Fiscal Year 2009-2010
Integrated Community Management of Childhood Illness and Nutrition Safe Motherhood and Neonatal Health Early Childhood Care Development and Protection
Health and Nutrition Community Based IMCI Water and Sanitation PDI Hearth
KEY INTERVENTION S
ECCD
GUIDEPOSTS
Support to Center-based ECCD Generally, honorarium for Day Care Workers / Child Development Workers is not allowed except in the following cases: a. There is no day care center in the barangay b. The ratio of DCW to children is 1: more than 40 per session. With two sessions per day.[1]
STRATEGIES
Organization of Home-based ECCD Support to Centerbased ECCD Capacity development among parents and caregivers on proper child caring , Institutions on program management
KEY INTERVENTION S
ECCD
GUIDEPOSTS
DCWs must be on a temporary basis and shall be used only as leverage in order for the barangay/community to put-up DCC facilities hence ensuring the continuity of the services.
STRATEGIES
Organization of Home-based ECCD Support to Centerbased ECCD
Capacity development among parents and caregivers on proper The length of service of child caring , CCF-paid DCWs will be Institutions on one academic/day care program calendar, the longest. management Henceforth, it shall be
KEY INTERVENTION S
ECCD
GUIDEPOSTS
STRATEGIES
In highly urbanized areas Organization of where CCF is operating Home-based ECCD payment of honorarium for DCWs is not allowed. Support to CenterThe basic assumption based ECCD here is that being city/urbanized, the Capacity barangays have higher development among Internal Revenue parents and Allotment (IRA) compared caregivers on proper with their rural child caring , counterpart and therefore Institutions on have the capacity to hire program DCWs. management
KEY INTERVENTION S
ECCD
GUIDEPOSTS
In place of honorarium/salaries, CCF though can provide for learning materials. Repairs of physical facilities are not allowed. We can put up another counterpart though for it to materialize depending on the situation. (Good judgment however must be exercised)
STRATEGIES
Organization of Home-based ECCD Support to Centerbased ECCD Capacity development among parents and caregivers on proper child caring , Institutions on program management
KEY INTERVENTION S
ECCD
GUIDEPOSTS
Home-based ECCD
STRATEGIES
Organization of Home-based ECCD
Since Day Care Service or center-based ECCD is the Support to Centermandate of DSWD, efforts based ECCD should focus more on home-based ECCD since it Capacity has wider reach. This is development among consistent with the parents and program principle of using caregivers on proper existing resources in the child caring , community. Institutions on program management
KEY INTERVENTION S
ECCD
GUIDEPOSTS
ECCD, be it home-based or center-based, is for undersix children and not under five as always planned and reported. Home-based ECCD is not limited to 0-3 years old but to under six children with no access to day care services All under-six children must be administered with the ECCD checklist and must be monitored and referred when necessary
STRATEGIES
Organization of Home-based ECCD Support to Centerbased ECCD Capacity development among parents and caregivers on proper child caring , Institutions on program management
KEY INTERVENTION S
ECCD
GUIDEPOSTS
Capacity Building
STRATEGIES
Organization of Home-based ECCD
Review E.O. 349 Support to Center(Expanded Day Care) and based ECCD RA 8980 (ECCD Act). These two documents Capacity clearly define the roles of development among the different agencies and parents and stakeholders as well as caregivers on proper guide on how to go about child caring , ECCD. Institutions on program management
KEY INTERVENTION S
ECCD
GUIDEPOSTS
STRATEGIES
Capacity building support Organization of must be provided to Home-based ECCD BCPCs or BECCs/MCPCs or MECC on the Support to Centermanagement of ECCD based ECCD program. Capacity Capacity building support development among for service providers must parents and be based on Training caregivers on proper Needs assessment child caring , consistent with the skills Institutions on needed to directly deliver program the skills needed as management service providers
KEY INTERVENTION S
infant/maternal deaths
GUIDEPOSTS
STRATEGIES
Program Quality. All pre/during/post natal projects and activities delivery must be in accordance (counseling/capacity with CCF health policies. building) CEMONC/BEMONC -Adopt local health guidelines Supports Department of Health’s program and local health protocols -Adopt Community IMCI Preventing childhood illnesses in the community level by early detection, referral and treatment success of the health projects
KEY INTERVENTION S
infant/maternal deaths
GUIDEPOSTS
STRATEGIES
-Adopt best practices pre/during/post natal delivery that are evidenced based in choosing or in (counseling/capacity building) adopting health and nutrition best practice, CEMONC/BEMONC it must be supported by documented research, stories and testimonies that resulted to change in knowledge, attitude and practice -Responsive to local health needs “build on what they have” concept;
KEY INTERVENTION S
infant/maternal deaths
GUIDEPOSTS
Implementation of the interventions will be directed through the families and communities since families cannot easily access quality health care services from the government health facilities.
STRATEGIES
pre/during/post natal delivery (counseling/capacity building) CEMONC/BEMONC
KEY INTERVENTIONS Malnutrition
GUIDEPOSTS
STRATEGIES
Thus, health outcome is - Immunization dependent on community- - Infant and Young based services. The CBHPchild feeding (support in relation to breast approach can feeding and substantially increase supplementary reach which is not feeding) possible if services are delivered solely through -Deworming and the fixed health facilities. Micronutrient supplementation - PDI, Pabasa sa Nutrisyon, FAITH and Discovering Indigenous Practices
KEY INTERVENTIONS Malnutrition
GUIDEPOSTS
STRATEGIES
This approach recognizes - Immunization community participation and - Infant and Young aims at enabling the people child feeding (support in the community to assume in relation to breast responsibility for managing feeding and their health and related supplementary needs. This involves the feeding) mobilization and strengthening of community- -Deworming and based organizations to take a Micronutrient supplementation more pro-active role in - PDI, Pabasa sa responding to their health needs. Nutrisyon, FAITH and
Discovering Indigenous Practices
KEY INTERVENTIONS - Preventable Illnesses
GUIDEPOSTS
STRATEGIES
While it is initiated outside of Integrated the fixed clinical facilities, the Management of CBHP needs to be linked with Childhood Illnesses the local government units, (IMCI) the fixed health facilities and Support to: other health related agencies a. health system such as, the Department of (support to Agriculture (DA), the Department of Social Work & BHC/formation of CHAT) Development (DSWD), the b. health workers Department of Education (capacity (DepEd), and religious sectors for more coordinated building/upgrading) efforts in providing a c. household and continuum of health care to families (KAP) reach more children and families effectively
KEY INTERVENTIONS - Preventable Illnesses
GUIDEPOSTS
STRATEGIES
Integrated CCF’s health program packages are designed to Management of Childhood Illnesses address the national (IMCI) health issues and the priority health problems Support to: identified in the priority a. health system (support to provinces. Each of the BHC/formation of packages can be implemented separately. CHAT) b. health workers However, since health (capacity problems are interrelated, they are designed building/upgrading) c. household and for flexibility and families (KAP) integration.
KEY INTERVENTIONS - Water and Sanitation
GUIDEPOSTS The interventions will depend on the real and felt need of the community based on results of the community assessment, which is a critical step in the program’s development process. -Continuation in educated and confident children-
STRATEGIES - WASH campaign - Latrines provision -support to water users’ group
KEY INTERVENTION S
BCYA
GUIDEPOSTS
STRATEGIES
Engage the youth CD –SR sessions especially the OSY in SNP activities… Birth Registrations They can be a facilitator or a co-facilitator of SNP. Activities which involves 0 to under 6 may come from the CD sessions which may be identified by the children and youth e.g. arts and crafts. Include child protection issues here… birth
Promotion of child friendly schools Participatory school governance Child protection
KEY INTERVENTION S
GUIDEPOSTS
A. Community-Based -Malnutrition Project Support: - leading causes of morbidity/mortality Generally, construction of among school, age facility is not allowed. children -absenteeism/drop out Instead, the community should be mobilized for due to childhood infrastructures. Other illness and support could be worked malnutrition out depending on the capability of the community like procurement and purchase of basic equipment necessary in
STRATEGIES
- School Based Health and Nutrition - Deworming and Micronutrient supplementation - Community IMCI Local Health System - Functionality of BHC -Partnership and Networking -Health Support Group/CHAT
KEY INTERVENTION S
GUIDEPOSTS
-Malnutrition Provision of drugs and - leading causes of herbal medicines is not morbidity/mortality allowed. Instead, it among school, age should encourage and children -absenteeism/drop out facilitate the establishment of due to childhood community drugstores illness and (Botika ng Barangay) and malnutrition promote the use of clinically proven herbal medicines.
STRATEGIES
- School Based Health and Nutrition - Deworming and Micronutrient supplementation - Community IMCI Local Health System - Functionality of BHC -Partnership and Networking -Health Support Group/CHAT
KEY INTERVENTION S
GUIDEPOSTS
STRATEGIES
-Malnutrition - School Based - leading causes of Health and Nutrition Training expenses to build - Deworming and morbidity/mortality the capacity of the CHT among school, age Micronutrient and the volunteer health supplementation children -absenteeism/drop out workers is allowed but - Community IMCI these should only cover due to childhood Local Health supplies and materials, illness and System venue and food. malnutrition - Functionality of BHC -Partnership and Networking -Health Support Group/CHAT
KEY INTERVENTION S
GUIDEPOSTS
STRATEGIES
-Malnutrition - School Based Honorarium for PHO/RHU Health and Nutrition - leading causes of staff who will conduct the - Deworming and morbidity/mortality training sessions is not among school, age Micronutrient allowed. Instead, the children supplementation -absenteeism/drop out transportation, meals and - Community IMCI accommodation expenses Local Health due to childhood shall be provided. illness and System malnutrition - Functionality of BHC -Partnership and Networking -Health Support Group/CHAT
KEY INTERVENTION S
GUIDEPOSTS
-Malnutrition - leading causes of The agreements, terms morbidity/mortality and conditions of the among school, age partnership between and children -absenteeism/drop out among the PAs and the PHO/RHU must be due to childhood stipulated in a MOA. illness and malnutrition
STRATEGIES
- School Based Health and Nutrition - Deworming and Micronutrient supplementation - Community IMCI Local Health System - Functionality of BHC -Partnership and Networking -Health Support Group/CHAT
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
STRATEGIES
Financial/Educational Consistent with the MDG Assistance and EFA, efforts must be towards improving access Provision of Learning rate of children to quality Support basic education. Support to childProjects must strive hard friendly school and to achieve the 90% communities access rate of children. Access to basic over Training and tertiary education must capability building of be of primacy concern. teachers
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
STRATEGIES
Provision of financial / Facilities educational assistance improvement As a standard, direct Strengthening assistance for postfunctionality of the secondary or college shall PTCA, BCPC and only be provided if 90% PGOs of age-eligible CCF children have access to Establishment of basic education. Community-owned and/or managed ALS, A&E(Catchup Program)
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
In areas where the target 90% is still not achieved, special consideration will be given for those ongoing college/post secondary students to avoid disruption, that is, if the 80% has been achieved. No assistance however shall be given to new college entrants.
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
In cases where educational assistance will be provided beyond basic education, postsecondary education is strongly advocated through the ladderized education program. This is more preferable than taking up a four-year course then eventually failing to complete it.
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
Recipients must be enrolled in public colleges/universities except in cases where there are no public schools in the area and enrolling them would incur more expenses such as transportation and board and lodging. Portion of the tuition fee though shall be shouldered by the family since the bulk of expenses for private college education is in tuition fees. There will be no full subsidy for tuition
STRATEGIE S
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
Data must be made available stipulating the previous year’s allocation for direct assistance, the number of children who have availed, type of assistance availed of, school levels of the recipients and a tracking system to determine where these children are and if they were able to complete the level they were enrolled in when the assistance was extended.
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
Subsequent direct assistance must show a gradual decrease in value or total amount of assistance provided. No assistance for uniforms and shoes shall be provided except in cases where the sponsored child have at least one sibling in school.
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
A set of criteria and guidelines must be drawn as basis for determining the eligibility of children for direct assistance with corresponding weights. The three possible criteria from among the several to be developed which have the most significant weight are:
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
Income of family computed per individual (earning siblings are excluded) Capacity of family to provide both financial and non-financial support to the child Capacity of the child to further his/her education
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
Support to childfriendly schools and communities (CFSC) CCF shall not be funding facilities construction or training of teachers because it is the mandate of the education department. However, counterpart can be put up as leverage just so teachers are trained and facilities are improved.
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
Income of family computed per individual (earning siblings are excluded) Capacity of family to provide both financial and non-financial support to the child Capacity of the child to further his/her education
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
CCF can provide training assistance to teachers up to the regional level provided counterpart of the school/teacher will be put up. Generally, CCF can provide for the transportation as well as meals. Interventions must also look into the school’s School Improvement Plan for better anchor. In cases where schools have no SIPs, the first assistance will be to facilitate the development of SIPs. Again, the school must be able to put put a counterpart.
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
All PAs must refer to the Child- Friendly School checklist In cases where health interventions shall be undertaken, i.e. water system, it shall be treated under education rather than health if its objective is to reduce absences brought about by incidence of water borne diseases
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
Prior to the strengthening of PTCA, Local School Board and PGOs, assessment must be made of their functionality. Schools must be assessed of its child-friendliness using the existing tool/criteria for assessment
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
Provision of learning support In areas where assistance for post-secondary and/or tertiary education is being provided, these scholars must render community service through peer teaching, mentoring or tutoring of children with subject difficulties. Members of children and youth associations are strongly encouraged to
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
Tutorials/learning reinforcements must be made within the school year and not during vacations. This is one example of a child development session. A reading corner (for emergent readers) must be established within each school or community. Hence, books to be donated must be for this group.
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
PAIR (Parent Assistance in Improving Reading) approach is strongly advocated
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
Establishment of Community-owned and/or managed ALS, A&E An ALS Center must be identified and established within the community Partnership with TESDA, CHED and Dep. Ed. must be clearly established thru MOA
STRATEGIES
KEY INTERVENTION S
ACCESS TO QUALITY BASIC EDUCATION
GUIDEPOSTS
While priority recipients are unschooled children and youth, parents strongly encouraged to enroll. Learners shall be both CCF and non-CCF children and youth
STRATEGIES
KEY INTERVENTION S
BCYA
GUIDEPOSTS
Activities must be conducted at the barangay level and project level. CD sessions must be conducted at the barangay level. Formation and Strengthening Barangay Children’s Associations Continuous Ladderized
STRATEGIES
Regular Meetings and Capacity Buildings
KEY INTERVENTION S
BCYA
GUIDEPOSTS
Gender sensitivity (number of boys and girls participating in the activity) Conduct Organizational Capacity Assessment using the spider web tool Formation of Health/Eco Scouts Train 2nd Liners of Facilitators
STRATEGIES
Livelihood education and preparation Youth friendly reproductive health services and education Leadership and social engagement Child protection
KEY INTERVENTION S
GUIDEPOSTS
STRATEGIES
Training needs Technical, Vocational, a.) analysis, skills inventory livelihood and business training technical, and a scan of opportunities for for youths livelihood employment and/or entrepreneurship must be and Business conducted before with training. training for proceeding Identified training institutes and courses youths should be based on market needs which show demand for jobs and self employment rather than organize trainings merely
KEY INTERVENTION S
Vocational, technical, livelihood and Business training for youths
GUIDEPOSTS
b.) A capable partner such as TESDA, Local technical schools or similar institutions will conduct the training. c.) The first two guidelines are intended to increase chances of employment or opportunities for entrepreneurship.
STRATEGIES
KEY INTERVENTION S
Vocational, technical, livelihood and Business training for youths
GUIDEPOSTS
d) A tracer study must be conducted for those who undergone training ( agricultural or employment skills) Succeeding training of the same nature must not be implemented unless the results of the tracer study are analyzed and corresponding decision on the results are made.
STRATEGIES
KEY INTERVENTION S Early Pregnancy Reproductive Health Peer Pressures Drug Addiction
GUIDEPOSTS
STRATEGIES
B. Direct Support for Health- - RH services Related Concerns: - healthy Lifestyle - functional LHB/PHB As a rule, health-related concerns of enrolled/sponsored children and their immediate family members that have not been addressed in the home, can be adequately addressed by rural health professional workers or in public hospitals. As such, the PAs/IOs shall establish a referral system with these facilities. The PAs/IOs should encourage the families to rely on these facilities for treatment and
KEY INTERVENTION S Peer Pressures Drug Addiction Early Pregnancy Reproductive Health
GUIDEPOSTS
STRATEGIES
Medical assistance shall - RH services - healthy Lifestyle be provided only to the sponsored child or her/his - functional LHB/PHB immediate family member (siblings, parents) under emergency situation which has threatened their lives.
KEY INTERVENTION S Peer Pressures Drug Addiction Early Pregnancy Reproductive Health
GUIDEPOSTS
STRATEGIES
In cases where child’s or - RH services - healthy Lifestyle her/his direct family member’s medication is - functional LHB/PHB long-term (three weeks or longer), it is necessary for the PA/IO and the parent/guardian to work together, projecting the costs and discussing a workable arrangement in obtaining the medicines.
KEY INTERVENTION S Peer Pressures Drug Addiction Early Pregnancy Reproductive Health
GUIDEPOSTS
STRATEGIES
- RH services In cases where child or her/his immediate family - healthy Lifestyle - functional LHB/PHB needs lifetime medical management, the main responsibility of the PA/IO is to create a system that will address the child’s needs, especially the long term. This includes identifying agencies which can shoulder the cost of medication or provide the medication itself, e.g., PCSO
KEY INTERVENTION S Peer Pressures Drug Addiction Early Pregnancy Reproductive Health
GUIDEPOSTS
STRATEGIES
Support to enrollment to - RH services - healthy Lifestyle PhilHealth will be - functional LHB/PHB considered based on a criteria and plan to be developed by the PA/IO. The plan shall stipulate mechanisms by which the enrolled families may be able to continue financing their health plan after the first year.
KEY INTERVENTION S Peer Pressures Drug Addiction Early Pregnancy Reproductive Health
GUIDEPOSTS
STRATEGIES
Housing assistance can be - RH services provided under the following - healthy Lifestyle conditions: - functional LHB/PHB - house is damaged due to calamities -the family is assessed to be financially incapable -the family should provide at least 10% of the total projected housing cost, in cash or in-kind. - participation of the community in building the house (i.e., bayanihan) should be encouraged - a cost-recovery mechanism is very well-defined
KEY INTERVENTION S
BCYA
GUIDEPOSTS
STRATEGIES
Activities must be Regular Meetings conducted at the and Capacity barangay level and Building project level Separate discussions / sessions of boys and girls in ARH topics (culture sensitive)
KEY INTERVENTION S
BCYA
GUIDEPOSTS
Formation and strengthening of Youth Associations Continuous ladderized Capacity Building Conduct of Organizational Capacity Assessment using the spider web tool
STRATEGIES
KEY INTERVENTION S
BCYA
GUIDEPOSTS
Training of pool of trainers Partnership and Networking with SK and other similar groups Parties (pageants) are NOT allowed. Prioritize Values Clarification.
STRATEGIES
Core Outcome: Families and local organizations are networked in their communities to promote the development and protection of children Capacity of Civil Society Organizations Networking of Civil Society Organizations Advocacy among Civil Society Organizations Child protection