17. Improving ECD is key to achieving the SDGs

  18. Thank you

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