Comprehensive Proteccion System for Early Childhood “Chile Crece

Comprehensive Proteccion System for Early Childhood “Chile Crece

Comprehensive
Proteccion System for
Early Childhood “Chile
Crece Contigo” (Chile
Grows with you)
July 2012
The Origins of Chile Crece Contigo
(Chile Grows with you)
Presidential Advisory Council on Early Childhood Policy
Reform (2006)
A broad range of actors participated in the Council
 Hearings with national and international experts
 Hearings with organizations and individuals who worked in
the matter.
 Written commentaries of thousands of children and adults
via the web site.
Ministerial
Committe on
Early Childhood
Law 20.379
Grupo Técnico
interministerial
Public Policy Proposal
Analysis and actions taken
2006
for its implementation
2006
1
2
Comprehensive Protection
System for Early Childhood
The law wihich put
CHCC in effect
2007
2009
3
4
Chile Crece Contigo is designed based on:
•
•
•
Scientific Evidence:
• Consolidation and universal application of successful experiences
and services (national and international evidence)
• “Window of opportunity” (high impact of the work done during
early childhood)
• Return on investment (highly cost effective investment)
Broad Consensus:
• Unanimous approval of Law 20.379 which institutionalises the
Comprehensive Protection System for Early Childhood “Chile Crece
Contigo”.
Global paradigms:
• Social Determinants of Health
• Focus on children´s rights.
• Systemic – Ecological approach.
Principles and Foundations
Multidimensionality and Intersectoriality
The child´s development is multidimensional.
Services and activities should happen at the right time and in a relevant
way, according to each child´s needs.
• Intersectorial policies allows us to accompany people as they move
through different life stages,to improve their personal development skills
and quality of life.
• Through Chile Crece Contigo, we provide comprehensive assistance, to
accompany children´s developmental trajectory during early childhood,
which strengthens the impact of our actions.
•
•
Positive enviroment
Early
Stimulation
Nutrition
Health and Hygiene
How does it work?
Personalized follow up of early child development
Any contact of the children with the
different actors who are part of the
system should activate the network
if there is any kind of vulnerability
The mother enters the
System up on her first
prenatal check up
Biopsychosocial Development Support Program
Medical check up
nacimiento
Ex: Home Visit Program
Biopsychosocial
Risk identification
According to the
protocol
Healt
Vulnerability
Social
Vulnerability
Inadequate
Health
Ex: Implementation
of the Social
housing
Protection Score Card
Lack of
nursery
attendance
Municipality
Education
Differentiated responses
Ex: priority access to housing
programs
Developmental
difficulties
Chile Crece Contigo is an comprehensive
Service network
Public Education
system
Public
Health
system
Family support unit
FAMILIA
Other
Social
Services
Chile Crece Contigo Municipal Network
Score card review
office
What does it offer?
Support and Services offered by Chile Crece Contigo
• Interactive teaching and informative
tools
• Legislative improvement
All Chilean
Children(100%)
• Biopshychosocial
Development Support
Program (PADB)
• Newborn Support
Program (PARN)
Vulnerable
children (74%)
Children part of the
public health system
(81,6%)
• Good quality free nursery school and
kindergarden
• Home Visits by health temas
• Family subsidy
• Comprehensive care for children with
developmental difficulties
• Technical help for disabled children
• Preferential access to the social protection
system
Personalized health plan
Alternatives to anesthesia
Differentiated Services and Activities
About Developmental Difficulties
Developmental Difficulties: when a child development
process does not follow the pattern that corresponds to
his/her age.
About 30% of children in Chile shows signs of
developmental difficulties before their 4th birthday.
This number reaches almost 45% when referring to
vulnerable children.
Scientific evidence has shown that early detection and
response to developmental difficulties allow young children
to catch up to the developmental stage expected at their
age.
San Juan de la Costa
Chiloé: traveling service on the
medical ship Cirujano Videla
Chañaral
Mulchen
Other Differentiated Services
Aimed at the most socioeconomically vulnerable
children (according to the law 20.379)
Differentiated Services
Automatic Family Subsidy
Half day, full day or extended day at the nursery school or
kindergarden for mothers that are vulnerable, working, studying or
looking for work.
Preferential access to public social services (level playing field for
educational opportunities, work placement, housing, mental health
care, among others).
Technical assistance for children with special needs.
Guaranteed access to the Chile Solidario Program when requirements
are met.
Aimed at 60% of the
socioeconomically vulnerable
population as defined by the social
protection score card.
Achievements
Primary Chile Crece Contigo Evaluations
•
Quasi-experimental assessment of the biopsychosocial
Development Support Program on an historical cohort
(baseline data already collected)
•
Experimental evaluation of the three sections of the
parenting skills workshop “Nadie es Perfecto”
(Nobody´s Perfect)
•
Satisfaction and usability surveys of the
Biopsychosocial Program and the Newborn Program.
•
National Implementation Survey
•
Qualitative evaluation of the implementation of the
Biopsychosocial Development Support Program.
•
Qualitative and Quantitative Evaluation of the Chile
Crece Contigo Municipal Networks.
Some of our achievements
Improvement and increase of the relevant
services to support early childhood development:
for example, identification of the risk factors during
pregnancy, home visits, prenatal and parenting skills
workshops, among other.
High levels of user satisfaction for
biopsychosocial program and newborn program:
81% y 94%, respectively.
Systematic budget increase of Chile Crece
Contigo, in particular of the funds aimed at supporting
local management and nursery and kindergarden
education.
Lessons we have learn
Thank you very much
The future of children is always today
Gabriela Mistral