Developing an Essential Package for Young Children Affected by HIV/AIDS

Nicole Richardson April 28, 2010 Developing an Essential Package for Young Children Affected by HIV/AIDS

Overview
History of Initiative
Objectives and the evolution of the Essential Package
Draft Framework

Background
This Initiative is being funded by the Conrad N. Hilton Foundation
It is a two year grant and is a collaborative project with Save the Children, CARE International, and the Consultative Group on ECCD
The project will inform an ages and stages approach to programming for young children affected by HIV/AIDS
Standards will be HIV sensitive but not HIV exclusive

What do we mean when discussing ECD for OVC programming?
Child has adequate supports and stimulation to facilitate optimal development across all domains (social/emotional, cognitive, language, motor) and is prepared at school entry
Primary caregiver(s) has adequate supports to ensure she/he has the capacity and skills to provide the necessary care and stimulation for the child’s development
ECD will be mainstreamed into HIV/AIDS programming

What do we mean when discussing ECD for OVC programming cont’d
The inclusion of “Care and Development” as a service component
Gender must take a prominent role in any OVC/ECD programming
Economic strengthening and rights are the foundation for a healthy family and community
Age groups will be broken down: Prenatal; 0-2; 3-5; 6-8

How do we understand the needs of OVC?
Most OVC programs focus on the needs of children 0 to 18 with emphasis on primary school aged children
Less focus on young children and adolescence, even though their needs are great
Broad agreement that there has been a lack of attention to ECD for OVC programming

Understanding needs, cont’d
There have been some positive changes
Advocacy done on the need for standards to ensure programs are reaching children in ways that improve overall wellbeing
NGO community has also advocated for the recognition of ECD in PEPFAR OVC programming
Now have a set of standards for programs, however, they do not address the age-specific needs of OVC in a comprehensive fashion

Initiative will seek to improve the overall quality of OVC programming by:
Placing emphasis on the need of young children (prenatal to 8)
Highlighting the needs of caregivers of young children especially in the prenatal period
Develop standards of care related to healthy child development for programmers, volunteers, and caregivers while building off existing OVC quality standards and tools to measure wellbeing

Rationale for mainstreaming ECD into HIV/AIDS programming;
Age-appropriate quality standards for young OVC; and
Tool Kits to support standards
Components of the Essential Package

Part 1: Rationale
Reasons for mainstreaming early childhood development (ECD) into HIV/AIDS programming
Will build off of literature and program reviews
Intended Users : program managers, policy advocates, trained service delivery professionals

Part 2: Age-Appropriate Quality Standards for OVC
Will be across service areas ( health, food & nutrition, care & development, rights/protection, and household economic strengthening and family centered care )
Focus on children and caregivers
Special consideration to gender and vulnerabilities

Part 2: Age-Appropriate Quality Standards for OVC Cont’d
Will be age appropriate: prenatal; 0-2; 3-5; 6-8
Will include Essential Actions at the community, caregiver and child level as well as Specific Recommendations per age group
Intended Users : program managers, policy makers

Other Vulnerabilities Cross Service Linkages Gender Considerations HIV+ Specific Recommendations 6-8 3-5 0-2 Pregnancy Essential Actions: Children Essential Actions: Caregiver Essential Actions: Community Desired Outcomes: Principles: Definition: Care and Development

Part 3: Tool Kits
Tool Kit for Program Managers
Monitoring tools
Tool Kit for Service Providers/Volunteers
Monitoring tools and job aids
Tool Kit for Parents/Caregivers
Care Guides

Value Added of this Initiative
Working across disciplines (HIV and ECD)
An ages and stages approach to OVC programming
Focus on HIV infected child and caregiver and their specific needs
Cross service linkages to provide holistic care

Thank You!

Developing an Essential Package for Young Children Affected by HIV/AIDS

by jehill3 on May 03, 2010

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