PARENTING FOR LIFELONG HEALTH PROGRAMME FOR KIDS
Parenting for Lifelong Health for Young Children (PLH Children) is a parenting programme that aims to establish and sustain nurturing relationships between parents or caregivers and their children ages 2-9, and thereby prevent and reduce the risk of violence against children and maltreatment at home and in the community. The programme targets low-income, vulnerable families in low- and middle-income countries. The programme strengthens parenting skills and behaviours that help parents and caregivers provide adequate support and care to their children. By building positive relations and promoting alternatives to violent discipline, the programme may also contribute to the prevention and treatment of disruptive child behaviours, and the reduction of parental stress and depression
PLH Children was developed to be delivered with high quality and fidelity by community-based facilitators in low-resource settings. The programme is delivered in a group-based format over 12 sessions. The programme is grounded in collaborative social learning behavioural change techniques. It actively engages parents in building positive parenting skills to improve parent-child relationships and reduce harsh discipline. It uses collaborative, non-didactic methods such as group discussions, illustrated stories of parent-child interaction, role-plays to practice parenting skills, home activities assignments, and collective problem-solving. The programme is also designed to be relevant in contexts with high HIV-prevalence, with content covering taking medication and talking about difficult issues. Adaptations of PLH Children have been developed for families with children ages 1.5 to 5 years in Kenya (in Kiswahili), and for parents and caregivers of children ages 1 to 12 years being reintegrated from residential care facilities into their family setting in Uganda.
PLH Children was first tested in a feasibility pilot with 68 low-income isiXhosa parents and their children in low-income township in Cape Town, South Africa. The study found that parents who received the programme engaged in more positive parenting strategies when compared to those who did not receive the programme. Due to these promising results, a larger study with 296 parents and children was conducted from 2014 to 2016 in the same setting to determine programme effectiveness. This study found that parents who received the programme (when compared to controls) reported increases in positive parenting and decreases in harsh parenting and child conduct problems immediately after the programme was completed. At the one-year follow-up, parents who received the programme also reported more non-violent discipline than parents who did not receive the programme. Data from video observations of parents and children interacting during structured tasks showed that parents who received the programme had greater positive parent behaviour immediately after the programme as well as a year later.
PLH Children was recently adapted and tested in a randomised controlled trial funded by the UBS Optimus Foundation and UNICEF Philippines in Metro Manila with 68 low-income families who were part of a government conditional cash transfer programme. In comparison to controls who were receiving a government programme, the study found positive programme effects for reduced child maltreatment, including physical and emotional abuse, and neglect, reduced dysfunctional parenting, reduced child behaviour problems, reduced endorsement of corporal punishment, increased daily positive parenting, and improved parental self-efficacy at 1-month follow-up.
There are also briefer versions of the programme (i.e., 6 and 8 sessions) that are currently in the development and testing stages, including an adaptation and trial of an 8-session version in Udon Thani, Thailand (funded by UNICEF Thailand). PLH Children is also being tested as part of a 4-year EU Horizon2020-funded study using the Multiphase Optimisation Strategy Framework in Southeastern Europe (Macedonia, Moldova, and Romania), this study aims to test programme components in order to optimise it based on effectiveness, cost-effectiveness, and scalability. Results from this study will be ready in 2022.
OUTLINE OF TRAINING
Community-based paraprofessionals are trained and provided with coaching support from CWBSA to support the delivery of the programme. The trainings are provided to organisations and are facilitated by Master Trainers as well as certified CWBSA Trainers. There are three types of trainings that are currently being offered to organisations interested in implementing the programme:
PLH 2-9 Programme Facilitator Training
The Facilitators Training is a five-day intensive workshop where participants will get an in-depth understanding of the role of the PLH Programme facilitator and how to deliver the programme to parents/caregivers and teens. In this training the participants are introduced to the main programme components and session by session content delivery guide. The training focuses on establishing core facilitation and group management skills and is highly participatory so as ensure maximum participation. Programme delivery methods are demonstrated, discussed and practised during the training and the participants are provided with a comprehensive manual to use during group sessions. Training and certification of Facilitators is provided by certified trainers and CWBSA Master Trainers.
PLH 2-9 Programme Peer Coach Training
The Peer Coach Training is a three-day workshop that is designed to help participants develop the skills and strategies that they will need to provide on-going coaching and programme delivery support to facilitators within their organisation. Peer Coaches assist facilitators with week on week support to help them prepare for their parenting programme sessions. This training is provided to certified facilitators who are experienced in delivering the programme. The three-day training involves modules on skills and strategies to provide coaching support and deeper insights into the Sinovuyo Programme delivery methodology and the primary theories and principles that underpin the programme. Training and certification of peer coaches is provided by certified Trainers and CWBSA Master Trainers.
PLH 2-9 Programme Trainer Training
This eight-day train the trainer workshop is designed to equip trainers on the core skills on how to design and deliver training to a new cadre of Sinovuyo Facilitators and Peer Coaches. The training is specifically designed to equip the participants on how to prepare for training workshops, structuring sessions and how to provide ongoing mentorship and sustaining capacity building support within the organisation. Training and certification of Trainers is provided by CWBSA Master Trainers.
With the aim of establishing a strong community of qualified facilitators, supervisors and trainers CWBSA provides certification for trained personnel by assessing their skills and competencies to deliver the programme. Certified individuals receive a certificate of attendance which acknowledges an individual’s facilitation and group management skills. An assessment report is provided which provides advice on areas of further development for all trained personnel. The certification process will ensure that service providers maintain the integrity and implementation fidelity of the Sinovuyo Caring Families Programmes.
PLH 2-9 TECHNICAL PROGRAMME SPECIALIST – Anna Booij
Anna is part of the implementation network of the Parenting for Lifelong Health (PLH) initiative. As Technical Programme Specialist for the parenting programme for parents of children ages 2-9 (PLH 2-9), she enjoys providing support to a wide variety of partners to successfully strengthen families and reduce child maltreatment. After completing her Masters in Humanitarian Action in the Netherlands, Anna lived and worked as a development consultant in Liberia, West-Africa, for several years. When the Ebola epidemic brought her work in Liberia to an end, she joined Médecins Sans Frontières for missions in Pakistan, South Sudan, and South Africa. In 2016, Anna joined the parenting team at Clowns Without Borders South Africa to support partners in adapting and implementing the PLH 2-9 programmes. She continues to be amazed and motivated by the positive impact of the parenting programmes on individual lives, families, and communities across Africa and East-Asia.
TRAINER AND FACILITATOR – Andiswa Mgedle-Cotiyana
Andiswa was born in Willowvale, in a small village called Nokatana in Eastern Cape. She then moved to Cape Town, she studied all her grades in Cape Town. She began her career in social activism while in High School when she participated in the HIV Community Awareness run by the organisation called Hope Worldwide. From 2010 to 2014 Andiswa studied Early Childhood Development at the college of Cape Town. During this time, she volunteered in ECDs around Khayelitsha developing her practical application of the theories learnt in the course. In 2013, Andiswa started working for Clowns Without Borders as a facilitator and trainer of the Sinovuyo Caring Families Programme. In 2015, she expanded her involvement with CWBSA as a facilitator, administrator and translator of the Our Story Your Story project. Now Andiswa has trained in different countries like South Sudan, Uganda, DRC Lubumbashi and Kinshasa. She is an amazing trainer, facilitator, and mother!
CONSULTANT TRAINER AND FACILITATOR – Fundiswa Menziwa
Fundiswa, is a consulting trainer and facilitator of the Sinovuyo Caring Families Programmes for Parents with children aged 2-9. She was born in Port Elizabeth and she lives in Cape Town. Fundiswa used to work as an ECD Practitioner after she finished her studies at Falsebay College in Cape Town. From 2013 she started working at Clowns Without Borders as a Facilitator and was working around Cape Town areas up. In 2015 went to work in Eastern Cape villages and in 2017 became a Trainer and a Mentor. Fundiswa is skilled in training and facilitating both the Sinovuyo Teens and Sinovuyo Kids Parenting Programmes. Fundiswa loves her work so much since it is close to her calling as a Pastor to bring hope, love and strengthen relationships between families.
In South Africa, CWBSA supports various implementing partners delivering the Sinovuyo Kids programmes in two provinces.
CWBSA is providing training and coaching for the implementation of both the Sinovuyo Kids and Teens programme in rural farming communities in the Western Cape Province in cooperation with the Seven Passes Initiative and the University of Cape Town.
PLH-PIN is piloting a brief 6-session version of Sinovuyo Kids in collaboration with Oxford University and the University of Cape Town. This version is implemented by the PATCH Child Abuse Centre in the Helderberg area, with funding from the DG Murray Trust.
CWBSA is also building capacity for Save the Children South Africa to deliver the Sinovuyo Kids programme, with the aim of reaching 240 families in KwaZulu-Natal 2017.
In cooperation with CRS and 4Children, PLH-PIN has trained 48 facilitators in the Sinovuyo Kids and Sinovuyo Teens programmes to reach 3,600 families during Year 1 of implementation. Through certification, training of trainers, and continued coaching, a cadre of French-speaking Sinovuyo staff is build up to ensure quality delivery of the programmes through to 2019 (funded by USAID).
In collaboration with CRS, PLH-PIN has trained 14 facilitators in the Sinovuyo Kids and Sinovuyo Teens programmes, to reach 5,000 families between 2017 and 2021.
In Uganda, PLH-PIN is also working with CRS to develop and test a home-based adaptation of the Sinovuyo curriculum to support the reintegration of children from residential care facilities back into their families. PLH-PIN will train facilitators and trainers to reach 660 families between 2017-2019 (funded by USAID).
In cooperation with CRS and 4Children, PLH-PIN is training 20 facilitators in both the Sinovuyo Kids and Sinovuyo Teens programmes to reach 500 families in Juba in 2016-2017. Further up-scaling and delivery will take place between 2017-2019 (funded by USAID).
Western Lake Region
In cooperation with AMPATH Kenya and the Saving Brains Initiative, PLH-PIN has trained 54 facilitators in an adapted version of Sinovuyo Kids for mothers with children ages 1.5 to 5 years. Delivery will take place through to 2017 with scale-up of the programme in 2018 and 2019.
Together with the Philippine Ambulatory Paediatric Association, Ateneo de Manila University and the Department of Social Welfare and Development, PLH-PIN is adapting the Sinovuyo Kids programme to be integrated within the conditional cash transfer system for 4 million families. With funding from the UBS Optimus Foundation and UNICEF Philippines, PLH-PIN will help PLH train programme facilitators and trainers between 2016 and 2017.