Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level
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Measuring Early Childhood Development (ECD) in Manitoba: Evaluating Child-Centred Public Policy at a Population Level Presented by Dr. Mariette Chartier, Healthy Child Manitoba Office, Healthy Child Committee of Cabinet, Government of Manitoba Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level Presented by Dr. Mariette Chartier, Healthy Child Manitoba Office, Healthy Child Committee of Cabinet, Government of Manitoba Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level Our Challenge • Building a comprehensive Early Childhood Development (ECD) system: – publicly funded – evidence-based – multilevel: universal, targeted, clinical (best policy mix to reach all children that need support) – reduces risk factors for ECD – promotes protective factors for ECD – measures and monitors cross- sectoral ECD expenditures, activities, determinants, and outcomes across the life course Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level A Possible CURE • Courage –> political will (despite the risks and costs) • Understanding –> outside pressure from the public for evaluation (as a public good) • Resources –> for evaluation and knowledge exchange • Empowerment –> for government (an inside engine for change) and for communities (to use evidence and evaluation for change) Important ingredients: A recognition that major government-wide policy pressures on health, education, child welfare, and justice systems (a) cannot be solved by any single department or sector alone, and (b) requires multilevel prevention and intervention in early childhood at a population level, with a special focus on parenting Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level The Healthy Child Manitoba Act • Enabling legislation for Healthy Child Manitoba, the Government of Manitoba’s long-term, cross-departmental prevention and early intervention strategy for children and youth (prenatal – 18 years), proclaimed in December 2007 • Purpose is to achieve best possible outcomes for Manitoba’s children (policy emphasis on ECD) • Legislated cross-sectoral government and community structures for children • Authority to collect and link data across sectors and across time (horizontal and longitudinal) • Requirement for public reporting on progress in child development http://web2.gov.mb.ca/laws/statutes/ccsm/h037e.php Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level Leadership: Manitoba’s Premier and Healthy Child Committee of Cabinet • Established in March 2000 by Premier Gary Doer • Only Cabinet committee in Canada dedicated to the well-being of children and youth Gary Doer, Premier of Manitoba “This century can be Manitoba’s century – with new hope for our young people . We know that Current HCCC members: children who grow up in safe, nurturing environments have better • Kerri Irvin-Ross, Chair of the Healthy Child Committee of Cabinet success throughout their lives . and Minister of Healthy Living [this] is part of our ongoing • Oscar Lathlin, Minister of Aboriginal and Northern Affairs commitment to building healthy, • Eric Robinson, Minister of Culture, Heritage, Tourism and Sport safer communities for Manitobans • Peter Bjornson, Minister of Education, Citizenship and Youth and their families.” (March 2000) • Gord Mackintosh, Minister of Family Services and Housing • Theresa Oswald, Minister of Health • Dave Chomiak, Minister of Justice and Attorney General • Nancy Allan, Minister of Labour and Immigration, Minister Responsible for the Status of Women Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level Bridging Government and Community: Intersectoral Structures in Manitoba KNOWLEDGE • Healthy Child • Citizens and communities Committee of Cabinet • Parents and families • Healthy Child • Children and youth Deputy Ministers’ Committee • Community agencies • Healthy Child Manitoba Office • HCM Advisory Committee • Healthy Child • Parent-Child Centred Coalitions Interdepartmental Committees and Council of Coalitions ACTION Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level HCM Knowledge-Action Cycle RESEARCH KNOWLEDGE Healthy Child EVALUATION Manitoba POLICY (HCM) Strategy PRACTICE ACTION Evaluation andand Assessment of of LearningLearning andand WellWell-Being-Being – – 4th 4th Meeting Meeting of of thethe OECD Early Early Childhood Childhood Education Education and and Care Care Network Network – –October October 30 30-31,-31, 2008 2008 – –Paris Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level Some Key Data Components (to Date) • Population-based Measures – Universal, post-partum Families First screening (by public health nurses) – Early Development Instrument (EDI) (by Kindergarten teachers) • Longitudinal representative studies – National Longitudinal Study of Children and Youth (NLSCY) – Manitoba Longitudinal Study of Children and Youth (MLSCY) - forthcoming • Administrative data linkage – ECD programs, and other health, education, and social services – partners: Manitoba Centre for Health Policy (MCHP), Human Early Learning Partnership (HELP) in British Columbia • Program evaluation (examples) – Pre and post-natal programs – Home Visiting Program . towards an integrated information system on child development Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level Early Development Instrument (EDI) • population-based (n = 12,500 Kindergarten students in public schools) • province-wide, voluntary phase-in across all Manitoba school divisions • uptake: 63% of school divisions in 2003, 74% in 2004, 82% in 2005, and 100% in 2006 • partners: Manitoba school divisions, Manitoba parent-child coalitions, Offord Centre for Child Studies • linked in 2004 and 2006 to sample-based EDI Parent Surveys (n = 1000 each) Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level National Longitudinal Survey of Children and Youth (NLSCY) NLSCY 1994 NLSCY 1996 56.2% Positive Not Not Vulnerable Developme VulnerableResilientnt 71.1% 71.9% Newly Vulnerable Vulnerable 13.2% LongVulnerable-term Vulnerable National Longitudinal Survey of Children and Youth (NLSCY) 28.9% Source: Brink, S. (May 2000). Understanding the early years: Helping our children succeed in 28.1% our communities. Ottawa, ON: Human Resources Development Canada. Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level Manitoba Centre for Health Policy (MCHP) Family Healthy Child Services Program Data Hospital Education Home Care Physician Population- Based Research Nursing Pharmaceuticals Registry Home Immunize Costs Census Data Vital at area level Statistics National surveys Key health databases start in 1970 Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October 30-31, 2008 – Paris Measuring ECD in Manitoba: Evaluating Child-Centred Public Policy at a Population Level Influencing Policy and Resource Allocation in Government and Communities (examples) • Treasury Board directed HCCC partner departments and HCMO to develop an annual, cross-departmental, evidence-based budget process to allocate (and reallocate) funds toward ECD • Data from EDI and EDI Parent Surveys, with NLSCY data, used to facilitate – HCCC commitment in to improve parenting at a population level, and – Treasury Board commitment to fund implementation of the Triple P – Positive Parenting Program System province-wide for children prenatal to age 5 years (national first) • Provincewide, Parent-Child Coalitions and School Divisions are using EDI results to identify community priorities, strengthen local partnerships, and influence government priorities and decision-making Evaluation and Assessment of Learning and Well-Being – 4th Meeting of the OECD Early Childhood Education and Care Network – October