Published on October 2, 2007
Child Indicators Monitoring System (CIMS): Child Indicators Monitoring System (CIMS) for Trinidad and Tobago Presenter Linda Hewitt REPORT ON A RIGHTS BASED SYSTEM OF NATIONAL MONITORING INDICATORSRELATING TO CHILDREN: REPORT ON A RIGHTS BASED SYSTEM OF NATIONAL MONITORING INDICATORS RELATING TO CHILDREN The Child Indicators Monitoring System (CIMS) Project was undertaken in Trinidad and Tobago in two phases. Phase I-A diagnostic assessment of capability to produce data from which to derive the CIMS indicators took place in 2002 and Phase II-Development of the conceptual Framework and Database structure, during 2004. The project was funded by UNICEF and executed by the Central Statistical office of Trinidad and Tobago. This presenter served as Consultant for both phases of the project. Following is an account of the aims, objectives, outcomes and future prospects of the CIMS Presented by: Linda Hewitt Research Consultant Trinidad and Tobago Aims of CIMS: Aims of CIMS Provide a comprehensive database for monitoring and updating NPA goals Monitor the situation and full development of children (0-18 years) Derive useful indicators to monitor and evaluate situation of children Assist in the design of measures to alleviate and eradicate adverse conditions that affect children Basis for CIMS: Basis for CIMS The United Nations Convention on the Rights of the Child, UN World Campaign for Human Rights The 1990 World Summit for Children Areas of monitoring: Areas of monitoring Health Education Access to basic amenities Disabilities Home environment Living standards Social conditions Adult literacy Situation of Women NPA goals: NPA goals The reduction of under five and infant mortality rate by one-third or between 50 and 70 percent within a specified time frame. Reduction of maternal mortality rate by one-half. Reduction of severe and moderate malnutrition among under five children by one-half. Universal access to safe drinking water Universal access, to sanitary means of excreta disposal Goals (continued): Goals (continued) Universal access, to basic education, achievement of primary education by at least 80 percent of the primary school age population, through formal schooling or non-formal education of comparable learning standard, with emphasis on reducing the current disparities between boys and girls. Reduction of the adult illiteracy rate by at least half with emphasis on female literacy. Goals (continued): Goals (continued) Provide improved protection for children in especially difficult circumstances and tackle the root causes leading to such situation. Give special attention to the health and nutrition of the female child and to pregnant and lactating women Access by all couples to information and services to prevent pregnancies that are too early, too closely spaced, too late or too many Goals (Continued): Goals (Continued) Access by all pregnant women to pre-natal care, by trained attendants during childbirth, and referrals, in cases of high risk pregnancies and obstetric emergencies Reduction in the low birth weight (less than 2.5 kg), to less than 10 percent. Reduction of iron deficiency (anemia), among women, by one-third. Virtual elimination of iron deficiency disorders Goals (continued): Goals (continued) Virtual elimination of vitamin A deficiency and its consequences, Including blindness. Empowerment of all women to breastfeed their children exclusively for 4-6 months and to continue breastfeeding, with complementary food, well into the second year. Growth promotion and regular monitoring institutionalized in all countries. Goals (continued): Goals (continued) Dissemination of knowledge and supporting services to increase food production for maintaining household food security Global elimination of poliomyelitis. Elimination of neo-natal tetanus Reduction by 95 percent in measles death and reduction by 90 percent Measles cases compared to pre immunization levels, as a global step to the eradication of measles the longer run Goals (continued): Goals (continued) Maintenance of a high level of immunization coverage (at least 90 percent of children under age one against diphtheria, pertussis, tetanus, measles poliomyelitis, tuberculosis and against tetanus for women of child-bearing age. Reduction by 50 percent in the deaths due to diarrhoea in children under the age of five years and twenty-five percent reduction in the diarrhoea incidence rate. Reduction by one third in the deaths due to respiratory infections in children under five years Goals (continued): Goals (continued) Expansion of early childhood activities including appropriate low-cost family and community based interventions Expansion of early childhood activities including appropriate low-cost family and community based interventions Goals (continued): Goals (continued) Increased acquisition by individuals and families of the knowledge, skills and value required for better living, made available through all educational channels, including the mass media, other forms of modern and traditional communications and social action with effectiveness measured in terms of behavioural change. Health: Health Education: Education Other Indicators: Other Indicators Sixteen (16) of the twenty-seven (27) indicators are in relation to health and education. The remaining indicators pertain to: Access to household amenities Living standards Family and household environment/situation Socio-economic conditions The indigent poor financial assistance to families in need families in need of counseling children with special needs displaced persons family services probation of young offenders victims of child abuse. Sources f Data: Sources f Data Health The Ministry of Health The Regional Health Authorities (RHA's) The Community Health Services, comprising hospitals, health centers and clinics throughout the country Education Data from the annual questionnaire administered to schools. Other records kept by schools such as the school attendance. Register The school feeding programme and health services; rendered by the Ministry of Health Data are generated from baseline surveys and from programs such as the CAP, tests administered at respective school levels and the secondary entrance examinations. Sources of Data (continue): Sources of Data (continue) Other data sources CSO Ministry of Social Development NGO’s Expected outcomes: Expected outcomes A well constituted and efficient social indicators database Well trained human resources for generating and maintaining the system of social indicators A CONCEPTUAL FRAMEWORK FOR THE CIMS: A CONCEPTUAL FRAMEWORK FOR THE CIMS Phase II Database Design and Preparation CIMS Conceptual Framework: CIMS Conceptual Framework FAMILY/HOUSEHOLD SITUATION Family Size Composition Family Type Sex of Head Employment Status of Family Members Living Conditions Fertility levels Contraceptive Use Empowerment of Women Adult Literacy CIMS Conceptual Framework: CIMS Conceptual Framework BIRTH EVENT CIRCUMSTANCES Maternal Care Mother Nutrition Care during pregnancy Maternal Mortality Access to Ante-natal and Postnatal Care Child Birth Weight CIMS Conceptual Framework: CIMS Conceptual Framework CHILD SURVIVAL Neo-natal, Ante-natal and Post-natal Care Immunization Morbidity Infant Mortality Under-five Mortality Neo-natal Exposure to HIV/Aids CIMS Conceptual Framework: CIMS Conceptual Framework CHILD PROTECTION AND RIGHTS Protection against vulnerability to: Poverty Illiteracy Violence Abuse Crime and Delinquency HIV Exposure CIMS Conceptual Framework: CIMS Conceptual Framework CHILD DEVELOPMENT Health and Nutrition Education: pre-school, basic, primary, secondary, higher Technical and Vocational Training School Acceleration Learning Achievement Social Welfare Psycho Social Underweight, stunting, wasting Caloric Intake Breastfeeding Access to food, shelter, clothes Preparation for Work Database Physical Architecture: Database Physical Architecture The CIMS application has been developed for both MS Windows 2000 and Windows XP utilizing Microsoft Access as the database management system. Provisions have been made for undertaking the following: Adding records to the database Amending records Importing data into the database Generating reports Ensuring the security of the data Querying the database CIMS Physical Architecture: CIMS Physical Architecture Apart from data analysis that can be undertaken, reports can also be generated directly from the database or portions of the data selected and stored as tables in Microsoft EXCEL, using the export function provided. As part of the CIMS system facilities, a programme has been developed for migrating data generated using SPSS directly into the CIMS database. This is especially useful and saves time normally spent cutting and pasting output from SPSS. CIMS Database Maintenance: CIMS Database Maintenance Apart from data analysis that can be undertaken, reports can also be generated directly from the database or portions of the data selected and stored as tables in Microsoft EXCEL, using the export function provided. As part of the CIMS system facilities, a programme has been developed for migrating data generated using SPSS directly into the CIMS database. This is especially useful and saves time normally spent cutting and pasting output from SPSS. LINKAGE TO OTHER CHILDREN RELATED INITIATIVES: LINKAGE TO OTHER CHILDREN RELATED INITIATIVES In 2004 Trinidad and Tobago broke new grounds by government’s declaring the establishment of a Social Sector Investment Program (SSIP). This initiative embodies a set of policy, programme and research initiatives that are related to the CIMS. Those related to children are: The establishment of a children’s authority A remand home for male offenders A School Health Policy A National Gender policy A Family Court Research on the status of the family The role and performance of males The social implications of incest The extent of child poverty Poverty indicators Furthering the Objectives of the CIMS: Furthering the Objectives of the CIMS The CIMS objectives must also be defined within the context of this policy focused development and the system must therefore be positioned to respond to data requirements as far as possible, beyond the monitoring function defined by the set of core indicators. The monitoring function and provisions for updating render the system an important tool for serving a variety of purposes. Currently preparation is ongoing for conducting a National Survey of Living Conditions-2005. The data collection instrument, having been designed by this presenter, provides for the collection of data that will cater to the updating of the CIMS database.