1. Guidelines For Supporting ECD in the Multi-country HIV/AIDS Program for Africa

2. Negative impact on young children born into AIDS-affected communities HIV - positive parents Transmission of HIV to child Family overburdened as a result of caring for foster children and/or ill family members Orphanhood Fewer household resources for nutritious foods, education, and other investments in young children Poor cognitive and Social development Foster care, Institutional care Street Children, Child headed households Nutritional deficiencies Stunting Childhood morbidity and mortality Poverty level exacerbated Psychosocial stress Opportunistic infections, increased susceptibility to childhood diseases Increased susceptibility To childhood diseases Child born in AIDS affected community -

3. Types of ECD intervention: 1.Delivery of services to young children 2.Education and support for parents 3.Training and support for caregivers 4.Sensitization through multi-media channels 5.Mobilization and strengthening of community-based activities How to tackle the problem?

4. Main delivery systems: Contracting with civil society organizations (CSOs) to implement activities Local grants to communities and community organizations Delivery of social services by line ministries to ECD providers Direct international, local and private institution support How to tackle the problem?

5. Local monitoring of the conditions of vulnerable children. Family-based care for young orphans or for neglected or abused children. Food assistance to households, community-based groups, and institutions that are supporting young children in HIV/AIDS affected communities. Community-care centers to free up caregivers for income-generating activities, education, and health care. Training of volunteers on topics related to the care of HIV infected young children, including feeding, health,and development. An ECD Program Package:

6. Why include ECD in the MAP? Few programs adequately recognize and address the needs of young children affected by HIV/AIDS The MAP is well-designed to address ECD because it builds on national and community resources.

7. Who the Guide is for? HIV/AIDS practitioners: national AIDS secretariats, task team and WB managers, line ministries, managers of civil society organizations, and community leaders Staff of multilateral and bilateral donor agencies Planners of HIV/AIDS projects in other regions

8. Why do we need an ECD MAP guide? Bridge MAP gap regarding young children’s needs; Build Capacity among CSOs to submit proposals for MAP grants and other funding sources; and Serve as a resource for other national HIV/AIDS program topics Provide guidelines to develop national program, policies, and interventions

9. Operationalizing ECD activities Key steps : Identify potential inter-sectoral collaboration Access CSOs interest in ECD activities Target beneficiaries Design monitoring and evaluation systems Grant writing application process

10. Monitoring and Evaluation Baseline data and situational analysis: some data is universally available but there is a need to collect other useful information Assessment tools: Child Needs Assessment Toolkit ( WB & Task Force for Child Survival and Development ) Develop Crucial ECD-HIV/AIDS Indicators

11. Targeting of ECD Beneficiaries Interventions targeted in two stages: Geographical mapping to locate community most vulnerable young children, and Situational community assessment * Targeting services only to orphans is labeling, causing stigma, and misrepresentation

12. Support CSOs activities Grants to CSOs are at the heart of any MAP program and support a broad range of activities CSO fill governmental response gaps and initiatives are cost-effective The Guide addresses Types of CSO proposals that integrate ECD, what ECD applicants has to keep in mind, and considerations for reviewing grant proposals

13. How to Anchor ECD activities? Review and analyze national and sectoral policies relevant to ECD and HIV/AIDS Identify A list of ministries and other government entities Undertake a concentrated and proactive effort to stimulate a ministry’s interest in ECD HIV/AIDS wb247581:

14. What are the Effects of ECD Interventions? Empower communities to recognize and support their most vulnerable members; Improve disadvantaged children chances for survival and educational achievements; Address intersecting needs of women and children; Provide safe childcare; Serve as a strong vehicle for HIV/AIDS prevention messages for adult caregivers Educate caregivers to offer a holistic environment for young children; and Facilitate women’s participation in the formal and informal work force

15. Contact: Amber Surrency Richard Seifman Further reference visit: http://www.worldbank.org/children ECDGuidelines.html