Country profiles avail able from nurturing-care.org 17

Early childhood dEvElopmEnt

BhutanDemographicsPopulation 798 000Annual births 15 000Children under 5 70 000 (9%)Under 5 mortality 32/1 000

Threats to Early Childhood DevelopmentMaternal mortality 148/100 000Low birthweight 10%Child poverty 5%Harsh punishment no data

Young mothers (births by 18y) 15%Preterm births 10%Under 5 stunting 33%Inadequate supervision 54%

Risks by gender and residence

Lifetime cost of growth deficit in early childhood

Young children at risk of poor development

Support and services for Early Childhood Development:

Nurturing Care

Support and services for Early Childhood Development:

Facilitating Environments

Estimate in termsof % loss of annual adult wage

At risk in 2005, 2010 and 2015, using a composite indicator of under 5 stunting or poverty

Parents and caregivers need a facilitating environment of laws, policies, services and community support to assist them to provide their young children with nurturing care.

Nutrition

0% 25% 50% 75% 100%

Minimumacceptable diet

Exclusivebreastfeeding

Early initation ofbreastfeeding 78

51

no data

Responsive Caregiving

Public information about ECDParental mental health

Parent support (groups, home visits)Quality child day care

Comparative country data urgently

needed

?

Health

Careseeking for child

pneumonia

Postnatal newborn

care

Pregnant women living with HIV on treatment

Women receive 4

antenatal care visits

Early LearningChildren have

support for learningHomes have

children’s books

Children have playthings

at home

Attendance in early childhood

education

Security and Safety

0% 25% 50% 75% 100%

Basicsanitation

Basicdrinking water

Positivediscipline

Birthregistration 100

98

63

no data

nodata

129%

74%

85%

41%

14%52%

10%

6%

International Conventions✔ �Convention on the Rights of the Child

✔ �Convention on the Rights of People with Disabilities

✔ CRC Sale of Children, Child Prostitution & Child Pornography

✘ �Convention on Protection of Children and Cooperation in Respect of Intercountry Adoption

Policiesno

data �Paid maternity leave ✔ Paid paternity leave

✔ National minimum wage

✘ Child and family social protection

✘ �International Code of Marketing of Breastmilk Substitutes

0% 20% 40% 60% 80% 100%

Resi

denc

eG

ende

r

28

40

36

37

Girls Boys

Rural Urban2015

2010

2005 59

36

26

0% 20% 40% 60% 80% 100%