An essential package of services and support for ECD - Children's ...

Figure 2: Essential services for young childrenAn essential package of services and supportNutritional supportMothers1. Mothers are provided with education onbreastfeeding and nutrients for children.2. Eligible women are provided with nutritionalsupport during and after pregnancy.Children1. Children who fail to thrive vii are provided withnutritional support.2. Children are dewormed every six months from theage of 12 months.Social services1. Children’s births are registered as soon aspossible (preferably at birth).2. Eligible children access the appropriate socialgrants, particularly in the first year of life.3. Children are provided with a responsive childprotection service in which child abuse andneglect investigations are timeously conductedand concluded, and support is provided tovictims.4. Eligible children (particularly those affected bytrauma) are provided with psycho-social support.Maternal and child health servicesMothers1. Pregnant women are provided with basic antenatal care(at least four antenatal visits, with the first antenatalvisit prior to 20 weeks of pregnancy).2. Pregnant women are screened for mental health andalcohol and substance abuse problems to providesupport and prevent foetal damage. viii3. Pregnant women and mothers of young children areinformed on the dangers of smoking, alcohol and druguse, and neglect.4. Prevention of mother-to-child transmission (PMTCT)treatment is provided according to delivery protocols.Children1. Newborn health is promoted through postnatal carewithin six days of delivery (at a health facility or athome).2. Children who fail to thrive are screened fortuberculosis.3. Children are screened for developmental delay anddisability at a health facility at 0 – 6 weeks;9 months; and 12 months. ix4. Children are routinely immunised.5. Primary health care facility staff are equipped toimplement the Integrated Management of ChildhoodIllness strategy.Support for primary caregivers1. Caregivers have access to parentinginformation to reduce risk behaviour,improve their knowledge of early childhood,and promote parenting skills.2. Eligible primary caregivers (particularlythose burdened and depressed) areprovided with psycho-social support.3. Child care services are monitored andsubsidised services are available.Stimulation for early learning1. Children have access to quality evidencebasedearly learning programmes prior tograde R.2. Children have access to communityresources that support early learningwithin the home (eg toy and booklibraries).3. Children have access to quality grade Rand foundation phase education.vii “Failure to thrive” refers to children who do not gain weight as expected, or continue to lose weight.viii This service, with accompanying referral, is largely unavailable. Every effort must be made to provide this essential service.ix Urgent attention needs to be given to the provision of appropriate services for identified children.PART 2Essential services for young children31