Professional Documents
Culture Documents
Situational analysis
A glance on existing Early Childhood
Development services in Funhalouro and
Homone districts - Mozambique
Pedro Maunde
December 2014
1. Introduction
Funhalouro and Homone are both rural districts located in southern region of
Mozambique, in Inhambane province. At the national level Inhambane is among the
top three provinces with the highest maternal mortality rate and the lowest
indicators on infant feeding. Due to the harsh living conditions (desertification and
more frequent droughts and floods) and limited local livelihood opportunities, men
tend to migrate for work and other economic opportunities to neighboring South
Africa and Maputo, the capital city of Mozambique. As a result, Inhambane can also
be counted among the provinces with the highest number of female headed
households (FFH) in Mozambique (48,7% versus 31% nationally). One third of the
FHH are headed by widows, which is of particular concern since they are among the
poorest and most marginalized family units in Mozambique. In Homoine district 55%
of households are headed by women of whom 26% are over 60 years. In
Funhalouro, slightly less than half of households (46%) are headed by women of
whom 23% are above the age of 60 years. Due to the economic migration to South
Africa and Maputo, Inhambane Province has the lowest rate of children living with
their two biological parents in the entire country (only 41,6% versus 59,9% national
average in rural areas). While this situation could generate a substantial number of
remittances for remaining family members, reality is that women end up managing
their households alone without the regular support of a male partner. Such
separated couples are at high risk of HIV. Men tend to have multiple sex partners
while away and women often end up engaging in transactional sex for survival,
leading to increased risks of vertical transmission for children.
With 107,735 inhabitants Homoine district has the fifth highest population density
compared to other districts in Inhambane. According to Government population
projections for 2012, about 18,218 children below the age of 5 live in Homoine.
Funhalouro has by far the lowest population density in the province with 37,856
inhabitants of whom 17.8% or 6,965 are children under 5 years age. With a
consumption poverty rate above 69%, Funhalouro belongs to the most vulnerable
and impoverished areas of Inhambane. Funhalouro is particularly prone to food
insecurity and has a high risk of drought. Due to the remoteness and low population
density of the area, very few development interventions are currently carried out.
Consumption poverty rates in Homoine are around 51% with the majority of the
population living along the coastline and along transition routes, resulting in high
HIV exposure. Census data from 2007 shows that 83% of children under 5 years
age are registered at birth in Homoine compared to only 16% in Funhalouro district
(Peham & Cavane, 2012).
1.1.
In Homone district, Rede Pastoral de Homone is covering the only Chindjinguir locality
while Mahlahle is covering Inhamussua locality. In Funhalouro, AJEPROJ is covering Mucune
locality while Mahlahle is covering Manhia and Mavume localities.
3. Analysis
The future of any society depends on its ability to foster the health and well-being of
the next generation and the science has a lot to offer about how we as a community
can use our collective resources most effectively and efficiently to build the strong
foundation providing children with what they need (Bales et all, 2007). The National
Strategy for Child Integral Development in Preschool Age approved by the
government in 2012, under the Ministry of Education as the central coordinator
highlight the importance of building the integrated services to be most effective and
efficient on the use of the resources as a way to ensure the early development of
cognitive skills, emotional well-being, social competence, and sound physical and
mental health of young children, particularly those who are affected or at risk to be
infected by HIV/AIDS, building their strong foundation for success well into the adult
years.
Taking into account the existing ECD services mentioned above and their lake in
terms of geographic they area coverage as well as their weak efficiency and efficacy
to address ECD issues to the young children as scientifically recommended, we are
moving to present the ECD services needed, the gaps on the services existing and
the relevance of building an integrated ECD services at community level as well.
3.1.
Preschool
When we conducted our first situational analysis before start-up the ECD project,
the caregivers attended the focal group discussion pointed the preschool as the
existing gap in both districts. Interview conducted to the district Directorate of
Education in Funhalouro confirmed this situation and pointed to the need of this
important service as a way forward to improve the rates of young children,
particularly the most vulnerable to the primary school. Two years after have
approved the National Strategy for Integral Child Development in Preschool Age
in Mozambique, any preschool was created in Funhalouro district due a lot of
causes such as the lack of funds on education sector. The district Directorate of
Education in Homone district, revealed the existing a considerable number of
preschool center at the community served by Plan International in only Golo
locality. He also pointed these centers as crucial to build on the young child the
foundation needed before they enter at primary school and at same time
underlined as relevant to ensure their sustainability after Plan International
Project come to the end.
3.2.
At the first time in Funhalouro and Homone, CARE Mozambique and its
implementing partners, started in June 2014 to implement home visits aiming to
reach a total of 4,180 children under 5 years age affected or in risk to be
infected by HIV/AIDS and 2,090 caregivers. The localities targeted by this project
are Mucune, Manhia and Mavume in Funhalouro district and Chindjinguir and
Inhamussua in Homone. These localities are not representing the more than one
third in both districts, meaning that still have a considerable vulnerable people
not benefited. In Homone district, while CARE and its implementing partners are
implementing home based ECD in Chindjinguir and Inhamussua, Plan
International is implementing preschool in Golo locality. CARE and Plan
International agreed to work together to have integrated preschool at the
community where has currently home based ECD in place. The same picture
cannot be viewed in Funhalouro district due the circumstances mentioned above.
The adapted Essential Package used by Masungukate 3 to conduct their home
visits has holistic approach and it require from us to have at district level an
integrated approach aiming to bring different ECD service provider to the infant
and young children needs. With technical support provided by CARE
Mozambique, was established in November 2014, the Multisectoral Council for
Protection and Integral Child Development in Funhalouro district and reactivated
other in Homone both headed by the Directorate of Health and Social Welfare
which the purpose is to create the dynamism and coordination on ECD issues,
including to turn functional the referral system.
3.3.
Health facilities
Funhalouro and Homone districts has the health facilities in all localities 4 but the
distance to reach these facilities still representing the challenge to the large
number of vulnerable people who deliberately use the traditional mechanism
since yearly pregnancy and to the baby after birth. The government provided at
local level the polyvalent health agents as the local resources and considered as
important for ECD, but we dont have yet established the linkage between these
agents and Masungukate representing a gap to be covered as soon as possible.
A lot of advantage will be acquired linking this resources, while Masungukate are
conducting home visits would be easier to them refer caregivers who are living
fare from health centers and having specific health issues to these local
polyvalent agents as a way to avoid the use of the traditional medicine. Twice
per year the government provide to the communities the immunization
campaign and its seems as useful to reach young children, including affected by
HIV/AIDS living in remote areas. In terms of datas on HIV/AIDS prevalence per
each locality, we still have a gap efforts must be done also by the health
system to ensure that infant stimulation combined with nutrition initiatives
improves growth outcomes of young children as outlined by walker, S. et all
(2005).
3
Masungukate are a kind of community volunteers who are locally considered as good
advisor. In singular is designed Sungukate
4
3.4.
Notarial records
A lot of childrens who are living at remote areas doesnt have the birth
registration and according with the results of the focal group discussions
conducted last year, a lot of children and their parents doesnt have birth
registration in Funhalouro due a lot of reasons such as negligence, emigration of
their biological parents looking for better condition outside and others. Through
the integrated ECD services would be useful to have integrated Notarial records
jointly twice per year when the government provide the immunization campaign
to the children aged 0 to 5 and this can be seen as a greater opportunity to
effectively target young children, including the most vulnerable providing more
than one services at the same time. The created District Multisectoral Council
has an important role to play as the only one and integrated to deal with ECD
and other issues.
3.5.
Having Money to buy a variety of food and other goods, going to the health center when
needed, buying school material to their young children, etc.
e) District office for agriculture and economic activities CARE and its
implementing partners are advised to i) update the existing caregivers in
saving and loans club, doing income generation and producing a considerable
food crops; ii) update other existing partners or initiatives working on
economic empowerment aiming to reach the vulnerable groups; iii) bring the
district office for agriculture and economic activities to actively attend the
Multisectoral Council meeting.
References
Bales, et all. The science of early childhood development: closing the gap between
what we know and what we do. National Scientific Council on the Developing Child,
Harvard University, 2007.
CARE Mozambique. A short article on the situational analysis undertaken before
implementing the CARE Inhambane ECD project. Maxixe: CARE Mozambique, 2013
Peham, A; Cavane, E. Addressing Vulnerability of female headed households in
Inhambane: A background paper on programming options for Irish Aid and CARE.
CARE Mozambique, Maputo, 2012.
Walker, S. et all. Effects of early childhood psychosocial stimulation and nutritional
supplementation on cognition and education in growth-stunted Jamaican children:
perspective cohort study. Jamaica, 2005
World Bank. Child and Youth Development: Supplementing nutrition in the early
years, the role of early childhood stimulation to maximize nutritional inputs, 2009.