Comprehensive Proteccion System for Early Childhood “Chile Crece Contigo” (Chile Grows with you) July 2012

The Origins of Chile Crece Contigo

(Chile Grows with you)

Presidential Advisory Council on Early Childhood Policy

Reform (2006)

Ministerial Committe on

Early Childhood

Grupo Técnico interministerial

Public Policy Proposal

2006

Analysis and actions taken

for its implementation

2006

Comprehensive Protection

System for Early Childhood

2007

A broad range of actors participated in the Council Hearings with national and international experts

Hearings with organizations and individuals who worked in the matter.

Written commentaries of thousands of children and adults via the web site.

1

Law 20.379

The law wihich put

CHCC in effect

2009

2 3 4

Chile Crece Contigo is designed based on:

• Scientific Evidence:

• Consolidation and universal application of successful experiences and services (national and international evidence)

• “Window of opportunity” (high impact of the work done during early childhood)

• Return on investment (highly cost effective investment)

• Broad Consensus:

• Unanimous approval of Law 20.379 which institutionalises the Comprehensive Protection System for Early Childhood “Chile Crece Contigo”.

• Global paradigms:

• Social Determinants of Health

• Focus on children´s rights.

• Systemic – Ecological approach.

Principles and Foundations

Multidimensionality and Intersectoriality

• The child´s development is multidimensional. • Services and activities should happen at the right time and in a relevant way, according to each child´s needs. • Intersectorial policies allows us to accompany people as they move through different life stages,to improve their personal development skills and quality of life. • Through Chile Crece Contigo, we provide comprehensive assistance, to accompany children´s developmental trajectory during early childhood, which strengthens the impact of our actions.

Early

Stimulation

Nutrition

Health and Hygiene

Positive enviroment

How does it work?

Personalized follow up of early child development

Biopsychosocial Development Support Program Medical check up

Biopsychosocial

Risk identification

According to the

protocol

Healt

Vulnerability Health

Social

Vulnerability Municipality

The mother enters the

System up on her first

prenatal check up

nacimiento

Any contact of the children with the

different actors who are part of the

system should activate the network

if there is any kind of vulnerability

Differentiated responses

Ex: Home Visit Program

Inadequate

housing

Lack of

nursery

attendance

Ex: Implementation of the Social

Protection Score Card

Ex: priority access to housing

programs

Education Developmental

difficulties

Chile Crece Contigo is an comprehensive

Service network

Chile Crece Contigo Municipal Network

Family support unit

Public

Health

system

Public Education

system

Score card review

office

FAMILIA

Other

Social

Services

What does it offer?

All Chilean

Children(100%)

• Interactive teaching and informative

tools

• Legislative improvement

• Biopshychosocial

Development Support

Program (PADB)

• Newborn Support

Program (PARN)

Support and Services offered by Chile Crece Contigo

Vulnerable

children (74%)

Children part of the

public health system

(81,6%)

• Good quality free nursery school and

kindergarden

• Home Visits by health temas

• Family subsidy

• Comprehensive care for children with

developmental difficulties

• Technical help for disabled children

• Preferential access to the social protection

system

Personalized health plan

Alternatives to anesthesia

Differentiated Services and Activities

About Developmental Difficulties

Developmental Difficulties: when a child development process does not follow the pattern that corresponds to his/her age.

About 30% of children in Chile shows signs of developmental difficulties before their 4th birthday.

This number reaches almost 45% when referring to vulnerable children.

Scientific evidence has shown that early detection and response to developmental difficulties allow young children to catch up to the developmental stage expected at their age.

Chañaral

Mulchen

Chiloé: traveling service on the

medical ship Cirujano Videla

San Juan de la Costa

Other Differentiated Services

Aimed at the most socioeconomically vulnerable children (according to the law 20.379)

Automatic Family Subsidy Half day, full day or extended day at the nursery school or

kindergarden for mothers that are vulnerable, working, studying or looking for work. Preferential access to public social services (level playing field for

educational opportunities, work placement, housing, mental health care, among others). Technical assistance for children with special needs.

Guaranteed access to the Chile Solidario Program when requirements

are met.

Differentiated Services

Aimed at 60% of the

socioeconomically vulnerable

population as defined by the social

protection score card.

Achievements

Primary Chile Crece Contigo Evaluations

• Quasi-experimental assessment of the biopsychosocial Development Support Program on an historical cohort (baseline data already collected)

• Experimental evaluation of the three sections of the parenting skills workshop “Nadie es Perfecto” (Nobody´s Perfect)

• Satisfaction and usability surveys of the Biopsychosocial Program and the Newborn Program.

• National Implementation Survey

• Qualitative evaluation of the implementation of the Biopsychosocial Development Support Program.

• Qualitative and Quantitative Evaluation of the Chile Crece Contigo Municipal Networks.

Some of our achievements

Improvement and increase of the relevant services to support early childhood development: for example, identification of the risk factors during pregnancy, home visits, prenatal and parenting skills workshops, among other.

High levels of user satisfaction for biopsychosocial program and newborn program: 81% y 94%, respectively.

Systematic budget increase of Chile Crece Contigo, in particular of the funds aimed at supporting local management and nursery and kindergarden education.

Lessons we have learn

Thank you very much

The future of children is always today Gabriela Mistral