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Integrated Community Management of Childhood Illness andNutrition
Safe Motherhood and Neonatal Health
Early Childhood Care Development and Protection
Health and Nutrition
Community Based IMCI
Water and Sanitation
PDI Hearth
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KEY INTERVENTION
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GUIDEPOSTS STRATEGIES
ECCD Support to Center-basedECCD
Generally, honorariumfor Day Care Workers /Child DevelopmentWorkers is not allowedexcept in the followingcases:
a. There is no daycare center in thebarangayb. The ratio of DCWto children is 1:more than 40 per
session. With twosessions per day.[1]
Organization of Home-based ECCD
Support to Center-based ECCD
Capacitydevelopment amongparents andcaregivers on properchild caring ,Institutions onprogrammanagement
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ECCD DCWs must be on atemporary basis andshall be used only asleverage in order for thebarangay/community toput-up DCC facilitieshence ensuring thecontinuity of theservices.
The length of service of CCF-paid DCWs will beone academic/day carecalendar, the longest.Henceforth, it shall be
Organization of Home-based ECCD
Support to Center-based ECCD
Capacitydevelopment amongparents andcaregivers on properchild caring ,Institutions onprogrammanagement
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KEY INTERVENTION
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ECCD In highly urbanized areaswhere CCF is operatingpayment of honorariumfor DCWs is not allowed. The basic assumptionhere is that beingcity/urbanized, thebarangays have higherInternal RevenueAllotment (IRA) comparedwith their ruralcounterpart and thereforehave the capacity to hireDCWs.
Organization of Home-based ECCD
Support to Center-based ECCD
Capacitydevelopment amongparents andcaregivers on properchild caring ,Institutions onprogrammanagement
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KEY INTERVENTION
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ECCD In place of honorarium/salaries, CCFthough can provide forlearning materials.
Repairs of physicalfacilities are not allowed.We can put up anothercounterpart though for itto materialize dependingon the situation. (Good judgment however mustbe exercised)
Organization of Home-based ECCD
Support to Center-based ECCD
Capacitydevelopment amongparents andcaregivers on properchild caring ,Institutions onprogrammanagement
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KEY INTERVENTION
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ECCD Home-based ECCD
Since Day Care Service orcenter-based ECCD is themandate of DSWD, effortsshould focus more onhome-based ECCD since ithas wider reach. This isconsistent with theprogram principle of usingexisting resources in thecommunity.
Organization of Home-based ECCD
Support to Center-based ECCD
Capacitydevelopment amongparents andcaregivers on properchild caring ,Institutions onprogrammanagement
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KEY INTERVENTION
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ECCD ECCD, be it home-based orcenter-based, is for under-six children and not underfive as always planned andreported. Home-basedECCD is not limited to 0-3years old but to under sixchildren with no access to
day care services All under-six children mustbe administered with theECCD checklist and mustbe monitored and referred
when necessary
Organization of Home-based ECCD
Support to Center-based ECCD
Capacitydevelopment amongparents andcaregivers on properchild caring ,Institutions onprogrammanagement
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KEY INTERVENTION
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ECCD Capacity Building
Review E.O. 349(Expanded Day Care) andRA 8980 (ECCD Act). These two documentsclearly define the roles of the different agencies andstakeholders as well asguide on how to go aboutECCD.
Organization of Home-based ECCD
Support to Center-based ECCD
Capacitydevelopment amongparents andcaregivers on properchild caring ,Institutions onprogrammanagement
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KEY INTERVENTION
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ECCD Capacity building supportmust be provided toBCPCs or BECCs/MCPCs orMECC on themanagement of ECCDprogram.
Capacity building supportfor service providers mustbe based on TrainingNeeds assessmentconsistent with the skillsneeded to directly deliverthe skills needed asservice providers
Organization of Home-based ECCD
Support to Center-based ECCD
Capacitydevelopment amongparents andcaregivers on properchild caring ,Institutions onprogrammanagement
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KEY INTERVENTION
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GUIDEPOSTS STRATEGIES
infant/maternal
deaths
Program Quality. Allprojects and activities
must be in accordancewith CCF health policies. -Adopt local healthguidelinesSupports Department of Health’s program and local
health protocols-Adopt Community IMCIPreventing childhoodillnesses in the communitylevel by early detection,referral and treatmentsuccess of the health projects
pre/during/post nataldelivery(counseling/capacitybuilding)CEMONC/BEMONC
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KEY INTERVENTION
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infant/maternal
deaths
-Adopt best practicesthat are evidencedbased in choosing or inadopting health andnutrition best practice,it must be supportedby documentedresearch, stories andtestimonies thatresulted to change inknowledge, attitudeand practice-Responsive to localhealth needs “build on
what they have” concept;
pre/during/post nataldelivery(counseling/capacitybuilding)CEMONC/BEMONC
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KEY INTERVENTION
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GUIDEPOSTS STRATEGIES
infant/maternal
deaths
Implementation of theinterventions will bedirected through thefamilies and communitiessince families cannoteasily access qualityhealth care services fromthe government healthfacilities.
pre/during/post nataldelivery(counseling/capacitybuilding)CEMONC/BEMONC
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KEY INTERVENTIONS GUIDEPOSTS STRATEGIES
Malnutrition Thus, health outcome isdependent on community-based services. The CBHPapproach can
substantially increasereach which is notpossible if services aredelivered solely throughthe fixed health facilities.
- Immunization- Infant and Youngchild feeding (supportin relation to breast
feeding andsupplementaryfeeding)-Deworming andMicronutrientsupplementation
- PDI, Pabasa saNutrisyon, FAITH andDiscoveringIndigenous Practices
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KEY INTERVENTIONS GUIDEPOSTS STRATEGIES
Malnutrition This approach recognizescommunity participation andaims at enabling the peoplein the community to assumeresponsibility for managingtheir health and relatedneeds. This involves themobilization andstrengthening of community-based organizations to take amore pro-active role in
responding to their healthneeds.
- Immunization- Infant and Youngchild feeding (supportin relation to breast
feeding andsupplementaryfeeding)-Deworming andMicronutrientsupplementation
- PDI, Pabasa saNutrisyon, FAITH andDiscoveringIndigenous Practices
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KEY INTERVENTIONS GUIDEPOSTS STRATEGIES
- Preventable Illnesses While it is initiated outside of the fixed clinical facilities, theCBHP needs to be linked withthe local government units,the fixed health facilities andother health related agenciessuch as, the Department of Agriculture (DA), theDepartment of Social Work &Development (DSWD), theDepartment of Education
(DepEd), and religioussectors for more coordinatedefforts in providing acontinuum of health care toreach more children andfamilies effectively
IntegratedManagement of Childhood Illnesses(IMCI)
Support to:a. health system(support toBHC/formation of CHAT)b. health workers
(capacitybuilding/upgrading)c. household andfamilies (KAP)
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KEY INTERVENTIONS GUIDEPOSTS STRATEGIES
- Preventable Illnesses CCF’s health programpackages are designed toaddress the nationalhealth issues and the
priority health problemsidentified in the priorityprovinces. Each of thepackages can beimplemented separately.However, since health
problems are inter-related, they are designedfor flexibility andintegration.
IntegratedManagement of Childhood Illnesses(IMCI)
Support to:a. health system(support toBHC/formation of CHAT)b. health workers
(capacitybuilding/upgrading)c. household andfamilies (KAP)
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KEY INTERVENTIONS GUIDEPOSTS STRATEGIES
- Water and Sanitation The interventions willdepend on the real andfelt need of thecommunity based on
results of the communityassessment, which is acritical step in theprogram’s developmentprocess.
-Continuation in educatedand confident children-
- WASH campaign- Latrines provision-support to water users’ group
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KEY INTERVENTION
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BCYA Engage the youthespecially the OSY in SNPactivities… They can be a facilitatoror a co-facilitator of SNP. Activities which involves 0to under 6 may come
from the CD sessionswhich may be identifiedby the children and youthe.g. arts and crafts. Include child protection
issues here… birth
CD –SR sessions Birth Registrations
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Promotion of child friendly schools Participatory school governance Child protection
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KEY INTERVENTION
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-Malnutrition- leading causes of morbidity/mortalityamong school, agechildren-absenteeism/drop outdue to childhood
illness andmalnutrition
A. Community-BasedProject Support: Generally, construction of facility is not allowed.Instead, the communityshould be mobilized forinfrastructures. Other
support could be workedout depending on thecapability of thecommunity likeprocurement andpurchase of basic
equipment necessary in
- School BasedHealth and Nutrition- Deworming andMicronutrientsupplementation- Community IMCILocal Health
System- Functionality of BHC-Partnership andNetworking-Health Support
Group/CHAT
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KEY INTERVENTION
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-Malnutrition- leading causes of morbidity/mortalityamong school, agechildren-absenteeism/drop outdue to childhood
illness andmalnutrition
Provision of drugs andherbal medicines is notallowed. Instead, itshould encourage andfacilitate theestablishment of community drugstores
(Botika ng Barangay) andpromote the use of clinically proven herbalmedicines.
- School BasedHealth and Nutrition- Deworming andMicronutrientsupplementation- Community IMCILocal Health
System- Functionality of BHC-Partnership andNetworking-Health Support
Group/CHAT
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KEY INTERVENTION
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-Malnutrition- leading causes of morbidity/mortalityamong school, agechildren-absenteeism/drop outdue to childhood
illness andmalnutrition
Training expenses to buildthe capacity of the CHTand the volunteer healthworkers is allowed butthese should only coversupplies and materials,
venue and food.
- School BasedHealth and Nutrition- Deworming andMicronutrientsupplementation- Community IMCILocal Health
System- Functionality of BHC-Partnership andNetworking-Health Support
Group/CHAT
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KEY INTERVENTION
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-Malnutrition- leading causes of morbidity/mortalityamong school, agechildren-absenteeism/drop outdue to childhood
illness andmalnutrition
Honorarium for PHO/RHUstaff who will conduct thetraining sessions is notallowed. Instead, thetransportation, meals andaccommodation expensesshall be provided.
- School BasedHealth and Nutrition- Deworming andMicronutrientsupplementation- Community IMCILocal Health
System- Functionality of BHC-Partnership andNetworking-Health Support
Group/CHAT
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KEY INTERVENTION
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GUIDEPOSTS STRATEGIES
-Malnutrition- leading causes of morbidity/mortalityamong school, agechildren-absenteeism/drop outdue to childhood
illness andmalnutrition
The agreements, termsand conditions of thepartnership between andamong the PAs and thePHO/RHU must bestipulated in a MOA.
- School BasedHealth and Nutrition- Deworming andMicronutrientsupplementation- Community IMCILocal Health
System- Functionality of BHC-Partnership andNetworking-Health Support
Group/CHAT
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
Provision of financial /educational assistance
As a standard, directassistance for post-secondary or college shallonly be provided if 90%of age-eligible CCF
children have access tobasic education.
Facilitiesimprovement
Strengtheningfunctionality of thePTCA, BCPC andPGOs
Establishment of Community-ownedand/or managedALS, A&E(Catch-up Program)
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
In areas where the target
90% is still not achieved,special consideration willbe given for those on-going college/postsecondary students toavoid disruption, that is, if
the 80% has beenachieved. No assistancehowever shall be given tonew college entrants.
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
In cases where
educational assistancewill be provided beyondbasic education, post-secondary education isstrongly advocatedthrough the ladderized
education program. Thisis more preferable thantaking up a four-yearcourse then eventuallyfailing to complete it.
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
Recipients must be enrolledin public
colleges/universitiesexcept in cases where thereare no public schools in thearea and enrolling themwould incur more expensessuch as transportation and
board and lodging. Portion of the tuition fee though shallbe shouldered by the familysince the bulk of expensesfor private college educationis in tuition fees. There will
be no full subsidy for tuition
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KEY INTERVENTION
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GUIDEPOSTS STRATEGIES
ACCESS TOQUALITY BASICEDUCATION
Data must be madeavailable stipulating the
previous year’s allocationfor direct assistance, thenumber of children whohave availed, type of assistance availed of,school levels of the
recipients and a trackingsystem to determinewhere these children areand if they were able tocomplete the level theywere enrolled in when the
assistance was extended.
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ACCESS TOQUALITY BASICEDUCATION
Subsequent directassistance must show a
gradual decrease in valueor total amount of assistance provided. No assistance foruniforms and shoes shall
be provided except incases where thesponsored child have atleast one sibling in school.
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ACCESS TOQUALITY BASICEDUCATION
A set of criteria andguidelines must be drawn
as basis for determiningthe eligibility of childrenfor direct assistance withcorresponding weights. The three possible criteriafrom among the several
to be developed whichhave the most significantweight are:
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
Income of familycomputed per
individual (earningsiblings are excluded)
Capacity of family toprovide both financialand non-financial
support to the child
Capacity of the childto further his/hereducation
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
Support to child-friendly schools and
communities (CFSC)
CCF shall not be fundingfacilities construction ortraining of teachersbecause it is the mandate
of the educationdepartment. However,counterpart can be put upas leverage just soteachers are trained andfacilities are improved.
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
Income of familycomputed per
individual (earningsiblings are excluded)
Capacity of family toprovide both financialand non-financial
support to the child
Capacity of the childto further his/hereducation
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KEY INTERVENTION
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GUIDEPOSTS STRATEGIES
ACCESS TOQUALITY BASICEDUCATION
CCF can provide trainingassistance to teachers up to
the regional level providedcounterpart of theschool/teacher will be put up.Generally, CCF can providefor the transportation as wellas meals.
Interventions must also lookinto the school’s SchoolImprovement Plan for betteranchor. In cases whereschools have no SIPs, the firstassistance will be to facilitatethe development of SIPs.
Again, the school must beable to ut ut a counter art.
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
All PAs must refer to theChild- Friendly School
checklist
In cases where healthinterventions shall beundertaken, i.e. watersystem, it shall be treated
under education ratherthan health if its objectiveis to reduce absencesbrought about byincidence of water bornediseases
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
Prior to the strengtheningof PTCA, Local School
Board and PGOs,assessment must bemade of theirfunctionality. Schools must be assessed
of its child-friendlinessusing the existingtool/criteria forassessment
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
Provision of learningsupport
In areas where assistancefor post-secondary and/ortertiary education is beingprovided, these scholarsmust render communityservice through peer
teaching, mentoring ortutoring of children withsubject difficulties.Members of childrenand youth associationsare strongly
encouraged to
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
Tutorials/learningreinforcements must be
made within the schoolyear and not duringvacations. This is oneexample of a childdevelopment session.
A reading corner (foremergent readers) mustbe established withineach school orcommunity. Hence, booksto be donated must be for
this group.
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ACCESS TOQUALITY BASICEDUCATION
PAIR (Parent Assistance inImproving Reading)
approach is stronglyadvocated
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
Establishment of Community-owned
and/or managed ALS,A&EAn ALS Center must beidentified and establishedwithin the community
Partnership with TESDA,CHED and Dep. Ed. mustbe clearly establishedthru MOA
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KEY INTERVENTION
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ACCESS TOQUALITY BASICEDUCATION
While priority recipientsare unschooled children
and youth, parentsstrongly encouraged toenroll. Learners shall be bothCCF and non-CCF children
and youth
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KEY INTERVENTION
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BCYA
Activities must be
conducted at the
barangay level and
project level.
CD sessions must be
conducted at the
barangay level.
Formation and
Strengthening Barangay
Children’s Associations
Continuous Ladderized
Regular Meetings
and Capacity
Buildings
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KEY INTERVENTION
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BCYA
Gender sensitivity
(number of boys and girls
participating in the
activity)
Conduct Organizational
Capacity Assessment
using the spider web tool
Formation of Health/Eco
Scouts
Train 2nd
Liners of Facilitators
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Livelihood education and preparation Youth friendly reproductive health services
and education Leadership and social engagement Child protection
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Vocational,
technical,livelihood
and Business
training foryouths
a.) Training needsanalysis, skills inventory
and a scan of opportunities foremployment and/orentrepreneurship must beconducted beforeproceeding with training.
Identified traininginstitutes and coursesshould be based onmarket needs which showdemand for jobs and self employment rather than
organize trainings merely
Technical,livelihood and
business trainingfor youths
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Vocational,
technical,livelihoodand
Businesstrainingfor youths
b.) A capable partner suchas TESDA, Local technical
schools or similarinstitutions will conductthe training.
c.) The first two guidelinesare intended to increase
chances of employmentor opportunities forentrepreneurship.
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Vocational,
technical,livelihoodand
Businesstrainingfor youths
d) A tracer study must be
conducted for those whoundergone training( agricultural oremployment skills)Succeeding training of thesame nature must not be
implemented unless theresults of the tracer studyare analyzed andcorresponding decision onthe results are made.
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KEY INTERVENTION
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Early PregnancyReproductive Health
Peer Pressures
Drug Addiction
B. Direct Support for Health-Related Concerns:
As a rule, health-relatedconcerns of enrolled/sponsored childrenand their immediate familymembers that have not beenaddressed in the home, can
be adequately addressed byrural health professionalworkers or in public hospitals.As such, the PAs/IOs shallestablish a referral systemwith these facilities. ThePAs/IOs should encourage the
families to rely on thesefacilities for treatment and
- RH services- healthy Lifestyle
- functional LHB/PHB
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GUIDEPOSTS STRATEGIES
Peer PressuresDrug Addiction
Early PregnancyReproductive Health
Medical assistance shallbe provided only to the
sponsored child or her/hisimmediate family member(siblings, parents) underemergency situationwhich has threatenedtheir lives.
- RH services- healthy Lifestyle
- functional LHB/PHB
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KEY INTERVENTION
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GUIDEPOSTS STRATEGIES
Peer PressuresDrug Addiction
Early PregnancyReproductive Health
In cases where child’s orher/his direct family
member’s medication islong-term (three weeks orlonger), it is necessary forthe PA/IO and theparent/guardian to worktogether, projecting the
costs and discussing aworkable arrangement inobtaining the medicines.
- RH services- healthy Lifestyle
- functional LHB/PHB
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Peer PressuresDrug Addiction
Early PregnancyReproductive Health
In cases where child orher/his immediate family
needs lifetime medicalmanagement, the mainresponsibility of the PA/IOis to create a system thatwill address the child’sneeds, especially the long
term. This includesidentifying agencies whichcan shoulder the cost of medication or provide themedication itself, e.g.,PCSO
- RH services- healthy Lifestyle
- functional LHB/PHB
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Peer PressuresDrug Addiction
Early PregnancyReproductive Health
Support to enrollment toPhilHealth will be
considered based on acriteria and plan to bedeveloped by the PA/IO. The plan shall stipulatemechanisms by which theenrolled families may be
able to continue financingtheir health plan after thefirst year.
- RH services- healthy Lifestyle
- functional LHB/PHB
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GUIDEPOSTS STRATEGIES
Peer PressuresDrug Addiction
Early PregnancyReproductive Health
Housing assistance can beprovided under the following
conditions:- house is damaged due tocalamities-the family is assessed to befinancially incapable-the family should provide atleast 10% of the total
projected housing cost, incash or in-kind.- participation of thecommunity in building thehouse (i.e., bayanihan)should be encouraged- a cost-recovery mechanism
is very well-defined
- RH services- healthy Lifestyle
- functional LHB/PHB
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http://slidepdf.com/reader/full/age-appropriate-program-guideposts 58/60
KEY INTERVENTION
S
GUIDEPOSTS STRATEGIES
BCYA Formation andstrengthening of Youth
Associations Continuous ladderizedCapacity Building Conduct of Organizational
Capacity Assessmentusing the spider web tool
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KEY INTERVENTION
S
GUIDEPOSTS STRATEGIES
BCYA Training of pool of trainers
Partnership and Networkingwith SK and other similargroups Parties (pageants) are NOTallowed.Prioritize Values Clarification.
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Core Outcome: Families and localorganizations are networked in theircommunities to promote the developmentand protection of children
Capacity of Civil Society Organizations Networking of Civil Society Organizations Advocacy among Civil Society Organizations
Child protection