Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

Measuring Child Well BeingThe Parenting Map:

Case Management for OVC Caregivers

CORE Group Spring MeetingMay 2012

The Parenting Map

• Developed by Project HOPE as part of USAID-funded Track 1.0 Orphan & Vulnerable children (OVC) program, 2005-2010, in Mozambique & Namibia

• Also used in small South Africa OVC program

• Currently in use in Namibia OVC-TB program

• Other organizations have adapted it for use in Malawi, Ethiopia, and Haiti

Program Focus on OVC Caregivers

• Parenting Skills Training across OVC Domains

• Economic Strengthening

• Community Support through Volunteers

Parenting Map: Use

• Developed as part of USAID-funded Track 1.0 Orphan & Vulnerable children (OVC) program, 2005-2010, in Mozambique & Namibia

• Also used in small South Africa OVC program

• Currently in use in Namibia OVC-TB program

• Baseline data on 17,000 children to date

Parenting Map: What is it?

• Low literacy tool covering the 6 domains of OVC care that empowers the caregiver to better care for OVC by providing a quick but comprehensive snapshot of each child’s “well-being”

• Serves as a visual reminder (a pictorial “map”) for caregivers that reinforces training they get in caring for OVC

• Serves as a focal point for supportive volunteer visits and program staff (case management)

• Provides data for measuring program impact

Parenting Map: Components

• Parenting Map (for caregiver)

• Action Plan (for volunteer)

• Scorecard (for program staff)

Parenting Map: Process

1. Field Officer (program staff) goes through Parenting Map with OVC caregiver for each child in the household

2. Field Officer creates an “Action Plan” for each child which is shared with the Family Resource Person (volunteer) & fills in Scorecard for data

3. OVC Caregiver takes home Parenting Map

Indicator detail – for training

Underlying Principle:

Child should be taken to

the health facility

EVERY time needed

1. Did you take [child’s name]

to the health facility the last 3

times he/she needed to go?

Possible responses:

Yes, No, I don’t know (DK)/I’m not sure (NS)

Mark if the response was Good

Mark if the response was “DK/NS”

Mark if the response was Bad

?

Parenting Map – for Caregiver

Action Plan – for volunteer

Scorecard – for staff data retrieval

Process: Implementation & Follow Up

1. OVC Caregiver participates in Parenting training with 16 sessions over 9 months

2. Family Resource Person (volunteer) makes supportive home visits, usually monthly, to follow up with the caregiver and provide referrals as needed

3. The same Field Officer (staff) who collected initial data recollects Parenting Map data at 6 months on a sample of participants

Data Results

• Generally our recollection on same children & aggregate data has shown improvements across the board…individual indicators, domains, countries

Results by Region

Prior Program Namibia: Average Achievement by Domain

55%

79%

71%

91%

67% 67%

85%

94%89%

95%

77%

86%

0%

20%

40%

60%

80%

100%

Health Nutrition Shelter Education Protection PSS

Initial Collection Recollection

Prior Program Namibia: Health Domain

44%

35% 37%

81%78%

85% 83%

66%

99%92%

0%

20%

40%

60%

80%

100%

Health facility last 3 times needed

No diarrhea in last 2 weeks

No fever in last 2 weeks

Fully immunized Received HIV education (over 8)

Initial Collection Recollection

Value for Efforts

• Initial data collection serves to form action plans for each child – valuable for OVC

• Recollection can be useful to reinforce training and volunteer visits – may be useful to OVC caregiver; more useful for staff

• Data entry & analysis is time consuming – we are now using sampling for recollection (1/3 in each region) & we are testing use of mobile application

Data Analysis Challenges

• Seasonal differences expected (more diarrhea, less quantity and quality of food during rainy season)

• Data showing less change than reality in some instances (protection)

• Staff prefer yes or no response to questions

Conclusions

• High tool acceptability among field staff, volunteers & caregivers

• The tool helps focus interaction with caregiver

• The tool helps guides priority actions for caregiver

• Effective for showing gaps and identifying needs which aids in prioritizing program responses

Recommended Uses

Recommended Uses

• Case management for individual children

• Identifying community / district gaps & needs

• Aggregate results for measuring overall program effectiveness

Contraindications

• Aggregate results for intervention with individual child

Thank you!

• For more information, contact:

• Sandra Dalebout sdalebout@projecthope.org

• John Bronson jbronson@projecthope.org

• Steve Neri sneri@projecthope.org