2. Objective Preparatory activities to be pursued in the 2 nd half of 2015 in connection with the ECCD Intervention Package/Nutrition for the First 1000 Days

3. Mechanics Intro presentation Plenary discussion Who should be mobilized to ensure success? Who should be directly involved at the regional, provincial, city, municipal, and barangay levels? What other preparatory activities should be done? How can the mapping of existing ECCD-related activities be done? What should be done to ensure that LGUs use funds that will be released to them?

4. Background 22 April Meeting of Secretary Butch Abad with member agencies of the ECCD Council – DepED, DOH, DSWD, NNC -- How to strengthen nutrition in ECCD Agreement: Focus on the First 1000 Days NNC to develop and submit framework

5. Background of the meeting 27 April onward NNC circulated a first draft of the framework (many thanks to Dr. Anthony Calibo of DOH) and requested for comments NNC continued to enhance the concept note, also integrated suggestions from DSWD and ECCD NNC also developed its new spending proposal

6. Background 21 May and 3 June 2015 TWG meetings to review the package framework and generate information 18, 22 May and 4 June Meetings with DBM – comments, instructions

7. ECCDInterventionPackage For the First 1000 Days

8. Outline Framework program Objectives Area coverage Budgetary allocation for key services Ensuring implementability

10. RA 10410 Early Years Act The State shall institutionalize a National System for Early Childhood Care and Development (ECCD)... (Section 2) Early Childhood Care and Development (ECCD) System shall refer to the full range of health, nutrition, early education and social services development programs that provide for the basic holistic needs of young children from age zero (0) to four (4) years; and to promote their optimum growth and development. (Section 4)

11. Overall program framework Nutrition Health Early child learning Social services Others

12. Work in progress

13. Province NumberPopulation CitiesMunBgyPregnant0-5 m/o6-23 m/o Pangasinan* 2220814,7855,7034,923 Quezon* 127211,4914,43213,296 Camarines Sur 1319012,1174,67414,021 Iloilo 131789,5033,66510,996 Negros Occidental 328317,1576,61819,853 Cebu* 03975,4452,1996,301 Leyte 132348,8443,41110,234 Zamboanga del Sur 03914,4861,7315,192 Davao del Sur* 12699,5263,67411,023 Sulu 91941032,68212,60637,818 Total 19421,632126,03648,614145,842 To cover ASAPP mun *With NCDCs

14. Goal To ensure the full development of the child through integrated services of health, nutrition, early education, and social services for improved quality of the country’s human resource base as a contribution to reduce poverty

15. Objectives To reduce mortality and morbidity rates among children 0-23 months old To reduce the prevalence of stunting and wasting among children 0-23 months old To increase the percentage of children 0-23 months old meeting developmental milestones

17. Specific Objectives 1.Increase the percentage of fully-immunized infants 0-12 months old 2.Increase the percentage of pregnant women with at least 4 prenatal care visits and 2 post-natal visits 3.To increase the percentage of pregnant women delivering in health facilities 4.To increase the percentage of deliveries attended by skilled health professionals

18. Specific Objectives 5.Increase the percentage of infants receiving essential intrapartum and newborn care 6.Decrease the incidence of child injuries 7.Increase the percentage of infants 0-6 months old who are exclusively breastfed 8.Increase the percentage of infants 6 months old who were initiated to complementary feeding by the 6 th month

19. Specific Objectives 9.Increase the percentage of infants 6-23 months old who are receiving the minimum adequate diet 10.Increase the percentage of infants 0-23 months old whose weight and height are measured regularly 11.Reduce the prevalence of nutritionally-at-risk pregnant women 12.Increase the percentage of poor pregnant women with intake of 180 iron folic acid supplements

20. Specific Objectives (continued) 13.Increase the percentage of children 6 – 23 months old who are receiving multiple micronutrient powder (MNP) 14.Increase the percentage of children 6-23 months old receiving two doses of vitamin A 15.Increase the percentage of households with home kitchen gardens 16.Increase the percentage of households with children 0-23 months old using safe drinking water

21. Specific Objectives (continued) 17.Increase the percentage of households with children 0-23 months old with sanitary toilet facilities 18.Increase the percentage of parents or family members participating in support programs to facilitate the provision of early learning opportunities to children

22. Specific Objectives (continued) 19.Increase percentage of children 0-4 years old in child development services, e.g. child minding, day care/supervised neighborhood play or other alternative modes of delivery of ECCD services 20.Increase the percentage of parents with children 0-23 months old aware of the rights of the child

23. Pre- conceptional Prenatal Birth and Delivery Newborn to 11 months 12 to 24 months 24 – 59 months Continuum of care “Normal” and emergency situations

24. NNC component

26. Pregnant woman, mother with infants 0-23 months old and their families Face-to-face counseling - - complementary feeding, early learning Food demonstration, recipe trials, mothers class (2 x/month), early learning Seeds, seedlings, small animals Messages from local and national multi-media Livelihood

27. SupportDetails Weighing scales and steel rules 1 set/barangay – 5,500 Growth charts for newborn2.7% of population Milestone development checklist 2.7% of population SupportDetails Food for food demo150/class for 2 classes/ month Food for pax of mothers class 20/person for 30 persons/class Funds for home and community kitchen gardens 40,000 per barangay Local media support700,000/province Incentives for BNSs1,000/mo/BNS Lakbay aral (within municipality) 10,500/ municipality Self-help tool3 per barangay

29. Radio spots TV spots Segment buy IEC materials National behavior change communication

30. 2016 Baseline 2017 Midline PIR 2018 Endline

32. Documentation

33. NO III level Accident insurance PhilHealth One full-time staff/province TEV Communication Gasoline

34. One full-time staff/province Coordinate, provide staff support, and implement ECCD IP/First 1000 Days/Nutrition activities in the province that include but are not limited to: Consultative meetings, planning, monitoring and evaluation of activities at the provincial level Orientation sessions on the ECCD Intervention Package to participating municipalities, partners and stakeholders on ECCD IP at regional, provincial and municipal levels Trainings on the nutrition component of the ECCD IP/First 1000 Days Mentoring of nutrition and related workers at various levels

35. One full-time staff/province Advocate for mainstreaming of the ECCD Intervention Package in all Annual Work Plans and Medium-Term Investment Plans. Assist in coordination of implementation of ECCD IP activities at LGU level under the guidance of NNC. Provide technical assistance to LGUs on the different components of the ECCD IP/First 1000 Days, including fund management Prepare reports as required Others as may be assigned

36. Points for discussion

37. Who should be mobilized? How Governor, mayor, vice-gov vice mayor– orientation; in 2016 Health, nutrition, social welfare (ND at regional level) – orientation Check political climate in target areas– which areas are challenging; who will probably run/be reelected; also of other situationas Quick appraisal – policy environment, NPM capacity, structure and mechanism –use the spider web; first week of August, 7 Aug COB..

38. Who should be directly involved at the regional, provincial, city, municipal, and barangay levels? Health, nutrition and social welfare, planning office, MAO, DSWD convergence program persons, treasurer SB Committee on Health SB Committee on Social Welfare

39. What other activities should be done?

40. How can the mapping of existing ECCD-related activities be done? Use a checklist

41. What else should be done to ensure that LGUs use funds that will be released to them? Trust fund, designation of focal person, and provisions on sustainability, e.g. full time person, – include in MoA Look into implications of fund release to barangays

42. Clarify admin matters Where staff is based? Relationship with PNAO Who will sign DTR