early childhood development

Early Childhood Development Programming on Wheels

mobile SNP in Philippines

The mobile Supervised Neighborhood Play vehicle visits a remote village in the Philippines. Photo by Jobeth Jerao.

Reporting by ChildFund Philippines

Some of the villages we serve are very remote, and it’s impossible to establish Early Childhood Development (ECD) centers in them. In the Philippines, four barangays (the Filipino term for small villages or neighborhoods) in the municipality of Pili are situated too far from established ECD centers, so ChildFund and its local partner organization are bringing in a mobile unit to serve children under 5 and their families.

The Mobile Supervised Neighborhood Play initiative, which began its pilot phase last fall, provides the materials, modules and learning tools found in ChildFund’s home-based ECD programs and packs them in a mini-cab that can travel to remote communities.

Four trained volunteers conduct two-hour sessions twice a day, three times a week in the four barangays, helping train parents and other caregivers, as well as people who could one day start ECD programs locally. This pilot project is just the most recent way that ChildFund is supporting healthy development of children younger than 5.

“Where there are government day care centers, ChildFund helps equip the day care worker,” says Corazon Obra, program officer for ChildFund Philippines. “In communities remote from day care centers, ChildFund helps set up Supervised Neighborhood Play, our home-based model. Mobile SNP takes this idea further, literally delivering quality Early Childhood Development services to remote communities.”

 

Rebeca’s First Steps

Rebeca Three-year-old Rebeca had challenges learning to crawl and walk, but today she’s developing normally.

Reporting by Abraham Marca, ChildFund Bolivia

Born three and a half years ago to a 41-year-old mother after a risky pregnancy, Rebeca was small but still within the normal range. However, when Rebeca was 9 months old, her family learned she wasn’t developing properly.

Wiñay Mujo, ChildFund’s local partner organization in her Bolivian village, offers early childhood development evaluations to young children in the area, and Rebeca had her first at 9 months. The evaluation revealed that Rebeca didn’t have enough strength in her back, legs and arms to crawl, so Wiñay Mujo staff members showed her mother some exercises she could do at home with Rebeca to stimulate those muscles, and soon Rebeca began making her first movements around her world.

Rebeca and mother

Rebeca and her mother.

But then, just before turning 1, Rebeca suddenly began losing weight; she was diagnosed with mild acute malnutrition, so Wiñay Mujo helped her get the dietary supplements she needed. She gained weight over the next few months, but she still couldn’t walk, even at 15 months. After a new course of exercises and diet, she learned to walk, and by the time she turned 3, her growth and development were on track.

But Rebeca developed a parasite infection and suddenly lost weight again. After her successful treatment, Wiñay Mujo looked more deeply into her situation and discovered that Rebeca was spending her days in the care of a teenage aunt while her mother worked. To provide a healthier environment for the little girl, Wiñay Mujo invited the family to have her participate in ChildFund’s center-based early childhood development program in her community.

Today, Rebeca and her family are doing better, and they attend programs at Wiñay Mujo, where they learn about good nutrition and other healthy practices. Rebeca is 3 and a half. She has had all of her vaccinations, and her development is considered normal for her age.

Children in developing countries face many obstacles to healthy development. For the youngest in particular, early nutrition is especially important because it supports their ability to grow and learn — without adequate nutrition in the early years, children may never be able to recoup developmental losses. ChildFund works through local partners like Wiñay Mujo to provide the monitoring, stimulation, nutrition and learning opportunities children need to stay on track.

Evelin, Coming Out of Her Shell

Evelin and her daughters

Evelin and her daughters, Naomi (left) and Emily.

Reporting by ChildFund Ecuador

According to Ecuador’s last census, 44 percent of the country’s mothers had their first children between the ages of 15 and 19. For many of these women, becoming mothers meant an end to their formal educations. In Ecuador and other countries around the world, though, women are learning — and sharing — important information about raising children, eating healthy diets and making an income. Here are the words of Evelin, a young mother from Ecuador whose life changed after going through training supported by ChildFund.

My name is Evelin. I am 20 years old, and I have two beautiful daughters who are my reason for living. Naomi Marisol is 4, and Emily Lizet is 3 years old.

When I was 16 years old, I was pregnant, so Segundo, my husband, and I decided to move and begin our lives as a family. He is 32 years old, and he works as a day laborer at a farm close to our house in Imbabura Province.

With the arrivals of my little girls, my life completely changed. I had to leave my studies and assume my new responsibilities in my home with my girls and my husband.

Evelin in her family garden

Evelin grows fruits and vegetables in her family garden.

One day while I was in the community store, I met a neighbor who told me that ChildFund was carrying out workshops for the mothers of children under 5 years old and that she was participating. She told me that it was a wonderful experience because she was learning about stimulation, nutrition and some other things.

This sounded very interesting to me, so I decided to talk with my husband and ask him to let me participate in this training. At first, he said no, but I argued that this could be a good opportunity for me to learn new things that could help me to keep my family healthy. And besides, I would share with other mothers and would not feel so lonely at home, so he agreed.

When I began as a participant in ChildFund’s Early Childhood Development program, the trainer mother introduced me to the rest of the group, and since then I have felt comfortable and enjoyed the meetings very much. Despite my home chores, I always did my best to not miss any classes during the 10 months that the process lasted.

During this time, I realized that I had been doing some things the wrong way. I had a bad temper, was very rude with my daughters and my husband, and I was not sociable because I spent all day at home. So, I was isolated from the rest of the people in the community. I also was afraid to speak in public. I was very shy.

Since I participated in the program, though, a lot of things have changed. I learned how to prepare healthy and nutritious food for my family. Since starting our family garden, I have been contributing to the family livelihood because I save money by not buying vegetables and fruits in the market. I am more sociable too, and now I am more involved and interested in the community. My older daughter goes to the community’s child care center, and I was designated president. Now, I feel valued and self-confident, and I know that if I express what I feel, people will listen to me.

Early Childhood Development: Spotlight on Honduras

One of ChildFund’s signature programs is Early Childhood Development, which focuses on children’s first five years. It’s the most important time in a person’s life, determining what a child will accomplish in school, in his or her career and what these children will pass on to their own children. Before turning 5, a child’s motor skills, problem-solving ability, language and self-control are all well-defined. ECD centers help give children who are living in poverty a better chance to reach their potential. In Honduras, ChildFund’s Lylli Moya took some photos at two ECD centers so you can see what happens inside.

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Zero to Five: The Time That Determines a Child’s Future

By Corinne Mazzeo, ChildFund Health and Nutrition Advisor

The 5th Birthday and Beyond campaign recognizes the importance of investing in the first five years of life to ensure that children survive and thrive well beyond their fifth birthday. ChildFund is one of more than 100 nonprofit organizations, businesses and philanthropic groups participating in this effort.

5-year-old girls from Senegal

Five-year-old friends Racky (left) and Fafa of Senegal.

The period from conception to 5 years is a critical time in human development. Starting even before a child is born, the brain is developing. In fact, the brain is developing most rapidly — and is most vulnerable — during these first few years of life.

Before a child turns 3, his or her brain is 2.5 times as active as the average adult brain, making more than 700 new synapses (connections between nerve cells that transmit information) each second. This defines a child’s health and developmental trajectory and determines a great deal of his or her future.

This is why investing in programs that target infants and young children — the age group from conception to 5 years — is so important. Children aren’t the only ones who benefit; so do their families and society as a whole. For every dollar invested in early childhood development, there is a return of between $4 and $17, which contributes to a healthier and more peaceful society. Also, according to the World Bank, high-quality services for infants and young children promote gender and socioeconomic equality.

When considering how to design high-quality services for this age group, it is important to recognize that all aspects of a young child’s life are interconnected. Their physical health depends on good nutrition, and their home lives strongly influence their emotional well-being.

Let’s look at nutrition and brain development. If a baby is undernourished, she can’t learn as well as she should, she can’t fully interact with her peers, and she can’t explore. The link between nutrition and physical growth may seem obvious — how often do we tell our kids, “Eat your vegetables so you will be strong” — but nutrition is also essential for brain development. Just as the body needs nourishment to grow and develop, so does the brain.

Corinne, age 5

Corinne at age 5.

In recent years, we have learned more about brain development, and it is clear that children need more than just good nutrition to reach their full physical and cognitive potential.

Another critical piece is stimulation, which is necessary to build and strengthen the brain’s architecture. Children’s early experiences with caregivers and their environment have a direct impact on their physical and mental health throughout their lives. Love, affection, interaction and play — along with fulfilled health and nutritional needs — create the attachment that stimulates healthy growth and development.

As a result, leaders around the world — including ChildFund — are increasingly focused on the integration of nutrition and stimulation. A growing body of research suggests that when these two areas of intervention are combined, the whole is greater than the two parts. An infant benefits more than if the interventions are delivered separately. So, what does this look like in real life for a mother and her baby?

One example is that well-baby visits address the interconnected needs of parent and child. Usually, when a mother brings her baby to a clinic for growth monitoring, she receives education and counseling on infant feeding practices (and, ideally, about her own nutrition as well). But this meeting can also be an opportunity to discuss the importance of stimulation to facilitate the baby’s brain development.

For example, a health worker can encourage the mother to actively engage with her baby and talk to him during mealtimes. This simple message builds upon the existing counseling about nutrition and can help reinforce the importance of responsive caregiving. When the mother is empowered to interact with her child this way, the baby’s cognitive development improves — and so do his chances for a brighter future.

Remember When You Were 5?

Zeneza

Five-year-old Zeneza of Timor-Leste.

By Kate Andrews, ChildFund Staff Writer

Here at ChildFund, we think a lot about children who are five and younger. A child’s fifth birthday is an important milestone because the most significant development — physical, social and cognitive — occurs in the first five years of life. This is when language, motor coordination, problem solving and self-control become more defined. But approximately 200 million children under the age of five are not receiving the proper nutrition, stimulation, and education that they need to reach their full potential.

Kate

Here I am, getting ready for the first day of kindergarten.

That’s why ChildFund is taking part in 5th Birthday and Beyond, a campaign culminating with an event on Capitol Hill on June 25 that focuses on the health of children around the world. More than 100 nongovernmental organizations (including ChildFund), businesses, philanthropic groups and others have formed a coalition to create awareness of worldwide improvements in children’s health around the world and what remains to be done.

As ChildFund President and CEO Anne Lynam Goddard notes, “My great hope for the 5th Birthday and Beyond campaign is that it will inspire many more of us to invest in providing children living in poverty with the support they need — not just to survive, but also to dream, achieve and contribute.”

Some of the news is excellent: In 2014, 6 million fewer children will die before their fifth birthday than 25 years ago. Polio is largely eradicated, and in the past 12 years, fewer children have died from pneumonia, diarrhea, measles, malaria, and AIDS. Credit goes to many groups in the U.S. and around the globe, including U.S. foreign assistance programs, UNICEF, the World Health Organization and numerous NGOs like ChildFund.

Nonetheless, there are still many battles to fight, as 6.6 million children under five are expected to die this year, primarily from preventable diseases. Public awareness is the first step in overcoming these serious obstacles to better health among the youngest people in developing countries.

We’ll have more information as 5th Birthday and Beyond approaches, but for now, we ask you to go into your photo albums and find a picture of yourself when you were around five years old. Then, when June 23 (the launch of the social media campaign) comes, post your photo as your avatar on social media and send out a message about the importance of child survival and health to share with your community.

Here are some numbers that may help you, and don’t forget to tag your message with #5thbday. Thank you for your help!

Anne Goddard at 5

ChildFund President and CEO Anne Goddard, dressed for kindergarten graduation.

Recognizing Families’ Role in Early Childhood Development

By Verónica Travez, ChildFund Ecuador

Families are crucial to ChildFund’s early childhood development programs, a fact that ChildFund Ecuador recently celebrated in three cities where children and youth are served.

Ecuador 75th event

ChildFund Ecuador’s event recognizing our 75th anniversary and early childhood development work.

ChildFund invited children, families, community members and local government and school officials in Latacunga, Imbabura and San Miguel de los Bancos to hear how participants in ECD programs have improved and changed their lives.

“I learned many new things,” said Fatima, a mother and a workshop leader. “I learned how to care for my 2-year-old daughter, how to grow healthy food and how to treat her with love and stimulate her appropriately. I learned that to guide our children, we must not mistreat them. Participating in workshops has helped me as a mother, as a wife and as a leader. The knowledge that ChildFund leaves in us is an excellent experience.”

The event was part of ChildFund’s ongoing 75th anniversary celebration worldwide, an opportunity not only to have fun but also to educate community members about the differences children and their families have seen in their lives.

Anthony, a 12-year-old boy from the city of Latacunga, congratulated and thanked ChildFund for its “unconditional support” to his family and especially to his community. Ecuador’s central and local governments have launched a national project to improve child care and child development, and ChildFund is committed to these goals as well, benefiting children and families across the country.

No More Yelling

Interview by Sagita Adesywi, ChildFund Indonesia

Yeyen, a 27-year-old mother of two who lives in Kapuk, West Jakarta, Indonesia, describes the effect an Early Childhood Development (ECD) center supported by ChildFund and Fronterra, a global dairy company based in New Zealand, has had on her family’s life.

“When my first son, Habibie, was only 3 years old, I forced him to read and write. I really wanted him to be ready to go to school. I wanted him to write the letters perfectly, but he wrote them like random drawings. He often cried when I asked him to write properly. It was really difficult. It frustrated me that sometimes I lost my patience and raised my voice, saying that he was a naughty boy.

Habibie

Habibie at his ECD center in Indonesia.

“It was not that I was being mean to my own child, it was just that I really wanted him to be able to read and write so he could be the smart one in school. I really wasn’t aware that what I was doing to my son is not a good age-appropriate practice. I just didn’t know any better. ’Thankfully, not so long after, when we walked by an ECD center in our neighborhood, we saw children learning and playing together. Seeing that, Habibie told me he wanted to play and learn there too. I was surprised because I didn’t even ask him to! I was so happy that I took him to Mentari ECD center right away.

“In less than a year, my son could sing and pray very well, along with the other children at the Mentari Ceria ECD center. I had taught him how to pray at home before, but somehow he didn’t do that well. It seems the ECD tutors know better approaches for young children. The tutors are so nice and patient, while I used to get easily angry with Habibie. I see how the ECD tutors communicate using a nurturing tone of voice with the children. Soon enough, I also learned for myself how to communicate better with my son.

“It has changed me and surely has changed Habibie! Habibie now also likes to teach his younger sister, Alisa, how to sing and pray,” Yeyen says. Alisa also goes to the center, and she doesn’t receive pressure to learn how to read and write early, as Habibie did.

mother and tutor

Tutor Eliana (left) and Habibie’s mother, Yeyen.

“Many parents yell when disciplining their child,” notes Eliana, a tutor at Mentari Ceria. “Yelling is not a form of discipline, but rather a punishment. We have learned so much from the training we had from ChildFund on early childhood development. Discipline is teaching through communication in a calm and gentle way. Children who are yelled at regularly will eventually learn to ignore their parents’ yelling.”

Tutors at the center have been provided with training in early childhood development, which they pass on to parents and caregivers, aiming to create a safe and caring environment with healthy interaction between adult and child.

“I don’t yell at my son anymore or at my daughter,” Yeyen says. “I pay attention to what I say and how I say it to my children. Having fun and interactive activities at the ECD center with other children and the changes in interaction at home have really helped boost my son’s self-esteem. I want my children to play and learn freely.”

Uphill Climb to Provide Health Care to Rural Indian Families

By Saroj Pattnaik, ChildFund India

One in a series this week for World Health Day (April 7) 

Saraswathi

Saraswathi and her baby at a parenting workshop in southern India.

On a hot afternoon in southern India, the atmosphere inside the small community center  was unbearably sultry. But for a group of women, the heat was not terribly bothersome, as they were in the middle of an informative and eye-opening session on child care and parenting skills. 

Led by Beula Ruth of the Kalaiselvi Karunalaya Social Welfare Society, one of ChildFund’s local partner organizations in the state of Tamil Nadu, the workshop was aimed at educating pregnant and lactating mothers about prenatal and postnatal care. 

“I had no idea about exclusive breastfeeding. I didn’t know that a child needs only breast milk for six long months,” says Saraswathi, a first-time mother of a 5-month-old baby. “This is something that I am hearing for the very first time.” 

Beula agrees and adds, “Every time, we come across some women who don’t have the basic knowledge on child care. This is why we continuously conduct such awareness sessions in our project area.” 

There has been substantial improvement to government health services in India, but a majority of people living in rural areas still don’t have access to health care.  And that’s where ChildFund comes into the picture, by working with the government and local partners to bring public health services to underserved communities.  

Here are some of the stark facts about the lives of rural Indians:

  • 66 percent of the rural population in India lacks access to preventive medicines
  • 31 percent of the rural population has to travel more than  18 miles for medical treatment
  • 10 percent of all babies die before their first birthday
  • 56 of every 1,000 Indian children will die before they turn 5
  • Only 35 percent of all Indians have access to improved sanitation facilities
  • Just 3.9 percent of India’s 2011 GDP was spent on public health

(Sources:  National Rural Health Mission, Government of India; WHO; Indiafacts.in) 

health camp in India

A doctor sees patients during a health camp organized by Pride India in the district of Raigad.

As part of our Early Childhood Development program, ChildFund and its partners in India conduct training sessions for mothers, discussing good nutrition (both for themselves during pregnancy and for their children under the age of 5), developmental benchmarks and preventive health care, among other issues.  

Last year, there were more than 9,000 training sessions across India, with more than 180,000 parents and other caregivers participating. As a result, more than 86 percent of births  occurred in hospitals or other health institutions, and more than 68,000 children have been fully immunized. 

“We make sure that all the communities have the access to government health facilities and if they don’t we bring those services to their doorsteps,” Beula says. “Our ECD workers and volunteers continuously monitor the health of children, pregnant women and new mothers and refer them to nearby hospitals whenever necessary.”   

Like Beula, Anita Ghalekar in Chochinde Kond — a remote village in Maharashtra State’s Raigad district — is a busy woman. Even after her retirement from ChildFund’s local partner Pride India, she is committed to maintaining access to health services for local families.     

health care in home

Anita Ghalekar monitors a boy’s growth in his home in the Raigad district.

Besides overseeing ChildFund’s home-based ECD intervention activities in her region, Anita leads 15 health camps, which provide workshops and care in individual villages. 

“We make sure that all the villages in and around our program area are covered under our programs designed to ensure basic health care of the people, especially children, new mothers and adolescent girls,” says Virendra Kulkarni, manager of Pride India. 

“And we implement these programs in such a way that the communities take ownership of them,” he adds. “For example, when we conduct health camps, villagers provide us accommodation, beds and other logistic support required. And this has helped us reach out to a wider population and implement our program successfully.”  

Dr. Vijay Kumar Singh, who led a health camp in Uttar Pradesh recently, says, “ChildFund is doing a great work. They are reaching out to people in those places where the government health service has not yet reached.”

Ester: Passing to Others What She Is Learning

By Sagita Adesywi, ChildFund Indonesia

As we conclude our 75th anniversary blog series, we are focusing on success stories of youth and alumni from ChildFund’s programs in the Americas, Africa, Asia and Europe. Today we meet Ester, a tutor at a ChildFund-supported Early Childhood Development center in Dula Luri, East Sumba, Indonesia.

Ester of Indonesia

Ester, an ECD tutor from Indonesia.

I was a sponsored child since the third grade, and ever since, my life has been with ChildFund. When I graduated from high school in 2001, the director of ChildFund’s local partner organization here asked me if I was interested in teaching young children. At first, I was confused, as I had no experience in teaching, but I was happy that I was asked and felt that it was a calling to contribute to my hometown, so I said yes! I was trained for three weeks on early childhood development (ECD) curriculum, daily activity planning, teaching and learning themes and children’s personalities.

I practiced talking in front of the mirror at home what I had learned in the trainings. Sometimes, I gathered children in my neighborhood to practice teaching them. Many of them laughed at me.

After the trainings, we went around in Dulaluri, from house to house, assessing how many young children were in the area. In the beginning, we had about 60 children. Since we didn’t have a permanent building yet, we did the activities moving from one person’s house to another’s every couple of weeks. At that time, not many people understood the importance of early childhood development. So, sometimes, children just didn’t come. We would then go visiting their house to talk with their parents.

In just three years, ChildFund built us a permanent building and we didn’t have to move around anymore. I think that sometimes children do not get their parents’ full attention at home. While in the ECD center, they can be really close with us, learning and playing together. Children also bring home what they have learned.

The training I just had is about early childhood development and disaster risk reduction. When I thought about disasters, I only thought about earthquakes, wind storms and heavy rains. Through the training, I learned about the vulnerabilities and risks around us, such as how our broken floor and roof could be really dangerous for our children in the ECD center. If the broken roof falls apart, it would be a disaster! In heavy rains, the center’s gutters would be flooded. We need to make sure our children are not playing near the gutters, since they love to play in the rain outside.

Ester with children

Ester with children from her ECD center.

This training benefits us and the children. We learn how to teach children about hazards, such as playing with a knife or fire could hurt them. Children learn how to save themselves too when disasters occur and learn how to explain who they are if they are lost or separated from their families. They can say their names, the names of their parents and where they live. I never thought these were important things, but through the training, I understand how this can help the children get back to their families.

Some of the children come from far away to the center, crossing the main road with their parents or older siblings. We are worried for them. I want the parents to also learn about the hazards of the main roads.

 If we didn’t have the ECD center, our children would fall behind other children who receive these services. When I was a kid, I didn’t go to an ECD center, as there wasn’t one back then. I grew up shy. If I saw a stranger, I would run away. Children in our ECD center are more confident. They aren’t that shy when we have visitors in our center.

ChildFund has changed my life. I only wanted to be a good person and pay forward to as many people as possible what I have gained from ChildFund.

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