nurturing care is the right of every child and all should have good nurturing care ..different nurturing care models have been explained

1. Nurturing care
interventions
PRESENTER – DR NAVEEN SHYAM
DEPARTMENT OF COMMUNITY MEDICINE,
SNPH,MGIMS ,SEVAGRAM
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2. What is Nurturing care??
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“If we change the beginning of the story,
we change the whole story.”
— The beginning of life

3. An early childhood intervention of
1986-87 in Kingston, Jamaica.
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4. An early childhood intervention of
1986-87 in Kingston, Jamaica.
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5. Heckman Curve
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6. WHO Nurturing Care
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7. Policies, information, and services
tailored to needs
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8. Multi- sectoral interventions have an
impact on brain development

9. The unique convergence of evidence
and political momentum
ECD Lancet series 2007
ECD Lancet series 2011
WHO Commission on
Social Determinants
of Health 2008
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10. Summary of effective interventions
to ECD
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effective interventions to ECD.xlsx

11. Improving parenting education (PE)
through modular approaches in Nepal.
The PE package consists of modules covering five key components:
(1) ECD and role of caregivers;
(2) development stages of children and nurturing care;
(3) child health, nutrition and hygiene;
(4)child protection and care; and (5) early learning.
The PE Initiative is intended for children from 0 to 5 years old and has
been implemented since April 2016 in five districts
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12. Creating better beginnings for
China’s 'left behind' children.
China's changing economic landscape has led to an estimated 9 million
young children being left behind in poor, rural villages, while one or both
of their parents seek work in distant cities. Most of the children see their
parents only once a year.
 One Sky is healing broken communities and families by training and
supporting adults remaining in villages to care for and nurture young
children. Through the Family Skills Program, home visits and class room
based training are undertaken.
The One Sky Community Center provides a place for children to
participate in innovative early learning experiences that support healthy
physical, language, social-emotional, and cognitive development.
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13. • Target group – Pregnant women (3rd trimester) and caregivers of
children under 12 months, from North and South areas of West Bank
• Delivery mode – monthly Home visits
• Delivery cadre – Community health volunteers
• Intervention package - promotes key family practices around the
nurturing care framework, including maternal mental health; timely
referrals
• Outcomes of Interest:
children with age-appropriate development - primary
maternal mental health - primary
maternal/child health and nutrition practices - secondary
Enhanced Timed Targeted Counseling (ETTC) with Mental
Support and Promotion for Caregivers and Children Under
One - ETTC Model
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14. Attachments scales – MAAS/MPAS
• 13.1 % increase in positive mother-fetus/child
attachment
in the intervention sites
Edinburgh Postnatal Depression scale (EPDS)
• 21.4% decrease in postnatal depression
Age appropriate child development
• Children achieve their development in most of the
domains, especially in communication and motor
domains.
Results - ETTC Model
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15. Target Group – Syrian refugees, and most vulnerable
Lebanese population – in total 11,103
Implementation period – 2016 - 2017 years
Intervention Package:
• Sector specific: builds parental knowledge and skills -
using Go Baby Go (0-3 age), Learning Roots (3-6 age)
models
• Other sector interventions: cash assistance, food
assistance, WASH
World Vision Lebanon Early Childhood
Care and Development Programming for 0-6
Old Children
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16. Results - World Vision Lebanon
Outcome Indicator Location Baseline Evaluation Change
Proportion of children Bekaa 27.3% 63.6% 36.3%
aged 0 to 5 years who are
developmentally on track South 15.9% 85.7% 69.8%
Proportion of parents and Bekaa 38.2% 49.7% 12.5%
caregivers who promote
learning and reading South 54.2% 66.3% 12.1%
readiness for children
aged 0 to 5 years
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17. PATH’s model for integrating
nurturing care into health systems
PATH aims to integrate nurturing care into
relevant national policies and guidelines.
In Mozambique, PATH and partners
worked with the Ministry of Health to
include ECD content in pre-service training
of nurses and community health workers.
In Kenya, a series of consultations
strengthened content on developmental
screening and counseling in revised
Integrated Management of Childhood
Illness (IMCI) program packages.
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18. Building multisectoral support
for ECD in the Philippines
The Early Childhood Care and Development (ECCD) Council of the
Philippines led an inter-agency and multisectoral process to develop the
so-called 'Early Years First Strategic Plan' 2019-2030, aligned with the
Sustainable Development Goals and the Philippine Development Plan.
This Strategic Plan highlights the need for integrated policies and
programming of investments for the early years, thus the need for inter-
agency collaboration for ECCD services.
Among the priorities of the Plan is to address malnutrition among 6-24
month-old children and pregnant women; neonatal mortality; cognitive
and socio-emotional development of children with disadvantaged
backgrounds; and children with disabilities and developmental delays, in
emergencies, and/or exposed to violence.
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19. Aarambh
Customized messaging
Home visits
Growth monitoring & promotion
sessions
Peer-learning
Mothers’/ parents’ meetings
Community norm building
Community-based events
Community-based
organizations
Social media
Opportunities at health facilities

20. AARAMBH – Scale up path
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2012
2013-14
2018-2020
2021-22
State wide scale-up
(100 million
population)
Scale-up in 10
ICDS projects;
1.5 Million
population
Pilot project
in approx.
100,000
population
Pilot
project in
10 villages
2 districts
10 CD blocks
3000 frontline workers
~ 1.5 million population

21. Pakistan - Pehla Qadam (first step)-
implementation evaluation framework
Reach
Context
Fidelity
Dose delivered
Dose received (exposure)
Dose received (satisfaction)
Barriers and facilitators
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22. Integrating CHEU into the Nurturing
Care Framework
HIV exposed
infected and
uninfected
infants and
children have
substantial
vulnerabilities
Need for
identification
and tracking
of HIV-
affected
children for
delivery of
appropriate
interventions
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23. Developing implementation
considerations- let’s try this
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24. Case Studies of Nurturing Care
during the COVID-19 Pandemic
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25. Case Studies of Nurturing Care
during the COVID-19 Pandemic
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26. Websites tour
Country profile
ECDAN
Aga khan foundation
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27. Miscellaneous
OUR LEARNINGS – INDIAN
CONTEXT
Huge opportunities available
within existing public sectors (ICDS
& Health in India)
The best people are out there;
trust them
CHALLENGES – INDIAN
CONTEXT
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28. Thank you
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A framework for helping
children SURVIVE and
THRIVE to TRANSFORM
health and human
potential