CRCRÈÈCHE AT THE CHE AT THE WORKPLACEWORKPLACE

Creating a Home and a School at the Workplace

““to the to the women of the world women of the world

– – without whom, without whom,

none of us none of us would be anything would be anything

…”…”

Everyone has Everyone has a…a…

Mother Mother SisterSister

WifeWife

DaughterDaughter

Significant roles Significant roles in sustaining in sustaining

humanityhumanity

……pastpastpresent…present…

future…future…

generations.generations.

The mother The mother is the strongest is the strongest link…link…

In the worldIn the worldof work…of work…

Every mother is Every mother is a working a working woman…woman…

At the workplace, At the workplace, there are there are common common concernsconcerns between between the employer and the employer and the employees.the employees.

Common Common ConcernsConcerns

Work Work productivityproductivityWell-beingWell-being

How can the employer How can the employer maintain work productivity maintain work productivity levels?levels?• Retain good workersRetain good workers

• Harmonious Harmonious work work relationshiprelationship

• Quality work outputQuality work output

How can the How can the employee/worker keep employee/worker keep job security and good job security and good work output?work output?• Absenteeism from Absenteeism from

workwork• Childcare problemsChildcare problems• IllnessesIllnesses• ExpensesExpenses

LESS

Economic Economic CostsCosts

$$££

¥¥

PPFOODFOODLargest expenses Largest expenses

from the from the family budgetfamily budget

HEALTHHEALTHUnexpected Unexpected

expensesexpenses

$$££

¥¥

PP

Economic Economic CostsCosts

Women’s Women’s Worries … Worries … Women’s WorkWomen’s WorkInfant formula purchaseInfant formula purchase

covers one-fourth covers one-fourth of the minimum monthly of the minimum monthly

incomeincome(e.g. (e.g.

Philippines:P3,000.00)Philippines:P3,000.00)

Women’s Women’s Worries … Worries … Women’s WorkWomen’s Work

Bottle feeding Bottle feeding paraphernalia: paraphernalia: bottles, teats, bottles, teats,

steriliser,steriliser,detergent, water, fuel detergent, water, fuel

Women’s Women’s Worries … Worries … Women’s WorkWomen’s WorkRoutine and stressful Routine and stressful tasks:tasks:Cleaning and sterilising Cleaning and sterilising bottles, bottles, mixing the milk, feeding, mixing the milk, feeding, disruptive sleep, etc.disruptive sleep, etc.

A sick child A sick child incurs medical incurs medical

expenses: expenses: doctor’s fees, doctor’s fees,

medicine, medicine, hospitalisation, hospitalisation,

transportation costtransportation cost

Women’s Women’s Worries … Worries … Women’s WorkWomen’s Work

$$££

¥¥PP

Hoey and Ware, 1997, North Hoey and Ware, 1997, North Carolina, USACarolina, USA

United StatesUnited States$331-475 medical $331-475 medical

expenses expenses per baby per baby

during the first year of during the first year of lifelife

If a child is bottlefed…If a child is bottlefed…•25 times at risk of 25 times at risk of getting getting sick and hospitalisedsick and hospitalised

• 2,033 clinic 2,033 clinic visitsvisits• 212 excess days of 212 excess days of hospitalisationhospitalisation• 609 excess 609 excess prescriptionsprescriptions

per 1,000 bottlefed per 1,000 bottlefed babies:babies:

Women’s Worries Women’s Worries … Women’s Work… Women’s Work

Asthma and allergiesAsthma and allergiesGastro-intestinal upsets Gastro-intestinal upsets

Infections: Infections: Respiratory tract Respiratory tract

Urinary tractUrinary tractEar infectionsEar infections

Ball and Wright, 1999, USABall and Wright, 1999, USA

Baby’s Illnesses :Baby’s Illnesses :

Women’s Worries … Women’s Worries … Women’s WorkWomen’s Work

Heart AilmentHeart AilmentLeukemiaLeukemia

Juvenile DiabetesJuvenile DiabetesMeningitisMeningitis

Baby’s Illnesses:Baby’s Illnesses:

Women’s Worries Women’s Worries … Women’s Work… Women’s Work

Unwanted PregnancyUnwanted PregnancyCancer: Breast and Cancer: Breast and

OvarianOvarianOsteoporosisOsteoporosisAneamiaAneamia

Women’s Worries… Women’s Worries… Women’s WorkWomen’s Work

AbsenteeiAbsenteei

smsmFearsFears

Job Job LossLoss

Worst Economic Worst Economic DepletionDepletion

•Jobs at stakeJobs at stake

•Work productivity level Work productivity level decreasesdecreases•Loss of savingsLoss of savings

Parental absenceParental absence from work to care from work to care for a formula-fed for a formula-fed

babybaby is expensive to is expensive to both parents and both parents and

employers.employers.

Who Who gains? gains? Who loses?Who loses?

• Country loses dollar Country loses dollar reserves from milk and reserves from milk and medicine importationmedicine importation

• Country loses health Country loses health resources due to resources due to

increased illnesses and increased illnesses and hospitalisationhospitalisation

Phillipines 1997 : Phillipines 1997 : $416 million dollars$416 million dollars

•Family loses savings, Family loses savings, emotional bonding and emotional bonding and quality time in nurturingquality time in nurturing

•Environment suffers Environment suffers from dumping waste and from dumping waste and depletion of resourcesdepletion of resources

•Disempowers womenDisempowers women

•Irreparable damage to Irreparable damage to the future generationthe future generation

For working For working mothers mothers the the best best resort,resort,thethe best best resourceresource isis breastfeedingbreastfeeding……

have lower incidence of have lower incidence of serious diseases:serious diseases:gastro-intestinal upsets,gastro-intestinal upsets,

allergies and asthma,allergies and asthma,respiratory respiratory

and urinary tract and urinary tract infectionsinfectionsLawrence, 1997Lawrence, 1997

Breastfeeding Breastfeeding babiesbabies

In Australia, risk of In Australia, risk of childhood asthma childhood asthma decreases by at least 40% decreases by at least 40% in infants breastfed for in infants breastfed for four months.four months.Oddy WH, British Medical Journal, 1999.

Exclusive breastfeeding Exclusive breastfeeding • reduced the risk of asthma reduced the risk of asthma by 30% by 30% • 48% in families with a 48% in families with a history of asthma-related history of asthma-related illnessesillnessesGdalevich M, Mimouni D,

Mimouni M, Journal of Pediatrics, 2001.

Gdalevich M, Mimouni D, Mimouni M, Journal of Pediatrics, 2001.

A Medline review of 12 A Medline review of 12 studies concluded:studies concluded:

If a mother is If a mother is breastfeeding…breastfeeding…through LAM through LAM

(Lactation Amenorrhea (Lactation Amenorrhea Method) Method)

•98.8% efficacy of 98.8% efficacy of not getting pregnant not getting pregnant within six monthswithin six monthsLabbok, Labbok,

1999 1999

•50% reduced risk of 50% reduced risk of getting uterine, getting uterine,

ovarian and breast ovarian and breast cancercancer

If a mother is If a mother is breastfeeding… breastfeeding…

Zheng, 1994Zheng, 1994

If a mother is If a mother is breastfeeding…breastfeeding…

• Less chance of getting Less chance of getting osteoporosis or brittle osteoporosis or brittle bonesbones• Less post-partum Less post-partum hemorrhagehemorrhage• HepatitisHepatitis• Thyroid cancerThyroid cancer

three days of employee three days of employee sick leave sick leave per breastfed per breastfed baby in the first year of baby in the first year of

its lactation its lactation support programsupport program

Aetna Insurance Aetna Insurance estimated a estimated a savings savings $1,435 on medical $1,435 on medical

claimsclaims per breastfed per breastfed babybabyANDAND

Aetna’s Aetna’s Return of Return of

Investment Investment 3:1.263:1.26

Aetna’s TOTAL Aetna’s TOTAL SAVINGS: SAVINGS: $108,737$108,737

Balancing Balancing breastfeebreastfeeding ding and work and work benefits benefits all.all.

HowHow??

Breastfeeding Breastfeeding breaksbreaksA woman shall be provided A woman shall be provided

with the right to with the right to one or one or more daily breaksmore daily breaks or a or a

daily reduction of hours daily reduction of hours of workof work to breastfeed her to breastfeed her

child.child. (Art. 10, (Art. 10, ILO MPC 183)ILO MPC 183)ILO Maternity Protection Convention 183ILO Maternity Protection Convention 183

E.O. 51 and RA 7600E.O. 51 and RA 7600Philippine Breastfeeding Laws:Philippine Breastfeeding Laws:

BreastfeedinBreastfeeding breaksg breaks

Breastmilk Breastmilk expressionexpression

Cup Cup feedingfeeding

Expressed Breastmilk Expressed Breastmilk Lifespan Lifespan

• 10 – 12 hours at room 10 – 12 hours at room temperaturetemperature

• Will last for years in a Will last for years in a freezer as long as it does freezer as long as it does not thawnot thaw

• 3 - 5 days inside a 3 - 5 days inside a refrigeratorrefrigerator

Wet Wet NursinNursingg

Counseling Counseling supportsupport

Mother-Baby Friendly Mother-Baby Friendly EnvironmentEnvironment

Crèche at the Crèche at the workplacesworkplaces

Philippine Daycare Law E.O. Philippine Daycare Law E.O. 340340Philippine Philippine

Breastfeeding Laws:Breastfeeding Laws:E.O. 51 and RA 7600E.O. 51 and RA 7600

How to set up How to set up a crèchea crèche at the at the workplaceworkplace

A A CrècheCrèche is a French is a French word used word used

internationally to internationally to mean a daycare for mean a daycare for babies and toddlersbabies and toddlersDaycare means Daycare means whole day program whole day program

and servicesand services

Elements of a Elements of a Mother-Baby Mother-Baby Friendly Friendly Crèche/DaycareCrèche/Daycare

SENSE OF SENSE OF PRINCIPLESPRINCIPLES

• Child First based Child First based on Children’s Rightson Children’s Rights

• Human Human Bonding Bonding fosters Mother fosters Mother and Child and Child Interaction and Interaction and SecuritySecurity

SENSE OF SENSE OF PRINCIPLESPRINCIPLES

• Earth-FriendlyEarth-FriendlyEco-friendly Eco-friendly activities, healthy activities, healthy diet through diet through indigenous foods and indigenous foods and breastfeedingbreastfeeding

• Culture-basedCulture-based

SENSE OF SENSE OF PRINCIPLESPRINCIPLES

Nurturing Young Nurturing Young EnvironmentalistsEnvironmentalists

STRUCTURAL STRUCTURAL SPACESPACE

Developmentally Developmentally appropriate to the appropriate to the age of the childage of the child

Communication Communication spacespace

•AccessibiliAccessibilityty

•Mobility - No Mobility - No barriers that would barriers that would imprison the childimprison the child

•Play spacePlay space

Safety FeaturesSafety Features•Cradles or Cradles or hammocks (non-hammocks (non-plastic based) plastic based) for sleeping for sleeping babiesbabies

Safety featuresSafety features

• Screened or thick Screened or thick glass walls for glass walls for visibilityvisibility• Well - Well - VentilatedVentilated• Electrical outlets Electrical outlets not within children’s not within children’s reachreach

Learning Learning EnvironmentEnvironment• Creative shapes Creative shapes

and colors applied and colors applied to the shape of the to the shape of the doors, windows doors, windows and shelvesand shelves

PROGRAM AND PROGRAM AND SERVICESSERVICES

Developmentally Developmentally appropriate to the appropriate to the age of the childage of the child

• Early childhood Early childhood education for education for babies and toddlersbabies and toddlers

PROGRAM AND PROGRAM AND SERVICESSERVICES

PROGRAM AND PROGRAM AND SERVICESSERVICES

• Custodial Custodial childcarechildcare

• Preventive Preventive healthcarehealthcare

• Natural healing Natural healing foodsfoods

• Continuous 10-hour Continuous 10-hour servicesservices

•Continuous 10-hour Continuous 10-hour servicesservices Crèche Crèche

opens opens at 7:30 amat 7:30 am

Crèche Crèche closes at closes at 5:30 pm5:30 pm

• Early Childhood Early Childhood Education Education Curriculum MakingCurriculum Making

• Culture - BasedCulture - Based• Sensitive to the needs Sensitive to the needs of the childof the child• Learn and PlayLearn and Play

• InteractiveInteractive

• Natural Healing Natural Healing FoodsFoods• Babies are Babies are exclusively exclusively breastfed for breastfed for six monthssix months• Breastfeeding Breastfeeding

and and complementary complementary feeding for ages feeding for ages above 6 monthsabove 6 months

• Natural foods are Natural foods are given every two-hour given every two-hour intervalinterval

Primary healthcarePrimary healthcare• Herbal drinksHerbal drinks

• Therapeutic massageTherapeutic massage

•Preventive healthcarePreventive healthcare

• Custodial Custodial ChildcareChildcare

• BathingBathing• Escorting Escorting toddlers toddlers to walkto walk

• Dressing-upDressing-up• Toilet trainingToilet training

• SleepingSleeping• Changing diapersChanging diapers

SUPPORT & SUPPORT & SUSTAINABILITYSUSTAINABILITY• ILO Convention 183 ILO Convention 183 on Maternity on Maternity ProtectionProtection• Mother Support GroupMother Support Group

• Income-generating Income-generating ActivitiesActivities• Participatory processParticipatory process

Practical Steps…Practical Steps…

1.1.Meeting of Minds: Meeting of Minds: Proponent & BeneficiariesProponent & Beneficiaries

2. General Assembly:2. General Assembly: Employer, Employees & Employer, Employees & ProponentProponent

3. Focal Point: 3. Focal Point: Human Resource Human Resource Department (HRD)Department (HRD)

4. HRD and Proponent: 4. HRD and Proponent: Crèche ProposalCrèche Proposal

Practical Steps…Practical Steps…

5. Action Plan5. Action Plan

Practical Steps…Practical Steps…

Practical Steps…Practical Steps…

6. MOA: Management & 6. MOA: Management & ProponentProponent

Practical Steps…Practical Steps…

7. Pool of resources7. Pool of resources

8. Setting-up of the 8. Setting-up of the CrècheCrèche

9. Processing of Parent 9. Processing of Parent EnrolleesEnrollees

10. Contract with 10. Contract with Parents & ProponentParents & Proponent

11. Launching of the 11. Launching of the Crèche centerCrèche center

POOL OF POOL OF RESOURCESRESOURCES

AvailableAvailable

AccessiblAccessiblee

Affordable

Affordable5 As

5 As

Appropriat

Appropriat

ee

Accountable

Accountable

A Production of: Arugaan, Philippines

2002

Supported by:

World Alliance for Breastfeeding Action

(Maternity Protection Seed Grants)