Promoting Health and Developmental O utcomes of the Early Y ears T hrough M onitoring

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

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Source: Free material from www.gapminder.org

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Income per person (comparable dollars per year)

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“…social determinants of health are responsible for almost half of the variation in

health outcomes of populations…”

The World Health Organization declared:

Courtesy of Dr. Ziba Vaghri, Human Early Learning Partnership; HELP

• 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)


“Equity from the Start”


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


The commissioner also identified ECD as one of the

most potent social determinant of health!


Total Environment Assessment Model of ECD

TEAM-ECD


The brain sculpts itself in response to:

• Pre-programmed “critical Periods”

• A wide range of stimuli in the environment


The need for monitoring ECD-related processes and outcomes

The need for global alliance


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


1990 1995 20110

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100

150

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# of

cou

ntrie

s rat

ified


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


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


UNCRC GC7

Indicators Group

HELP

UNCRC

UNICEF

WHO

ICC

CGECCD

SOS-K. Intl

AKFBvL


2005

2006

GC7 indicators presented to CRC

Indicators of GC7completed

May2008

2008

History of GC7


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?


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/



“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








Chile 13,300 USD GDP/Capita


YES

NO

PARTIAL YES/PARTIAL NO

ChileHeatmaps


YES

NO

PARTIAL YES/PARTIAL NOTanzania - 2012Heatmaps


YES

NO

PARTIAL YES/PARTIAL NOTanzania - 2017Heatmaps


Tanzania - 2022Heatmaps YES

NO

PARTIAL YES/PARTIAL NO


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


ColombiaNext Pilot?

Medellin, Colombia

1st time atCommunity level

Next Pilot?


BC

NB

NWT


Bulgaria

Albania

Romania


regional deployment

of ECRIBrazil

El SalvadorGuatemala

Panama

Columbia


6

Special ProtectionMeasures

8Basic Health & Welfare

Early Childhood Rights Indicators


GC 13

General Comment 13Protection againstviolence

Early Childhood Rights Indicators


GlobalChild Vision


• 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?


Ready families

Protected environments

Ready community

Ready services

nurturance

Enhanced health and developmental outcomes


“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

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Promoting Health and Developmental O utcomes of the Early Y ears T hrough M onitoring

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