promoting health and developmental o utcomes of the early y ears t hrough m onitoring
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Promoting Health and Developmental O utcomes of the Early Y ears T hrough M onitoring. Ziba Vaghri , Ph.D University of British Columbia Human Early Learning Partnership, HELP International Program of HELP, I-HELP. 100. Burundi. 84. 80. 72. 57. Age (years). 60. 36. 40. 20. 1. - PowerPoint PPT PresentationTRANSCRIPT
Promoting Health and Developmental
Outcomes of the Early Years Through
Monitoring
Ziba Vaghri, Ph.DUniversity of British Columbia
Human Early Learning Partnership, HELPInternational Program of HELP, I-HELP
100
80
60
40
20
0
Age
(yea
rs)
SarahAnnJeanLizPierre
Burundi 84
72
57
36
1
Source: Free material from www.gapminder.org
100
80
60
40
20
0
93A
ge (y
ears
)
SaraAntonJanLisaPer
Sweden
6377
8488
Source: Free material from www.gapminder.org
100
80
60
40
20
0
Age
(yea
rs)
200781
50
20 000 $2000 $200 $
Income per person (comparable dollars per year)
100
80
60
40
20
0
Life
exp
ecta
ncy
(yea
rs)
1000
100
1Population(millions)
50Burundi
81
Sweden
Source: Free material from www.gapminder.org
“…social determinants of health are responsible for almost half of the variation in
health outcomes of populations…”
The World Health Organization declared:
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• 9 Knowledge Network (KN), 2005-2007
• Our institute was designated as WHO’s KN for Early Child Development
• Commissioner's Report in August of 2008
WHO’s Commissioner on Social Determinants of Health (2005-
2008)
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“Equity from the Start”
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Overarching CSDH Recommendations
Improve daily living conditions, including the circumstances in which people are born, grow, live, work and age
Measure and understand the problem and assess the impact of action
Tackle the inequitable distribution of power money and resources
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The commissioner also identified ECD as one of the
most potent social determinant of health!
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Total Environment Assessment Model of ECD
TEAM-ECD
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The brain sculpts itself in response to:
• Pre-programmed “critical Periods”
• A wide range of stimuli in the environment
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The need for monitoring ECD-related processes and outcomes
The need for global alliance
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Convention on Rights of the Child (CRC)
Flickr, Photo by katclay
In 1989 the Convention on the Rights of the Child (CRC) was introduced to the world
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1990 1995 20110
50
100
150
200
# of
cou
ntrie
s rat
ified
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CRCCEDAW
ICERDICCPRICESR
CATICPD
ICMWICPED
0 50 100 150 200
Ratification of Treaties
CRC
Number of Countries
Exist
ing
Hum
an R
ight
s Tr
eatie
s
A Dramatic Shift
Power of scientific evidence and political consensus
A monitoring bodyA monitoring process
How is the CRC Safeguarded?
Submission of Report
Pre-session Working Group
List of Issues
Responses to Issues
(Constructive Dialogue)
Concluding Observations
Implementation of Comments
Ratification of Convention
CRC monitoring process
Constructive Dialogue
The Convention on the Rights of the Child (CRC)1989
GC-7: Implementing child rights in early childhood2002
History of GC7
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Child advocates/researchers: Need for a more user-friendly and useful set of GC7 indicators2005
UNCRC invites group to develop indicators for GC7 2006
History of GC7
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UNCRC GC7
Indicators Group
HELP
UNCRC
UNICEF
WHO
ICC
CGECCD
SOS-K. Intl
AKFBvL
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2005
2006
GC7 indicators presented to CRC
Indicators of GC7completed
May2008
2008
History of GC7
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General Measures of Implementation
Civil rights and freedoms
Family environment and alternative care
1. Dissemination of GC72. Constructing and
implementing the positive agenda
3. Human Rights training4. Data collection system1. Birth registration
1. Participation in household decision making
2. Violence against young children
Indicator ClustersDefinition of the Child 1. Early Childhood
Development
Basic health and welfare
Education, leisure and cultural activities
Special protection measures
1. Basic material needs2. Child survival and health3. Age-appropriate health
education
1. Early education service provision
2. Educational service provision for vulnerable
3. Knowledge of right and capacity to support it
4. Play, leisure and rest opportunities
1. Inclusive policy and provisions for vulnerable groups
Layout of Indicators
Structure Process Outcome
Has there been a reduction in the last five years in the number of occurrence of all forms of violence
perpetrated against young children?
Are there initiatives to raise awareness and prevent violent physical and emotional
(demeaning, ridiculing) disciplinary measures on children?
Are there measures in place to ensure adequate data collection to monitor the progress made on
the implementation of the right of young children to freedom from violence?
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Suggestions
Positive parenting education
Public education
through media
Steps to have such programs
NO
In-service training of
professionals
Are there initiatives to raise awareness and prevent violent physical and emotional
(demeaning, ridiculing) disciplinary measures on children?
Canada’s Nobody’s Perfect:http://www.bccf.ca/professionals/programs/nobodys-perfect
Child Rights Education for Professionals (CRED-PRO):http://www.iicrd.org/work/projects/community_of_practice/CREDPRO
F a c e b o o k :http://mashable.com/2010/12/03/cartoons-facebook-end-violence/
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“The Committee welcomes the plans to finalize this project so that a set of broadly applicable indicators regarding the implementation of rights of young children becomes available. The next steps have to be pilot studies in order to test and revise the list of indicators if necessary.”
“The Committee welcomes the plans to finalize this project so that a set of broadly applicable indicators regarding the implementation of rights of young children becomes available. The next steps have to be pilot studies in order to test and revise the list of indicators if necessary.”
Tanzania552 USD GDP/Capita
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Chile 13,300 USD GDP/Capita
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YES
NO
PARTIAL YES/PARTIAL NO
ChileHeatmaps
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YES
NO
PARTIAL YES/PARTIAL NOTanzania - 2012Heatmaps
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YES
NO
PARTIAL YES/PARTIAL NOTanzania - 2017Heatmaps
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Tanzania - 2022Heatmaps YES
NO
PARTIAL YES/PARTIAL NO
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Uses of ECRI
• A tool for Advocacy
• Planning and capacity building
• Taking an inventory of the existing capacities on ECD and child-rightsHow many “No”s, how many “Yes”s in the system
Using the identified “No”s and drawing the attention of the politicians and policy makers to where the gaps are
Channelling resources to where the gaps are and turning “No”s to “yes”s
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ColombiaNext Pilot?
Medellin, Colombia
1st time atCommunity level
Next Pilot?
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BC
NB
NWT
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Bulgaria
Albania
Romania
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regional deployment
of ECRIBrazil
El SalvadorGuatemala
Panama
Columbia
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6
Special ProtectionMeasures
8Basic Health & Welfare
Early Childhood Rights Indicators
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GC 13
General Comment 13Protection againstviolence
Early Childhood Rights Indicators
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GlobalChild Vision
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• A global momentum has been built for young children
• To make this work for children, our actions and investments in children and their impact on children need to be monitored
What does ECRI help to monitor?
• Progresses made overtime and how are the duty bearers keeping up with their accountability to the young children.
• What has been the impact of the duty bearers’ efforts on the health, development and wellbeing of the children.
Why monitor?
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Ready families
Protected environments
Ready community
Ready services
nurturance
Enhanced health and developmental outcomes
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“If we are to reach real peace in this world, and if we are to carry on a real war against war, we shall have to begin with the children.”Mahatma
Gandhi
Thank You
Global Knowledge Hub for ECD at:
earlylearning.ubc.ca
Ziba [email protected]
Flickr, Photo by Ahmed Mahin Fayaz Presentation Design: JA - HELP