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Measuring Child Well Being The Parenting Map: Case Management for OVC Caregivers CORE Group Spring Meeting May 2012

Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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Page 1: 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

Page 2: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 3: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

Program Focus on OVC Caregivers

• Parenting Skills Training across OVC Domains

• Economic Strengthening

• Community Support through Volunteers

Page 4: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 5: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 6: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

Parenting Map: Components

• Parenting Map (for caregiver)

• Action Plan (for volunteer)

• Scorecard (for program staff)

Page 7: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 8: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

?

Page 9: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

Parenting Map – for Caregiver

Page 10: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

Action Plan – for volunteer

Page 11: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

Scorecard – for staff data retrieval

Page 12: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 13: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

Data Results

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

Page 14: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

Results by Region

Page 15: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 16: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 17: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 18: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 19: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 20: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

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

Page 21: Assessing Child/Household Needs and Well Being_Dalebout_5.2.12

Thank you!

• For more information, contact:

• Sandra Dalebout [email protected]

• John Bronson [email protected]

• Steve Neri [email protected]