Zambia Integrated ECD Program for Children Affected by HIV/AIDS

In the pursuit of changing the lives of the children and their caregivers in vulnerable communities, Zambia Anglican Council Outreach Programmes (ZACOP) in partnership with Episcopal Relief & Development has been implementing the Early Childhood Development (ECD) programme since 2012. The first phase of the programme was implemented in Northern and Central Dioceses in 2012. The second phase was the scale up to three other Dioceses in 2013, namely Luapula, Lusaka and Eastern which ended on 31st December, 2016. In 2017, ZACOP will be implementing an Interim Integrated Early Childhood Development Program for Children Affected by HIV/AIDS for a bridge period of six months. The key areas of focus for the Interim Six-month period (January to June 2017) is to strengthen caregiver/ volunteer engagement and ownership of the ECD Program in order to enhance improve community activity performance for impact results. In order to achieve this, a new set of activities will be carried out in addition to the routine activities. The transition strategy for the interim six month period foresees the continuation of ongoing ECD activities with some variations on program timeframes between new and older Dioceses leading to changes in frequency of home visits. The transition strategy is grounded on continued learning, innovation and piloting that will enable key stakeholders to manage and own the ECD Program while at the same time providing continued services to caregivers and their children. - Integrating nutrition assessment with ECD through ongoing health services (growth monitoring), home visitations, care giver support and learning group sessions will enable the Program to attain scale and maintain effectiveness. Detecting the early on-set of malnutrition together with referral; treatment and counseling can avert and reduce the incidence of wasting (Marasmus) and edematous malnutrition (kwashiorkor) averting and reducing the negative longer term consequences. - The caregiver peer-to-peer home visit approach is a small pilot that will be learned from, adopted and scaled up - Continued participatory discussions and consultation are expected to lead to increased participation and involvement and ultimately to self-management and ownership.

Activities

CHWs provide monthly education on maternal nutrition (pregnant and lactating mothers) during caregiver group meetings, Provision of seeds (vegetables) to caregiver support group members for distribution to start family gardens, Monthly cooking demonstrations to 212 caregiver groups, Formation of the 73 SWE groups (20 in Central, Northern 15, Eastern 14, Lusaka 12 and Luapula 12),Cascade Training for SWE groups by Caregivers/ facilitators, Fulfillment of registration requirement for formalization of 171 SWE groups, Establishment of Volunteer SWE groups, Bi-annual SWE leadership experience sharing meeting ( Lusaka and Central in April, Northern in May and Eastern & Luapula in June),CHWs provide monthly health education session for 212 caregiver groups:, Monthly Growth Monitoring conducted for U5 children by CHWs, Household Counseling (HIV/AIDS, TB, Family Planning, RDT, HIV Testing, ACT, Social, Diagnosis and management of common childhood illnesses),Linking growth monitoring with early detection of severe acute malnutrition and developmental delays:, Checking children for developmental delays during growth monitoring, Referrals to essential services: Child Health, Referrals to essential services: Child Protection, Referrals to Essential Services: Child nutrition, Referrals to essential services: Caregiver health, Referrals to essential services: Developmental delays, Monthly Water, Sanitation, Hygiene Education sessions at Caregiver group meetings, Bi- annual Child Health Week, National training workshop (with Diocesan accountants, Administrators),ZAC/ZACOP meeting to Endorse and Approval Financial Manual, Monitoring of financial system roll-out, National Quarterly Audit, Diocesan Quarterly Audit, Production of internal audit reports (Board, Partners and ZAC finance committee),Annual Accounting Training (TBD),National level Meetings, ECD Volunteer In-Service & Reflection Meetings with 1166 volunteers - every other month, Monthly Caregiver support and learning groups (212) meetings using EP, Monthly Caregiver support and learning groups (212) meetings using Parenting Skills themes( self-esteem, parenting styles, positive parenting etc.), Weekly Toddler playgroup sessions (0-2 years),Daily Pre-school Play and learning sessions ( 3-4 and 5-6 years): note record the average attendance, Quarterly Documentation of Granny Story Telling Sessions by Volunteers, Psychosocial Counseling for caregivers as needed, Quarterly home visits for 4245 families on EP (Central and Northern Diocese),Monthly home visit for 1983 families on Parenting Skills (Luapula, Lusaka and Eastern Dioceses),Steering Committee members trained in sustainability and resource mobilization, Cascade Training for ECD Promoters in Early detection of severe acute malnutrition and early detection in developmental delays, Identification of new teenage caregivers and vulnerable caregivers for peer caregiver piloting,30 Caregivers visiting 60 teenage caregiver households plus 90 vulnerable caregiver households (monthly), Developing the key messages on child protection, Dissemination of IEC materials on child protection, Printing of GBV response information and referral for use at ECD Centers, Provincial/District Meetings (includes faith leaders and community leaders),ECD Quarterly Meetings, Weekly Granny Stimulation Sessions, Quarterly Caregiver toy making sessions, Production of Indigenous Story Book (ii) from Granny Sessions and Video Library (in Local Languages),Youth caregiver drama performance sessions (include information on the key messages),Audio visual learning sessions( 5 sessions each),Quarterly home visits for 4245 families on Parenting Skills (Central and Northern Diocese),Monthly home visits for 1983 families on EP (Luapula, Lusaka and Eastern Dioceses),Translation of Parental Skills Visual aids and key messages in 4 languages (Bemba, Tonga, Chewa and Kaonde)- 583 Copies (1 for 2 ECD Promoters),Refresher Training for 424 Pre-school Volunteer Teachers, Staff Training on PLA, ARR, Most Significant Change and Appreciative Inquiry- 10 days, Development of Training Resources-Assessment of Nutrition, developmental delays, Develop and test simple pictorial aids for use by peer caregivers, Identification of 90 vulnerable caregivers for peer caregiver learning, Awareness & knowledge of basic guidelines & procedures on child protection, Certification of Trained psychosocial Counsellors (Northern and Central Dioceses)

Cross-cutting issues

Institution Strengthening

Locations

  • Zambia>Northern
  • Zambia>Eastern
  • Zambia>Central
  • Zambia>Luapula
  • Zambia>Lusaka

Sectors

  • Agriculture
  • Economic Recovery and Development
  • Education
  • Health
  • Capacity Strengthening for CSOs (general)
  • Water Sanitation and Hygiene

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