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CONVERGENCE, COORDINATION, INTEGRATION: ACTION AT NATIONAL LEVEL- ERITREAN INTEGRATED EARLY CHILDHOOD DEVELOPMENT PROGRAMME. CONTENT OF THE PRESENTATION. 1. Background Information 2. Goals and Objectives 3. Mechanism for ensuring convergence/coordination/ integration
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CONVERGENCE, COORDINATION, INTEGRATION: ACTION AT NATIONAL LEVEL- ERITREAN INTEGRATED EARLY CHILDHOOD DEVELOPMENT PROGRAMME
CONTENT OF THE PRESENTATION • 1. Background Information • 2. Goals and Objectives • 3. Mechanism for ensuring convergence/coordination/ integration • 4. What was achieved • 5. Why was it successful • 6. Lessons learned • 7. Challenges ahead
1. Background Information • Name- Eritrean Integrated Early Childhood Development Program (EIECD) • Ownership- Government of Eritrea • Fund- US$49 million • Scope of the Program- 5 years- high-risk groups • Duration- Sep.2000- Dec.2005 now extended to 2006 • Stakeholders Ministries- Education, Health, Labor and Human Welfare, Agriculture and Fishery
Program Components: 1. Early childhood care and education; 2. Child and maternal health; 3.Child and maternal nutrition;4. Economic and psychosocial support for children in difficult circumstances; 5. Program management including M&E, advocacy and strategic communication • A multi-sectoral program with multi-faceted approach
2. Goal and Objectives • 2.1. Goal: accelerate healthy growth and holistic development of children • 2.2.Objectives:a) to give an integrated social services • b) EFA, MDGs and other Conventions/treaties c) National laws
3. Mechanism for Convergence, Coordination/ Integration • 1. National ECD Policy Steering Committee • 2. National ECD Technical Support Committee • 3. National Management Team • 4. Regional Technical Support Committee • 5. ECD village Working Group on Integrated Package
4. What was Achieved • 1. Early Education and Care • ActivitiesTarget Achieved • KG 105 105 • CCG 250 306 • Resource Centers 6 6 • Teachers Trained yearly plan 650 • Enrolment increased - 80% • Retention decreased 20% 37% • Budget utilization 100% 96% • School health services high-risk nationwide
Achieved ……. 2. Social Protection Activities Target Achieved 1.Orphans reintegration 32,000 31,198 ( in 11.598 host families) 2.Group homes 10 10 3.Orphans adopted 50 45 4. Group H. mothers trained 20 20 5.Social workers trained 36 36 6. TVET for street children yearly plan 646 7. Str.chil. helped to go to school yearly plan 1000 8.Budget utilized 100% 98% 9. Psychosocial studies conducted
Achieved….. 3. Child and Maternal Health ActivitiesTarget Achieved 1. Medicines yearly plan US$7.4 mil 2.Latrines yearly plan 123 units ( for schools and health facilities) 3. Water & Sanitation yearly plan 112 units (for schools and health facilities) 4. H.W. trained in IMCI yearly plan 602 workers 5. Improvement in life expectancy, Infant and Maternal mortality rate, 6.Budget utilized 100% 92% 7. More mothers attending antenatal clinics 8. Notable increase in immunized children 9. More mothers breastfeeding
Child and Maternal…… • 10. Identification of risk mothers and ill children during community based G.M.P 11. Routine check-up of pregnant mothers 12. Maternal and Neonatal Tetanus is eliminated
Achievements…… 4. Child and Maternal Nutrition Activities Target Achieved 1. G.M.P. trained yearly plan 2242 2. H.W. trained in G.M.P. yearly plan 69 3. Mothers trained in F.S. yearly plan 3000 4. Smokeless stoves yearly plan 10,435 5.Water pumps yearly plan 130 6. Chicks yearly plan 82,668 7. Income generating activities 8. Food security 9. Impact assessment for G.M.P. 10.Better maternal nutrition in take
Achievements…. 5. Program Management Activities Performed: • ECD Policy Document • Integrated package scaled up to 116 villages • Behavioral change • Sustainability of the program • Continuous monitoring, evaluation and experience sharing
5. Why was it successful • Community empowerment- • Participation- • Sensitization- • Equitable distribution of services- • Policy based on local and practiacl experience-
Why Successful…… 6.Structural organization 7.Decentralization- Regions empowered 8. Favorable working atmosphere- • strong political will and commitment • a system free from corruption
6. Lessons Learned • 1. Awareness raising should precede service delivery • 2. Integration is not an easy task- sector tendency • 3. Continuous regular meeting strengthens coordination • 4. There is a limit to the spirit of voluntarism- • 5. Strengthening M&E- system setting and capacity building
7.Challenges Ahead • 1. Maximizing the impact of the program • 2. Neonatal mortality- a major challenge in child health • 3. Birth registration is limited only to big cities • 4. Limited number of pre-schools