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3 Integrated and Coordinated Programs in Hong Kong and Chile
3 Integrated and Coordinated Programs in Hong Kong and Chile
Pages 23-34
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From page 23... ...
A COLLABORATIVE MULTIPLIER APPROACH TO EARLY CHILDHOOD DEVELOPMENT In the first keynote address, Chow Chun Bong, honorary clinical professor in the Department of Pediatrics and the Department of Community Medicine at the University of Hong Kong, emphasized the importance of taking a "collaborative multiplier approach" to early childhood development, while discussant Sophia Chan, Undersecretary for Food and Health of the government of Hong Kong Special Administrative Region, outlined the need for a comprehensive strategy for childhood development and resource allocation. Hong Kong is densely populated, noted Bong, but building is restricted in the "countrified" areas that constitute 75 percent of the region.
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From page 24... ...
"That is why we need to invest in children." SERVICES AFFECTING EARLY CHILDHOOD DEVELOPMENT Access to services is "quite comprehensive," said Bong, but the question remains whether it is "equitable in terms of access to quality service." Hospital services are virtually free and provide more than 90 percent coverage. In social welfare, a good safety net exists through statutory services provided by government and other services provided by nongovernmen
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From page 25... ...
Called the Comprehensive Child Development Service (CCDS) , it aims to integrate social welfare, early childhood education, and the health system, including maternal and childhood health centers.
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From page 26... ...
The evaluation also had instruments to examine parent satisfaction, knowledge of child development, parents' sense of competence, practices related to child safety, practices to promote child development, discipline beliefs and practices, maternal depression, injuries requiring medical attention, language development, and child behavior. As another example of coordinated programs, Bong cited the combination of data from the Hospital Authority and from the Social Welfare Department to examine child abuse at a district level.
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From page 27... ...
In Hong Kong, 80 to 85 percent of mothers breastfeed after giving birth, but only 2 percent continue to breastfeed exclusively for 6 months, as is recommended by the WHO. To improve this statistic, the Food and Health Bureau has developed a voluntary code to regulate the aggressive marketing of milk formula and children's food and a framework to regulate nutrition and health claims on prepackaged foods.
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From page 28... ...
CREATION AND IMPLEMENTATION OF AN INTEGRATED POLICY IN CHILE The second keynote speaker, Helia Molina, who recently completed her term as Minister of Health in Chile, described a more integrated system in her country to support early childhood development. Since 2007, Chile has been working to implement an intersectoral public policy on childhood and social protection.
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From page 29... ...
The resulting policy was known as Chile Crece Contigo, or Chile Grows with You. Implemented in 2007, the policy took a multidisciplinary approach and was planned across sectors by multiple ministries.
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Figure 3-1 Bitmapped FIGURE 3-2 A life-cycle approach to child development extends from conception to adulthood. SOURCE: Campión et al., 2009.
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From page 31... ...
Molina noted that intervention packages target particularly vulnerable children with goodquality free nursery school and kindergarten, home visits by health teams, family subsidies, comprehensive care for children with developmental difficulties, technical help for disabled children, and preferential access to the social protection system. In addition, laws have been adopted to extend the postnatal paid leave for mothers to up to 6 months.
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From page 32... ...
This process sought to strengthen effective actions, focus efforts, evaluate budget and resource allocations, and begin to build a new structure that supports children through an 8-year time frame. During this revision stage, major activities included developing training plans for deficient teams, technical assistance plans for regional teams, performance profiles for technical implementers, new technical guidelines, virtual communities for teams, and improvements in the monitoring and feedback system.
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From page 33... ...
But Molina insisted that the best policies for survival and early childhood development are similar. She closed with the words of Chilean Nobel Prize winner Gabriela Mistral: Many of the things we need can wait.
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From page 34... ...
34 USING EXISTING PLATFORMS FOR INVESTMENTS FOR CHILDREN Chan added that more unified policies require not only political will but political wisdom, to know how to bring the work of different bureaus together. "We should think about what are some of the things that the different bureaus can do and work with our partners collaboratively."
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