Guidelines For Supporting ECD in the Multi-country HIV/AIDS Program for Africa

Negative impact on young children born into AIDS-affected communities

HIV - positive parents

Transmission ofHIV to child

Family overburdened as a result of caring for foster children and/or ill family members

Orphanhood

Fewer household resources fornutritious foods, education, andother investments in young children

Poor cognitive andSocial development

Foster care, Institutional careStreet Children,Child headed households

Nutritional deficiencies

Stunting Childhood morbidity and mortality

Poverty level exacerbated

Psychosocial stress

Opportunistic infections, increased susceptibility to childhood diseases

Increased susceptibilityTo childhood diseases

Child born in AIDS affected community

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Types of ECD intervention:

1. Delivery of services to young children

2. Education and support for parents

3. Training and support for caregivers

4. Sensitization through multi-media channels

5. Mobilization and strengthening of community-based activities

How to tackle the problem?

Main delivery systems:

• Contracting with civil society organizations (CSOs) to implement activities

• Local grants to communities and community organizations

• Delivery of social services by line ministries to ECD providers

• Direct international, local and private institution support

How to tackle the problem?

• Local monitoring of the conditions of vulnerable children.• Family-based care for young orphans or for neglected or abused children.• Food assistance to households, community-based groups, and institutions that are supporting young children in HIV/AIDS affected communities.• Community-care centers to free up caregivers for income-generating activities, education, and health care.• Training of volunteers on topics related to the care of HIV infected young children, including feeding, health,and development.

An ECD Program Package:

Why include ECD in the MAP?

• Few programs adequately recognize and address the needs of young children affected by HIV/AIDS

• The MAP is well-designed to address ECD because it builds on national and community resources.

Who the Guide is for?

• HIV/AIDS practitioners: national AIDS secretariats, task team and WB managers, line ministries, managers of civil society organizations, and community leaders

• Staff of multilateral and bilateral donor agencies

• Planners of HIV/AIDS projects in other regions

Why do we need an ECD MAP guide?

• Bridge MAP gap regarding young children’s needs;

• Build Capacity among CSOs to submit proposals for MAP grants and other funding sources; and

• Serve as a resource for other national HIV/AIDS program topics

• Provide guidelines to develop national program, policies, and interventions

Operationalizing ECD activities

Key steps:

• Identify potential inter-sectoral collaboration

• Access CSOs interest in ECD activities

• Target beneficiaries• Design monitoring and

evaluation systems• Grant writing application

process

Monitoring and Evaluation

• Baseline data and situational analysis:

some data is universally available but there is a need to collect other useful information

• Assessment tools: Child Needs Assessment Toolkit (WB & Task Force for

Child Survival and Development)

• Develop Crucial ECD-HIV/AIDS Indicators

Targeting of ECD Beneficiaries

Interventions targeted in two stages:

• Geographical mapping to locate community most vulnerable young children, and

• Situational community assessment

* Targeting services only to orphans is labeling, causing stigma, and misrepresentation

Support CSOs activities

• Grants to CSOs are at the heart of any MAP program and support a broad range of activities

• CSO fill governmental response gaps and initiatives are cost-effective

• The Guide addresses Types of CSO proposals that integrate ECD, what ECD applicants has to keep in mind, and considerations for reviewing grant proposals

How to Anchor ECD activities?

• Review and analyze national and sectoral policies relevant to ECD and HIV/AIDS

• Identify A list of ministries and other government entities

• Undertake a concentrated and proactive effort to stimulate a ministry’s interest in ECD HIV/AIDS

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What are the Effects of ECD Interventions? • Empower communities to recognize and

support their most vulnerable members;• Improve disadvantaged children chances

for survival and educational achievements;• Address intersecting needs of women and

children;• Provide safe childcare;• Serve as a strong vehicle for HIV/AIDS

prevention messages for adult caregivers• Educate caregivers to offer a holistic

environment for young children; and• Facilitate women’s participation in the

formal and informal work force

Contact:Amber SurrencyRichard Seifman

Further reference visit: http://www.worldbank.org/

childrenECDGuidelines.html