Twenty years on – have we made progress in service delivery? An overview of relevant data Lizette Berry Senior Researcher Children’s Institute (UCT) ECD Knowledge Building Seminar 5 December 2014 Acknowledgements: L Biersteker, A Dawes, K Hall and W Sambu
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Twenty years on – have we made progress in service delivery? · Antenatal care • Overall coverage is high, at over 90% • In 2011, 40% of pregnant women attended antenatal ...
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Twenty years on – have we made progress in service delivery?
An overview of relevant data
Lizette BerrySenior Researcher
Children’s Institute (UCT)
ECD Knowledge Building Seminar5 December 2014
Acknowledgements: L Biersteker, A Dawes, K Hall and W Sambu
Introduction
Child-centred data is useful and necessary for evidence-based planning
It helps with measuring and monitoring progress against objectives
Data tells us about: children’s environments and living
conditions Access to resources, services and support Gaps and inadequacies, enabling action
Providing services across the developmental continuum
Adapted from Richter L, Biersteker L, Burns J, Desmond C, Feza N, Harrison D, Martin P, SaloojeeH & Slemming W (2012) Diagnostic Review of Early Childhood Development. Pretoria: Department of Performance, Monitoring and Evaluation & Inter-Departmental Steering Committee on ECD.
Essential services for young children
Young children’s needs are multi-faceted + interdependent
Priority services include: health + nutrition early learning caregiver support social services
The proposed package draws on the work of Ilifa Labantwana, a multi-donor partnership which supports integrated ECD in South Africa.
Then and now….
1994: advent of democracy Limited and fragmented attempts to monitor
child well-being Availability and quality of data was a challenge Focus was largely on maternal and child health Overwhelming attention on child survival Child-centred data not readily available
Then and now….
Present context – Wider variety of data sources allows for
deeper and diverse analysis Growing understanding of developmental
stages and the need to differentiate ages Greater number of actors and systems
performing monitoring functions Gradual acknowledgment that moving beyond
child survival/curative approach to a developmental and holistic approach is essential
The young child population
4,443,6215,685,452
4,668,722
4,819,751
1996 2011
5-9 years
0-4 years
Number of young children aged 0-9 years, 1996 and 2011
9.1 million
10.5 million
Source: Statistics South Africa 1998, 2012. Census 1996 and 2011.
Child health and mortality
Provision of public health services has improved significantly since 1994
Sector’s most profound success is the reduction in child mortality – from 58.5 in 1994 to 41 per 1,000 live births in 2012
Mostly due to improved access and take-up of HIV prevention and treatment programmes
Existing public health infrastructure enables regular contact and reach of services to young children
Sources: 1994 U5MR - Estimates generated by the UN Inter-agency Group for Child Mortality Estimation (IGME) in 2013; U5MR 2012 - MRC, Rapid mortality surveillance report, adjustments 2012.