Currently Skimming:
6 Using Existing Platforms to Reach and Invest in Vulnerable Populations
6 Using Existing Platforms to Reach and Invest in Vulnerable Populations
Pages 53-60
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 53... ...
Three speakers at the workshop examined this question, first by looking at the advantages and disadvantages of targeted programs and then by discussing specific programs targeted at vulnerable populations. TARGETED VERSUS UNIVERSAL PROGRAMS Many studies and observations have shown that those most likely to benefit from early childhood programs are also the least likely to be participating in them, observed Nicholas Burnett, managing director at Results for Development.
|
From page 54... ...
The decision also can involve quality issues. Universal programs tend to be more structured, have more formally qualified teachers, provide more established hours, and offer other benefits, Burnett said -- an overall finding that "surprised me." However, universal programs may not be cost-effective, because the better-off portions of a community generally can afford to purchase their own services.
|
From page 55... ...
As a result, the community-controlled health services may not have strong links to staterun programs, which may be required for some referrals. However, the program also can help these community-controlled health service organizations forge links with state-run programs.
|
From page 56... ...
"The program is always changing, dynamic, and moving forward," Runciman concluded. "That is something that sometimes is not easy to sell to governments who want to buy a solution that will be the solution forever." A COMMUNITY-BASED HEALTH PROMOTION PROGRAM IN SRI LANKA Kalana Peiris, public health advisor at Plan International, described a program targeted at 77 communities that have bordered areas of armed conflict in Sri Lanka.
|
From page 57... ...
Every village had a community midwife, and 90 percent of the communities were within 5 kilometers of a free government health care facility. In this situation, what to do seemed obvious, said Peiris: educate about nutrition, promote exclusive breastfeeding, encourage parental stimulation, reduce stressful experiences, and so on.
|
From page 58... ...
Dietary diversity increased, as did the amount of stimuli children received and the time parents spent with children. Low birthweight and underweight in preschoolers decreased substantially, and growth failure in the first 2 years went from 18 percent to virtually nothing.
|
From page 59... ...
At first communities did not believe that they had the potential to transform their own environments, "so we had to do some convincing." Replication was a challenge, because every community and household is different, which requires that the approach be customized for different places. UNICEF and the government of Sri Lanka partnered with Plan Sri Lanka to expand the program into 9,000 communities, though the government has changed since the program was initiated.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.