Assessing Child/Household Needs and Well Being_Dalebout_5.2.12
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Transcript of Assessing Child/Household Needs and Well Being_Dalebout_5.2.12
Measuring Child Well BeingThe Parenting Map:
Case Management for OVC Caregivers
CORE Group Spring MeetingMay 2012
The Parenting Map
• Developed by Project HOPE as part of USAID-funded Track 1.0 Orphan & Vulnerable children (OVC) program, 2005-2010, in Mozambique & Namibia
• Also used in small South Africa OVC program
• Currently in use in Namibia OVC-TB program
• Other organizations have adapted it for use in Malawi, Ethiopia, and Haiti
Program Focus on OVC Caregivers
• Parenting Skills Training across OVC Domains
• Economic Strengthening
• Community Support through Volunteers
Parenting Map: Use
• Developed as part of USAID-funded Track 1.0 Orphan & Vulnerable children (OVC) program, 2005-2010, in Mozambique & Namibia
• Also used in small South Africa OVC program
• Currently in use in Namibia OVC-TB program
• Baseline data on 17,000 children to date
Parenting Map: What is it?
• Low literacy tool covering the 6 domains of OVC care that empowers the caregiver to better care for OVC by providing a quick but comprehensive snapshot of each child’s “well-being”
• Serves as a visual reminder (a pictorial “map”) for caregivers that reinforces training they get in caring for OVC
• Serves as a focal point for supportive volunteer visits and program staff (case management)
• Provides data for measuring program impact
Parenting Map: Components
• Parenting Map (for caregiver)
• Action Plan (for volunteer)
• Scorecard (for program staff)
Parenting Map: Process
1. Field Officer (program staff) goes through Parenting Map with OVC caregiver for each child in the household
2. Field Officer creates an “Action Plan” for each child which is shared with the Family Resource Person (volunteer) & fills in Scorecard for data
3. OVC Caregiver takes home Parenting Map
Indicator detail – for training
Underlying Principle:
Child should be taken to
the health facility
EVERY time needed
1. Did you take [child’s name]
to the health facility the last 3
times he/she needed to go?
Possible responses:
Yes, No, I don’t know (DK)/I’m not sure (NS)
Mark if the response was Good
Mark if the response was “DK/NS”
Mark if the response was Bad
?
Parenting Map – for Caregiver
Action Plan – for volunteer
Scorecard – for staff data retrieval
Process: Implementation & Follow Up
1. OVC Caregiver participates in Parenting training with 16 sessions over 9 months
2. Family Resource Person (volunteer) makes supportive home visits, usually monthly, to follow up with the caregiver and provide referrals as needed
3. The same Field Officer (staff) who collected initial data recollects Parenting Map data at 6 months on a sample of participants
Data Results
• Generally our recollection on same children & aggregate data has shown improvements across the board…individual indicators, domains, countries
Results by Region
Prior Program Namibia: Average Achievement by Domain
55%
79%
71%
91%
67% 67%
85%
94%89%
95%
77%
86%
0%
20%
40%
60%
80%
100%
Health Nutrition Shelter Education Protection PSS
Initial Collection Recollection
Prior Program Namibia: Health Domain
44%
35% 37%
81%78%
85% 83%
66%
99%92%
0%
20%
40%
60%
80%
100%
Health facility last 3 times needed
No diarrhea in last 2 weeks
No fever in last 2 weeks
Fully immunized Received HIV education (over 8)
Initial Collection Recollection
Value for Efforts
• Initial data collection serves to form action plans for each child – valuable for OVC
• Recollection can be useful to reinforce training and volunteer visits – may be useful to OVC caregiver; more useful for staff
• Data entry & analysis is time consuming – we are now using sampling for recollection (1/3 in each region) & we are testing use of mobile application
Data Analysis Challenges
• Seasonal differences expected (more diarrhea, less quantity and quality of food during rainy season)
• Data showing less change than reality in some instances (protection)
• Staff prefer yes or no response to questions
Conclusions
• High tool acceptability among field staff, volunteers & caregivers
• The tool helps focus interaction with caregiver
• The tool helps guides priority actions for caregiver
• Effective for showing gaps and identifying needs which aids in prioritizing program responses
Recommended Uses
Recommended Uses
• Case management for individual children
• Identifying community / district gaps & needs
• Aggregate results for measuring overall program effectiveness
Contraindications
• Aggregate results for intervention with individual child
Thank you!
• For more information, contact:
• Sandra Dalebout [email protected]
• John Bronson [email protected]
• Steve Neri [email protected]