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REPUBLIC OF NAMIBIA
A Framework for Action
Towards IntegratedEarly Childhood DevelopmentService Delivery in Namibia
2017 - 2022
REPUBLIC OF NAMIBIA
For more information contact:
Ministry of Gender Equality and Child Welfare
Directorate: Community and Early Childhood Development
Private Bag 13359, Windhoek, Namibia
Juvenis Building Independence Avenue
Telephone: +264-61-2833111
Fax: +264-61-238941 / 221304
Email: [email protected]
A digital version of this document is available on:http://www.mgecw.gov.na/; http://www.moe.gov.na/; www.mhss.gov.na/
Design & Layout: Jo Rogge
Printed by John Meinert Printing, 2017
A Framework for Action
Towards IntegratedEarly Childhood DevelopmentService Delivery in Namibia
2017 - 2022
REPUBLIC OF NAMIBIA
iIECD Service Delivery A Framework for Action
Contents
List of Abbreviations
1. Introduction
2. Background and Rationale
2.1 Definition
2.2 Policy Framework
2.3 Rationale
3. Situational Analysis
3.1 Maternal and Child Health
3.2 Social Protection
3.3 Nutrition
3.4 Nurturing Family Environment and Parenting Support
3.5 Stimulation for Early Learning
3.6 Governance and Financing
4. Framework for IECD
5. Goal, Components and Purpose of the Framework
5.1 National Indicators
6. Monitoring and Evaluation
6.1 Approach and Purpose
6.2 Principles
6.3 Steps for Implementing, Producing and Disseminating M&E
6.4 Supervision and Data Quality
6.5 Research Agenda
7. Early Childhood Investment, Costing and Financing
7.1 Financing IECD: Public Resources
7.2 Considerations for IECD Investment
7.2.1 Financing IECD - Sources of Funds and Allocation Mechanisms
7.3 Costing
7.4 Recommendations for the Namibian Context
8. Activities to be Undertaken for the Implementation of IECD
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ii IECD Service Delivery A Framework for Action
AbbreviationsART Anti-retroviral Treatment
DHS Demographic and Health Survey
ECD Early Childhood Development
EMIS Education Management Information System
EPI Expanded Programme on Immunisation
ETSIP Education and Training Sector Improvement Programme
GRN Government of the Republic of Namibia
IECD Integrated Early Childhood Development
IMCI Integrated Management of Childhood Illnesses (programme)
IYCF Infant and Young Child Feeding
M&E Monitoring and Evaluation
MDG Millennium Development Goals
MGECW Ministry of Gender Equality and Child Welfare
MHAI Ministry of Home Affairs and Immigration
MoEAC Ministry of Education, Arts and Culture
MoHSS Ministry of Health and Social Services
MoPE Ministry of Poverty Eradication and Social Welfare
NAC National Agenda for Children
NECD NGO National Early Childhood Development NGO Association
NGO Non-governmental Organisation
NIED National Institute for Educational Development
NDP4 Fourth National Development Plan
NQA Namibia Qualifications Authority
NTA Namibia Training Authority
N$ Namibian Dollar
OVC Orphans and (other) vulnerable children
PMTCT Prevention of mother-to-child transmission
PQA Programmes and Quality Assurance (in the MoEAC)
TBD To be Determined
UN United Nations
UNICEF United Nations Children’s Fund
1IECD Service Delivery A Framework for Action
1.Introduction
Building a strong foundation for healthy development during the early years of
life is an important prerequisite for lifelong well-being, successful communities,
economic productivity, and harmonious civil societies. Stated simply, a
promising future belongs to those nations that invest wisely in their youngest
citizens. Increasing evidence indicates that the lifelong burden of early
disadvantages can be difficult to reverse, whereas a good start helps children
develop capacities to cope successfully and contribute to the socio- economic
development of the society in which they live.
(PEDIATRICS Volume 129, Number 2, February 2012 Jack P. Shonkoff, MD, Linda Richter, PhD, Jacques van
der Gaag, PhD, and Zulfiqar A. Bhutta, MB, BS, PhD)
The response to the persistent poverty and inequality that impedes the development of Namibia’s development goals post-independence, must begin with addressing holistic early child development. Putting the integrated delivery of early childhood development services in a comprehensive manner that looks at health and nutrition, protection and child welfare, and early learning services will yield a tremendous return on Government investment in the long run and should be placed at the centre of Governments future development plans.
The increasing sophistication of science and technology has provided evidence that demonstrates the importance of pregnancy and the first two years of life (together constituting 1000 days) in laying down the foundations for health, skill development and affectionate human relationships across the life course and even into the next generation. This first “1000 days” of human life set the foundation for future health, social and intellectual outcomes – laying down patterns of response that become entrenched as virtuous cycles of health and capability or vicious cycles of vulnerability. According to Grantham-McGregor S et al. (2007)1, negative experiences during the early years increase the risk for poor social and health outcomes: low educational attainment, economic dependency, increased violence and crime, alcohol and drug abuse, poor mental health, and a greater risk of adult-onset non-communicable diseases, such as obesity, cardiovascular disease, and diabetes. These disadvantaged children are likely to do poorly in school and subsequently have low incomes, high fertility, and provide poor care for their children, thus contributing to the intergenerational transmission of poverty (Developmental potential in the first 5 years for children in developing countries (Grantham-McGregor S et al. (2007)).
According to UNICEF and WHO2, there is consistent and strong evidence which shows that:
• Brain development is most rapid in the early years of life. When the quality of stimulation, support and nurturance is deficient, child development is seriously affected.
1Sally Grantham-McGregor, Yin Bun Cheung, Santiago Cueto, Paul Glewwe, Linda Richter, Barbara Strupp, and the International Child Development Steering Group. Developmental potential in the first 5 years for children in developing countries. Lancet (2007) 369:60-70).2UNICEF/WHO (2012), Care for Child Development: Improving the Care of Young Children, Geneva
2 IECD Service Delivery A Framework for ActionIECD Service Delivery A Framework for Action
• The effects of early disadvantage on children can be reduced. Early interventions for disadvantaged children lead to improvements in children’s survival, health, growth, and cognitive and social development.
• Children who receive assistance in their early years achieve more success at school. As adults they have higher employment and earnings, better health, and lower levels of welfare dependence and crime rates than those who do not have these early opportunities
This framework provides guidance and a recommended action plan to the Government of the Republic of Namibia and national partners involved in the provision of integrated early childhood development (IECD) services to help them implement a comprehensive integrated multi-sectoral response to early childhood development. The graph below provides a summary of why it is important to start early in providing integrated services for child development. This is the time when the brain develops most rapidly and the neural connections are formed that are the foundation of a child’s physical and mental health and lifelong health and well-being.3
Graph 1: Timeline for Human Brain Development of various functions
3Grantham-McGregor S et al. (2007), Developmental potential in the first 5 years for children in developing countries. Lancet 369:60-70
It is evident that following a well-coordinated multi-sectoral life-cycle approach is essential in giving children the best start in life. Service delivery can no longer take place in silos. Therefore this framework sets out clear guidelines towards integrated early childhood development service delivery for Government. Current evidence is clear: experiences in early childhood, from birth to eight years, help determine an individual’s capacity to cope with stress, learning and social integration, influencing later adult health, wellbeing and productivity.
Poor nutrition, stress, exposure to violence, disease including HIV, and alcohol during pregnancy and infancy impact negatively on an infant’s brain development and should be prevented. Children from impoverished families or households,
2
3IECD Service Delivery A Framework for Action 3IECD Service Delivery A Framework for Action
in poor health with low nutritional status, and exposed to stress, violence or illness will require substantial early interventions to reach their full potential. These interventions are largely in place through existing government services – such as ante-natal clinics, social assistance grants, birth registration, subsidies to educarers at ECD centres, and pre-school classes in Ministry of Education, Arts and Culture (MoEAC). The service delivery however remains fragmented and uncoordinated. The table below provides a summary of some key known developmental risks in early childhood development:4
Table 1: Developmental risks in early childhood development
4EWEC technical content work stream working group on early child development,23/03/2015. Effective interventions and strategies for improving Early Child Development
Biological risks Contextual risks• Intrauterine growth retardation,
low birth weight, preterm birth• Sub-optimal breastfeeding
practices• Malaria• Protein calorie malnutrition • Iodine deficiency• Iron deficiency• Exposure to environmental lead• Exposure to other environmental
toxins (arsenic, mercury, pesticides)
• Parasitic infections• Chronic diarrhoea• Childhood HIV infection
• Inadequate opportunities for exploration and learning in the home
• Maternal depression and ill health• Insensitive or non-responsive
caregiving• Parental use of harsh physical
punishment• Exposure to violence including
child maltreatment, intimate partner violence and community violence
• High levels of parental stress• Crowded or highly chaotic home
environments• Parental/guardian alcohol and
substance abuse• Poor quality early care
environments outside the home• Being orphaned• Refugee status• Lack of services • Societal stigmatization of children
with developmental disabilities
As a country, Namibia has 24% of children under five who are stunted and thus already at risk of poor development. In addition 34% of our children are living in poverty, and we have 45,000 children under five who have been exposed to the HIV virus. Research indicates that women as well as men abuse alcohol, even during pregnancy, which is seriously detrimental to a child’s brain development. Responsive parenting in the best African tradition and good nutrition at an early age while the brain is still ‘plastic’ can overcome many disadvantages.
What is now required is sufficient investment in improving the coordination, quality and reach of current services and adding some key complimentary
4 IECD Service Delivery A Framework for Action
services such as home visits for at risk mothers and children, nutrition support for children in day care and ECD centres, and a nationwide public campaign on the importance of nutrition and health during pregnancy and the first two years of a child’s life.
• The services must be of sufficient quality and frequency to make a difference.
• The services must be made more accessible to those who need them most, so that the government’s current and future major investments in health, education and workforce development may bear fruit over the next five years.
Without early investment, the returns on future government spending will be limited, as seen in Grade 10 and 12 results over the last couple of years. With early investments, international studies have shown a decrease in drop-out rates, a decrease in sexual partners, and increases in earnings of up to twenty-five percent. This places Integrated early childhood development as a cost-effective, rights based response and high return investment for Governments.
5IECD Service Delivery A Framework for Action
2. Background and Rationale2.1 Definition
Integrated early childhood development (IECD) views all aspects of children’s development holistically including a child’s cognitive, social, emotional and physical development. Early childhood development can be positively or negatively influenced by environmental or biological factors. Healthy development in the child’s early years of life serve as a strong foundation for lifelong learning, productivity and good health, while inclusive early childhood development promotes appreciation for diversity and social inclusivity.
The term ‘early childhood development’ refers to the process of change through which a young child (0-8 years old) comes to master more complex levels of moving, thinking, feeling and interacting with people and objects in the environment. For children to develop, their basic physical need for protection, food and health must be met, along with their psychosocial need for affection, interaction and stimulation, and learning through exploration and discovery.
Well-coordinated comprehensive and integrated services are likely to be more effective, cost efficient and sustainable, than individually packaged services, thus improving access to services to pregnant women and families with young children.
2.2 Legislative and Policy Framework
Integrated Early Childhood Development (IECD) in Namibia is guided by the National Integrated Early Childhood Development Policy of 2007. The IECD Policy defines ECD as a set of integrated interventions aimed at holistic care, development and protection of the child. According to the Policy, the Ministry of Gender Equality and Child Welfare (MGECW) leads initiatives for children from 0-4 years old. Services for the 5-8 year olds, including one year of pre-primary education, as well as training and curriculum development are under the auspices of the Ministry of Education, Arts and Culture (MoEAC). The Ministry of Health and Social Services (MoHSS) is responsible for all aspects related to health and nutrition, including establishing standards for the monitoring of health, nutrition, growth, immunisation, sanitation and hygiene among young children in ECD facilities and home-based care settings.
The National Conference on Education of 2011 deliberated on the importance of early childhood development. The Conference recommended that “the Ministry of Gender Equality and Child Welfare and the (then) Ministry of Education work out a joint plan for the execution of these recommendations in collaboration with other stakeholders to ensure better coordination management and development of ECD.”5
Despite the joint policy efforts between the different Ministries, further attention needs to be given to the topic of IECD. Henceforth, the Ministries decided to work on an integrated IECD Framework to further coordinate the joint efforts and different responsibilities and eventually strengthen the inter-ministerial cooperation. This also includes a greater financial commitment by the different Ministries. As stated in the Fourth National Development Plan (NDP4: 2012/13 to 2016/17).6 “The formalization of ECD hinges on the investment of public funds to enforce the necessary legislative and regulatory framework and institutional capacity.”
5General Reader, on the National Conference on Education, June 27-July 1, 2011: 2011, p. 46.6Fourth National Development Plan (NDP42012/13 to 2016/17), Office of the President, National Planning Commission.
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The Namibia Child Survival Strategy 2014 - 2018 aims to contribute to the accelerated reduction of under-5 morbidity and mortality. The general objective is to increase and sustain the delivery of high impact and cost effective maternal, newborn and child health and nutrition interventions. The specific objectives include, inter alia, improvements in accessing good quality essential health and nutrition care by mothers and children at all levels of the health care system. The Integrated Management of Newborn and Childhood Illnesses (IMNCI) will be the main strategy for the appropriate management of childhood diseases within the health facilities. The Health Extension Workers programme will be strengthened to be able to manage some of the common childhood conditions at the community level as part of the national strategy to provide more equitable services to the population in hard to reach areas.
The National Policy for School Health (May 2008) of the Ministry of Health and Social Services (MoHSS) describes the role of the lead Ministry in providing school health services which includes immunization against childhood diseases, screening for early identification of health problems, treatment of minor ailments and referrals. Mainly clinic nurses, in partnerships with medical rehabilitation officers, provide these services. Inspection of school premises is done to identify any health hazards, and health education is provided based on the findings from the school inspection. The NDP 4 states that one great challenge associated with education is the fact that it is a long-term investment, with results seen over a long time, starting already with ECD: “The challenges relating to the quality of education start with the limited access to early childhood development (EDC) services”, (NDP4, 2012, p. 46).
Education requires continued outlay in both money and time and, thus, remains a public and private cost that is unlikely to disappear or dissipate over time. Therefore,
7IECD Service Delivery A Framework for Action
it is crucial to ensure that Namibia achieves the intended returns on these investments, so that this expenditure requirement remains manageable and its yields positive. The NDP 4 states that returns on investments will be improved when Namibia starts to invest seriously in the early childhood development sector and it recommends the transition of leadership and governance of IECD from the MGECW to the MoE (AC). “In order to better integrate ECD with other aspects of education, it is recommended that the responsibility of ECD is transferred from the Ministry of Gender Equality and Child Welfare to the Ministry of Education”, (NDP4, 2012, p. 50). Transition, however, has not happened as per the NDP recommendations because it is too premature to focus on that considering that the Ministry of Education, Arts and Culture is still developing the pre-primary phase. Rather, the critical Ministries are now focusing on strengthen inter-ministerial and multi-sectoral coordination in order to strengthen the implementation of an integrated approach to ECD.
Support to IECD can address employment, poverty and social cohesion in line with the NDP4, which identifies four key strategies for improving IECD in order to contribute to educational excellence:
1) Provision of 100 free government run strategically located ECD centres;2) Increased provision of and support for ECD teacher training;3) Increased ministerial capacity to implement and support ECD centres;4) Transfer responsibility for IECD from MGECW to MoE (AC).
The 5th National Development Plan (NDP5) 2017 - 2021, has highlighted access to IECD and pre-primary education as a national priority. In addition, the Strategic Plan of the Ministry of Education Arts and Culture, 2017 - 2021, has noted that “not all children currently have access to pre-primary education” and has committed to increase the percentage of children that have access to one year of pre-primary education from 38 percent in 2017 to 80 percent by 2021. In addition, the Ministry of Gender Equality and Child Welfare Strategic Plan 2017 - 2022 has identified a challenge with regards to the inadequate specialized personnel in ECD and has highlighted in its Strategic Objective 4 to improve care and protection for children’s well-being and to increase access and improve quality of ECD services.
The newly enacted Child Care and Protection Act of 2015 states that the minister responsible for education must administer all matters relating to activities at early childhood development centres and that such centres must be registered; must meet certain standards; and must be regularly supervised. The Act also specifies members of staff at an ECD facility7 are mandated by law to provide information obtained during the course of official duties that gives rise to a suspicion that a child is or may be in need of protective services to a state social worker or a member of the police. This includes information on children suspected to be neglected or physically abused, children at risk of psychological or sexual abuse, children growing up without a suitable educarer or in extremely overcrowded or highly unsanitary promises. Persons failing to comply with this mandatory reporting requirement commit an offence and are liable to conviction.
7Provision 132 of the CCP Act specifies “members of staff at a […] facility registered under Chapter 5” are mandated to report information on a child who may be in need of protective services. Facilities listed in Chapter 5 include ECD centers.
8 IECD Service Delivery A Framework for Action
The recently approved National Human Rights Action Plan (NHRAP) 2015 - 2019 has seven focus areas: Health, Education, Housing, Land, Water & Sanitation, Justice, and Discrimination. Many of these areas are linked to unemployment and poverty, both of which were identified as major issues by the 2012 Baseline Study with many involving specific issues facing the so-called vulnerable or marginalized groups in Namibia – in particular women, children, indigenous peoples (IPs), people with disabilities (PWDs), people living with HIV/AIDS, sexual minorities, elderly people, prisoners and detained persons, refugees, migrant workers and asylum seekers.
Many of the interventions will positively impact on the welfare of young children. In the health, education and child protection and systems where there are some planned interventions of particular importance for young children.
Improve interpersonal and communication skills of health professionals, including dealing with children, IPs, sexual minorities and PWDsExpand maternal healthcare services and facilities (e.g. emergency obstetrics and neonatal care) with trained staff in rural areasInitiate a campaign targeting parents on child health and nutrition, hygiene and sanitation, and sexual healthDevelop accreditation standards and a uniform curriculum for pre-primary education and IECDImplement measures to facilitate the accommodation of IECD under the MoEACPrioritize the training of teachers for ECD and PPE.Accelerate the rolling out of Grade 0 (pre-primary grade) to all schools, especially those in rural areasFormally analyse and assess the regional disparities for IECD and PPE throughout Namibia.Assess the effectiveness of existing child development programmes for children with special needs and implement measures that will ensure early detection of impairments (e.g. for hearing, sight, speech) and support interventionsBuilding of safe houses for women and children who are victims of domestic violenceStrengthen Namibia’s efforts to fulfil its obligations under CEDAW by introducing specific measures aimed at eliminating violence against women and children
The implementation of expanded, integrated comprehensive ECD services will contribute to NDP5, subsequent NDPs and ultimately Vision 2030’s objective “to promote and support quality, sustainable, holistic, Integrated Early Childhood Development for children aged 0-6 years and to develop capacity of care-givers (educarers) to improve quality.”
Addressing integrated ECD will also help address Namibia’s performance towards the Sustainable Development Goals (SDGs), particularly bringing down the under-5 mortality rate, currently at 54 per 1000 live births (2013) and child
9IECD Service Delivery A Framework for Action
malnutrition, currently 24% (2013). The high levels of Grade 1 repetition, currently at 18.6%, are a clear indication of the need for more, and better IECD and increasing access to early childhood services for children with disabilities.8
Resolution A/RES/70/1, on “Transforming our World: the 2030 Agenda for Sustainable Development”, adopted on 25 September 2015, highlights that the SDGs, are a road map for creating a better future, recognize the link between early childhood development and equity, productivity, wealth creation and sustainable growth and a more peaceful future. The SDGs have clear targets on malnutrition, child mortality, early learning and violence, which points to the importance of developing an agenda for early childhood development. The SDGs present an opportunity for Namibia to strengthen its programmes to help more children to survive and thrive into responsible adults.
2.3 Rationale
Recent studies have shown that quality early childhood development (ECD) interventions - those targeting children from birth to age eight are among the most cost-effective approaches for improving outcomes for vulnerable and at-risk children. Social and economic research confirms that investments to improve human capacity, welfare and health are more cost-effective when delivered during the early years. Early childhood is a time of unparalleled growth and development. It is during a child’s first few years that the neural connections that shape physical, social, cognitive, and emotional competence develop most rapidly. High quality interventions at this stage can have lasting impacts, while opportunities missed at this stage are costly to provide later in life. Early childhood development is also the time when a child’s disabilities can be identified and early interventions made in order to avoid further problems. Investments in quality early childhood development can thus provide huge economic returns. There is strong evidence that the rates of return from investing in quality early childhood development programmes is higher than rates of return on services provided later in life.
8Education Management Information System (2012), Ministry of Education, Namibia
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3. Situational Analysis The scope of IECD is not well understood, with many people focusing on kindergartens or centre-based services. IECD goes beyond the provision of early learning and stimulation through ECD centres and addresses all aspects on a child’s holistic development. Building a national understanding and consensus around the importance of IECD and the diversity of quality responses available is an important aspect of the framework.
To provide the reader with an overview of Namibia’s performance in the domain of IECD, listed below are selected child-focused indicators that reflect a range of IECD components, which have been gathered from a collection of published documents and reports. These indicators served as a basis for the later derived national IECD indicators, which can be found in the table opposite.
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IECD Component
Key Indicators National9 Key Interventions
1. Maternal and child health services
Immunization 83% Institute IECD messages and care into health extension workers’ duties, clinics and health messages into ECD facilities
PMTCT Coverage 90%
Under 5 mortality 54/1000
2. Social Protection
Child grants 152,992 Continue the expansion and streamlining of civil registration and social grants according to Child Care and Protection Act; improve old age pensions
Subsidize quality day-care for vulnerable families
Birth certificates issued in first year of life 59%
Child poverty 34%
3. Nutrition
Stunting 24%Provide feeding at clinics and ECD centres
Improved nutrition information to parents and children, including on weaning;
Improved WASH in homes and facilities
Exclusive breastfeeding (under age 6 months 49%
Access to safe water (improved source) 86.9%
Open defecation (no facility) 46.3%
4. Nurturing family environment and parenting support
Children under 18 who are orphaned 15.7%
Support protective parenting and family support programmes through a variety of delivery options: home-visits; community centres; media and social mobilization campaigns; specialised protection services, e.g. Gender Based Violence protection Units (GBVPU)
Training of community service providers on detection and reporting of children at risk and in need of protection
Women having experienced emotional, sexual and/or physical violence in the past 12 months10
28%
Parents justifying hitting their child when it is disobedient11 78%
5. Stimulation for early learning
% of children attending ECD program13% of
0-4 year-olds (Census)
Invest government funds for quality comprehensive IECD programmes in poor communities;
Facilitate access to IECD services for children with disabilities
Support to IECD providers on disability related issuesContinued expansion by MoEAC of classrooms
Additional support and training of grade 1 teachers
# of children with disabilities
# of children attending GRN pre-primary 17,572
Grade 1 repeats 20%
6. Governance and Financing
Fragmented system: 5-8 year olds with MoE, 0 - 4 with MGECW, nutrition and parenting with MoHSS
Limited budget for IECD within MGECW and
MoHSS
Establish high profile institutional home for IECD in government
Establish multi-sectoral oversight
Table 2: Key Indicators
9DHS 2013; Census 2011; NHIES; EMIS 2012;10DHR 2013. Proxy indicator for violence against children11Seeking Safety: Domestic Violence in Namibia and the Combating of Domestic Violence Act 4 of 2003, LAC 2012
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3.1 Maternal and Child Health
The 2013 NDHS data shows an improvement in the neonatal, infant, under-five mortality rates and maternal mortality ratio. The decline in mortality rate brings back the country to the 2000 level. In 2013, Under-5 mortality rate (U5MR) was 55/1000 live births while the Infant mortality rate (IMR) was 39/1000 live births, the Neonatal mortality rate (NMR) was 20/1000 live births and the maternal mortality ratio (MMR) was 358/100,000 live births.
The main causes of under-five mortality are due to a few preventable and treatable conditions that include neonatal conditions, diarrhea, pneumonia, malnutrition, and HIV/AIDS. Malaria, once a major killer, has been effectively controlled and the transmission of HIV from the mother to the child has reduced. Measles keeps cropping up despite national and sub-national immunization campaigns. Primary Health Care in Namibia supports outreach activities that include immunization, antenatal care (ANC), growth monitoring, HIV/AIDS prevention/care and provision of some basic treatments for pain at designated outreach points many of which are health facilities. A new cadre, Community Health Workers, has been created and have been trained on maternal, newborn and child health, first aid, HIV/TB/Malaria, nutrition, social mobilization and community rehabilitation. Each HEW is responsible for 500 people or 100 homesteads. The national target is to train 4113 HEWs by 2016. An initial evaluation showed an increase in ANC attendance.
A challenge is the shortages of district level staff to provide the supervision and follow up and referral services that may be result from the expanded outreach activities.
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Graph 2: Numbers of Children Receiving Grants
3.2 Social Protection
The number of OVC receiving a social welfare grants continues to expand with 151,500 children receiving a grant of N$250 per month per child in September 2014. Grants are provided for foster care, maintenance (for poor, single parents) and special maintenance (for children with disabilities). There are also universal pensions for people over the age of 60, which now stand at N$500 per month. The 2011 Census shows that in rural areas 29.6 percent of households with children rely on social grants as a primary source of income, while in urban areas the figure is 7.6 percent.
The number of young children receiving a grant is low as shown in the table below. The number of children aged 0 – 9 is less than half that of children aged 10 – 19 years old.
Table 3: Child Grants Coverage by age category by May 2015
Region 0-4 years 5-9 years10-14 years
15-19 years
20-21 years
Total
ERONGO 455 969 1564 1829 312 5129
HARDAP 586 1327 1844 2214 345 6316
KARAS 376 866 1302 1473 185 4202
KAVANGO 1558 4259 5930 6635 1117 19499
KHOMAS 1156 2403 3426 3767 600 11352
KUNENE 2685 5477 4253 2781 307 15503
OHANGWENA 1428 3790 7389 11021 2216 25844
OMAHEKE 376 1043 1640 1699 282 5040
OMUSATI 1493 3470 6077 9228 1995 22263
OSHANA 1191 2792 5149 7879 1883 18894
OSHIKOTO 924 2569 4951 7296 1566 17306
OTJOZONDJUPA 578 1607 2493 2957 519 8154
ZAMBEZI 732 1889 2689 3311 385 9006
Total 13538 32461 48707 62090 11712 168,508
Source: MGECW 2015 data
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3.3 Nutrition
The 2013 NDHS reported that 26% of under-5 children are stunted, 8% are severely stunted, 13% are underweight and 6% are wasted. Stunting is highest in the age group 23 – 33 months (2 -3 years old). Stunting levels are not improving. Namibia will struggle to meet SDGs on nutrition.
Children who are malnourished will earn less, finish fewer grades in school, and have more health problems than their well-nourished peers.
The interaction between frequent diseases episodes like diarrhoea and pneumonia and inadequate food intake have contributed to the current levels of malnutrition. Diarrhoea remains the leading cause of morbidity in the country. It is seen more in rural areas and in parts of the country where water and sanitation are a problem. The 2013 DHS reported that only 33.8% of the households have access to improved sanitation while 20% of schools have no toilets.
3.4 Nurturing family environment and parenting support
Harsh parenting has been consistently associated with poor cognitive, social, and health outcomes during childhood and across the entire life course. Research shows that positive parenting practices and a nurturing relationship between educarer and child can buffer the adverse effects of poverty and violence, and contribute to positive developmental outcomes.12 Parenting support interventions offer a platform for multiple linkages, including into health and HIV services and educational support.
Parenting skills programming in Namibia is led by a unit within MoHSS. This unit has plans to expand parenting programming and has connected with regional technical resources such as the Parenting in African Network. With the technical help of Lifeline/Childline they are now spearheading a Parenting Network with MGECW and MoHSS and MoEAC represented along with various civil society organisations. Representatives cite an “insatiable appetite for parenting support”, with some indicating a demand beyond the ability of their current program to meet. Social workers and Community Health Workers indicate that one of the most prevalent issues in their client base was parents grappling with children’s behavioural problem – sometimes leading to children being kicked out of the home or referred to the social worker to find alternate care.
3.5 Stimulation for early learning
According to the 2011 National Education Conference, there is still little access or equity in the provision of early childhood development and education. Based on the 2011 Census less than 20% of children 0-4 years of age attend an ECD or pre-primary class. According to the 2011 Census, 37,789 children between the ages of 0 and 4 years were enrolled in ECD programmes.
12International Rescue Committee, Do Parents Make the Difference? Findings from a randomized impact evaluation of a parenting program in rural Liberia, 2014.
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The MGECW baseline survey in 2012 found 61,218 children in ECD centres. Such facilities and programmes are community or privately run and dependent on the contributions from parents, guardians and benefactors. Access to quality services is not equitable as parents who can afford it send their children to programs with well-trained educarers and adequate facilities, while poorer families use volunteer or lowly paid educarers working in inadequate facilities with little training or equipment.
In Namibia ECD facilities are owned or run by private individuals, community structures, NGOs and FBOs, and in the case of Windhoek, the Municipality.
The Ministry of Education provided pre-primary education to 17,572 children in 2012 (EMIS 2012) and to an estimated 25,000 in 2015. The number of children in pre-primary education classes increased to 41,607, representing 6% of learners in Namibian schools in 2017 (15th Day School Report, 2017). While the number of children in ECD centres increased from 61,218 in 2012 to 76,444 in 2017. Early childhood development programmes for younger children, however, are still under-resourced and under-developed.
The MGECW has made major strides in formalizing the provision of IECD. This includes:
a) The development of Namibian Standards for ECD Facilities which include parent committees, nutrition and health issues (with ETSIP support);
b) The development of Unit Standards for ECD educarer training submitted to the Namibia Qualifications Authority with two National ECD qualifications, one at level 4 and one at level 5;
c) The development of a curriculum for 3 and 4 year olds to articulate with the MoE pre-primary year;
d) A baseline survey of all ECD facilities in 2012 and the development of a database that looks at coverage for orphans and children with disability (with ETSIP);
e) The provision for the first time of allowances of between N$ 1500 – N$ 2500 per month to ECD educarers, who meet the necessary requirements as per the national Standards, now standing at 804 educarers;
f) The increase in ECD program funds from the government budget to NAD28.2 million in 2017/18;
g) An analysis of the ECD data base with information from 2012 and some comparison with the information in the Census 201113; and
h) The inclusion of ECD and nutrition into the National Agenda for Children with aligned indicators.
The introduction of subsidies for ECD educarers, started in January 2013, has been enthusiastically welcomed. However it has also highlighted a number of weak links in the system:
a) Need to register centres based on a thorough assessment, using the National Standards for ECD facilities
b) Lack of clarity in categorising centres as private or community or NGOc) Need for a stronger supervisory system with trained staff able to provide technical support.
13Data on ECD facilities is collected by MGECW staff in the regions on an annual basis and put into the database. The staff member responsible for the database resigned and her replacement has not yet been recruited. Without her expertise, the database is under-utilized.
16 IECD Service Delivery A Framework for Action
3.6 Governance and Financing
The mandate to oversee coordination of ECD activities for children birth to four years old is with the Ministry of Gender Equality and Child Welfare, for which there is a Division within the Directorate of Community Empowerment. The Ministry of Health and Social Services has divisions for Family Health under Primary Health Care and a unit for parenting support under Social Services. The Ministry of Home Affairs and Immigration is responsible for the provision of national documents.
One year of pre-primary education is provided by the Ministry of Education, Arts and Culture through its decentralised Regional Education Offices, with the National Institute for Educational Development (NIED) playing a leading role at Head Office level. The actual provision of IECD services for the 0-6 year olds is the responsibility of individuals, community and private providers. The Government does not currently run any ECD centres. The divided governance of IECD has been identified as a constraint in many reviews and has been highlighted in the 4th National Development Plan (NDP4). NDP 5 gives prominence to ECD as one of the main critical factors of human capital development.
Currently, a division within the Directorate of Community and Early Childhood Development in MGECW acts as the lead for ECD. Regional staff, Community Liaison Officers (CLOs) or community activators (approximately one per constituency) within the Directorate have dual responsibilities for income-generating, women’s empowerment and early childhood development activities at community level, resulting in conflicting commitments, resources and time pressures, and lack of expertise as well as lack of adequate monitoring of services.
17IECD Service Delivery A Framework for Action
The development of the IECD Framework was participatory involving key stakeholders. Two consensus-building stakeholder meetings were held in November 2014, January and June 2015 with the involvement of participating ministries, civil society partners, training institutions, media, private sector, and international resource people. A public forum on IECD was held with University of Namibia and a discussion with members of the Parliamentary Standing Committee on Human Resources and Community Development were held on 23 June 2015. Subsequent meetings and consultations were also held by the High Level Technical Committee.
The table below gives a summary of how the essential package for IECD can be delivered through strengthened ministerial and stakeholder collaboration. The recent institutionalization of Community Health Workers in the Ministry of Health and Social Services is an opportunity for IECD to be included or strengthened. The use of existing NGO volunteers and other potential new cadres of community care workers present additional opportunities as well. The recent WHO guidelines of child care and development present an excellent opportunity to trial some suitable home-visiting materials, with a special focus on families and children at risk of developmental delays, particularly children exposed to HIV. In addition, UNICEF/WHO Care for Child Development (CCD) Approach, has evidenced that importance of integrating ECD into existing systems and services, including child health and nutrition, child protection, child stimulation and early learning including home interventions where parents and siblings communicate with young children through play in order to increase their communication and socialisation skills.
The essential package for IECD was discussed and elaborated in additional intensive consultations with implementing agencies.
4. Framework for IECD
Figure 1: Essential IECD package
Early Literacy and Numeracy
Care Giver Support
Social Protection
Child Protection
Early Stimulation
Maternal and Child
Health
Nutrition
18 IECD Service Delivery A Framework for Action
ECD interventions in Namibia are currently implemented as indicated in the table below.
Table 4: IECD Delivery
First 1000 days
PregnancyBirth to 2 years of
age2-4 year-olds 5-8 year olds
HealthMoHSS;MoEAC
ANC visits; PMTCT servicesSafe deliveryState gift boxParenting classes
Post-natal visit/care New born careHIV testingDewormingImmunizationEarly disability detection
DewormingHand washing
School healthImmunizationHand WashingSanitation/Personal Hygiene
NutritionMoHSS; MoEAC
Micro-nutrient supplements:iron, folic acid, calciumIYCF information to caregivers
Growth monitoring 6 month exclusive breast -feedingIYCF information to caregiversVitamin A
Vitamin AFeeding at centresNutrition information to caregivers
School feeding
Social ProtectionMGECW MoPAMHAI
Preparation for registration for child support grant
Birth registration Social grant application
Social grants Social grants
Family and child protectionandparent/care-giver supportMoGECW, MoEAC,MoHSS
Home- Visits 1 month for vulnerable mothersCommunity and clinic mother groups
Family and child protection address-ing substance abuse, mental health, violence against children & exposure to violence
Home visits for first 9 months (4/month)(child care workers)Parent support and skills building
Day careearly detection of disability and referral
Day care Parent support, service referral and skills building on protective care and discipline
Community welfare workers, social auxiliary workers, social workers
Family literacy promoters
Opportunities for Early LearningMoEACMoHSSMGECW
Preparation for parenting
Early stimulation and playMother-infant play groupsEarly detection of disability and referral
Early Stimulation and playEarly literacyCommunity play groupsECD Centres
Pre-primary classSchool readinessGrade 1
Public campaigns and broad based communication strategy on support for pregnant women, infants and young children and their parents
19IECD Service Delivery A Framework for Action
Goal: All children aged 0 - 8 have access to quality IECD services with a focus on the most vulnerable
Components: There are seven components of the Framework, each with a purpose and corresponding objectives (see Section 7).
Component 1: Improved Management
Purpose: The Ministry of Education, Arts and Culture and the Ministry of Gender Equality and Child Welfare, together with the Regional Councils, lead and manage the IECD programme at national and regional levels Component 2: Improved Advocacy and Public Outreach
Purpose: A fuller and more comprehensive understanding of the nature and importance of IECD is evidenced among Parliamentarians, educators, health workers, community and church leaders and family members Component 3: Improved parenting for children aged 0 - 8
Purpose: Create awareness and understanding of the importance of the first 1000 days, and help edu-carers to develop parenting skills to support optimal development of children during this time (from conception to age 2)
Component 4: Improved Protection and Support for Young Children
Purpose: Young children 0 - 8 years of age are safeguarded from physical harm, inadequate nutrition and toxic stress, and receive remedial intervention as needed
Component 5: Improved Access
Purpose: The number of children 0-8 years of age accessing IECD-related services, with priority given to those in disadvantaged communities, is substantially increased
Component 6: Improved Quality of IECD
Purpose: IECD provision is of sufficient quality to be effective and efficient
Component 7: Improved Monitoring & Evaluation
Purpose: IECD programmes are adequately monitored and evaluated to ensure the continued quality of service delivery and to inform policy and planning
5. Goal, Components and Purpose of the Framework
20 IECD Service Delivery A Framework for Action
5.1 National Indicators
The following table of indicators is suggested to correspond with the above components of the Framework.
IECD Component Key National IndicatorsNational
Baseline14 Target for 2017/18
Component 1: Improved management
Establishment of a joint MGECW & MoEAC & MoHSS Workforce Transformation Task Team, which will evolve into an ECD coordination structure with national and regional functions
NDP 4 recommendation -
action pending
New Education Act
Approved revised IECD Policy; 80% of posts filled
Component 2: Improved advocacy
Percentage of general education budget allocated to IECD and PPE*. 0.7% 4.5%
Component 3: Improved Parenting
Immunization 83% (Penta 3
at the age of 14 weeks)
85%
PMTCT Coverage 90% 95%
under 5 mortality 54/1000 40/1,000
Component 4: Improved protection and support for young children
Children 0-4 receiving a grant
Children 5-9 receiving a grant
13,538 (2013)
32, 461
TBD
TBD
Birth certificates under 1 year 59% TBD
Stunting 24% 20%
No. of children neglected, physically and sexually abused 1,713 3% reduction
Component 5: Improved Access
No. of children reached by an IECD program 57,000 75,000
# of children with disabilities provided the necessary support services
% Increase in number of children with disabilities accessing IECD services
% of children attending pre-primary class 25% 45%
Component 6: Improved quality of IECD
Number of ECD educarers trained and certified at least Level 4 by institutions accredited by the Namibia Qualifications Authority (NQA);% of educarers trained in inclusive approaches
TBD
TBD
TBD
TBD
Percentage of pre-primary teachers with teachers’ qualification, disaggregated by region*;
68.2% 71.2 %
Component 7: Improved M&E
% of Grade 1 repeats 20% 17%
14DHS 2014; Census 2011; NHIES; EMIS 2012
21IECD Service Delivery A Framework for Action
6. Monitoring and Evaluation6.1 Approach and Purpose
The Framework for Expanded IECD provision requires a coherent system of operation and a complementary M&E system to ensure programme improvement, data sharing and accountability. The M&E plan provides an overview of how the government of the Republic of Namibia plans to track the performance of the activities with the measurement of results as its central focus.
The key aim of the M&E plan is to monitor implementation performance and evaluate results so that challenges and gaps can be swiftly identified and improvements made at all levels. The plan will ensure that data is collected and shared with stakeholders and that the necessary data for reporting, accountability and planning are incorporated into existing data collection efforts.
This M&E Plan describes how stakeholders will monitor implementation. Specifically, the M&E Plan provides for:
• Standardized tools and indicators for the monitoring and evaluation of all IECD activities in the country;
• Generating information required for planning for IECD by the Namibian Government, implementers and others, including:
o Determination of resource and capacity needs;o Tracking where IECD services are provided and where additional services are required; o Monitoring barriers to access to quality IECD services, especially to children with
disabilities and children in remote rural communities.
• Monitoring changes in the numbers of children participating in some IECD activity;• Monitoring and assessing the quality of IECD services based on assessment of a child’s
development;• Establishing a clear flow of data between the different stakeholders including government,
implementing agencies, beneficiaries and the general public;• Conducting research and studies to continuously inform policy and planning purpose.
6.2 Principles
The key principle governing the M&E plan will be a focus on a limited number of strategic indicators that direct performance towards achieving priority results. The strategic indicators will be determined through inputs from all the key stakeholders, and subject to change over time as results are achieved and priorities shift. The focus on strategic indicators will contribute to better coordination across stakeholder efforts, and useful information products for dissemination. The focus on strategic indicators does not preclude programmes from collecting their own routine data as relevant and appropriate.
The following guiding principles provide a foundation for the M&E plan:
• Alignment and integration of IECD data with existing M&E systems such as EMIS and the National Agenda for Children;
22 IECD Service Delivery A Framework for Action
• Close cooperation with the Namibian Statistics Agency and the Demographic Health Survey;
• Application of existing indicators from other plans;• Non-duplication of effort and non-expansion of indicators;• Data quality;• Data dissemination and use in decision making rather than solely extractive
process; • Adequate financial and human resources for supporting the M&E system at
national, regional and local levels.
6.3 Steps for implementing, producing and disseminating M&E
The implementation of the M&E plan is intended to be a participatory process.
1. The proposed new National High Level IECD Coordination Group will provide oversight and coordination for the implementation of the IECD Framework. Coordination will include the following key M&E activities:
a) Produce a detailed M&E and research plan that stipulates M&E and research priorities and activities;
b) Update M&E and research plans annually;c) Convene quarterly M&E technical meetings;d) Request brief quarterly reports based on strategic priorities from the
implementing agencies and partners;e) Convene bi-annual meetings for all stakeholders to report on progress and
programme results, which may coincide with general stakeholder events;f) Produce an annual M&E report;g) Commission and manage evaluations and studies according to the plan;h) Collaborate with research institutions to conduct research focusing on
various aspects of IECD.
2. An internal mid-term progress report and end-term review of the IECD Framework will be conducted. The National High Level IECD Coordination Group will support the coordination of data reporting and synthesis to assess the end-term progress towards achieving the results of the plan. The Group will facilitate the recruiting of independent evaluators to lead the process of the end-term review.
6.4 Supervision and data quality
The quality of the data generated by the system is crucial to the success of the action plan. Teams are needed at local and regional level to supervise implementation and to collect the necessary data, using assessment-standardized tools, some of which are in existence and some of which need to be developed.
The National High Level IECD Coordination Group will commission data quality reviews at key milestones throughout the framework’s implementation period. Plans to support data quality improvement will be devised based on the recommendations of the data quality reviews.
23IECD Service Delivery A Framework for Action
The current ECD-MIS within MGECW will be strengthened and key information incorporated into the EMIS.
The National IECD Task Team will take advantage of its current routine engagement schedule to convene bi-annual stakeholder meetings to present results on strategic priorities as reported by contributor’s quarterly reports. The national IECD Task Team will produce an annual IECD report and contribute to the annual Ministerial reviews in the different ministries. Data analysis should be done at national as well as local and regional levels. In addition to these periodic information products, the team will respond to specific and reasonable ad hoc information requests from its stakeholders. Responding to requests for information may be necessary for strategic reasons, such as contributing to policy debates in parliament or imputing into planning processes for particular ministries. Whenever possible this information will be retrieved from standard easily generated reporting from the database.
Following the annual reporting, an expanded stakeholder workshop will be held to disseminate the findings and to encourage staff and stakeholders to analyse and use the data to make changes at local level.
6.5 Research Agenda
In identifying and prioritizing research questions, the following criteria will be considered:
Table 6: Criteria for Research Questions
Criteria Definition/Explanation
Answerable by research
Likelihood that the research question can be answered ethically
EffectiveLikelihood that the new knowledge would lead to an effective intervention or program
FeasibleLikelihood that the intervention or program the research informs would be deliverable and affordable
ImpactLikelihood that the intervention or program that the research informs could improve child health and development substantially
Equity
Likelihood that the intervention or program the research informs will reduce inequity i.e. it will reach and improve the health and development of the most vulnerable groups as well as the more advantaged
24 IECD Service Delivery A Framework for Action
The research literature demonstrates that IECD interventions produce results. Of research interest is the specific considerations for designing and implementing programs in the Namibian context, and evidence of population level outcomes of widely implemented programs.
Table 7: Examples of research into implementation include:
Research Question – Implementation
1. Identify the characteristics of an effective parenting support intervention that results in improved health and education outcomes for children under 5.2. Evaluate interventions targeting expectant fathers and other male figures in the household in relation to improved child nutrition.3. Identify material and psychosocial support that can be provided as part of an expanded antenatal package for vulnerable women to enhance early childhood outcomes from birth to 2.4. Assess the role of standards for day care in improving quality of care in resource poor settings.5. Identify the different informal and non-formal care arrangements of children under 3 in rural and urban areas and determine any relationships with nutritional status.
Examples of research for demonstrating population level outcomes include:
• Comparing the impact of IECD in communities that have widely implemented quality IECD interventions to communities with little or no access to such interventions.
• Designing evaluations of large IECD interventions by including baselines and impact assessments that attempt to demonstrate effects in demarcated populations.
• Implementing a substantial cohort study in Namibia, managed by UNAM and involving key stakeholders including ministries of health, education and gender equality and child welfare.
25IECD Service Delivery A Framework for Action
7. Early Childhood Investment, Costing and Financing
7.1 Financing IECD: Public Resources
Efforts to improve health, wellbeing and learning across the life-course are most effective and economically efficient during pregnancy, the first two years of life, and during early childhood up until eight years of age. The greatest benefits of protection and support during this period are reaped when subsequent experiences (education, family care, health services) reinforce the foundations established early in life. For these reasons, many countries around the world are realizing the importance of investing in improving both the survival and healthy development of young children and maintaining the momentum established in early life.
The Government introduced Programme Based Budgeting in 2005, the logic being that the use of resources is considered according to the results they produce. The National budget is presented by votes: the Ministry of Education (MoE) is Vote 10 and Ministry of Gender Equality and Child Welfare (MGECW) is Vote 12.
It has been quite difficult to make accurate estimates of allocations and expenditure on IECD. This is because IECD cuts across several sectors (health, nutrition, child welfare, pre-primary education and community development and child stimulation and early learning). The ministries do not budget according to a common IECD framework, notwithstanding the defined division of labour within the IECD Policy. Moreover, the structure of the budget seems to vary within each ministry. Therefore, the main identifiable IECD line items are linked to the budgets of the MGECW, for IECD and Child Welfare and the MoEAC for the Pre-primary education sub-sector. The other major funder of IECD services, the Ministry of Health and Social Services (MoHSS), unfortunately does not collect data in a way that allows budgets for specific services and age groups to be identified.
Though it is evident that additional funding is needed, it is difficult to determine the extent of the shortfall. To date, there has been no costing of a reasonable and comprehensive IECD package of services for the most vulnerable and marginalised population groups, nor has there been population-based mapping of the need for IECD services, highlighting the areas of deficiency that need prioritising. To date there has been no in-depth assessment of current philanthropic or private sector allocations to IECD, or future willingness by the private sector to support IECD.
Nevertheless, it is important to note that funding levels for IECD over the last 3 years have increased and that such increases have moved towards a pro-equity service provision (i.e. extension of the Children’s Fund; increase in parental and health care support; access to free pre-primary and primary education in public schools; establishment of a subsidy fund for educarers working in community –run ECD centres; etc.). However, the impact of such increases on reducing inequality of service provision has not been monitored nor assessed to date. The tables and the graph on page 30 give a general indication of the public sector spending trends in IECD.
26 IECD Service Delivery A Framework for Action
Table 8: IECD and PPE estimated budgets form the MTEF (2014/15 to 2016/17) in N$
ProgrammeActivity
CodeBudget MTEF Projections
2014/15 2015/16 2016/17MGECW Total Vote 12 721,101,000 818,190,000 959,492,000Support Community and IECD15 03 16,858,000
(2.3%)11,602,000
(1.4%)15,952,000
(1.7%)Care and protection of children 02 525,861,000
(72.9%)631,448,000
(77.2%)744,021,000
(77.5%)MoE Total Vote 10 13,068,166,000 14,129,637,000 14,906,331,000
Pre-Primary Education 02.01 339,249,000 (2.6%)
360,969,000 (2.6%)
384,267,000 (2.6%)
Source: Medium Term Expenditure Framework 2014/15 to 2016/17
Early Childhood Development (ECD) and pre-primary education (PPE) received 2.34% and 2.6% respectively of the total MGECW and MoEAC budgets in 2014/15. The projections for the following 2 years show a drastic decrease of over 30% from current ECD budget levels while for PPE the MoEAC estimated an annual increase of approximately 6.4%. However, in both sub sectors the contribution to ECD and PPE in relation to the overall MGECW and MoEAC budgets will decrease to 1.7% and remain at 2.6% respectively for the period 2016/17.
15For ECD, the figures provided in the MTEF do not correspond to the ones provided in the Estimate of Reve-nue, Income and Expenditure 2014/15 to 2016/17 and seem very low compared to the latter.
27IECD Service Delivery A Framework for Action
Actual 2012/13 N$
Estimate 2013/14
N$
Estimate 2014/15
N$
Estimate 2015/16
N$
Estimate 2016/17
N$
Individuals and Non-Profit Organisations ECD subsidies
5,499,135 15,379,000 32,402,000 28,423,000 26,250,000
ECD support subsidies 5,499,135 15,379,000 16,337,000 22,423,000 20,000,000
ECD Centre Building, teaching and learning material
0 0 6,214,000 5,000,000 4,250,000
Community empowerment Centres
0 0 7,751,000 0 0
Train ECD Educarers
0 0 2,100,000 1,000,000 2,000,000
Table 9: ECD budget from the MGECW – main areas of support
Source: Estimate of Revenue, Income and Expenditure 2014/15 to 2016/17
When analysing the budget distribution personnel costs account for approximately 73% (2013/14) of the total annual PPE budget and 55% (2013/14) for ECD and Community Development; the percentage distribution gradually decreases over to the next three years to 64% for PPE and 42% for ECD in 2016/17. The budget for PPE shows a regular increase for the development component, which is mainly linked to the building of new PPE classes in public, increasing from 9.8 to 11.8 over a four-year period. On the other hand, the ECD budget demonstrates a reluctance to invest in infrastructure.
Graph 3: ECD and PPE Budget distribution from MoE and MGECW
Source: Estimate of Revenue, Income and Expenditure 2014/15 to 2016/17
28 IECD Service Delivery A Framework for Action
What should be prioritized?
A basic ‘package’ of services to reach universal coverage should be costed for different modes of delivery. Many services, such as those provided by the MoHSS, are already in place nevertheless more funds would be needed for the hard to reach families. In under-serviced areas, IECD capacity and infrastructure, especially for early learning and care services, need to be established from scratch. A costing for the sector must be made from a population-wide perspective, rather than merely increasing funding for existing services, many of which are in already relatively well-provisioned geographical areas.
Subsequently, the GRN should look into establishing a new funding model that prioritises the distribution of resources for the most vulnerable children. This would mean providing services where there are none and in regions with highest needs, not only in centres but also in home- and community-based programmes. This model could be based on a per capita allocation. Funding should also be allocated for programme development and maintenance, such as training, resource materials, monitoring and quality assurance.
The model should ensure adequate level of funds to provide services for the poorest families who cannot afford to pay for them. This would mean that the GRN would raise funds from partners and facilitate the provision of services from private sector and non-governmental partners. Partners would commit to a common national IECD plan and contribute to the delivery of national IECD policies and standards in a coordinated manner to ensure an equitable spread of essential good quality IECD services. Finally, the new model should have a simple approach to funding and monitoring programmes.
7.2 Considerations for IECD Investment
The analysis of the cost and financing of IECD programmes and services is a key exercise in sector diagnosis as any policy or strategy aimed at expanding the coverage or improving the quality of IECD services will depend in great part on their relative cost and on the public and private financing available to the sub-sector, as well as the efficient use of those resources.
One of the characteristics of IECD is that the sources and financing mechanisms are numerous, and unlike the financing of formal primary education, public IECD resources are usually not the main source of funds. Thus the correct identification of the different financing sources and mechanisms is required to fairly establish the costs and financing of the sector.
IECD financing issues are complex and diverse, especially because they include investments in many sectors (primarily health, nutrition, education, social protection, and sanitation) and the period from pre-conception to at least age 8.
29IECD Service Delivery A Framework for Action
The Consultative Group ECCD16 has recognised that currently, the weakest area of IECD policy planning is in the realm of financial planning. IECD policies or policy frameworks should include an Investment Plan, and line ministries’ operational Strategic Plans should specify budget requirements to address the particular IECD actions.
7.2.1 Financing IECD - sources of funds and allocation mechanisms
IECD program funding relies on a combination of public and private funds.
Public Resources: the flow of public funds from the central government can assume various forms, from partial subsidies to the total coverage of services’ operational costs. Although in most cases public financing is devoted to public IECD programmes and services, some private providers receive subsidies as transfers. In other cases, public transfers are made to service beneficiaries, such as in the case of social allocations to families with young children.
Public funds may be allocated “directly” to IECD service providers by budget allocations, block grants, earmarked grants, matching funds, or to program participants by vouchers, subsidy payments or conditional cash transfers. Funds can also be allocated “indirectly” to providers through tax credits and rebates, or to program participants through the application of generous parental leave policies, need-based sliding-fee scales, or specific tax credits and rebates.
Private Spending: household spending may be particularly high due to the prevalence of private and community provision of some IECD services such as nurseries and Kindergarten and in some countries pre-primary education. Data may be consolidated from household spending surveys’ education spending modules.
Private sector: the role of the private sector in financing IECD services varies. Some childcare centres are run as private, for-profit businesses. Usually, they either target the richer children in order to receive the required fees to cover costs, or they are subsidised by the government to provide for lower-income children. Private sector contributions can also consist of the employer financing a day-care centre at or close to the workplace for the children of its employees. Corporate social investment from the private sector can make substantial contributions to the provision of facilities and running of programmes in IECD.
Social organizations: such as community, charitable, religious and other non-governmental organizations can play an important role in financing IECD programs. They might provide the entire of services or pay part of the costs, either in money or in kind such as time and labour, donation of materials or the location for a child care centre. A number of philanthropies are interested or are already investing in IECD in Namibia. These efforts are not coordinated, but represent substantial investment in IECD. GRN will not be in a position to fund all the needed IECD intervention, and mobilizing and coordinating other resources will be critical.
International organizations: donors usually contribute with grants to expand or pilot programs and/or small-scale projects, and lay the base for implementation on a larger scale. The funding would cover (part of) the initial investment costs. Funding for operating or recurrent costs will usually be decreased over time. Ultimately, international organizations often expect IECD
16The Consultative group on Early Childhood Care and Development is an international consortium of donor and UN agencies and international NGOs, national and regional organisations and networks, and academic or educational institutions that advocate and support programme and policy development for young children from pre-birth to age 8.
30 IECD Service Delivery A Framework for Action
projects to become sustainable and rely on national and local rather than external support.
7.3 Costing
A comprehensive cost analysis framework may be useful to guide planning and data requirements. Any costing study should be clear from the start about the types of information it needs to gather.
The following areas are common in most cost analyses: (1) sources of funds to determine who is bearing the cost of the program and where the funds are being generated; (2) a list of investment and operational costs; (3) a breakdown of operating costs to identify the proportion of direct and overhead costs, as well as fixed and variable costs; (4) program setting (rural/urban); (5) costs related to lines of action (materials, supplies, food, training); (6) project stage (pilot, semi-established, or established program); and (7) intensity of services (length of time a service is offered, whether it is full-time or part- time). Once the information is in place, a costing table is then built from which the unit cost of the program can be derived, depending on the total number of beneficiaries expected to be reached.
The Consultative Group on Early Childhood Care and Development (ECCD)10 suggests the following ways to keep costs low:
• Focus services in limited, disadvantaged populations;• Use trained community workers or family members as educarers and
teachers;• Use all available resources (people of all ages, facilities available part-time,
recycled materials);• Use existing infrastructure by incorporating ECCD elements into on-going
health, nutrition, regional development, and adult education programs; and• Use mass media and all other means of communication.
The importance of a cost-benefit analysis: although affordability can play an important role in deciding which approach to adopt, the cheapest program or project component is not always best in fostering healthy child development.
An inexpensive program in absolute terms can be relatively very expensive if it does not produce satisfactory child outcomes. The costs per beneficiary per year might range from NAD 2,500 to over NAD 25,000 and programs with different costs are likely to have different impacts on child development. But the reverse is not necessarily true either. Expensive projects do not always produce the best quality services.
An analysis of cost-effectiveness will give better insight in which programs are most effective in relation to their costs. A cost-benefit analysis will compare both the costs and benefits of a particular intervention in monetary terms to determine whether the intervention is an economically sound investment.
31IECD Service Delivery A Framework for Action
7.4 Recommendations for the Namibian context
Some general recommendations related to the Namibian context are offered for discussion:
• Participatory IECD policy-planning processes should include rigorous investment planning in full collaboration with ministries of finance and planning as well as line ministries of education, health, child welfare, social protection, and health. National NGOs, institutions of higher learning, and private-sector institutions should also be included, as appropriate;
• An adequate number of staff members in the relevant ministries and regional offices to provide professional leadership for the activities is required.;
• It is essential to conduct careful studies of cost per unit of service, cohort and/or programme in order to have a reliable basis for projecting potential future costs (Myers 2008);
• Mapping studies should be conducted to help ensure that costs are projected for serving the high-priority populations and geographic regions targeted in the national IECD Policy;
• Funding targets should be established for annual programme, sectoral and inter-sectoral budgets and for medium- and long-term IECD support;
• Establish high, medium, and low targets for funding IECD services in order to plan flexibly, maximise the use of scarce financial and human resources, and achieve the highest possible quality;
• Consider the option of establishing a National IECD fund, as well as an array of innovative funding approaches in addition to legislatively established public-sector budgets; and
• All programmes should be designed from the outset to go to scale and become sustainable through establishing a long-term and diversified investment plan as well as securing official recognition for national-level IECD programmes.
32 IECD Service Delivery A Framework for Action
The successful implementation of an integrated approach to ECD in Namibia requires the following:
• Political will with high level government involvement;
• Adequate multi-sectoral resource allocation to ECD;
• Continuous advocacy at all levels of society;
• Having legislative frameworks, policies and supportive strategies in place;
• Strengthening coordination within and across ministries and with all critical
national, regional and local stakeholders and building very strong partnerships
with civil society, private sector and NGO’s;
• Strengthening governance structures and ensuring accountability;
• Planning and management to ensure effective implementation of the IECD
Framework;
• Monitoring and evaluation;
• National ownership of the IECD Framework by Government.
Activities to be undertaken for the implementation of IECD:
See tables on the following pages.
Proposed Strategic Framework for Early Childhood Development 2017/18 - 2021/22(Draft version 1 March) Goal: All children aged 0-8 have access to quality IECD services with a focus on the most vulnerable
Component 1: Improved Management
Component 2: Improved Advocacy and Public Outreach
Component 3: Improved Parenting for Children Aged 0 - 8
Component 4: Improved Protection and Support for Young Children
Component 5: Improved Access
Component 6: Improved Quality of IECD
Component 7: Improved M&E
8. Characteristics for a successful IECD Programme in Namibia
33IECD Service Delivery A Framework for Action
Co
mp
on
ent
1: Im
pro
ved
Man
agem
ent
Purp
ose
: Th
e M
inis
try
of
Ed
uca
tio
n, A
rts
and
Cu
ltu
re (
Mo
EA
C)
and
th
e M
inis
try
of
Gen
der
Eq
ual
ity
and
Ch
ild W
elfa
re (
MG
EC
W),
to
get
her
wit
h t
he
Reg
ion
al C
ou
nci
ls, l
ead
an
d m
anag
e th
e IE
CD
Fra
mew
ork
at
nat
ion
al a
nd
reg
ion
al le
vels
.
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
Ag
ents
Lead
Ag
ents
2017
/18
2018
/19
2019
/20
2020
/21
2021
/22
12
34
12
34
12
34
12
34
12
34
Est
ablis
h an
ope
ratio
nal
Nat
iona
l IE
CD
Coo
rdin
atio
n S
truc
ture
with
cle
ar li
nes
of
resp
onsi
bilit
y
1. S
ubm
it IE
CD
Fra
mew
ork
for
Cab
inet
’s a
ppro
val
MG
EC
W a
nd M
oEA
C jo
intly
M
oEA
C &
MG
EC
W
2. R
eviv
e th
e N
atio
nal I
EC
D
Com
mitt
ee (d
etai
led
TOR
s to
be
dev
elop
ed a
nd a
ppro
ved)
MoE
AC
, MG
EC
W, M
oHS
S
MoE
AC
& M
GE
CW
x
3. B
riefin
g an
d gu
idan
ce
to M
oEA
C a
nd M
GE
CW
st
aff
mem
bers
at
Hea
d O
ffice
s an
d R
egio
nal O
ffice
s re
gard
ing
appr
oved
IEC
D
Fram
ewor
k
MoE
AC
and
MG
EC
W, w
ith
UN
ICE
F su
ppor
tM
GE
CW
& M
OE
AC
x
4. P
repa
re jo
int
budg
etin
g
prop
osal
for
EC
D
MoE
AC
and
MG
EC
WM
oEA
Cx
xx
5. A
sses
s re
adin
ess
of E
CD
tr
ansi
tion
in N
amib
ia a
nd
disc
uss
with
all
rele
vant
ag
ents
the
nec
essa
ry
stru
ctur
al a
nd in
stitu
tiona
l ch
ange
s
NIE
CD
Com
mitt
ee, M
GE
CW
an
d M
oEA
C (H
R),
with
ass
is-
tanc
e fr
om E
U a
nd U
NIC
EF
MoE
AC
x
xx
xx
xx
x
Impr
ove
asse
ssm
ent
and
regi
stra
tion
syst
em o
f E
CD
Fa
cilit
ies
1. A
sses
s ex
istin
g E
CD
ce
ntre
s re
gist
ratio
n sy
stem
and
pro
vide
re
com
men
datio
ns fo
r fu
ll co
mpl
ianc
e w
ith C
CPA
MG
EC
W a
nd M
oEA
C (P
QA
), w
ith a
ssis
tanc
e fr
om U
NIC
EF
and
EU
MG
EC
Wx
2. Tr
ain
staf
f in
CC
PA
com
plia
nce
and
man
agem
ent
of t
he r
egis
trat
ion
syst
em
MG
EC
W, w
ith a
ssis
tanc
e fr
om E
UM
GE
CW
x
Impr
ove
EC
D M
IS a
nd m
ake
linka
ges
with
EM
IS
1. A
sses
s ex
istin
g da
ta
colle
ctio
n sy
stem
for
EC
D
and
mak
e re
com
men
datio
ns
for
impr
ovem
ents
MC
EG
W a
nd M
oEA
C (P
QA
), w
ith a
ssis
tanc
e fr
om U
NIC
EF
and
EU
MoE
AC
xx
x
2. M
ake
any
nece
ssar
y sy
stem
cha
nges
to
link
EC
D
data
base
to
EM
IS
MC
EG
W a
nd M
oEA
C, w
ith
assi
stan
ce f
rom
UN
ICE
F an
d E
U
MoE
AC
x
34 IECD Service Delivery A Framework for Action
Co
mp
on
ent
2: Im
pro
ved
Ad
voca
cy a
nd
Pu
blic
Ou
trea
ch
Purp
ose
: A
mo
re c
om
pre
hen
sive
un
der
stan
din
g o
f IE
CD
nat
ure
an
d im
po
rtan
ce is
sh
ared
am
on
g G
over
nm
ent
mem
ber
s,
Parl
iam
enta
rian
s, E
du
cato
rs, H
ealt
h W
ork
ers,
Co
mm
un
ity
and
Ch
urc
h L
ead
ers,
fam
ily m
emb
ers
and
so
ciet
y in
gen
eral
.
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
Ag
ents
Lead
Ag
ents
2017
/18
2018
/19
2019
/20
2020
/21
2021
/22
12
34
12
34
12
34
12
34
12
34
Rai
se a
war
enes
s an
d ad
voca
te fo
r th
e im
port
ance
of
IEC
D
1. D
evel
op a
Nat
iona
l EC
D
Adv
ocac
y S
trat
egy
(incl
udin
g id
entifi
ed t
arge
t gr
oups
, key
m
essa
ges
and
adeq
uate
co
mm
unic
atio
n st
rate
gies
)
MG
EC
W a
nd M
oEA
C,
with
ass
ista
nce
from
DP
s (U
NIC
EF,
UN
ES
CO
, EU
)
MG
EC
Wx
2. O
rgan
ise
follo
w u
p w
ork-
shop
s af
ter
the
first
nat
iona
l ad
voca
cy w
orks
hop
hel
d in
D
ecem
ber
2015
(spo
nsor
ed
by U
NE
SC
O)
MoE
AC
, MG
EC
W, M
oHS
S
MG
EC
Wx
xx
xx
x
Co
mp
on
ent
3: I
mp
rove
d p
aren
tin
g f
or
child
ren
ag
ed 0
- 8
Purp
ose
: Cre
ate
awar
enes
s an
d u
nd
erst
and
ing
of
the
imp
ort
ance
of
the
firs
t 10
00 d
ays
and
hel
p c
arer
s to
dev
elo
p p
aren
tin
g s
kills
to
su
pp
ort
op
tim
al d
evel
op
men
t o
f ch
ildre
n f
rom
co
nce
pti
on
to
ag
e 8
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
A
gen
tsLe
ad A
gen
ts20
17/1
820
18/1
920
19/2
020
20/2
120
21/2
2
12
34
12
34
12
34
12
34
12
34
Impr
ove
supp
ort
to
Pare
nts
of c
hild
ren
aged
0
- 8
1. Id
entif
y an
d ap
poin
t a
mul
ti-se
ctor
al t
eam
to
stre
ngth
en d
ialo
gue
and
coor
dina
te a
ctiv
ities
aim
ed a
t su
ppor
ting
pare
ntin
g
MoH
SS
(will
in
form
MoE
AC
and
M
GE
CW
)
MoH
SS
xx
x
2. M
ains
trea
m in
to t
he C
urric
ula
life
skill
s an
d re
prod
uctiv
e he
alth
, and
nut
ritio
n. Tr
ickl
e-do
wn
effe
ct
into
com
mun
ity p
rogr
ams
and
pare
ntin
g pr
ogra
ms,
lit
erac
y pr
ogra
ms
and
educ
ator
s in
clud
ing
into
cur
ricul
a of
ins
titut
ions
of
high
er le
arni
ng (e
duca
tion,
nur
sing
, m
edic
ine,
soc
ial w
ork)
MoE
AC
and
MoH
SS
M
oEA
C
xx
xx
xx
xx
35IECD Service Delivery A Framework for Action
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
A
gen
tsLe
ad A
gen
ts20
17/1
820
18/1
920
19/2
020
20/2
120
21/2
2
12
34
12
34
12
34
12
34
12
34
Dev
elop
a fa
mily
vis
itors
pr
ogra
mm
e fo
r at
ris
k m
othe
rs, p
aren
ts,
educ
arer
s, g
rand
pare
nts
and
elde
r si
blin
gs o
f ch
ildre
n ag
ed 0
- 2
3. C
ondu
ct a
sco
ping
exe
rcis
e of
cur
rent
hea
lth, h
ome
and
fam
ily v
isito
r pr
ogra
mm
es in
Nam
ibia
to
iden
tify
cadr
es w
ho c
ould
be
re-t
rain
ed o
r us
ed w
ithin
bot
h pu
blic
and
civ
il so
ciet
y se
ctor
s. U
se in
tern
atio
nal
best
pra
ctic
e ba
sed
on e
vide
nce
(MoE
AC
, MoH
SS
; M
GE
CW
, oth
ers)
MO
HS
S, M
GE
CW
an
dM
oEA
C
MG
EC
W
xx
xx
xx
xx
4. D
ocum
ent
fam
ily v
isito
r pr
ogra
mm
e fo
r at
- ris
k co
mm
uniti
es, s
tart
ing
with
iden
tified
com
mun
ities
in
5 re
gion
s. S
tart
ing
with
the
sam
e co
mm
uniti
es w
here
th
e fir
st 2
8 G
RN
EC
D c
entr
es w
ill b
e bu
ilt.
MoH
SS
(p
aren
ting
prog
ram
me)
xx
xx
xx
xx
xx
xx
xx
xx
xx
x
5. D
evel
op a
cur
ricul
um fo
r ho
me
visi
ting,
dra
win
g on
Nam
ibia
n an
d in
tern
atio
nal e
xper
ienc
e an
d us
ing
exis
ting
mat
eria
ls w
hene
ver
poss
ible
MoH
SS
(p
aren
ting
prog
ram
me)
xx
xx
xx
6. P
rocu
rem
ent
of e
quip
men
t an
d ot
her
need
ed
reso
urce
s fo
r fa
mily
vis
itors
pro
gram
mes
MoH
SS
xx
xx
xx
xx
xx
7. R
ecru
itmen
t an
d tr
aini
ng o
f fir
st g
roup
of
100
fam
ily
visi
tors
MoH
SS
(p
aren
ting
prog
ram
me)
xx
xx
xx
xx
x
8. D
evel
op a
M&
E s
yste
m fo
r ho
me
visi
tors
MoH
SS
(p
aren
ting
prog
ram
me)
xx
xx
Impr
ove
capa
city
to
reac
h ou
t yo
ung
child
ren
9. Im
prov
e co
llabo
ratio
n an
d sh
arin
g of
sch
ool h
ealth
pr
ogra
m, H
EW
sco
pe, a
nd o
ther
loca
l hea
lth c
are
func
tions
with
oth
er li
ne m
inis
trie
s an
d ci
vil s
ocie
ty,
poss
ibly
thr
ough
RA
CO
Cs
or C
hild
Car
e an
d Pr
otec
tion
Foru
ms
MoH
SS
MoE
AC
MoH
SS
(p
aren
ting
prog
ram
me)
x
Exp
and
Sch
ool H
ealth
pr
ogra
mm
e to
EC
D
faci
litie
s
10. R
evie
w s
choo
l hea
lth p
olic
y an
d pr
actic
e to
ens
ure
that
the
re is
suf
ficie
nt e
mph
asis
on
early
inte
rven
tion
and
heal
th v
isits
to
EC
D fa
cilit
ies
Nat
iona
l Sch
ool
Hea
lth T
ask
Forc
e co
ordi
natin
g bo
dy
min
istr
ies
MoE
AC
xx
xx
Impr
ove
infa
nt c
are
by
prov
idin
g ex
pect
ant
mot
hers
with
rel
evan
t in
form
atio
n an
d su
pple
men
ts t
hrou
gh
AN
C a
nd a
t de
liver
y
11. D
evel
op a
list
of
need
ed it
ems
and
star
t w
ith a
tria
l. E
valu
ate
impa
ct o
f th
e tr
ial a
nd d
ecid
e ro
ll ou
t.M
oHS
SM
oHS
S
xx
xx
xx
xx
xx
xx
xx
xx
xx
xx
36 IECD Service Delivery A Framework for Action
Co
mp
on
ent
4: Im
pro
ved
Pro
tect
ion
an
d S
up
po
rt f
or Y
ou
ng
Ch
ildre
n
Purp
ose
: Yo
un
g c
hild
ren
0-8
yea
rs o
f ag
e ar
e sa
feg
uar
ded
fro
m g
end
er b
ased
vio
len
ce, p
hysi
cal h
arm
, in
adeq
uat
e n
utr
itio
n a
nd
to
xic
stre
ss, a
nd
rec
eive
rem
edia
l in
terv
enti
on
as
nee
ded
.
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
Ag
ents
Lead
Ag
ents
2017
/18
2018
/19
2019
/20
2020
/21
2021
/22
12
34
12
34
12
34
12
34
12
34
Impr
ove
iden
tifica
tion
of
child
ren
at r
isk
and
use
of
refe
rral
pro
cedu
res
1. D
evel
op Tr
aini
ng m
ater
ials
in
Nam
ibia
n la
ngua
ges
for
all
fam
ily v
isito
rs, H
EW
s, IE
CD
ce
ntre
sta
ff, c
omm
unity
-ba
sed
soci
al w
elfa
re w
orke
rs,
pre-
prim
ary
teac
hers
and
gr
ade
1 te
ache
rs, a
nd
polic
e gr
oups
. Thi
s in
clud
es
pre-
test
ing
and
trai
ning
of
trai
ners
(ToT
s)
MoH
SS,
MG
EC
W, M
oEA
C
and
NG
Os
MG
EC
Wx
xx
xx
xx
x
2. R
un c
ontin
uous
in-s
ervi
ce
trai
ning
for
educ
arer
s M
oEA
C (R
egio
nal E
duca
tion
Offi
ces)
, MoH
SS
MG
EC
W
and
MS
S s
truc
ture
s
MG
EC
Wx
xx
xx
xx
xx
xx
XX
XX
X
Ens
ure
early
det
ectio
n of
impa
irmen
ts a
nd
iden
tifica
tion
of a
dequ
ate
inte
rven
tions
for
child
ren
with
spe
cial
nee
ds
3. R
evie
w e
xist
ing
curr
icul
um
and
child
dev
elop
men
t pr
ogra
mm
es
MG
EC
W, M
oEA
CM
oEA
C (N
IED
and
PQ
A)
xx
xx
xx
xx
xx
4. Tr
aini
ng o
f ed
ucar
ers
M
GE
CW
and
MoE
AC
, (N
IED
an
d P
QA
)M
oEA
C (N
IED
and
PQ
A)
xx
xx
xx
xx
xx
xx
xx
xx
5. Tr
aini
ng o
f pa
rent
sM
GE
CW
and
MoE
AC
(and
N
IED
, PQ
A a
nd li
tera
cy
prog
ram
me)
MoE
AC
xx
xx
xx
xx
xx
xx
xx
xx
xx
xx
Ens
ure
effe
ctiv
e ac
cess
to
child
gra
nts
6. O
rgan
ise
a w
orks
hop
to
asse
ss c
urre
nt d
ata
on a
ge
of r
ecip
ient
s an
d ac
cess
to
gran
ts. B
ased
on
the
findi
ngs
of t
he w
orks
hop,
dev
elop
re
com
men
datio
ns t
o im
prov
e th
e sy
stem
.
MG
EC
W (s
ocia
l wel
fare
)M
GE
CW
x
xx
xx
xx
xx
xx
x
7. T
rain
app
ropr
iate
sta
ff
(con
stitu
ency
chi
ld c
are
wor
kers
, soc
ial w
orke
rs)
on a
ppro
ache
s to
ens
ure
that
par
ents
of
infa
nts
appl
y su
cces
sful
ly fo
r ea
rly b
irth
regi
stra
tion
and
avai
labl
e
gran
ts
xx
xx
xx
xx
xx
xx
xx
xx
xx
xx
37IECD Service Delivery A Framework for Action
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
Ag
ents
Lead
Ag
ents
2017
/18
2018
/19
2019
/20
2020
/21
2021
/22
12
34
12
34
12
34
12
34
12
34
Prom
ote
soci
al m
obili
zatio
n on
pre
vent
ion
of a
nd
resp
onse
to
viol
ence
and
ne
glec
t of
you
ng c
hild
ren
8. Id
entif
y ex
istin
g po
sitiv
e pa
rent
ing
prog
ram
mes
and
de
velo
p ne
w p
rogr
amm
es
MoH
SS,
MoE
AC
MG
EC
WM
GE
CW
xx
xx
xx
xx
xx
9. In
clud
e pr
even
tion
of a
nd
resp
onse
to
viol
ence
and
ne-
glec
t of
you
ng c
hild
ren
in t
he
Fam
ily L
itera
cy p
rogr
am
MoH
SS,
MoE
AC
MG
EC
WM
oEA
Cx
xx
xx
xx
xx
x
10. P
repa
re in
form
atio
n
pack
s fo
r di
vers
e pl
ayer
s o
n da
nger
ous
effe
cts
of v
iole
nce
and
negl
ect
on c
hild
ren
MoH
SS,
MoE
AC
MG
EC
WM
GE
CW
xx
xx
xx
x
Youn
g ch
ildre
n’s
expr
essi
on
of fe
ar o
r tr
aum
a is
hea
rd
and
appr
opria
tely
res
pond
ed
to
11. A
dapt
the
cur
rent
sch
ool-
base
d m
essa
ging
aro
und
Feel
ing
Yes/
Feel
ing
No
to b
e us
ed a
t E
CD
faci
litie
s
MG
EC
W a
nd p
artn
ers
MG
EC
Wx
xx
xx
xx
x
12. T
rain
and
Sup
port
Chi
ld
Car
e an
d Pr
otec
tion
Foru
ms,
ba
sed
on C
CP
Act
to
refe
r yo
ung
child
ren
expe
rienc
ing
abus
e or
neg
lect
in li
ne w
ith
the
Nat
iona
l Chi
ld P
rote
ctio
n
Flow
char
t
DC
W a
nd p
artn
ers
MG
EC
W -
DC
Wx
xx
xx
xx
xx
xx
xx
xx
xx
xx
x
13. T
rain
and
sup
port
S
tate
soc
ial w
orke
rs in
m
anag
ing
repo
rtin
g of
VA
C
and
emer
genc
y re
mov
al o
f ch
ildre
n at
ris
k.
DC
W a
nd p
artn
ers
MG
EC
W -
DC
Wx
xx
xx
xx
xx
xx
xx
xx
x
38 IECD Service Delivery A Framework for Action
Co
mp
on
ent
5: Im
pro
ved
Acc
ess
Purp
ose
: Th
e n
um
ber
of
child
ren
0-8
yea
rs o
f ag
e ac
cess
ing
IEC
D-r
elat
ed s
ervi
ces,
wit
h p
rio
rity
giv
en t
o t
ho
se in
dis
adva
nta
ged
co
mm
un
itie
s, is
su
bst
anti
ally
incr
ease
d.
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
Ag
ents
Lead
Ag
ents
2017
/18
2018
/19
2019
/20
2020
/21
2021
/22
12
34
12
34
12
34
12
34
12
34
Impr
ove
acce
ss t
o IE
CD
-re
late
d se
rvic
es in
the
mos
t di
sadv
anta
ged
com
mun
ities
1. U
se e
xist
ing
exam
ples
to
deve
lop
stan
dard
ised
pla
ns
for
com
mun
ity E
CD
faci
litie
s.
All
serv
ices
sho
uld
be
inte
grat
ed in
suc
h fa
cilit
ies,
gi
ving
acc
ess
to p
rimar
y he
alth
and
soc
ial s
ervi
ces
as w
ell a
s ea
rly le
arni
ng,
and
serv
ing
child
ren
of 0
-6
year
s an
d th
eir
pare
nts
or e
duca
rers
. Pre
-prim
ary
clas
ses
can
be in
clud
ed in
su
ch c
entr
es if
all
requ
ired
cond
ition
s ar
e m
et
MG
EC
W, M
oEA
C,
MoW
T, L
ocal
Aut
horit
ies
MG
EC
W a
nd
MoE
AC
xx
xx
xx
xx
xx
xx
xx
xx
xx
x
Exp
and
EC
D C
entr
es
natio
nally
2. D
evel
op a
long
-ter
m
plan
for
EC
D in
fras
truc
ture
de
velo
pmen
t
MG
EC
W, w
ith E
U a
ssis
tanc
eM
GE
CW
xx
xx
xx
xx
xx
xx
xx
xx
xx
x
3. C
onst
ruct
/ re
nova
te 2
8 m
odel
EC
D c
entr
es a
nd P
PE
cl
assr
oom
s
MG
EC
W, M
WT,
EU
MG
EC
Wx
Exp
and
Pre-
prim
ary
clas
ses
4. R
evie
w a
nd u
pdat
e ex
istin
g lo
ng-t
erm
pla
n fo
r pr
e-pr
imar
y in
fras
truc
ture
de
velo
pmen
t
MoE
AC
with
EU
ass
ista
nce
MoE
AC
xx
xx
xx
xx
xx
5. C
onst
ruct
/ re
nova
te P
PE
cl
assr
oom
sM
oEA
CM
oEA
C
xx
xx
xx
xx
xx
xx
x
39IECD Service Delivery A Framework for Action
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
Ag
ents
Lead
Ag
ents
2017
/18
2018
/19
2019
/20
2020
/21
2021
/22
12
34
12
34
12
34
12
34
12
34
Rei
nfor
ce s
uppo
rt t
o E
CD
se
rvic
e pr
ovid
ers
6. C
ondu
ct c
onsu
ltatio
ns
with
faith
-bas
ed a
nd N
GO
s w
ho a
re p
rovi
ders
of
IEC
D t
o id
entit
y ne
eds
and
area
s of
su
ppor
t
MoE
AC
, MG
EC
WM
GE
CW
x
7. Im
plem
enta
tion
EC
D
subs
idie
s fo
r E
duca
rers
with
co
ntro
l mea
sure
s
MoE
AC
, MG
EC
WM
GE
CW
x
8. C
arry
out
an
eval
uatio
n of
sub
sidi
es p
rovi
ded
to
com
mun
ity E
CD
pro
vide
rs in
or
der
to in
crea
se c
over
age
and
ensu
re e
ffect
ive
cont
rol
MoE
AC
, MG
EC
WM
GE
CW
xx
x
Ens
ure
nutr
itiou
s m
eal
to v
ulne
rabl
e ch
ildre
n pa
rtic
ipat
ing
in a
n E
CD
pr
ogra
mm
e
9. O
rgan
ise
educ
atio
n se
s-si
ons
on n
utrit
ious
mea
ls f
or
Edu
care
rs a
nd c
omm
uniti
es
and
dist
ribut
e in
form
atio
n le
aflet
s
MG
EC
W,
MoH
SS
MG
EC
Wx
xx
xx
xx
xx
xx
xx
xx
xX
10. P
ilot
feed
ing
prog
ram
mes
to
rea
ch v
ulne
rabl
e ch
ildre
n in
ne
edy
area
s
EC
D P
rovi
ders
, M
GE
CW
, M
oEA
CM
GE
CW
xx
xx
xx
Str
engt
hen
Mul
ti-se
ctor
ap
proa
ches
to
addr
ess
mal
nutr
ition
of
child
ren
11. E
xplo
re t
he p
ossi
bilit
y of
fre
e he
alth
ser
vice
s to
vu
lner
able
peo
ple
(e.g
. ch
ildre
n un
der
age
of 5
yea
rs
or p
regn
ant
wom
en)
MoH
SS
MG
EC
WM
oEA
C
MoH
SS
xx
12. E
ncou
rage
mul
ti-se
ctor
ap
proa
ch fo
r m
ater
nal
educ
atio
n, a
war
enes
s ra
isin
g an
d nu
triti
onal
cou
nsel
ling
xx
xx
13. I
nitia
te a
cam
paig
n ta
rget
ing
pare
nts
on c
hild
he
alth
and
nut
ritio
n, h
ygie
ne
and
sani
tatio
n
xx
xx
xx
40 IECD Service Delivery A Framework for Action
Co
mp
on
ent
6: Im
pro
ved
Qu
alit
y o
f IE
CD
Purp
ose
: IE
CD
pro
visi
on
is o
f su
ffici
ent
qu
alit
y to
be
effe
ctiv
e an
d e
ffici
ent
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
Ag
ents
Lead
A
gen
ts20
17/1
820
18/1
920
19/2
020
20/2
120
21/2
2
12
34
12
34
12
34
12
34
12
34
Incr
ease
EC
D q
ualifi
catio
ns
offe
red
at Te
rtia
ry L
evel
1. U
NA
M t
o of
fer
Bac
helo
r an
d M
aste
r de
gree
s in
EC
D. W
rite
a re
ques
t le
tter
to
UN
AM
to
deve
lop
IEC
D d
egre
e co
urse
s
MoE
AC
, NIE
D a
nd r
elev
ant
part
ners
, MG
EC
WM
oEA
C,
NIE
D,
MG
EC
W
xx
xx
xx
xx
xx
xx
xx
xx
x
2. In
fuse
the
100
0 da
ys a
nd b
rain
de
velo
pmen
t in
the
cur
ricul
um o
f ed
ucat
ion,
so
cial
wor
k, n
ursi
ng, p
sych
olog
y an
d m
edic
ine
in t
he E
CD
Cur
ricul
um t
rain
ing
for
Edu
care
rs
MG
EC
W, U
NIC
EF
MG
EC
Wx
xx
Mak
e C
ontin
uous
Pr
ofes
sion
al D
evel
opm
ent
avai
labl
e fo
r al
l IE
CD
pr
actit
ione
rs
3. Tr
aini
ng o
f st
aff
CC
LOs,
CLO
s in
m
anag
emen
t, s
uper
visi
on a
nd m
onito
ring
of
IEC
D p
rogr
amm
es
MG
EC
WM
GE
CW
xx
xx
xx
xx
xx
xx
xx
xx
4. E
stab
lish
an A
gree
men
t w
ith U
NA
M C
entr
e fo
r Pr
ofes
sion
al D
evel
opm
ent,
Teac
hing
and
Le
arni
ng Im
prov
emen
t (C
PD
TLI)
for
IEC
D
prac
titio
ners
to
be in
clud
ed in
CP
D
x x
xx
Ens
ure
attr
ibut
ion
of
burs
arie
s to
stu
dent
s w
antin
g to
hav
e a
qual
ifica
tion
in E
CD
5. E
stab
lish
an A
gree
men
t be
twee
n M
oEA
C
and
NS
FAF
to p
rovi
de b
ursa
ries
to p
rosp
ectiv
e st
uden
ts g
ivin
g sp
ecia
l att
entio
n to
tho
se w
ho
wou
ld t
each
in ru
ral c
omm
uniti
es
MoE
AC
MoE
AC
x
xx
xx
xx
xx
xx
xx
xx
xx
Impr
ove
the
qual
ity o
f pr
e-pr
imar
y ed
ucat
ion
to a
ll ch
ildre
n ag
ed 5
and
6
6. In
crea
se t
he p
rovi
sion
of
equi
tabl
e qu
ality
S
choo
l Rea
dine
ss P
rogr
amm
e to
all
child
ren
aged
bet
wee
n 5
and
6, w
hich
focu
s on
: (a)
ch
ildre
n’s
lear
ning
and
dev
elop
men
t; (b
) the
sc
hool
env
ironm
ent
to b
e ab
le t
o su
ppor
t a
smoo
th t
rans
ition
for
child
ren
into
prim
ary
scho
ol; a
nd (c
) par
enta
l and
edu
care
r at
titud
es
and
invo
lvem
ent
in t
heir
child
ren’
s ea
rly
lear
ning
and
dev
elop
men
t an
d tr
ansi
tion
to
scho
ol
MoE
AC
MoE
AC
xx
xx
xx
xx
xx
xx
xx
xx
xx
x
Impr
ove
the
teac
hing
co
mpe
tenc
ies
of p
re-p
rimar
y te
ache
rs
7. D
evel
op a
nd im
plem
ent
cont
inui
ng
prof
essi
onal
dev
elop
men
t ac
tiviti
es fo
r pr
e-pr
imar
y te
ache
rs
MoE
AC
MoE
AC
xx
xx
xx
xx
xx
xx
xx
xx
xx
x
Impr
ove
avai
labi
lity
of
teac
hing
and
lear
ning
m
ater
ials
in p
re-p
rimar
y cl
assr
oom
s
8. P
rocu
re t
each
ing
and
lear
ning
mat
eria
ls t
o be
use
d in
pre
-prim
ary
clas
sroo
ms
MoE
AC
MoE
AC
xx
xx
xx
xx
xx
xx
xx
xx
xx
xx
41IECD Service Delivery A Framework for Action
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
Ag
ents
Lead
A
gen
ts20
17/1
820
18/1
920
19/2
020
20/2
120
21/2
2
12
34
12
34
12
34
12
34
12
34
Dec
reas
e G
rade
1 r
epet
ition
le
vel
9. A
ppoi
ntm
ent
by t
he P
erm
anen
t S
ecre
tary
of
a Tu
rnar
ound
Team
to
deve
lop
stra
tegi
es
aim
ed a
t re
duci
ng r
epet
ition
at
Gra
de 1
MoE
AC
, MG
EC
WU
NE
SC
O, U
NIC
EF
UN
AM
MoE
AC
xx
xx
10. T
urna
roun
d Te
am t
o st
udy
findi
ngs
of
UN
ES
CO
CFI
T ac
tion
rese
arch
and
dev
elop
a
stra
tegi
c pl
an b
ased
on
this
fra
mew
ork
MoE
AC
, MG
EC
WU
NE
SC
O, U
NIC
EF
UN
AM
MoE
AC
xx
xx
11. M
ake
sure
sta
ffing
and
per
sonn
el
mea
sure
s co
ncer
ning
gra
de 1
tea
cher
s ar
e in
pla
ce b
y ne
gotia
ting
with
the
Teac
hing
S
ervi
ce C
omm
ittee
of
the
Publ
ic S
ervi
ce
Com
mis
sion
, OP
M a
nd Tr
easu
ry t
he fo
llow
ing:
(a
) sta
ffing
nor
ms
for
grad
e 1;
(b) i
ncen
tives
fo
r ap
prop
riate
ly q
ualifi
ed t
each
ers
to
teac
h gr
ade
1 cl
asse
s; (c
) sup
port
sta
ff fo
r st
ress
ed s
choo
ls a
nd (d
) inc
entiv
es t
o at
trac
t st
uden
ts t
o st
udy
for
Juni
or P
rimar
y te
achi
ng
qual
ifica
tions
(e) b
asic
hou
sing
for
qual
ified
te
ache
rs in
rem
ote
rura
l sch
ools
MoE
AC
MG
EC
WU
NE
SC
OU
NIC
EF
UN
AM
MoE
AC
xx
xx
xx
xx
x
12. S
uffic
ient
gra
de 1
rea
ding
and
num
erac
y m
ater
ials
in N
amib
ian
lang
uage
s ar
e pr
ocur
ed,
dist
ribut
ed a
nd u
sed
MoE
AC
, EU
Priv
ate
Sec
tor
MoE
AC
xx
xx
xx
xx
xx
xx
xx
xx
xx
xx
Upg
rade
d te
achi
ng s
kills
of
all
unqu
alifi
ed o
r un
der-q
ualifi
ed
grad
e 1
teac
hers
1. M
ass
trai
ning
of
grad
e 1
teac
hers
, in
clus
ters
or
circ
uits
, in
esse
ntia
l ski
lls fo
r te
achi
ng li
tera
cy a
nd n
umer
acy,
thr
ee t
imes
pe
r ye
ar, i
n th
e w
eek
befo
re t
he s
tart
of
each
te
rm. D
evel
opm
ent
of C
ontin
uing
Pro
fess
iona
l D
evel
opm
ent
Prog
ram
me
for
grad
e 1
teac
hers
to
obt
ain
prof
essi
onal
qua
lifica
tions
.
MoE
AC
NIP
AM
UN
AM
MoE
AC
xx
xx
xx
xx
xx
xx
xx
xx
xx
Rec
ogni
tion
of
outs
tand
ing
wor
k of
gra
de 1
tea
cher
s th
roug
h aw
ards
2. N
omin
atio
n at
circ
uit
leve
l and
sel
ectio
n at
Reg
iona
l and
Nat
iona
l lev
el o
f ou
tsta
ndin
g gr
ade
1 te
ache
rs, a
nd g
ivin
g ap
prop
riate
ce
rtifi
cate
s an
d pr
izes
UN
ES
CO
EU
Priv
ate
Sec
tor
MoE
AC
xx
xx
xx
xx
xx
xx
xx
xx
xx
Impr
ove
qual
ity a
nd
effic
ienc
y of
Fam
ily L
itera
cy
Prog
ram
me
3. E
ncou
rage
men
t of
par
ents
, edu
care
rs a
nd
olde
r si
blin
gs t
o ta
ke p
art
in t
he fa
mily
lite
racy
pr
ogra
mm
e in
larg
er n
umbe
rs
MoE
AC
MoE
AC
xx
xx
xx
xx
xx
xx
xx
xx
xx
x
42 IECD Service Delivery A Framework for Action
Co
mp
on
ent
7: Im
pro
ved
M&
E
Purp
ose
: IE
CD
pro
gra
mm
es a
re a
deq
uat
ely
mo
nit
ore
d a
nd
eva
luat
ed t
o e
nsu
re t
he
con
tin
ued
qu
alit
y o
f se
rvic
e d
eliv
ery
and
to
in
form
po
licy
and
pla
nn
ing
Ob
ject
ive
Act
ivit
ies
Imp
lem
enti
ng
Ag
ents
Lead
Ag
ents
2017
/18
2018
/19
2019
/20
2020
/21
2021
/22
12
34
12
34
12
34
12
34
12
34
Rev
iew
and
ass
essm
ent
of p
rogr
ess
mad
e in
the
im
plem
enta
tion
of t
he IE
CD
Fr
amew
ork
1. N
atio
nal W
orks
hop/
Con
fere
nce
to d
iscu
ss IE
CD
Fr
amew
ork
and
asse
ss
prog
ress
of
impl
emen
tatio
n
xx
2. Te
am t
o st
udy
findi
ngs
of
inte
rnat
iona
l, re
gion
al a
nd
loca
l res
earc
h co
ncer
ning
de
velo
pmen
t of
chi
ldre
n fr
om
conc
eptio
n to
8 y
ears
MoE
AC
, MG
EC
WM
oHS
S, U
NIC
EF
EU
, UN
ES
CO
M
GE
CW
MoE
AC
xx
xx
xx
xx
3. D
evel
op Te
rms
of
Ref
eren
ce fo
r th
e st
udy
to
be c
ondu
cted
and
app
roac
h re
sear
cher
s t
o pa
rtic
ipat
e in
the
stu
dy in
col
labo
ratio
n w
ith t
he F
acul
ty o
f E
duca
tion
and
the
Pare
ntin
g U
nit
MoE
AC
and
MG
EC
W, w
ith
UN
ICE
F su
ppor
tM
GE
CW
& M
OE
AC
xx
A m
onito
ring
and
eval
uatio
n sy
stem
for
IEC
D is
in p
lace
4. D
evel
op a
res
ults
fra
me-
wor
k an
d se
t of
indi
cato
rs fo
r IE
CD
, alig
ned
to t
he N
atio
nal
Age
nda
for
Chi
ldre
n an
d th
e S
trat
egic
Pla
n fo
r E
duca
tion
and
perio
dica
lly u
pdat
e al
l st
akeh
olde
rs o
n pr
ogre
ss.
EC
D H
TCM
GE
CW
xx
xx
xx
xx
xx
x