The document describes Chile's integrated child protection system called Chile Crece Contigo. It aims to provide comprehensive support and benefits to accompany child development from gestation through preschool enrollment. Key aspects include intersectoral coordination across health, education, and social development ministries at national, regional, and local levels. The system also utilizes a derivations and monitoring registration system as a management tool to register children, monitor their development process, and activate integrated actions and benefits in a timely manner.

1. Integrated Child Protection System– Chile
Crece Contigo
Misnistry of Social Development
Presentation to the Delegation of Jamaica

2. 1. Context
2. The origin of Chile Crece Contigo
3. Principles and Foundations
4. How does it work?
5. What does it offer?
6. Derivation and Monitoring Registration System,
Table of Contents

3. Context

4. 4Government of Chile| Ministry of Social Development
Chilean context before the creation of Chile Crece
Contigo
90% of pregnants under control and control of a newbord baby reach almost 100%
100% attention of professional delivery services
(Presidential Advisory Council for the Reform of Policies for Children, 2006:19)
3 out of 10 children don’t reach the milestone of development expected for their age.
(II National Quality of Life Survery, Ministy of Health, 2006)
80,6% of children under 4 years old attend Public System (NHF)
(PACRP 2006)
Boys and girl under the age of 4 years old in state of indigence correspond to 5,2% (3,2
overall) those in state of poverty not indigence correspond to 16,7% (10,5 overall)
(PACRP 2006)
39,1% of homes out of 40% with lower income with children, its overcrowded
(PACRP 2006)
49% of exclusive maternal prevalence breastfeeding until 6th month
(SHID, 2006)
Mothers of 50% of low-income households have an education level that does not reach
a complete mid-level education.
(PACRP 2006)

5. The origin of Chile Crece Contigo

6. 6
Institutionalization of Chile Crece Contigo
Intersectoral system of Social Protection and
Institualisation of childhood Integral Protection of Chile
Crece Contigo
Childhood ministry
committee
Interministerial
Technical Group
Measurement
proposals for
implementation
of Child Integral
Protection System
Analyses and
generation of
Government
actions for
implementation
Early Childhood
Comprehensive
Protection
System
Pre-
investiment
studies
Law that creates
the Intersectoral
System of Social
Protection and
institutionalizes
Chicle Crece
Contigo
2005 2006 2007 2009
Government of Chile| Ministry of Social Development

7. Your design based on:
Scientific evidence:
• Consolidation and universality of experiences and successful benefits
(national and international evidence)
• Windows of opportunities (high impacts of work in early childhood).
• Rate of return (Effective cost of high investment).
Broad consensus
• Unaminous approval by H. Congress of the law 20.379 that institutionalize
the Subsystem of Child Comprehensive Protection “Chile Crece Contigo”.
According to emerging paradigms
• Social Health Determinants.
• Child Rights Approach
• Systematic Approach - Ecological.

8. Principles and Foundations

9. 9
Child development ecological module
Source: Children’s future it is always
today. Proposals by Presidential
Advisory Council for the Reform of
Policies for Children. Pag 40.
Social Health Determinants
Government of Chile| Ministry of Social Development

10. Neurosciences evidence
• Indivuals basic fundamentals are stractured before its 4 years
old, such as language, habits and social skills, emotional
control and cognitive capacities, this is the reason the first
years of our lives are the most meaningful for a persons
formation.
• Chile Crece Contigo make usage of windows of opportunities
offering early childhood, allowing the propt attention of
factors in risk (biological, psychological and/or social and the
early lagged of detection and intervention.

11. Development Critical Periods

12. 12
Descending return rates
Economical Investment Reasoning
For each dollar
invested in the early
stages of childhood, a
return of 8 dollars is
obtained.
(Carneiro and Heckman, 2003)
Government of Chile| Ministry of Social Development

13. Multidimensionality and Intersectorality
•Children’s development is Multidimensionality.
•Intervantions should occur in a timely manner and appropriate way in particular
necessities for every boy or girl.
•Intersectoral politcs allows to accompany a trajectory of people’s life cycle, boost
resources and impact related factors in a simultaneously way.

14. Is a Comprehensive System to Accompany the development
pathway of boys and girls, since its gestation until its enrollment in
pre-kinder of first level of transition.
Seek to generate and articulate various mecanisms of support for
boys, girls and their families, allowing boys and girls to reach the
hgh potential of development.
It is part of Social Protection Intersectoral System.
Chile Crece Contigo, what is it?

15. 15
Social Protection Intersectoral System
Social Protection Intersectoral System
Chile Crece
Contigo
Citizenship
in general
60% more
vulnarable
boys and
girls
Security
Reform
PBS
APS
Unemployment
Insurance
Families in
extreme
poverty
BRIDGE
Homeless
people
STREET
Adults
LINKS
Chile Solidarity, Ethical
Family Income
Labour Protection
Monetary Provisions (TMC – TMNC)
Social Protection Tab/ Instrument of focus
Boys and
girls
attending
public
health
sectors
Integrated Information of Social and Heath Systen.
Source:: Presentation Equity from the beginning Chile Crece Contigo: A national policy to protect early
years
EARLY CHILD DEVELOPMENT MEETING World Bank; WDC. February 22 2010 and authors contribution
Son of PPL
OPENING
WAYS
Government of Chile| Ministry of Social Development

16. Chile Crece Contigo seeks to articulate comprehensive
benefits that accompanies in the trajactory of boys and girls
development during their early childhood, it is what
strenghten the carried out actions.
Personalized Simultaneous support

17. How does it work?

18. Communal Level
Provincial Level
Regional Level
National Level
Governatorates
Health Services
Support Struture
Red Comunal
ChCC
Health Education
(Coord. Com. Educ. parv.
MINEDUC – DAEM o
Corp.)
Municipality
Central Design/
National with
local
expressions
JUNJI
INTREGA
SEREMI
Health
SEREMI
Social Development
SEREMI
Education
Ministry of health
Ministy of
Social Development
Ministry of
Education
Social Protection Intersectoral Committee
Regional
Attendents ChCC.
Coord. Reg.de
Educ. Parv.
MINEDUC - Junji - Integra
Manager
ChCC.
Provincial
Coordinator P.S

19. What does it offer?

20. Evrery children in
Chile (100%)
• Educational Program with
Interactives/Informative spaces
(Websites, radioa programs, audio-
visual materials, social networks,
childhood fono.)
• Biopsychosocial
Development Support
Program (BDSP)
• Newborn Support
Program(NSP)
Support and benefits offered by Chile Crece Contigo
Children in
vulnaberality
(60%)
Children Public
Health System
(81,6%)
• Free good quality Nursery and Kindergarden
education
• Health teams home visit
• Family subsidy
• Integral attention of boys and girls.
• Technical support for boys and girls with
disability.
• Preference access to offer Public Programs.

21. Programmatic Support Tools
Central Program: Biopsychosocial Development Support
Program(MDS/MINSAL)
Newborn Support Program (MDS/MINSAL)
Intervantions Fund of Children Development (MDS/ Municipalities).
Constestable Fund for Children Initiative (MDS/ Executors public/private).
Municipal Strengthening Fund(MDS/Municipality).
Agreements (Fono Children, Diagnosis Vulnerability).
Massive Educational Program
Derivation and Monitoring Registration System
Region Technical Assistance

22. Derivations and Monitoring
Registration System

23. What is it?
DMRS it is the main management tool for the local teams.
Stablished to support the compliance of the main goal of ChCC
Derivations and Monitoring Registration System
ChCC goal
Customized accopaniment and follow up to the development
trajectory of boys and girls, since its earlies gestation until his/her
enrollment in a school system.

24. Derivations and Monitoring Registration System
Objetivos del SRDM
 Registrate and Monitor the development process of boys or girls since its
gestation, generating the necessary alerts for a timely activations of actions
and integrated benefits that encourage its great development.
 Register and monitor the activations of actions and intersectorials
provision of ChCC, of universal character and differetiated support.
 Increase knowledge to optminitize cases follow-up, the management of
territorial network and efficient use of resources in the implementation of
Children Comprehensive Protection System.

25. Main characteristics:
• Online platform.
(http://gestion.crececontigo.cl)
• Connected to web services (FPS and
Civil Register) and online.
• Usage of explorer as the income
browser.
• Generate warning of vulnerability.
• Baja digitación (llenado de casillas).
Derivations and Monitoring Registration System

26. Modules

27. Users
•National Profile. (Central Level)
•Regional Profile. (Regional attendents,
Health managers, Health Seremias,
Provincial attendents)
•Communal Profile. (Communal
attendents, typesetter, Sectorolists)
•NEP Profile. (Managers and
Facilitators).
Currently it exists more than 10.000
users on this platform.
Derivations and Monitoring Registration System

28. Fingering Module
• Capture the information. (Quality – Oportunity – Pertinence)
• Usage of forms that are online or well directed in the caution box when they have
a PC.
• Occurs in healths area or in municipalities, accoding on how it is organized, local
red ChCC.
• Exists 3 submodules (Pregnancy Control, Children Control and NEP.)
Derivations and Monitoring Registration System

29. DMRS – Fingering Module – Timeline
Mandatory
Yes, pregnants has social
vulnerabilities risks, se consigna
entrega de material.
“Contacts”
First
Prenatal
control
Successive Prenatal Control
Born
W
A
R
N
I
N
G
Pregnant
Week (hopefully before the 20th) Week 40
Derivations and Monitoring Registration System

30. Mandantory
Yes, Children has a social vulnerability
risk; se consigna entrega de material;
Instrumento CHCC Alterado
“Contacts”
First Dyan Control
or Health Child
Control
Successive Healthy Child Control
Enrollment
in Pre-
Kinder
Children
Age: 0 year Age: 4 years
Derivations and Monitoring Registration System
W
A
R
N
I
N
G
DMRS – Fingering Module – Timeline

31. Management Module

32. Management Module- How does it operates?
Through Communal Assignment.
Generation online leads into the sectoral network of
community. (Individual or mass).
Sectoral Specialist, Sectorialists join their
appropriate areas. (Social, FPS, Disability, Bridge,
Education, Dwelling, Omil and health)
Finally the Communal attendant approves or rejects
the actions executed by the sectorialists.

33. Management Module - Reports
Pregants Indicators Analyses: Generate local listing for
establishments of health and list of pregnants, thats are in risk
and that are active on the platform.
Pregnant List: To Locate a particular pregnant by her rut,
name or date of entry.
Children Indicator Anylises: Generate local listing for
establishments of health and list of children that are in risk
and are active on the platform.
Children List: To locate a particular child by their rut, name or
date of entry.

34. DMRS– Derivation Examples
Gestionar la permanencia en el sistema escolar Educación
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDI
Salud
2
Gestante se registra con más de 20
semanas de gestación
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDI
Salud
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDI
Salud
Verificar Inscripción en el Registro Nacional de Discapacidad Discapacidad
Provisión de Ayuda Técnica según tipo de discapacidad Discapacidad
Verificar si corresponde APS o PBS de invalidez Discapacidad
Postulación de la Gestante a PBS o APS según corresponda Discapacidad
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDI
Salud
Promover la reinserción en el sistema educacional Educación
5
Riesgo Psicosocial: conflictos con la
maternidad
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDI
Salud
6
Riesgo Psicosocial: sintomas
depresivos
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDI
Salud
7
Riesgo Psicosocial: abuso de
sustancias
Aplicación del Protocolo de prestaciones y/o Plan personalizado
de salud con VDI
Salud
INDICADOR DERIVACIONES (Acciones)
3
4
N°
Área Derivación
(Sectorialista)
Gestante menor 17 años y 11 meses
Gestante registra Discapacidad
Permanente
Gestante c/educación incompleta y
no estudia
1
Derivations and Monitoring Registration System

35. DMRS – Aplications
Mass Derivation
Derivations and Monitoring Registration System

36. DMRS – Statistical Module
Statistical Module
• Allows to generate cross over
of information according to
charts and variables that can
cross with the database
updated in the system.
• It is adapted for Communals,
Regional and National
Attendents.
• Works through Mysql
consultation.
Derivations and Monitoring Registration System

37. Thank you very much
The future of children is always today.
Gabriela Mistral
atorres@desarrollosocial.cl
atorres0203@gmail.com