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THE NATIONAL PLAN OF ACTION
for children and adolescents in Belize 2004-2015




               Government of Belize with support from UNICEF
TA B L E   OF   CONTENTS

            5   Introduction

            6   Chapter 2 - The National Plan of Action
                  Overall Goals
                  Overall Principles
                  Common Strategies

           7       Six Main Areas of Attention
            8      The Work Plan
            8        Education
           11        Health
contents
           15        Child Protection
           19        HIV/AIDS
           21        Family
           22        Culture

           25   Chapter 3 - Resource Mobilization
                  Guidelines for Resource Mobilization

           28   Chapter 4 - Monitoring and Evaluation
           28     The Status of Data Collection and
                  Information Systems in Belize

           29      Commitment to Improved Information
                   Systems

           30      A Proposed Institutional Framework for
                   Monitoring and Evaluating the NPA

           31      The Structure of the NPA

           32      Guidelines for Monitoring the NPA

           33      Guidelines for Evaluating the NPA

           34      Annex A - The Working Group

           34      Annex B - The Technical Committees

           35      Annex C - Technical and Administrative
                   Support
FOREWORD

In November 2002, we committed ourselves to the establishment of a bipartisan Working
Group to actively engage in a process of achieving consensus on a National Plan of Action
for Children and Adolescents. The objective was to develop a framework to further rational-
ize the delivery of sustainable services to Belizean children and adolescents. On February 14,
2003 we formalized our commitment to the process through the signing of a Memorandum
of Understanding.

We are pleased that the efforts of the bipartisan Working Group have culminated in a com-
prehensive plan which prioritizes actions, on behalf of children, in the areas of education,
health, child protection, HlV/AIDS, family and culture, over the next eleven years.

For over two decades successive government administrations have worked towards ensuring
the wellbeing of children in Belize. Within the framework of our national development agen-
da, the Convention on the Rights of the Child and the Millennium Development Goals, we
regard the adoption of this National Plan of Action for Children and Adolescents as the most
recent indication of our commitment to build a better Belize for our children.

We wish to express our gratitude to all those persons from the government and civil society
sectors who contributed to the development of this Plan. Special thanks to the representa-
tives from our respective political parties for their hard work and dedication, to the Belize
Council of Churches for facilitating the first part of the process, to the National Committee
for Families and Children for coordination and programmatic support and to UNICEF for
technical and financial support to the process.

While we recognize that the achievement of the objectives of this Plan is the primary respon-
sibility of the Government of Belize, we strongly believe in the obligation of the wider society
and the international community to contribute to its successful implementation.

We therefore urge all sectors of society to embrace the National Plan of Action for Children
and Adolescents and work with us in partnership as we endeavour to safeguard the future.

There is no other alternative but to invest in our children!


Signed this 7th day of September, 2004.




 Hon. Said Musa                                         Hon. Dean Barrow
 Prime Minister of Belize                               Leader of the Opposition
1. INTRODUCTION




                                                       introduction
Belize has, since its independence in 1981,
signed key international documents, such as the
Convention on the Rights of the Child (CRC), the
Dakar Education for All Goals (EFA) 2000, the
Millennium Development Goals (MGD) 2000, the
Outcome Document of the UN General
Assembly Special Session on Children
(UNGASS) 2002 as well as existing National
Policies for Social Development. This National
Plan of Action for Children and Adolescents is
therefore a document that spells out, as a part of
Belize’s international commitments, the national
targets and strategies/actions of the people and
the government of Belize in matters of childhood
and adolescent development.

For many years now, a number of institutions
and organizations have been carrying out pro-
grams and projects that target children and ado-
lescents. There is, however, a need to strengthen
the coordination and thus increase the impact
that these programs have on the welfare of the
target group. The National Plan of Action intends
to identify key programs and to subsequently
promote their implementation through partner-
ships with government and non-government
sectors.

To facilitate the systematic development and
implementation of these policies, programs, and
projects, this 12-year plan contains an ordered
sequence of overall goals, crosscutting themes,
crosscutting strategies, and six main areas of
attention, each with its own objectives, targets,
and strategies specifically tailored to the
Belizean situation. The National Plan also pro-
poses a coordination, monitoring, and evaluation
mechanism that will ensure its timely and suc-
cessful implementation.




                                                     Introduction 5
CHAPTER 2
The National Plan of Action


2.0 The National Plan of Action                    found to be living in poverty, opportunities
The National Plan of Action includes overall       that optimize their development and guaran-
goals, principles, common strategies, priority     tee their rights.
areas, objectives, targets and strategies, and
actions as presented below.                        2.2 Overall Principles
                                                   The six principles outlined below are to
2.1 Overall Goals                                  guide the development and implementation
The main goals of the National Plan of             of all the policies and programs which form
Action are the following:                          a part of this plan.

To ensure that all children and adolescents        • Due care for, and attention to, the princi-
residing in Belize, irrespective of their legal      ples of gender equality
status, live in conditions necessary to
achieve their maximum level of spiritual,          • Protection and conservation of the environ-
moral, intellectual, physical, and psychoso-         ment
cial development.
                                                   • Meaningful and effective participation of
To achieve the fulfilment and implementa-            children and adolescents in all stages of
tion of all the rights of children and adoles-       the processes of policy development
cents to a happy life, to be loved, and to
have opportunities for their comprehensive         • Protection and preservation of the family
development.                                         as a basic unit of society

To consolidate the themes of childhood and         • Non-discrimination on the basis of sex,
adolescence as commitments and national              ethnicity, religious affiliation, or national
priorities, strengthening national systems of        origin
protection in order to offer to this part of the
population, and especially to those that are       • Multi-sectoral partnerships




6 The National Plan of Action
2.3 Common Strategies                           • Health: To provide conditions that ensure
There are six common strategies to be             the optimum health of children and adoles-
employed throughout the implementation of         cents.
all policies, programs, and projects included
in the Plan:                                    • Child Protection: To safeguard the rights
                                                  of children and adolescents, especially those
• Development and effective implementation        at risk.
  of national policies and programs, both
  general and age specific                      • HIV/AIDS: To combat the spread of
                                                  HIV/AIDS and minimize its effects on children
• Research and data analysis to inform the        and adolescents.
  development, revision, and implementa-
  tion of national policies and programs        • Family: To promote the right of children
                                                  and adolescents to grow up in a nurturing
• Relevant education and training to pro-         family environment.
  mote the goals and targets set in national
  policies and programs                         • Culture: To provide accessible and afford-
                                                  able programs that enable children to
• Coordination and networking between and         develop a sense of self and a healthy
  among relevant organizations in the public,     respect and appreciation for the diverse
  private, and civil society sectors              culture in Belize.

• Capacity building for implementing organ-
  izations in the public, private and civil
  society sectors

• Resource mobilization for effective imple-
  mentation of national policies and pro-
  grams

• Monitoring and evaluation of ongoing poli-
  cies and programs

2.4 Six Main Areas of Attention
To ensure that the overall goals are met, the
National Plan of Action singles out six main
areas under which specific objectives, tar-
gets, and strategies are developed. The six
main areas of attention and their specific
objectives are:                                                        Due care for,
• Education: To provide accessible and                                 and attention
  affordable quality education that equips
  students with the knowledge, skills, and
                                                                       to, the
  attitudes for moral, mental, and physical                            principles
  development and self-fulfilment so that
  they can become creative and productive                              of gender
  citizens.                                                            equality.

                                                                       Overall principles, NPA




                                                             The National Plan of Action 7
The Work Plan: Education
                     2.5.1 Education
                     Education is a basic human right. It is a key factor in reducing poverty
                     and in promoting democracy, peace, tolerance, and development. We
                     are committed to strengthening the educational system by offering a
                     variety of options that meet the diverse needs of Belize. The educa-
                     tion offered must be appropriate, relevant, stimulating; it must also
                     provide a basis for the development of responsible and productive
                     citizens.

                     Objective
                     To provide accessible and affordable quality education that
                     equips students with the knowledge, skills, and attitudes for
                     moral, mental and physical development and self-fulfilment
                     so that they can become creative and productive citizens.

                     Target 1
                     Accessibility and Affordability
                     To increase the accessibility and affordability of pre-school, primary,
                     and post-primary education in Belize.

                     To increase to a minimum of 50 per cent the enrolment of children
                     three to five years old in pre-school.

                     To ensure a 100 per cent enrolment/attendance of primary school-
                     aged children 5-12.

                     To increase to 90 per cent the net enrolment rate in post-primary edu-
                     cation, including vocational/technical education.

                     To ensure that all children with disabilities have access to relevant
                     education, with at least 60 per cent enrolment within the regular
                     school system.

                     Strategies and Action
                     Promote the establishment of more pre-schools nationwide.

                     Provide more primary school placements nationwide.

                     Provide more post-primary school placements nationwide.

                     Strengthen the capacity of the Special Education Unit to provide sup-
                     port to schools nationwide in educating children with special needs.

                     Develop and enforce a National Education Policy.

                     Develop and implement programs that allow schools to be more
                     affordable to students.




8 The Work Plan: Education
Target 2
Quality of Education
To improve the academic performance of all students.

To ensure the relevance and adequate use of the curriculum at all lev-
els of the education system.

To increase the percentage of trained teachers.

To ensure a maximum of 15 to 1 student/teacher ratio at the
pre-school level.

To ensure a maximum of 30 to 1 student/teacher ratio at the primary
and secondary levels.

Strategies and Action
Review and revise the primary and secondary education curriculum
on a continuous basis to ensure that it is relevant and up-to-date.

Re-orient the PSE to serve as a measurement of school performance
in order to re-structure human and financial resource allocations to
schools in an equitable manner.

Implement a process to certify and monitor schools as “Child
Friendly” institutions.

Strengthen the institutional capacity of the District Education Centres
to carry out their technical assistance, coordination and monitoring
functions.

Develop programs to improve teacher performance.

Implement the School Inspectorate System to monitor education at all
levels.

Document and publicize best practices within the primary and sec-
ondary education system to be adopted by other schools.

Target 3
Repetition and Dropout
To increase the primary and secondary school completion rate.

To reduce to five per cent the repetition rate at the primary level.

To reduce to five per cent the repetition rate at the secondary level.

To reduce to five per cent the dropout rate at the secondary level.

Strategies and Action

Strengthen the capacity of the School Community Liaison and Security
Program to operate in communities most in need of assistance.


                                                                   The Work Plan: Education 9
Provide services to children as part of an “at-risk” and abused chil-
                     dren’s referral network.

                     Develop programs that support and encourage children to stay in
                     school.

                     Increase the age for compulsory education to 16 years.

                     Strengthen both government and non-government programs that pre-
                     pare early school leavers at both the primary and secondary school
                     levels to become re-integrated into the formal school system.

                     Establish a standardized test to qualify early school leavers for a sec-
                     ondary school equivalency certificate.

                     Establish and operate technical and vocational/skills training pro-
                     grams nationwide.

                     Target 4
                     Literacy
                     To achieve a 95 per cent functional literacy rate for 18 year olds.

                     Strategies and Action
                     Expand and strengthen the national literacy campaign.

                     Target 5
                     Gender Equity and Equality
                     To eliminate gender disparities and achieve gender equity at the pri-
                     mary and secondary school levels.

                     Strategies and Action
                     Develop education strategies that respond to the gender-specific
                     needs of both males and females.

                     Develop a National Education Policy and amend the Education Act
                     (1991) and the Education Rules (2000) to be consistent with gender
                     equity at the primary and secondary school levels.

                     Sensitize all teachers at the pre-school, primary, and secondary levels
                     on gender issues and the effects on the socialization and develop-
                     ment of children.




10 The Work Plan: Education
The Work Plan: Health
2.5.2 Health
We are committed to further develop and maintain an affordable and
accessible system of comprehensive health care that addresses the
needs of children and adolescents. Special attention must be paid to
promoting healthy lifestyles as well as providing adequate housing
and a safe and healthy environment.

Objective
To provide conditions that ensure the optimum health of children and
adolescents.

Target 1
Infant and Child Morbidity and Mortality
To increase the number of first prenatal care visits during the first
trimester to 60 per cent.

To increase the number of women who space their children by two or
more years by 15 per cent.

To reduce the incidence of low birth weight (less than 2.5 kg.) to 3.7
per cent of all births.

To reduce the prenatal mortality rate by 20 per cent.

To reduce the infant mortality rate to 14.3/1,000 live births.

To reduce the less-than-five mortality rate to 18.3/1,000 live births.

To reduce the under-five child mortality rate caused by Acute
Respiratory Infections (ARIs) by 15 per cent.

To reduce the under-five child mortality and morbidity rate caused by
diarrhoea by 15 per cent.

To increase the early detection, diagnosis, and treatment of congeni-
tal conditions.

To achieve and sustain a minimum of 95 per cent immunization rate
for each of the ten immune-preventable diseases in the under-five
population.

Strategies and Actions
Mainstream ongoing public awareness activities focused on prenatal
and early childhood development issues.

Provide health education and counselling to pregnant women and
their partners through both the public and private health systems.

Fully implement the Safe Motherhood Initiative in Belize.



                                                                         The Work Plan: Health 11
Strengthen the institutional capacity of the health system to allow
                     public health nurses and rural health nurses to supervise and monitor
                     the activities of traditional birth attendants.

                     Provide comprehensive continuous training for Traditional Birth
                     Attendants.

                     Implement and monitor compliance with standards for registering
                     hospitals and health centres as “Baby-Friendly” institutions.

                     Establish mechanisms to improve the collection, compilation, and dis-
                     semination of vital statistics.

                     Provide 100 per cent of vaccines for the continued implementation of the
                     child immunization program in all public hospitals, health centres, mobile
                     health clinics, and private healthcare providers across the country.

                     Target 2
                     Nutrition
                     To reduce the incidence of severe to moderate malnutrition in chil-
                     dren under one year by five per cent.

                     To reduce the incidence of severe and moderate malnutrition in chil-
                     dren one to four years by ten per cent.

                     To eliminate congenital illnesses and defects caused by micro-nutrient
                     deficiencies.

                     Strategies and Action
                     Update the national Breastfeeding Policy and amend the Labour Law
                     to provide legal provisions for the public and private sectors to facili-
                     tate working mothers to breastfeed their babies.

                     Strengthen the capacity of the Nutrition Unit to be able to effectively
                     carry out its research, public awareness, and monitoring functions.

                     Develop a national information system on the nutritional status of
                     children.

                     Develop and implement regulations and protocol for the implementa-
                     tion of the Food and Nutrition Security Policy (2001).

                     Facilitate micro-nutrient supplementation.

                     Provide iron and folic acid supplements to all pregnant women who
                     attend the prenatal clinics and are in need of supplements.

                     Continue to monitor the growth and development of all children.

                     Provide appropriate interventions for addressing the nutritional needs
                     of children through maternal and child health programs and other
                     existing mechanisms.


12 The Work Plan: Health
Educate primary and secondary school students on proper nutrition.
Re-introduce and maintain a public awareness campaign on proper
nutrition.

Target 3
Disabilities
To reduce the incidence of disabilities in newborns caused by prenatal
complications.

To increase the detection, diagnosis, and treatment of children with
disabilities.

Strategies and Action
Develop and implement an effective surveillance system to detect and
monitor babies born with congenital disabilities and/or defects.

Implement a prevention, early detection, and intervention disability
program for children.

Strengthen and expand existing services for children with disabilities
(See Education and Child Protection)

Target 4
Public Health, Hygiene and Vector Transmitted Diseases
To reduce the incidence of malaria to less than 10 per 1,000 children
and adolescents.

To reduce the incidence of classical dengue to less than 1 per 1,000
children and adolescents.

To reduce the incidence of dental cavities in children by 50 per cent.

To reduce the incidence of head lice among children of primary
school age by 50 per cent.

To reduce the incidence of accidents involving children and adolescents.

To increase the accessibility and affordability of a safe drinking water
source to all children and adolescents and their families.

To increase the accessibility and affordability of hygienic sanitation
facilities to all homes.

Strategies and Action
Strengthen and expand the public awareness component of the
national vector control program.

Continue to implement appropriate interventions to manage the
spread of vector-transmitted diseases.

Provide training for health sector personnel in the detection and
management of vector-transmitted diseases, with a focus on malaria
and dengue.

                                                                         The Work Plan: Health 13
Ensure that information on public health issues, hygiene, and vector-
                     transmitted diseases is mainstreamed into the healthy lifestyles cur-
                     riculum at the pre-school, primary, and secondary school levels.

                     Develop and implement a public awareness campaign on issues relat-
                     ed to child safety in the home, at school, and on the road.

                     Maintain and expand community outreach programs aimed at
                     improving public health, personal hygiene, and sanitation in homes.

                     Develop and implement a network and referral system (with empha-
                     sis on poor and indigent households) to enable access to resources
                     for adequate housing development and/or maintenance.

                     Strengthen Water Boards in rural communities to ensure that access to
                     safe water is maintained and available to children and their families.

                     Strengthen the Public Health Unit so that they can ensure the provi-
                     sion of a safe source of water and sanitary facilities at all primary
                     schools.

                     Identify and apply appropriate technology, using best practices, to
                     increase access to sanitation facilities for low-income households.

                     Target 5
                     Adolescent Health
                     To increase the vaccination coverage for rubella among adolescents
                     to 80 per cent.

                     To reduce the rate of teenage pregnancy to 15 per 1,000.

                     To increase the accessibility and affordability of comprehensive
                     healthcare services targeting adolescents.

                     Strategies and Action
                     Implement an immunization campaign aimed at vaccinating adoles-
                     cents against rubella.

                     Establish (teen) centres in each district and in strategic rural commu-
                     nities for the delivery of comprehensive care and support services to
                     adolescents, including teenaged parents. (See Education, HIV/AIDS,
                     and Child Protection)

                     Develop and implement protocol for the implementation of the Sexual
                     and Reproductive Health Policy (2002) in all public and private hospi-
                     tals, health centres, and mobile clinics across the country.

                     Mainstream adolescent health care programs into primary health care
                     programs at all public hospitals and health centres and through
                     mobile clinics.




14 The Work Plan: Health
Target 6
Mental Health
To increase the accessibility and affordability of mental health servic-
es to all children and adolescents and their families.

Strategies and Action
Develop and implement comprehensive public awareness programs
on mental health issues affecting children and adolescents.

Review and revise mental health policies and legislation to include
provisions for children and adolescents.

Provide training for professionals who are a part of the mental health
service delivery and/or client referral system.

Develop, implement, and enforce protocol for the clinical manage-
ment of sexual violence, domestic violence, and child abuse cases.

Include mental health services for children and adolescents in the
National Health Insurance package.


The Work Plan: Child
Protection
2.5.3 Child Protection
Children and adolescents have the right to be protected from all
forms of abuse, neglect, unacceptable forms of child labour, sexual
and commercial exploitation, trafficking, abduction, violence, and
exposure to threatening situations. We are committed to establishing,
strengthening, and expanding the institutional infrastructure that
ensures these rights.

Objective
To safeguard the rights of children and adolescents, especially those
who are at risk.

Target 1
Abandonment and Abuse
To reduce the incidence of family violence by 25 per cent.

To reduce the incidence of child abuse in all its forms by 25 per cent.

To ensure that a minimum of 90 per cent of children in government
custody receive care in a non-institutional setting.

Strategies and Action
Strengthen preventive measures and actions at all levels of the edu-
cational system to identify, at an early stage, situations that could
lead to abuse and exploitation.



                                                           The Work Plan: Child Protection 15
Amend relevant legislation to make them more effective in address-
                      ing family violence and child abuse issues.

                      Develop and implement child protection protocol for all agencies
                      involved in the care of children.

                      Standardize and implement procedures for family courts countrywide.

                      Conduct a comprehensive review of all legislation to standardize the
                      age definition of a child and eliminate all gender disparities.

                      Develop and implement a program aimed at tracking perpetrators of
                      child abuse.

                      Develop and implement public awareness and education programs
                      on family violence and child abuse.

                      Explore the possibility of establishing the office of Ombudsperson for
                      children.

                      Strengthen programs aimed at providing non-institutional care for
                      children who are, or need to be, separated from their families.

                      Target 2
                      Child and Adolescent Labour
                      To prevent and eliminate the worst forms of child labour as defined
                      by national and international legislation.

                      Strategies and Action
                      Amend the Labour Act to include provisions that address child labour
                      issues.

                      Develop and implement protocol and regulations for all social service
                      agencies to deal with the withdrawal and rehabilitation of children
                      and adolescents engaged in the worst forms of child labour.

                      Strengthen the institutional capacity of the Labour Department and
                      the other relevant social service providers to ensure enforcement of
                      the Labour Act in relation to the provisions for child labour.

                      Strengthen programs aimed at the prevention of child labour activities.

                      Develop and implement public awareness programs addressing child
                      labour issues.

                      Target 3
                      Early Pregnancy and Adolescent Parenthood
                      To reduce the rate of early pregnancy and adolescent parenthood to
                      15 per 1,000 births.




16 The Work Plan: Child Protection
Strategies and Action
Provide health and life skills education to adolescents through both
formal and informal training programs. (See Education and Health)

Provide equal access and support to adolescent mothers and fathers
to continue and complete their education. (See Education)

Target 4
Disabled Children and Adolescents
To promote access to, and opportunities for, education, health, eco-
nomic, and social development services for children and adolescents
with disabilities and/or special needs.

To provide access to rehabilitative services to a minimum of 60 per
cent of children and adolescents with disabilities.

Strategies and Action
Develop, and implement, policies and legislation for children with dis-
abilities. (See Education and Health)

Strengthen services for early screening, detection, treatment, and
rehabilitation of children with disabilities in collaboration with the
health and education systems.

Strengthen education policies that will lead to the inclusion of chil-
dren with disabilities into the education system.

Establish codes to facilitate access for disabled children and adolescents
to 100 per cent of new and 25 per cent of existing public transportation,
public buildings, educational institutions, and recreational facilities.

Target 5
Social Inclusion
To promote equal access and opportunities for children and adoles-
cents of disadvantaged and immigrant populations to the services
and programs offered to the respective age groups.

Strategies and Action
Sensitize all service providers on the constitutional right of all per-
sons to non-discrimination and respect, regardless of their beliefs,
customs, language, and ethnicity.

Target 6
Youth Violence and Juvenile Offenders
To reduce the number of children committing offences by 50 per cent.

To reduce the rate of recidivism among child and adolescent offend-
ers by 80 per cent.

Strategies and Action
Strengthen initiatives to coordinate, facilitate and mobilize resources
for the development and monitoring of policies and programs for the
holistic development of adolescents.

                                                            The Work Plan: Child Protection 17
Strengthen and expand programs that build the productive capacity
                      of adolescents.

                      Ensure legal provisions for the protection of the privacy of children
                      and adolescents who come in conflict with the law.

                      Develop mechanisms that ensure legal representation to all children
                      and adolescents who come in conflict with the law.

                      Train all magistrates in child development issues and in all relevant
                      laws, policies, and programs related to children and adolescent
                      offenders.

                      Create, coordinate, and monitor care for children and adolescents
                      who come in conflict with the law.

                      Strengthen existing and establish new programs aimed at the re-inte-
                      gration of adolescents into the community as productive and respon-
                      sible citizens.

                      Strengthen and expand rehabilitation programs for children serving
                      terms of imprisonment.

                      Continue to implement and monitor compliance with the Penal
                      Reform (Alternative Sentences) Act.

                      Strengthen the institutional capacity of the Community Rehabilitation
                      Department, the Police Department, and the Judicial System to ade-
                      quately respond to the prevention, intervention, and rehabilitation
                      needs of juvenile offenders, in accordance with national laws and reg-
                      ulations and international treaties and obligations.




                                               Meaningful
                                               and effective
                                               participation
                                               of children
                                   and adolescents in all
                                   stages of the processes
                                   of policy development.
                                   Overall principles, NPA




18 The Work Plan: Child Protection
The Work Plan: HIV/AIDS
2.5.4 HIV/AIDS
The HIV/AIDS pandemic is having a devastating effect on children, ado-
lescents, and those who provide care for them. We are committed to
urgent action to slow the rate of infection and provide the relevant sup-
port and services to affected children, adolescents, and their families.

Objective
To combat the spread of HIV/AIDS and minimize the impact on chil-
dren and adolescents.

Target 1
Prevention of Mother to Child Transmission
To reduce the number of newborns born to HIV infected mothers.

Strategies and Action
Strengthen and expand the Prevention of Mother-to-Child
Transmission of HIV/AIDS Program (PMTCT) to provide comprehen-
sive services in all districts.

Target 2
Care and Treatment
To increase the accessibility and affordability of care and treatment to
children, adolescents, pregnant women and parents who are HIV pos-
itive to 90 per cent.

Strategies and Action
Establish Voluntary Counselling and Testing Centres (VCT) to provide
comprehensive services in each district and other strategic locations.

Strengthen policies to reduce the cost of anti-retroviral and oppor-
tunistic infection treatments available to people living with HIV/AIDS.

Implement HIV/AIDS protocol developed for health care providers.

Provide relevant and comprehensive training to build the implementa-
tion capacity of health care providers, social workers, and counsellors.

Target 3
Prevention for Children and Adolescents
To reduce the prevalence of HIV infections among children 0 to 12
years by 80 per cent.

To reduce the prevalence of HIV infections among adolescents 13 to
17 years by 60 per cent.

Strategies and Action
Ensure the strengthening of intervention programs aimed at children
who are vulnerable to contracting HIV/AIDS, especially targeting sur-
vivors of child sexual abuse, children living in poverty, and children
with special needs. (See Child Protection)

                                                                  The Work Plan: HIV/AIDS 19
Develop and implement an appropriate gender-sensitive HIV/AIDS
                    sensitization and information program targeting children and adoles-
                    cents and those who provide services to them.

                    Develop and implement standardized gender-sensitive peer education
                    programs in school and non-school settings.

                    Strengthen existing resource centres to provide information on
                    HIV/AIDS, STIs, and life skills to both in and out-of-school adoles-
                    cents. (See Education and Health)

                    Develop and implement a media strategy utilizing creative art forms
                    to promote the message of HIV/AIDS prevention targeted at children
                    and adolescents, ensuring a focus on gender issues.

                    Distribute free condoms at all STI clinics and VCT centres and through
                    all Community Nurses Aids, mobile clinics, and other clinics and out-
                    reach programs available to adolescents.

                    Facilitate and encourage the development of community-based pro-
                    grams to ensure adequate health care and nutrition and continued
                    access to schooling for children and adolescents living with HIV/AIDS.

                    Target 4
                    Children Orphaned by HIV/AIDS
                    To increase the availability of support services for children orphaned
                    by HIV/AIDS.

                    Strategies and Action
                    Strengthen and expand care services for children and adolescents
                    orphaned and/or made vulnerable by HIV/AIDS.

                    Establish a referral network (with government and non-government
                    bodies) for services provided to families and children living with and
                    affected by HIV/AIDS.

                    Establish mechanisms to ensure that proper case management for
                    children who are infected with and/or affected by HIV/AIDS will
                    include systems for responding to their multiple needs.

                    Establish mechanisms to ensure proper case management for chil-
                    dren who are infected with and/or affected by HIV/AIDS that will
                    include systems for responding to their multiple needs

                    Target 5
                    Stigma and Discrimination
                    To reduce the stigma and discrimination against children living with
                    HIV/AIDS.

                    Strategies and Action
                    Develop and enact policies and legislation to eliminate discrimination
                    against families and children living with and affected by HIV/AIDS.


20 The Work Plan: HIV/AIDS
Develop and implement public awareness programs aimed at reduc-
ing discrimination against families and children living with and affect-
ed by HIV/AIDS.



The Work Plan: The
Family
2.5.5 The Family
The family in all its various forms is the basic unit of society and
plays a vital role in all aspects of development of children and adoles-
cents. We are committed to strengthen families through education,
training and support services. This includes continuing the fight
against poverty and facilitating the creation of more and better
employment opportunities.

Objective
To promote the right of children and adolescents to grow up in a nur-
turing family environment.

Target 1
The Family as a Basic Unit of Society
To increase the coverage of family support programs by 50 per cent.

Strategies and Action
To develop, implement, and monitor a Policy Framework that allows for
the strengthening and empowerment of the family as the fundamental
social unit for the holistic development of children and adolescents.

Strengthen and expand the Community and Parent Empowerment
Program and other relevant agencies to provide permanent and ongo-
ing training in family and parenting issues.

Implement public awareness programs aimed at creating awareness
of child and adolescent development issues.

Develop mechanisms to provide quality counselling services nation-
wide.

Establish a Family Court in each district.

Strengthen the institutional capacity of family courts to enforce the
collection and monitoring of maintenance payments both locally and
from abroad.

Promote the establishment of day-care services to support working
families with children.

Develop and implement guidelines to conduct family impact assess-
ments as a component of developing national economic policies and
programs.

                                                                The Work Plan: The Family 21
Develop a system to ensure that investment is made in social pro-
                     grams aimed at the protection and development of families.

                     Target 2
                     Poverty and Economic Survival
                     To reduce the percentage of families who are living in poverty to be
                     consistent with the Poverty Elimination Strategy and Action Plan.

                     To increase economic opportunities to families with children and ado-
                     lescents, especially targeting the most vulnerable families.

                     Strategies and Action
                     Develop and implement all programs included in the National Poverty
                     Strategy and Action Plan that affect children and their families.

                     Develop and implement a mechanism to ensure that the national min-
                     imum wage and the national child and spouse maintenance rates
                     reflect the cost of living.

                     Encourage the development and implementation of employment poli-
                     cies that are sensitive to the needs of working parents, with special
                     attention given to single parents.

                     Provide employment and income generating opportunities to parents
                     through the provision of training and skill development programs and
                     access to job placements and credit.




                     The Work Plan: Culture
                     2.5.6 Culture
                     Culture is an integral part of a nation’s identity and development. We
                     are committed to enhancing opportunities for children and adoles-
                     cents to gain an understanding, appreciation and acceptance of the
                     diverse cultural heritage of Belize. We also encourage the active par-
                     ticipation of children and adolescents in the cultural and artistic devel-
                     opment of the nation.

                     Objective
                     To provide accessible and affordable programs that enable children to
                     develop a sense of self and a healthy respect and appreciation for the
                     diverse culture of Belize.

                     Target 1
                     Creative Arts Education and Training
                     Increase the accessibility and affordability of creative arts programs
                     for children at the primary and secondary school levels and out-of-
                     school adolescents.

                     Strategies and Action
                     Train teachers at all levels to stimulate and nurture children’s interest
                     in the creative arts.

22 The Work Plan: Culture
Provide itinerant teachers to promote and teach the creative arts in
the school system.

Develop and implement structured creative arts education programs
aimed at at-risk children.

Create and implement structured creative arts programs aimed at par-
ents as well as children and adolescents.

Target 2
Cultural Exposure/Information
Increase the accessibility and affordability of opportunities for expo-
sure to information on the diverse culture of Belize.

Strategies and Action
Promote field visits by all primary and secondary schools to sites and
exhibits of natural, cultural, and historical interest.

Facilitate and promote family and child friendly travelling cultural
shows and exhibits through the Houses of Culture and other facilities
in each region.

Train personnel to conduct guided tours of cultural shows and
exhibits, for children and adolescents.

Encourage the development of materials containing cultural informa-
tion for all children and adolescents.

Develop and make accessible an electronic database on past and con-
temporary cultural information, resources, and research.

Promote and conduct inter and intra-country cultural exchange pro-
grams to expose children and their families to a wide range of cultur-
al experiences and creative art forms.

Promote private sector and local government involvement in cultural
activities aimed at families and children.

Target 3
Cultural Expression
Increase opportunities for cultural expression among children and
adolescents.

Strategies and Action
Improve the Festival of Arts Program for primary school students to
raise the standard for participation and award selection.

Expand the National Festival of Arts Program to include the participa-
tion of all children and adolescents.

Develop and implement Outstanding Artist’s award programs with a
young artist component.


                                                                     The Work Plan: Culture 23
The success of the National Plan of Action for Children and
                     Adolescents (NPA) for Belize will depend on the quality of the plan as
                     well as the implementers’ capacity for resource mobilization. The
                     mobilization of resources includes being able to effectively use all
                     available resources to implement, monitor and evaluate a plan of
                     action. In addition to having the financial capacity to engage in these
                     multiple tasks, the implementers also need to mobilize human and
                     material resources. Creating partnerships and ensuring effective coor-
                     dination and monitoring are, therefore, key elements of the resource
                     mobilization strategy.




                                                Protection
                                                and preser-
                                                vation of the
                                        family as a basic unit
                                        of society.

                                        Overall principles, NPA




24 The Work Plan: Culture
CHAPTER 3
Resource Mobilization


2.0 Resource Mobilization                        Step 3: Know what specific things you
Below are some proposed steps to guide the       want to do
mobilization of resources for the implemen-      The third step is to know what specific
tation, monitoring and evaluation of the NPA     things you will do to effect the changes envi-
to the year 2015.                                sioned. These specific things are the policies
                                                 and programs which individuals or groups of
3.1 Guidelines for Resource                      persons or organizations will implement
Mobilization                                     over a period of time. These policies and
                                                 programs are strategies that determine the
Step 1: Define the problems or issues            resource needs for implementation.
to address
This is one of the most important steps in       Step 4: Know who will do what
resource mobilization, as it enables the plan-   The fourth step is to decide who or which
ners and implementers of the NPA to begin        group or organizations are best placed,
to develop strategic solutions to these prob-    given their human, financial, and material
lems or issues. The situational analysis of      resources as well as their mandate and
children and adolescents, which accompa-         experience, to implement the policies and
nies the NPA, is the document which has          programs outlined in the plan of action. This
performed this function.                         process also includes an analysis of the lev-
                                                 els of coordination and collaboration
Step 2: Have a vision of the solution            required for specific activities to remain
Once the problems or issues are defined, it      linked to the larger goals, objectives, and tar-
is necessary to have an idea of what solu-       gets they are to achieve. In the context of the
tions are possible. These ideas express the      NPA, inter-agency and inter-sectoral coordi-
expected change in the problems or issues        nation and collaboration will be key to
identified in Step 1. The NPA process has        ensuring that existing resources are maxi-
articulated these ideas or solutions in its      mized and that the work remains focused on
goals, objectives, and targets to be achieved    the holistic development of children and
within a specific time frame.                    adolescents.



                                                                   Resource Mobilization 25
Step 5: Analysis of potential partners             Step 7: Access funds
and resources (government, non-gov-                The seventh step is to access identified
ernment and external agencies)                     resources. This includes the ongoing access-
The fifth step is to analyze which agency,         ing of existing and potential resources. In
whether local or external, has an interest in      some cases this will require mobilizing com-
the problems or issues which you have              munity participation; in others, it will require
defined as important. The programs includ-         getting technical assistance or equipment,
ed in the plan are then matched with poten-        and yet in others, it will require accessing
tial partners. Partners include persons, agen-     funds. For the effective implementation of
cies, organizations and community groups           the NPA, all the above strategies will need to
that can provide financial, human, or materi-      be employed to access resources. Since each
al resources to achieve the vision or solution     existing partner or potential partner may
to the problems and issues identified. An          have his/her own process for deciding on
ongoing process for the implementers of the        participation, the implementers of the NPA
NPA will be:                                       will need to be flexible. For example, strate-
                                                   gies to mobilize community participation will
(a) analyzing current partnerships and the         be very different from accessing funds from
resources they already provide and then            the government or from external funding
identifying gaps, and                              partners. To access funds from the govern-
                                                   ment, implementers will need to budget for
(b) identifying and matching gaps with new
                                                   specific activities under their recurrent or
partners who can assist in advancing the
                                                   Capital II budgets and lobby actively for
goals, objectives, and targets of the NPA.
                                                   financing of those activities. The Ministry of
                                                   Finance is prepared to assist in the justifica-
A key activity at this level is to develop mini-
                                                   tion and lobbying process. To access funds
plans. This includes prioritizing strategies
                                                   from external agencies, the implementers
and developing initial three-year plans with
                                                   will need to develop concept papers and
accompanying provisional budgets for those
                                                   project proposals (including budgets) for
activities that require financial input.
                                                   submission to these partners. The Ministry
                                                   of Economic Development has committed
Step 6: Lobbying and nurturing poten-
                                                   itself to providing assistance to social sector
tial partners
                                                   ministries in this regard.
The sixth step is to lobby and nurture the
potential partners. This includes dialoguing
                                                   Step 8: Implement plans
and developing a relationship with them.
                                                   The eighth step is to implement activities for
This nurturing and relationship building
                                                   which resources have been mobilized. In the
extends to ongoing partners as well. The
                                                   context of the NPA, some activities can be
NPA is expected to attract both local and
                                                   implemented with little or no resources in
external partners, none of whom are to be
                                                   addition to what already exists. However, for
taken for granted. For example, government
                                                   those activities that require additional
resources are not infinite: therefore, there is
                                                   resources, implementation begins with the
always a constant need for information shar-
                                                   access and distribution of resources. The
ing, lobbying, and understanding between
                                                   management of resources is also to be con-
the finance and economic development min-
                                                   sidered at this point.
istries and the social sector ministries to
enable the prioritization of resources for the
                                                   Step 9: Monitor plans
NPA. Similarly, there is a need to build rela-
                                                   The ninth step is to monitor the specific pro-
tionships with communities, beneficiaries,
                                                   grams being implemented in the context of
non-government organizations, and external
                                                   whether or not they are meeting their tar-
technical assistance or funding agencies to
                                                   gets. For the implementers of the NPA, this
create “buy-in” and “ownership” of the pro-
                                                   process will include the monitoring of indica-
grams to be implemented.
                                                   tors that measure change (either positively


26 Resource Mobilization
or negatively) and conducting research to          of plans of action. At times reporting to part-
provide baseline data where none exists.           ners depends on the partner’s funding cycle
                                                   or the contracts made with individual part-
Step 10: Evaluate plans by measuring               ners. Reporting to a community will depend
impact                                             on agreements made with that community. It
The tenth step is to evaluate the impact that      will be important for the implementers of the
the plans have had on making the changes           NPA to honour reporting agreements and
envisioned as solutions to the problems or         contracts to enable proper accountability
issues identified in Step 1. The implementers      throughout the process of implementation.
of the NPA will need to conduct regular eval-      This helps to maintain existing partnerships
uations through:                                   as well as to build new partnerships, leading
                                                   to program sustainability.
(a) an analysis of the monitoring indicators
(Step 9) and                                       Step 12: Start all over again
                                                   Resource mobilization is a continuous
(b) social research (semi and end-of-term
                                                   process. As an integral part of the planning
evaluation reports), which will employ a vari-
                                                   cycle, it must be flexible. The implementers
ety of research methods to gather data of
                                                   of the NPA will need to ensure that their
impact–surveys, interviews, focus groups, etc.
                                                   resource mobilization strategies are consis-
                                                   tent with the needs identified for the
Step 11: Report to partners
                                                   advancement of the overall plan.
This step is completed on an ongoing basis
and alongside the monitoring and evaluation



RESOURCE MOBILIZATION FLOW CHART




                                     2. Envision    3. Develop
                                      Solutions        Plan
                1. Define
                                                                         4. Define
               Problems /
                                                                       Implementers
                 Issues



    10. Evaluate                                                                 5. Conduct
    Impact and              11. Report                                            Resource
        Plans               to Partners                                        Needs Analysis


                                                                         6. Lobby /
               9. Monitor                                              Nurture Existing
                  Plans                                                 and Potential
                                    8. Implement     7. Access            Partners
                                        Plans          Funds




                                                                    Resource Mobilization 27
CHAPTER 4
Monitoring and Evaluation


4.0 Monitoring and Evaluation                   4.1 The Status of Data Collection and
The outcome document of the World Summit        Information Systems in Belize
for Children clearly stated that for National   Belize has signed and ratified numerous
Plans of Action for Children to be monitored    international conventions, treaties, and dec-
and evaluated, each country should:             larations that call for action to be taken to
                                                enhance human development in all spheres
“establish appropriate mechanisms for the       of life and throughout the lifespan. In many
regular and timely collection, analysis and     instances, the Government of Belize, through
publication of data required to monitor         its national mechanisms, has adopted these
relevant indications… Statistics should be      international commitments by developing
disaggregated by gender. It is particularly     local policies and/or developing relevant
important that mechanisms be established        local legislation as required. The develop-
to alert policy makers quickly to any adverse   ment of the Families and Children’s Act, for
trends to enable timely corrective action…      example, was prompted by the Child
Indicators of human development should be       Protection components of the Convention on
periodically reviewed by national leaders       the Rights of the Child (CRC). Similarly, the
and decision makers, as is currently done       development of the Sexual and Reproductive
with indicators of economic development.”       Health Policy was prompted by international
                                                commitments to eliminate discrimination
Belize has recognized that it must strength-    against women as outlined in the
en its data collection and information sys-     Convention on the Elimination of all Forms
tems if it is to successfully monitor and       of Discrimination Against Women (CEDAW).
evaluate its National Plan of Action for        The NPA is also the localizing of Belize’s
Children and Adolescents. Below is a review     international commitment as stated in the
of the status of data collection and informa-   outcome document of the United Nations
tion systems in Belize, a commitment to         General Assembly’s Special Session on
improve these systems, a proposed institu-      Children.
tional framework for monitoring and evalua-
tion, and proposed guidelines for monitor-      With the signing and ratification of these
ing and evaluating the NPA.                     numerous international and national commit-
                                                ments, the Government of Belize must

28 Monitoring and Evaluation
account, both nationally and internationally,     The recommendations called for the SIC to
for progress made toward achieving the goals
and objectives of human development. A well-      • Clearly define some social sector issues
established, well-coordinated and implement-        requiring data collection and monitoring
ed data collection and information system is        e.g. child abuse.
key to measuring progress as defined by both
national and international conventions,           • Review and modify the data collection
treaties, declarations, policies, and laws.         instruments within specific sectors and sur-
                                                    veillance units.
As the demand for technical data and infor-
mation becomes more critical in the human         • Provide training that will enhance the
development planning process, Belize is, as         capacity of personnel to manage relevant
are most countries in the Caribbean, strug-         hardware and software.
gling to improve its data collection and infor-
mation systems.                                   • Provide training in data analysis.

One of the most important data collection         • Develop a local area network system to
and information systems in Belize is operat-        facilitate data collection and dissemination
ed by the Central Statistical Office (CSO).         across units, departments, and ministries.
This Office co-chairs the Social Indicators
Committee (SIC). The CSO is responsible for       4.2 A Commitment to Improved
conducting the national census and country-       Information Systems
wide surveys such as the Household                The National Plan of Action for Children and
Expenditure Survey, the Population and            Adolescents provides an opportunity for the
Housing Census, the Family Health Survey,         Social Indicators Committee (SIC) to provide
the Labour Force Survey, and, just recently,      valuable technical input into an inter and
the Child Activity Surveys and the Poverty        intra-ministerial long-term social planning
Study, among others.                              initiative, not only for the NPA, but also for
                                                  broader human development policies and
In addition, there are data collection and        plans of action. In recognition of this grow-
information systems localized in ministries       ing demand for data to enable the monitor-
such as the National Health Information and       ing and evaluating of such initiatives, the SIC
Surveillance System in the Ministry of            has made a renewed commitment to institu-
Health and the Education Statistical Data         tional strengthening and inter and intra min-
System in the Ministry of Education. The          isterial collaboration. The SIC, in partnership
Ministry of Human Development, the Vital          with UNICEF, is therefore embarking on a
Statistics Office, the Social Security Board,     capacity-building project to:
and other government and quasi-govern-
ment bodies also have their own data and          • Develop and implement an Integrated and
information collection systems. It is because       Comprehensive Data and Information
of the recognized need to coordinate and            System which allows for the monitoring of
monitor these information systems that              social development indicators, including
most of these bodies have organized them-           data and information on children and their
selves to form the Social Indicators                families.
Committee, whose main task is to provide
information for the monitoring of social          • Strengthen the institutional capacity of the
development goals and targets.                      Social Indicators Committee to manage
                                                    and monitor social development indicators,
To be able to effectively perform its monitor-      including data and information on children
ing duties, the SIC and its member agencies         and their families.
are implementing recommendations ema-
nating from a recent institutional assessment
exercise.

                                                              Monitoring and Evaluation 29
This project includes the provision of                Advisory Committee (NHDAC). The NHDAC
                                                      is chaired by the Ministry of Economic
(a) hardware and software dedicated solely            Development and includes representation
for data collection, analysis, and dissemina-         from key social sector ministries, non-gov-
tion and                                              ernment organizations, community-based
(b) relevant training in the use of the data col-     organizations, and international develop-
lection, analysis, and dissemination system.          ment partners. Because the NCFC, which is a
                                                      member of the NHDAC, legally serves as the
The implementation of this capacity-building          coordinating and monitoring body for issues
project remains key to the successful moni-           related to families and children, it will be
toring and evaluation of the NPA.                     directly responsible for the coordination,
                                                      monitoring, and evaluation of the NPA.
4.3 A Proposed Institutional                          Reports from the NCFC will be submitted to
Framework for Monitoring and                          the NHDAC on a regular basis as input into
Evaluating the NPA                                    the overall planning, monitoring, and evalua-
The overall monitoring and evaluation of              tion of human development policies and
human development policies and plans of               plans in Belize. It is proposed that the infor-
action are the responsibility of a Cabinet            mation flow between the NCFC and NHDAC
appointed National Human Development                  be conducted as presented below.



Information Flow Chart



               National Human                                         Dissemination to
                                                  NHDAC
                 Development                                        relevant stakeholders
             Planning, Monitoring                                       and the public
                and Reporting
                                          NCFC Membership


         Central                                                                        Relevant
                                      NCFC M&E subcommittee
       Statistical                                                                       NGOs /
       Office (SIC)                                                                     Partners
                                           NCFC Secretariat

                  Ministry of                                                 Ministry of
                   Health                                                    the Attorney
                    (SIC)                                  Ministry of         General
                                    Ministry of             Human
                                    Education             Development
                                      (SIC)                  (SIC)




As shown in the information flow chart, an            • Representatives from the two major politi-
NCFC Monitoring and Information                         cal parties
Subcommittee will be formed. It is proposed
that this committee be comprised of:                  • Technical resource persons

• Members of the NCFC                                 • Children and adolescents




30 Monitoring and Evaluation
It is proposed that the subcommittee be            • The timing of birth intervals
responsible for:
                                                   • The mental health status of children and
• Reviewing the proposed guidelines for              adolescents
  monitoring and evaluation.
                                                   • The incidence and prevalence of child
• Agreeing on the monitoring indicators and          abuse in all its forms
  baseline data.                                   • The recidivism rates among adolescents
• Agreeing on the flow of information from           who come in conflict with the law
  the source of information gathering to the       It is also recommended that a longitudinal
  NCFC Secretariat. This will include the          study be conducted over the full period that
  development of a mechanism for input             the plan will be implemented. This means
  from children.                                   selecting a sample of children from birth and
• Agreeing on the terms of reference for any       following them through their lifespan to
  staff/consultant hired to compile and ana-       assess the impact of policies and services on
  lyze the relevant data or conduct the trien-     their lives.
  nial situational analysis and evaluation
  studies.                                         It is proposed that the subcommittee meet,
                                                   as necessary, to agree on the structure and
• Reviewing periodic draft NPA monitoring          process for carrying out their duties and
  reports and triennial situational analysis and   then at least twice a year to review bi-annual
  evaluation reports submitted by the NCFC         NPA monitoring reports. It is also proposed
  Secretariat or consultant (as necessary).        that once every three years the subcommit-
                                                   tee meet to discuss the findings of the situa-
• Making policy recommendations to the             tional analysis and evaluation reports.
  larger NCFC body based on the contents of
  the monitoring reports and the triennial sit-    4.4 The Structure of the NPA
  uational analysis and evaluation reports.        The overall aim of the NPA is to improve the
• Ensuring the timely compilation and offi-        lives of children and adolescents in Belize.
  cial release of periodic monitoring reports      The improvement envisioned is stated as
  and updates on the status of progress on         goals and objectives in the NPA. The goals
  the NPA and ensuring the same for the sit-       and objectives are broad qualitative state-
  uational analysis and evaluation reports.        ments that present a vision of the state of
  Reports and updates are to be sent to the        children and adolescents in the next 12
  policy-makers, the NHDAC, the Central            years.
  Statistical Office, international develop-       To enable the effective monitoring of
  ment partners, key government ministries,        progress toward meeting those goals and
  NGOs, communities, and the public.               objectives, the NPA has outlined a set of tar-
• Ensuring that the NCFC conducts annual           gets that are to be achieved by 2015. The tar-
  retreats to discuss the findings of the peri-    gets outlined in the NPA are child-centred,
  odic and triennial reports in order to make      defining the outcome of what is to be
  adjustments (as necessary) to the NPA.           achieved, if the strategies and actions are
                                                   effectively employed. The strategies and
The Subcommittee should also be responsible        actions therefore determine how the targets
for ensuring that research activities are con-     are to be achieved. To ensure that the NPA is
ducted in 2004 to enable the establishment of      moving toward achieving its targets, a set of
baseline data in areas in which this has been      social indicators has been developed. These
identified as an urgent need. This includes        social indicators indicate the status of chil-
studies to determine baseline data on:             dren and adolescents in relation to the tar-
                                                   gets set in the NPA.
• The incidence and patterns and trends in
  the manifestation of disabilities

                                                               Monitoring and Evaluation 31
4.5 Guidelines for Monitoring the NPA                achieving the outcome desired. It is critical
The monitoring of the NPA is therefore               to note that there must be flexibility at the
premised on following progress through               level of strategies and actions to ensure that
matching the indicators with the targets to be       the NPA becomes an effective working docu-
achieved by 2015. This means that the focus          ment which can respond to the recommen-
of monitoring is not on whether or not the           dations resulting from the monitoring and
strategies and actions were completed, but           evaluation process.
on whether those strategies and actions were
effective in showing positive changes toward         The following tables are presented as a
the achievement of the targets of the NPA.           guide to be used to monitor the NPA. The
                                                     first table outlines the targets and indicators
For example, if the strategies and actions to        for measuring progress as well as defines:
reduce juvenile delinquency are not showing          (a) the information system to be used to col-
positive changes in the monitoring indica-           lect the relevant data and information for the
tors, and if it is clear that the target of reduc-   purposes of monitoring and evaluation;
ing recidivism by 80 per cent will not be
achieved by 2015, then the monitoring                (b) the period or frequency of data and infor-
process needs to recommend that new                  mation collections e.g. monthly, quarterly,
strategies and actions be developed rather           annually, biennially, or every five years etc., and
than continuing to employ those that are not



Table 1.1 Data Monitoring Systems and Agencies
   Targets          Indicators         Level of      Information      Frequency of         Agency
                                    Dis-aggregtion     System             Data           Responsible
                                                                       Collection




(c) the agency responsible, e.g. department,         (c) comments regarding progress or regress
ministry, organization, etc.                         in achieving the targets set for 2015. The
                                                     comments here are intended to be brief.
The second table is a Progress Monitoring            Major comments are to be written in the nar-
Chart which outlines the targets and indica-         rative of the larger monitoring report.
tors and then goes on to define:

(a) the baseline data or starting point for          These tables or charts are to be used in con-
measuring progress e.g. IMR = 21.1 per               junction with other sources of information
1,000 live births in 2003;                           that provide a more qualitative means of
                                                     monitoring progress. For example, an
(b) the status of the indicator and the year of      improved quality of education can only be
the data e.g. IMR = 17.1 per 1,000 live births       measured if both quantitative and qualitative
in 2007; and                                         measures are taken to monitor progress.

32 Monitoring and Evaluation
Table 1.2 Progress Monitoring Chart
    Targets           Indicators        (a) Baseline    (b) Status-Yr.        (c) Comments
                                          Data-Yr.




4.6 Guidelines for Evaluating the NPA           the evaluation process. Some key questions
In addition to the ongoing monitoring of the    to be answered in the evaluation process are
NPA is the need to engage in periodic evalu-
ations. The evaluations will be concerned       • Are the NPA targets being met?
mainly with the level of progress toward
achieving the overall goals, objectives, and    • Are the NPA objectives and goals being
targets of the NPA. They will, therefore, be      met? To what extent?
concerned with measuring the impact of the      • What are the best practices to be replicated
NPA over a specific period of time. A two-        and why?
pronged approach to evaluation is recom-
mended–on the one hand, to carry out a situ-    • What strategies need to be discontinued
ational analysis which compiles and ana-          and why?
lyzes both quantitative and qualitative data
to measure impact, and on the other hand,       • What are the major challenges?
to conduct an evaluation of the internal        • What lessons can be learnt?
processes and systems for implementing the
NPA. It is recommended that a situational       • What now needs to be completed within
analysis and evaluation studies be complet-       the next three-year period and where will
ed every three years.                             the resources come from?

The Situational Analysis should examine the     • Who are the major stakeholders for the
current status of children and adolescents        next period and what are their interests?
and record the major challenges and oppor-      • What new benchmarks need to be set for
tunities for addressing and meeting their         monitoring and evaluation in the next
needs, while abiding by both national and         period?
international commitments.
                                                While the monitoring of the NPA is the
The Evaluation Study should focus more on       responsibility of a core group of persons and
the NPA and how that process has been able      organizations (children and adolescents
to meet its own targets, objectives, and        included), the evaluation process should
goals within a specified period of time. The    involve all relevant stakeholders.
Situational Analysis should greatly inform


                                                            Monitoring and Evaluation 33
Annex A- The Working Group

                    The National Plan of Action for Children and Adolescents was devel-
                    oped, reviewed and approved by a bi-partisan Working Group com-
                    prised of:

                    Three representatives from the People’s United Party:
                    Joan Musa
                    Sandra Hall
                    H.E. Dolores Balderamos Garcia
                    with Melissa Balderamos-Mahler as an alternate

                    Three representatives from the United Democratic Party
                    Kathy Esquivel
                    Diane Haylock
                    Darrel Bradley
                    with Honourable Patrick Faber as an alternate

                    National Youth Council
                    Rafael Castillo

                    National Committee for Families and Children
                    Judith Alpuche

                    UNICEF
                    Dr. Nadya Vasquez
                    Roy Bowen
                    Minelva Johnson – Consultant
                    Joop Hendrikx - Consultant

                    PAHO
                    Sandra Jones

                    ANNEX B - The Technical Committees

                    The National Plan of Action for Children and Adolescents was developed with
                    technical input from:

                    Ministry of Education
                    Ernest Raymond, Projects and Planning
                    Yolanda Gongora, Director of School Services
                    Dativa Martinez, Director of Education Support Services
                    Sakina Mohammed; Coordinator, Communications Skills Program
                    Eleanor Enriquez-Castillo, Coordinator, Special Education Unit
                    Diane Hall; Coordinator, Community Liaison and Security Program
                    Anthony Castillo, Coordinator, Employment Training and Education Services
                    Arthur Shears, Consultant, National Apprenticeship Program
                    Alana Gillett, Coordinator, Pre-school Unit
                    Shirlene Tablada, Coordinator, School Health and Physical Education Program
                    (SHAPES)
                    Dr. Paul Jones, Consultant

                    Ministry of Health
                    Dr. Peter Allen, Director of Planning and Projects
                    Dr. Natalia Largaespada Beer, Director of the Maternal and Child Program
                    Nurse Malva Allen, Coordinator, Maternal and Child Health Program
                    Nurse Dorla Mckenzie, Prevention of Mother to Child Transmission Project

34 Annex A - The Technical Committees
Dr. Paul Edwards, Director of the National AIDS Program and the
National Health Surveillance
Erica Goldson-McGregor, Acting Director, HECOPAB

Ministry of Human Development, Labour and Local Government
Anita Zetina, Director of the Women’s Department
Ava Pennill, Director of the Department of Human Services
Fermin Olivera, Director of the Community Rehabilitation Department
Maureen Williams, Inspector of Social Services Institutions, MHD
Kevin Cadle, Human Development Coordinator, Community Rehabilitation
Department

National Committee for Families and Children
Judith Alpuche, Executive Director
John Flowers, Program Coordinator

National AIDS Commission
Martha Carrillo, Executive Director, National AIDS Commission

Ministry of Tourism and Culture
Yasser Musa, President of the National Institute for Culture and History
Andy Palacio, Director of the Institute of Creative Arts
Leroy Green, Institute of Creative Arts
With Affiliates
Diane Haylock
Michael Coye
Althea Sealy

Civil Society Organizations
Lorna McDougal, National Organization for the Prevention of Child
Abuse and Neglect
Jewel Quallo, Belize Family Life Association
Joan Burke, Belize Family Life Association
Sonia Lenares, Young Women’s Christian Association
Carolyn Gentle-Gennitty, Young Men’s Christian Association
Michael Cain, Alberto August, Herman Ramirez and Candelaria Young;
Friends Boys School
Rodel Beltran-Perrera, Alliance Against AIDS

International Development Organizations
Sandra Jones, PAHO
Roy Bowen, UNICEF
Minelva Johnson, UNICEF
Joop Hendrikx, UNICEF

ANNEX C - Technical and Administrative Support

The National Plan of Action for Children and Adolescents was developed
with Technical and Administrative support from:

Belize Council of Churches
Rev. Canon Leroy Flowers
Dame Elaine Middleton – Consultant

National Committee for Families and Children
Adele Catzim – Consultant
Yuri Espiritu


                                                                 Annex B - The Working Group 35
National Plan of Action

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National Plan of Action

  • 1. THE NATIONAL PLAN OF ACTION for children and adolescents in Belize 2004-2015 Government of Belize with support from UNICEF
  • 2. TA B L E OF CONTENTS 5 Introduction 6 Chapter 2 - The National Plan of Action Overall Goals Overall Principles Common Strategies 7 Six Main Areas of Attention 8 The Work Plan 8 Education 11 Health contents 15 Child Protection 19 HIV/AIDS 21 Family 22 Culture 25 Chapter 3 - Resource Mobilization Guidelines for Resource Mobilization 28 Chapter 4 - Monitoring and Evaluation 28 The Status of Data Collection and Information Systems in Belize 29 Commitment to Improved Information Systems 30 A Proposed Institutional Framework for Monitoring and Evaluating the NPA 31 The Structure of the NPA 32 Guidelines for Monitoring the NPA 33 Guidelines for Evaluating the NPA 34 Annex A - The Working Group 34 Annex B - The Technical Committees 35 Annex C - Technical and Administrative Support
  • 3. FOREWORD In November 2002, we committed ourselves to the establishment of a bipartisan Working Group to actively engage in a process of achieving consensus on a National Plan of Action for Children and Adolescents. The objective was to develop a framework to further rational- ize the delivery of sustainable services to Belizean children and adolescents. On February 14, 2003 we formalized our commitment to the process through the signing of a Memorandum of Understanding. We are pleased that the efforts of the bipartisan Working Group have culminated in a com- prehensive plan which prioritizes actions, on behalf of children, in the areas of education, health, child protection, HlV/AIDS, family and culture, over the next eleven years. For over two decades successive government administrations have worked towards ensuring the wellbeing of children in Belize. Within the framework of our national development agen- da, the Convention on the Rights of the Child and the Millennium Development Goals, we regard the adoption of this National Plan of Action for Children and Adolescents as the most recent indication of our commitment to build a better Belize for our children. We wish to express our gratitude to all those persons from the government and civil society sectors who contributed to the development of this Plan. Special thanks to the representa- tives from our respective political parties for their hard work and dedication, to the Belize Council of Churches for facilitating the first part of the process, to the National Committee for Families and Children for coordination and programmatic support and to UNICEF for technical and financial support to the process. While we recognize that the achievement of the objectives of this Plan is the primary respon- sibility of the Government of Belize, we strongly believe in the obligation of the wider society and the international community to contribute to its successful implementation. We therefore urge all sectors of society to embrace the National Plan of Action for Children and Adolescents and work with us in partnership as we endeavour to safeguard the future. There is no other alternative but to invest in our children! Signed this 7th day of September, 2004. Hon. Said Musa Hon. Dean Barrow Prime Minister of Belize Leader of the Opposition
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  • 5. 1. INTRODUCTION introduction Belize has, since its independence in 1981, signed key international documents, such as the Convention on the Rights of the Child (CRC), the Dakar Education for All Goals (EFA) 2000, the Millennium Development Goals (MGD) 2000, the Outcome Document of the UN General Assembly Special Session on Children (UNGASS) 2002 as well as existing National Policies for Social Development. This National Plan of Action for Children and Adolescents is therefore a document that spells out, as a part of Belize’s international commitments, the national targets and strategies/actions of the people and the government of Belize in matters of childhood and adolescent development. For many years now, a number of institutions and organizations have been carrying out pro- grams and projects that target children and ado- lescents. There is, however, a need to strengthen the coordination and thus increase the impact that these programs have on the welfare of the target group. The National Plan of Action intends to identify key programs and to subsequently promote their implementation through partner- ships with government and non-government sectors. To facilitate the systematic development and implementation of these policies, programs, and projects, this 12-year plan contains an ordered sequence of overall goals, crosscutting themes, crosscutting strategies, and six main areas of attention, each with its own objectives, targets, and strategies specifically tailored to the Belizean situation. The National Plan also pro- poses a coordination, monitoring, and evaluation mechanism that will ensure its timely and suc- cessful implementation. Introduction 5
  • 6. CHAPTER 2 The National Plan of Action 2.0 The National Plan of Action found to be living in poverty, opportunities The National Plan of Action includes overall that optimize their development and guaran- goals, principles, common strategies, priority tee their rights. areas, objectives, targets and strategies, and actions as presented below. 2.2 Overall Principles The six principles outlined below are to 2.1 Overall Goals guide the development and implementation The main goals of the National Plan of of all the policies and programs which form Action are the following: a part of this plan. To ensure that all children and adolescents • Due care for, and attention to, the princi- residing in Belize, irrespective of their legal ples of gender equality status, live in conditions necessary to achieve their maximum level of spiritual, • Protection and conservation of the environ- moral, intellectual, physical, and psychoso- ment cial development. • Meaningful and effective participation of To achieve the fulfilment and implementa- children and adolescents in all stages of tion of all the rights of children and adoles- the processes of policy development cents to a happy life, to be loved, and to have opportunities for their comprehensive • Protection and preservation of the family development. as a basic unit of society To consolidate the themes of childhood and • Non-discrimination on the basis of sex, adolescence as commitments and national ethnicity, religious affiliation, or national priorities, strengthening national systems of origin protection in order to offer to this part of the population, and especially to those that are • Multi-sectoral partnerships 6 The National Plan of Action
  • 7. 2.3 Common Strategies • Health: To provide conditions that ensure There are six common strategies to be the optimum health of children and adoles- employed throughout the implementation of cents. all policies, programs, and projects included in the Plan: • Child Protection: To safeguard the rights of children and adolescents, especially those • Development and effective implementation at risk. of national policies and programs, both general and age specific • HIV/AIDS: To combat the spread of HIV/AIDS and minimize its effects on children • Research and data analysis to inform the and adolescents. development, revision, and implementa- tion of national policies and programs • Family: To promote the right of children and adolescents to grow up in a nurturing • Relevant education and training to pro- family environment. mote the goals and targets set in national policies and programs • Culture: To provide accessible and afford- able programs that enable children to • Coordination and networking between and develop a sense of self and a healthy among relevant organizations in the public, respect and appreciation for the diverse private, and civil society sectors culture in Belize. • Capacity building for implementing organ- izations in the public, private and civil society sectors • Resource mobilization for effective imple- mentation of national policies and pro- grams • Monitoring and evaluation of ongoing poli- cies and programs 2.4 Six Main Areas of Attention To ensure that the overall goals are met, the National Plan of Action singles out six main areas under which specific objectives, tar- gets, and strategies are developed. The six main areas of attention and their specific objectives are: Due care for, • Education: To provide accessible and and attention affordable quality education that equips students with the knowledge, skills, and to, the attitudes for moral, mental, and physical principles development and self-fulfilment so that they can become creative and productive of gender citizens. equality. Overall principles, NPA The National Plan of Action 7
  • 8. The Work Plan: Education 2.5.1 Education Education is a basic human right. It is a key factor in reducing poverty and in promoting democracy, peace, tolerance, and development. We are committed to strengthening the educational system by offering a variety of options that meet the diverse needs of Belize. The educa- tion offered must be appropriate, relevant, stimulating; it must also provide a basis for the development of responsible and productive citizens. Objective To provide accessible and affordable quality education that equips students with the knowledge, skills, and attitudes for moral, mental and physical development and self-fulfilment so that they can become creative and productive citizens. Target 1 Accessibility and Affordability To increase the accessibility and affordability of pre-school, primary, and post-primary education in Belize. To increase to a minimum of 50 per cent the enrolment of children three to five years old in pre-school. To ensure a 100 per cent enrolment/attendance of primary school- aged children 5-12. To increase to 90 per cent the net enrolment rate in post-primary edu- cation, including vocational/technical education. To ensure that all children with disabilities have access to relevant education, with at least 60 per cent enrolment within the regular school system. Strategies and Action Promote the establishment of more pre-schools nationwide. Provide more primary school placements nationwide. Provide more post-primary school placements nationwide. Strengthen the capacity of the Special Education Unit to provide sup- port to schools nationwide in educating children with special needs. Develop and enforce a National Education Policy. Develop and implement programs that allow schools to be more affordable to students. 8 The Work Plan: Education
  • 9. Target 2 Quality of Education To improve the academic performance of all students. To ensure the relevance and adequate use of the curriculum at all lev- els of the education system. To increase the percentage of trained teachers. To ensure a maximum of 15 to 1 student/teacher ratio at the pre-school level. To ensure a maximum of 30 to 1 student/teacher ratio at the primary and secondary levels. Strategies and Action Review and revise the primary and secondary education curriculum on a continuous basis to ensure that it is relevant and up-to-date. Re-orient the PSE to serve as a measurement of school performance in order to re-structure human and financial resource allocations to schools in an equitable manner. Implement a process to certify and monitor schools as “Child Friendly” institutions. Strengthen the institutional capacity of the District Education Centres to carry out their technical assistance, coordination and monitoring functions. Develop programs to improve teacher performance. Implement the School Inspectorate System to monitor education at all levels. Document and publicize best practices within the primary and sec- ondary education system to be adopted by other schools. Target 3 Repetition and Dropout To increase the primary and secondary school completion rate. To reduce to five per cent the repetition rate at the primary level. To reduce to five per cent the repetition rate at the secondary level. To reduce to five per cent the dropout rate at the secondary level. Strategies and Action Strengthen the capacity of the School Community Liaison and Security Program to operate in communities most in need of assistance. The Work Plan: Education 9
  • 10. Provide services to children as part of an “at-risk” and abused chil- dren’s referral network. Develop programs that support and encourage children to stay in school. Increase the age for compulsory education to 16 years. Strengthen both government and non-government programs that pre- pare early school leavers at both the primary and secondary school levels to become re-integrated into the formal school system. Establish a standardized test to qualify early school leavers for a sec- ondary school equivalency certificate. Establish and operate technical and vocational/skills training pro- grams nationwide. Target 4 Literacy To achieve a 95 per cent functional literacy rate for 18 year olds. Strategies and Action Expand and strengthen the national literacy campaign. Target 5 Gender Equity and Equality To eliminate gender disparities and achieve gender equity at the pri- mary and secondary school levels. Strategies and Action Develop education strategies that respond to the gender-specific needs of both males and females. Develop a National Education Policy and amend the Education Act (1991) and the Education Rules (2000) to be consistent with gender equity at the primary and secondary school levels. Sensitize all teachers at the pre-school, primary, and secondary levels on gender issues and the effects on the socialization and develop- ment of children. 10 The Work Plan: Education
  • 11. The Work Plan: Health 2.5.2 Health We are committed to further develop and maintain an affordable and accessible system of comprehensive health care that addresses the needs of children and adolescents. Special attention must be paid to promoting healthy lifestyles as well as providing adequate housing and a safe and healthy environment. Objective To provide conditions that ensure the optimum health of children and adolescents. Target 1 Infant and Child Morbidity and Mortality To increase the number of first prenatal care visits during the first trimester to 60 per cent. To increase the number of women who space their children by two or more years by 15 per cent. To reduce the incidence of low birth weight (less than 2.5 kg.) to 3.7 per cent of all births. To reduce the prenatal mortality rate by 20 per cent. To reduce the infant mortality rate to 14.3/1,000 live births. To reduce the less-than-five mortality rate to 18.3/1,000 live births. To reduce the under-five child mortality rate caused by Acute Respiratory Infections (ARIs) by 15 per cent. To reduce the under-five child mortality and morbidity rate caused by diarrhoea by 15 per cent. To increase the early detection, diagnosis, and treatment of congeni- tal conditions. To achieve and sustain a minimum of 95 per cent immunization rate for each of the ten immune-preventable diseases in the under-five population. Strategies and Actions Mainstream ongoing public awareness activities focused on prenatal and early childhood development issues. Provide health education and counselling to pregnant women and their partners through both the public and private health systems. Fully implement the Safe Motherhood Initiative in Belize. The Work Plan: Health 11
  • 12. Strengthen the institutional capacity of the health system to allow public health nurses and rural health nurses to supervise and monitor the activities of traditional birth attendants. Provide comprehensive continuous training for Traditional Birth Attendants. Implement and monitor compliance with standards for registering hospitals and health centres as “Baby-Friendly” institutions. Establish mechanisms to improve the collection, compilation, and dis- semination of vital statistics. Provide 100 per cent of vaccines for the continued implementation of the child immunization program in all public hospitals, health centres, mobile health clinics, and private healthcare providers across the country. Target 2 Nutrition To reduce the incidence of severe to moderate malnutrition in chil- dren under one year by five per cent. To reduce the incidence of severe and moderate malnutrition in chil- dren one to four years by ten per cent. To eliminate congenital illnesses and defects caused by micro-nutrient deficiencies. Strategies and Action Update the national Breastfeeding Policy and amend the Labour Law to provide legal provisions for the public and private sectors to facili- tate working mothers to breastfeed their babies. Strengthen the capacity of the Nutrition Unit to be able to effectively carry out its research, public awareness, and monitoring functions. Develop a national information system on the nutritional status of children. Develop and implement regulations and protocol for the implementa- tion of the Food and Nutrition Security Policy (2001). Facilitate micro-nutrient supplementation. Provide iron and folic acid supplements to all pregnant women who attend the prenatal clinics and are in need of supplements. Continue to monitor the growth and development of all children. Provide appropriate interventions for addressing the nutritional needs of children through maternal and child health programs and other existing mechanisms. 12 The Work Plan: Health
  • 13. Educate primary and secondary school students on proper nutrition. Re-introduce and maintain a public awareness campaign on proper nutrition. Target 3 Disabilities To reduce the incidence of disabilities in newborns caused by prenatal complications. To increase the detection, diagnosis, and treatment of children with disabilities. Strategies and Action Develop and implement an effective surveillance system to detect and monitor babies born with congenital disabilities and/or defects. Implement a prevention, early detection, and intervention disability program for children. Strengthen and expand existing services for children with disabilities (See Education and Child Protection) Target 4 Public Health, Hygiene and Vector Transmitted Diseases To reduce the incidence of malaria to less than 10 per 1,000 children and adolescents. To reduce the incidence of classical dengue to less than 1 per 1,000 children and adolescents. To reduce the incidence of dental cavities in children by 50 per cent. To reduce the incidence of head lice among children of primary school age by 50 per cent. To reduce the incidence of accidents involving children and adolescents. To increase the accessibility and affordability of a safe drinking water source to all children and adolescents and their families. To increase the accessibility and affordability of hygienic sanitation facilities to all homes. Strategies and Action Strengthen and expand the public awareness component of the national vector control program. Continue to implement appropriate interventions to manage the spread of vector-transmitted diseases. Provide training for health sector personnel in the detection and management of vector-transmitted diseases, with a focus on malaria and dengue. The Work Plan: Health 13
  • 14. Ensure that information on public health issues, hygiene, and vector- transmitted diseases is mainstreamed into the healthy lifestyles cur- riculum at the pre-school, primary, and secondary school levels. Develop and implement a public awareness campaign on issues relat- ed to child safety in the home, at school, and on the road. Maintain and expand community outreach programs aimed at improving public health, personal hygiene, and sanitation in homes. Develop and implement a network and referral system (with empha- sis on poor and indigent households) to enable access to resources for adequate housing development and/or maintenance. Strengthen Water Boards in rural communities to ensure that access to safe water is maintained and available to children and their families. Strengthen the Public Health Unit so that they can ensure the provi- sion of a safe source of water and sanitary facilities at all primary schools. Identify and apply appropriate technology, using best practices, to increase access to sanitation facilities for low-income households. Target 5 Adolescent Health To increase the vaccination coverage for rubella among adolescents to 80 per cent. To reduce the rate of teenage pregnancy to 15 per 1,000. To increase the accessibility and affordability of comprehensive healthcare services targeting adolescents. Strategies and Action Implement an immunization campaign aimed at vaccinating adoles- cents against rubella. Establish (teen) centres in each district and in strategic rural commu- nities for the delivery of comprehensive care and support services to adolescents, including teenaged parents. (See Education, HIV/AIDS, and Child Protection) Develop and implement protocol for the implementation of the Sexual and Reproductive Health Policy (2002) in all public and private hospi- tals, health centres, and mobile clinics across the country. Mainstream adolescent health care programs into primary health care programs at all public hospitals and health centres and through mobile clinics. 14 The Work Plan: Health
  • 15. Target 6 Mental Health To increase the accessibility and affordability of mental health servic- es to all children and adolescents and their families. Strategies and Action Develop and implement comprehensive public awareness programs on mental health issues affecting children and adolescents. Review and revise mental health policies and legislation to include provisions for children and adolescents. Provide training for professionals who are a part of the mental health service delivery and/or client referral system. Develop, implement, and enforce protocol for the clinical manage- ment of sexual violence, domestic violence, and child abuse cases. Include mental health services for children and adolescents in the National Health Insurance package. The Work Plan: Child Protection 2.5.3 Child Protection Children and adolescents have the right to be protected from all forms of abuse, neglect, unacceptable forms of child labour, sexual and commercial exploitation, trafficking, abduction, violence, and exposure to threatening situations. We are committed to establishing, strengthening, and expanding the institutional infrastructure that ensures these rights. Objective To safeguard the rights of children and adolescents, especially those who are at risk. Target 1 Abandonment and Abuse To reduce the incidence of family violence by 25 per cent. To reduce the incidence of child abuse in all its forms by 25 per cent. To ensure that a minimum of 90 per cent of children in government custody receive care in a non-institutional setting. Strategies and Action Strengthen preventive measures and actions at all levels of the edu- cational system to identify, at an early stage, situations that could lead to abuse and exploitation. The Work Plan: Child Protection 15
  • 16. Amend relevant legislation to make them more effective in address- ing family violence and child abuse issues. Develop and implement child protection protocol for all agencies involved in the care of children. Standardize and implement procedures for family courts countrywide. Conduct a comprehensive review of all legislation to standardize the age definition of a child and eliminate all gender disparities. Develop and implement a program aimed at tracking perpetrators of child abuse. Develop and implement public awareness and education programs on family violence and child abuse. Explore the possibility of establishing the office of Ombudsperson for children. Strengthen programs aimed at providing non-institutional care for children who are, or need to be, separated from their families. Target 2 Child and Adolescent Labour To prevent and eliminate the worst forms of child labour as defined by national and international legislation. Strategies and Action Amend the Labour Act to include provisions that address child labour issues. Develop and implement protocol and regulations for all social service agencies to deal with the withdrawal and rehabilitation of children and adolescents engaged in the worst forms of child labour. Strengthen the institutional capacity of the Labour Department and the other relevant social service providers to ensure enforcement of the Labour Act in relation to the provisions for child labour. Strengthen programs aimed at the prevention of child labour activities. Develop and implement public awareness programs addressing child labour issues. Target 3 Early Pregnancy and Adolescent Parenthood To reduce the rate of early pregnancy and adolescent parenthood to 15 per 1,000 births. 16 The Work Plan: Child Protection
  • 17. Strategies and Action Provide health and life skills education to adolescents through both formal and informal training programs. (See Education and Health) Provide equal access and support to adolescent mothers and fathers to continue and complete their education. (See Education) Target 4 Disabled Children and Adolescents To promote access to, and opportunities for, education, health, eco- nomic, and social development services for children and adolescents with disabilities and/or special needs. To provide access to rehabilitative services to a minimum of 60 per cent of children and adolescents with disabilities. Strategies and Action Develop, and implement, policies and legislation for children with dis- abilities. (See Education and Health) Strengthen services for early screening, detection, treatment, and rehabilitation of children with disabilities in collaboration with the health and education systems. Strengthen education policies that will lead to the inclusion of chil- dren with disabilities into the education system. Establish codes to facilitate access for disabled children and adolescents to 100 per cent of new and 25 per cent of existing public transportation, public buildings, educational institutions, and recreational facilities. Target 5 Social Inclusion To promote equal access and opportunities for children and adoles- cents of disadvantaged and immigrant populations to the services and programs offered to the respective age groups. Strategies and Action Sensitize all service providers on the constitutional right of all per- sons to non-discrimination and respect, regardless of their beliefs, customs, language, and ethnicity. Target 6 Youth Violence and Juvenile Offenders To reduce the number of children committing offences by 50 per cent. To reduce the rate of recidivism among child and adolescent offend- ers by 80 per cent. Strategies and Action Strengthen initiatives to coordinate, facilitate and mobilize resources for the development and monitoring of policies and programs for the holistic development of adolescents. The Work Plan: Child Protection 17
  • 18. Strengthen and expand programs that build the productive capacity of adolescents. Ensure legal provisions for the protection of the privacy of children and adolescents who come in conflict with the law. Develop mechanisms that ensure legal representation to all children and adolescents who come in conflict with the law. Train all magistrates in child development issues and in all relevant laws, policies, and programs related to children and adolescent offenders. Create, coordinate, and monitor care for children and adolescents who come in conflict with the law. Strengthen existing and establish new programs aimed at the re-inte- gration of adolescents into the community as productive and respon- sible citizens. Strengthen and expand rehabilitation programs for children serving terms of imprisonment. Continue to implement and monitor compliance with the Penal Reform (Alternative Sentences) Act. Strengthen the institutional capacity of the Community Rehabilitation Department, the Police Department, and the Judicial System to ade- quately respond to the prevention, intervention, and rehabilitation needs of juvenile offenders, in accordance with national laws and reg- ulations and international treaties and obligations. Meaningful and effective participation of children and adolescents in all stages of the processes of policy development. Overall principles, NPA 18 The Work Plan: Child Protection
  • 19. The Work Plan: HIV/AIDS 2.5.4 HIV/AIDS The HIV/AIDS pandemic is having a devastating effect on children, ado- lescents, and those who provide care for them. We are committed to urgent action to slow the rate of infection and provide the relevant sup- port and services to affected children, adolescents, and their families. Objective To combat the spread of HIV/AIDS and minimize the impact on chil- dren and adolescents. Target 1 Prevention of Mother to Child Transmission To reduce the number of newborns born to HIV infected mothers. Strategies and Action Strengthen and expand the Prevention of Mother-to-Child Transmission of HIV/AIDS Program (PMTCT) to provide comprehen- sive services in all districts. Target 2 Care and Treatment To increase the accessibility and affordability of care and treatment to children, adolescents, pregnant women and parents who are HIV pos- itive to 90 per cent. Strategies and Action Establish Voluntary Counselling and Testing Centres (VCT) to provide comprehensive services in each district and other strategic locations. Strengthen policies to reduce the cost of anti-retroviral and oppor- tunistic infection treatments available to people living with HIV/AIDS. Implement HIV/AIDS protocol developed for health care providers. Provide relevant and comprehensive training to build the implementa- tion capacity of health care providers, social workers, and counsellors. Target 3 Prevention for Children and Adolescents To reduce the prevalence of HIV infections among children 0 to 12 years by 80 per cent. To reduce the prevalence of HIV infections among adolescents 13 to 17 years by 60 per cent. Strategies and Action Ensure the strengthening of intervention programs aimed at children who are vulnerable to contracting HIV/AIDS, especially targeting sur- vivors of child sexual abuse, children living in poverty, and children with special needs. (See Child Protection) The Work Plan: HIV/AIDS 19
  • 20. Develop and implement an appropriate gender-sensitive HIV/AIDS sensitization and information program targeting children and adoles- cents and those who provide services to them. Develop and implement standardized gender-sensitive peer education programs in school and non-school settings. Strengthen existing resource centres to provide information on HIV/AIDS, STIs, and life skills to both in and out-of-school adoles- cents. (See Education and Health) Develop and implement a media strategy utilizing creative art forms to promote the message of HIV/AIDS prevention targeted at children and adolescents, ensuring a focus on gender issues. Distribute free condoms at all STI clinics and VCT centres and through all Community Nurses Aids, mobile clinics, and other clinics and out- reach programs available to adolescents. Facilitate and encourage the development of community-based pro- grams to ensure adequate health care and nutrition and continued access to schooling for children and adolescents living with HIV/AIDS. Target 4 Children Orphaned by HIV/AIDS To increase the availability of support services for children orphaned by HIV/AIDS. Strategies and Action Strengthen and expand care services for children and adolescents orphaned and/or made vulnerable by HIV/AIDS. Establish a referral network (with government and non-government bodies) for services provided to families and children living with and affected by HIV/AIDS. Establish mechanisms to ensure that proper case management for children who are infected with and/or affected by HIV/AIDS will include systems for responding to their multiple needs. Establish mechanisms to ensure proper case management for chil- dren who are infected with and/or affected by HIV/AIDS that will include systems for responding to their multiple needs Target 5 Stigma and Discrimination To reduce the stigma and discrimination against children living with HIV/AIDS. Strategies and Action Develop and enact policies and legislation to eliminate discrimination against families and children living with and affected by HIV/AIDS. 20 The Work Plan: HIV/AIDS
  • 21. Develop and implement public awareness programs aimed at reduc- ing discrimination against families and children living with and affect- ed by HIV/AIDS. The Work Plan: The Family 2.5.5 The Family The family in all its various forms is the basic unit of society and plays a vital role in all aspects of development of children and adoles- cents. We are committed to strengthen families through education, training and support services. This includes continuing the fight against poverty and facilitating the creation of more and better employment opportunities. Objective To promote the right of children and adolescents to grow up in a nur- turing family environment. Target 1 The Family as a Basic Unit of Society To increase the coverage of family support programs by 50 per cent. Strategies and Action To develop, implement, and monitor a Policy Framework that allows for the strengthening and empowerment of the family as the fundamental social unit for the holistic development of children and adolescents. Strengthen and expand the Community and Parent Empowerment Program and other relevant agencies to provide permanent and ongo- ing training in family and parenting issues. Implement public awareness programs aimed at creating awareness of child and adolescent development issues. Develop mechanisms to provide quality counselling services nation- wide. Establish a Family Court in each district. Strengthen the institutional capacity of family courts to enforce the collection and monitoring of maintenance payments both locally and from abroad. Promote the establishment of day-care services to support working families with children. Develop and implement guidelines to conduct family impact assess- ments as a component of developing national economic policies and programs. The Work Plan: The Family 21
  • 22. Develop a system to ensure that investment is made in social pro- grams aimed at the protection and development of families. Target 2 Poverty and Economic Survival To reduce the percentage of families who are living in poverty to be consistent with the Poverty Elimination Strategy and Action Plan. To increase economic opportunities to families with children and ado- lescents, especially targeting the most vulnerable families. Strategies and Action Develop and implement all programs included in the National Poverty Strategy and Action Plan that affect children and their families. Develop and implement a mechanism to ensure that the national min- imum wage and the national child and spouse maintenance rates reflect the cost of living. Encourage the development and implementation of employment poli- cies that are sensitive to the needs of working parents, with special attention given to single parents. Provide employment and income generating opportunities to parents through the provision of training and skill development programs and access to job placements and credit. The Work Plan: Culture 2.5.6 Culture Culture is an integral part of a nation’s identity and development. We are committed to enhancing opportunities for children and adoles- cents to gain an understanding, appreciation and acceptance of the diverse cultural heritage of Belize. We also encourage the active par- ticipation of children and adolescents in the cultural and artistic devel- opment of the nation. Objective To provide accessible and affordable programs that enable children to develop a sense of self and a healthy respect and appreciation for the diverse culture of Belize. Target 1 Creative Arts Education and Training Increase the accessibility and affordability of creative arts programs for children at the primary and secondary school levels and out-of- school adolescents. Strategies and Action Train teachers at all levels to stimulate and nurture children’s interest in the creative arts. 22 The Work Plan: Culture
  • 23. Provide itinerant teachers to promote and teach the creative arts in the school system. Develop and implement structured creative arts education programs aimed at at-risk children. Create and implement structured creative arts programs aimed at par- ents as well as children and adolescents. Target 2 Cultural Exposure/Information Increase the accessibility and affordability of opportunities for expo- sure to information on the diverse culture of Belize. Strategies and Action Promote field visits by all primary and secondary schools to sites and exhibits of natural, cultural, and historical interest. Facilitate and promote family and child friendly travelling cultural shows and exhibits through the Houses of Culture and other facilities in each region. Train personnel to conduct guided tours of cultural shows and exhibits, for children and adolescents. Encourage the development of materials containing cultural informa- tion for all children and adolescents. Develop and make accessible an electronic database on past and con- temporary cultural information, resources, and research. Promote and conduct inter and intra-country cultural exchange pro- grams to expose children and their families to a wide range of cultur- al experiences and creative art forms. Promote private sector and local government involvement in cultural activities aimed at families and children. Target 3 Cultural Expression Increase opportunities for cultural expression among children and adolescents. Strategies and Action Improve the Festival of Arts Program for primary school students to raise the standard for participation and award selection. Expand the National Festival of Arts Program to include the participa- tion of all children and adolescents. Develop and implement Outstanding Artist’s award programs with a young artist component. The Work Plan: Culture 23
  • 24. The success of the National Plan of Action for Children and Adolescents (NPA) for Belize will depend on the quality of the plan as well as the implementers’ capacity for resource mobilization. The mobilization of resources includes being able to effectively use all available resources to implement, monitor and evaluate a plan of action. In addition to having the financial capacity to engage in these multiple tasks, the implementers also need to mobilize human and material resources. Creating partnerships and ensuring effective coor- dination and monitoring are, therefore, key elements of the resource mobilization strategy. Protection and preser- vation of the family as a basic unit of society. Overall principles, NPA 24 The Work Plan: Culture
  • 25. CHAPTER 3 Resource Mobilization 2.0 Resource Mobilization Step 3: Know what specific things you Below are some proposed steps to guide the want to do mobilization of resources for the implemen- The third step is to know what specific tation, monitoring and evaluation of the NPA things you will do to effect the changes envi- to the year 2015. sioned. These specific things are the policies and programs which individuals or groups of 3.1 Guidelines for Resource persons or organizations will implement Mobilization over a period of time. These policies and programs are strategies that determine the Step 1: Define the problems or issues resource needs for implementation. to address This is one of the most important steps in Step 4: Know who will do what resource mobilization, as it enables the plan- The fourth step is to decide who or which ners and implementers of the NPA to begin group or organizations are best placed, to develop strategic solutions to these prob- given their human, financial, and material lems or issues. The situational analysis of resources as well as their mandate and children and adolescents, which accompa- experience, to implement the policies and nies the NPA, is the document which has programs outlined in the plan of action. This performed this function. process also includes an analysis of the lev- els of coordination and collaboration Step 2: Have a vision of the solution required for specific activities to remain Once the problems or issues are defined, it linked to the larger goals, objectives, and tar- is necessary to have an idea of what solu- gets they are to achieve. In the context of the tions are possible. These ideas express the NPA, inter-agency and inter-sectoral coordi- expected change in the problems or issues nation and collaboration will be key to identified in Step 1. The NPA process has ensuring that existing resources are maxi- articulated these ideas or solutions in its mized and that the work remains focused on goals, objectives, and targets to be achieved the holistic development of children and within a specific time frame. adolescents. Resource Mobilization 25
  • 26. Step 5: Analysis of potential partners Step 7: Access funds and resources (government, non-gov- The seventh step is to access identified ernment and external agencies) resources. This includes the ongoing access- The fifth step is to analyze which agency, ing of existing and potential resources. In whether local or external, has an interest in some cases this will require mobilizing com- the problems or issues which you have munity participation; in others, it will require defined as important. The programs includ- getting technical assistance or equipment, ed in the plan are then matched with poten- and yet in others, it will require accessing tial partners. Partners include persons, agen- funds. For the effective implementation of cies, organizations and community groups the NPA, all the above strategies will need to that can provide financial, human, or materi- be employed to access resources. Since each al resources to achieve the vision or solution existing partner or potential partner may to the problems and issues identified. An have his/her own process for deciding on ongoing process for the implementers of the participation, the implementers of the NPA NPA will be: will need to be flexible. For example, strate- gies to mobilize community participation will (a) analyzing current partnerships and the be very different from accessing funds from resources they already provide and then the government or from external funding identifying gaps, and partners. To access funds from the govern- ment, implementers will need to budget for (b) identifying and matching gaps with new specific activities under their recurrent or partners who can assist in advancing the Capital II budgets and lobby actively for goals, objectives, and targets of the NPA. financing of those activities. The Ministry of Finance is prepared to assist in the justifica- A key activity at this level is to develop mini- tion and lobbying process. To access funds plans. This includes prioritizing strategies from external agencies, the implementers and developing initial three-year plans with will need to develop concept papers and accompanying provisional budgets for those project proposals (including budgets) for activities that require financial input. submission to these partners. The Ministry of Economic Development has committed Step 6: Lobbying and nurturing poten- itself to providing assistance to social sector tial partners ministries in this regard. The sixth step is to lobby and nurture the potential partners. This includes dialoguing Step 8: Implement plans and developing a relationship with them. The eighth step is to implement activities for This nurturing and relationship building which resources have been mobilized. In the extends to ongoing partners as well. The context of the NPA, some activities can be NPA is expected to attract both local and implemented with little or no resources in external partners, none of whom are to be addition to what already exists. However, for taken for granted. For example, government those activities that require additional resources are not infinite: therefore, there is resources, implementation begins with the always a constant need for information shar- access and distribution of resources. The ing, lobbying, and understanding between management of resources is also to be con- the finance and economic development min- sidered at this point. istries and the social sector ministries to enable the prioritization of resources for the Step 9: Monitor plans NPA. Similarly, there is a need to build rela- The ninth step is to monitor the specific pro- tionships with communities, beneficiaries, grams being implemented in the context of non-government organizations, and external whether or not they are meeting their tar- technical assistance or funding agencies to gets. For the implementers of the NPA, this create “buy-in” and “ownership” of the pro- process will include the monitoring of indica- grams to be implemented. tors that measure change (either positively 26 Resource Mobilization
  • 27. or negatively) and conducting research to of plans of action. At times reporting to part- provide baseline data where none exists. ners depends on the partner’s funding cycle or the contracts made with individual part- Step 10: Evaluate plans by measuring ners. Reporting to a community will depend impact on agreements made with that community. It The tenth step is to evaluate the impact that will be important for the implementers of the the plans have had on making the changes NPA to honour reporting agreements and envisioned as solutions to the problems or contracts to enable proper accountability issues identified in Step 1. The implementers throughout the process of implementation. of the NPA will need to conduct regular eval- This helps to maintain existing partnerships uations through: as well as to build new partnerships, leading to program sustainability. (a) an analysis of the monitoring indicators (Step 9) and Step 12: Start all over again Resource mobilization is a continuous (b) social research (semi and end-of-term process. As an integral part of the planning evaluation reports), which will employ a vari- cycle, it must be flexible. The implementers ety of research methods to gather data of of the NPA will need to ensure that their impact–surveys, interviews, focus groups, etc. resource mobilization strategies are consis- tent with the needs identified for the Step 11: Report to partners advancement of the overall plan. This step is completed on an ongoing basis and alongside the monitoring and evaluation RESOURCE MOBILIZATION FLOW CHART 2. Envision 3. Develop Solutions Plan 1. Define 4. Define Problems / Implementers Issues 10. Evaluate 5. Conduct Impact and 11. Report Resource Plans to Partners Needs Analysis 6. Lobby / 9. Monitor Nurture Existing Plans and Potential 8. Implement 7. Access Partners Plans Funds Resource Mobilization 27
  • 28. CHAPTER 4 Monitoring and Evaluation 4.0 Monitoring and Evaluation 4.1 The Status of Data Collection and The outcome document of the World Summit Information Systems in Belize for Children clearly stated that for National Belize has signed and ratified numerous Plans of Action for Children to be monitored international conventions, treaties, and dec- and evaluated, each country should: larations that call for action to be taken to enhance human development in all spheres “establish appropriate mechanisms for the of life and throughout the lifespan. In many regular and timely collection, analysis and instances, the Government of Belize, through publication of data required to monitor its national mechanisms, has adopted these relevant indications… Statistics should be international commitments by developing disaggregated by gender. It is particularly local policies and/or developing relevant important that mechanisms be established local legislation as required. The develop- to alert policy makers quickly to any adverse ment of the Families and Children’s Act, for trends to enable timely corrective action… example, was prompted by the Child Indicators of human development should be Protection components of the Convention on periodically reviewed by national leaders the Rights of the Child (CRC). Similarly, the and decision makers, as is currently done development of the Sexual and Reproductive with indicators of economic development.” Health Policy was prompted by international commitments to eliminate discrimination Belize has recognized that it must strength- against women as outlined in the en its data collection and information sys- Convention on the Elimination of all Forms tems if it is to successfully monitor and of Discrimination Against Women (CEDAW). evaluate its National Plan of Action for The NPA is also the localizing of Belize’s Children and Adolescents. Below is a review international commitment as stated in the of the status of data collection and informa- outcome document of the United Nations tion systems in Belize, a commitment to General Assembly’s Special Session on improve these systems, a proposed institu- Children. tional framework for monitoring and evalua- tion, and proposed guidelines for monitor- With the signing and ratification of these ing and evaluating the NPA. numerous international and national commit- ments, the Government of Belize must 28 Monitoring and Evaluation
  • 29. account, both nationally and internationally, The recommendations called for the SIC to for progress made toward achieving the goals and objectives of human development. A well- • Clearly define some social sector issues established, well-coordinated and implement- requiring data collection and monitoring ed data collection and information system is e.g. child abuse. key to measuring progress as defined by both national and international conventions, • Review and modify the data collection treaties, declarations, policies, and laws. instruments within specific sectors and sur- veillance units. As the demand for technical data and infor- mation becomes more critical in the human • Provide training that will enhance the development planning process, Belize is, as capacity of personnel to manage relevant are most countries in the Caribbean, strug- hardware and software. gling to improve its data collection and infor- mation systems. • Provide training in data analysis. One of the most important data collection • Develop a local area network system to and information systems in Belize is operat- facilitate data collection and dissemination ed by the Central Statistical Office (CSO). across units, departments, and ministries. This Office co-chairs the Social Indicators Committee (SIC). The CSO is responsible for 4.2 A Commitment to Improved conducting the national census and country- Information Systems wide surveys such as the Household The National Plan of Action for Children and Expenditure Survey, the Population and Adolescents provides an opportunity for the Housing Census, the Family Health Survey, Social Indicators Committee (SIC) to provide the Labour Force Survey, and, just recently, valuable technical input into an inter and the Child Activity Surveys and the Poverty intra-ministerial long-term social planning Study, among others. initiative, not only for the NPA, but also for broader human development policies and In addition, there are data collection and plans of action. In recognition of this grow- information systems localized in ministries ing demand for data to enable the monitor- such as the National Health Information and ing and evaluating of such initiatives, the SIC Surveillance System in the Ministry of has made a renewed commitment to institu- Health and the Education Statistical Data tional strengthening and inter and intra min- System in the Ministry of Education. The isterial collaboration. The SIC, in partnership Ministry of Human Development, the Vital with UNICEF, is therefore embarking on a Statistics Office, the Social Security Board, capacity-building project to: and other government and quasi-govern- ment bodies also have their own data and • Develop and implement an Integrated and information collection systems. It is because Comprehensive Data and Information of the recognized need to coordinate and System which allows for the monitoring of monitor these information systems that social development indicators, including most of these bodies have organized them- data and information on children and their selves to form the Social Indicators families. Committee, whose main task is to provide information for the monitoring of social • Strengthen the institutional capacity of the development goals and targets. Social Indicators Committee to manage and monitor social development indicators, To be able to effectively perform its monitor- including data and information on children ing duties, the SIC and its member agencies and their families. are implementing recommendations ema- nating from a recent institutional assessment exercise. Monitoring and Evaluation 29
  • 30. This project includes the provision of Advisory Committee (NHDAC). The NHDAC is chaired by the Ministry of Economic (a) hardware and software dedicated solely Development and includes representation for data collection, analysis, and dissemina- from key social sector ministries, non-gov- tion and ernment organizations, community-based (b) relevant training in the use of the data col- organizations, and international develop- lection, analysis, and dissemination system. ment partners. Because the NCFC, which is a member of the NHDAC, legally serves as the The implementation of this capacity-building coordinating and monitoring body for issues project remains key to the successful moni- related to families and children, it will be toring and evaluation of the NPA. directly responsible for the coordination, monitoring, and evaluation of the NPA. 4.3 A Proposed Institutional Reports from the NCFC will be submitted to Framework for Monitoring and the NHDAC on a regular basis as input into Evaluating the NPA the overall planning, monitoring, and evalua- The overall monitoring and evaluation of tion of human development policies and human development policies and plans of plans in Belize. It is proposed that the infor- action are the responsibility of a Cabinet mation flow between the NCFC and NHDAC appointed National Human Development be conducted as presented below. Information Flow Chart National Human Dissemination to NHDAC Development relevant stakeholders Planning, Monitoring and the public and Reporting NCFC Membership Central Relevant NCFC M&E subcommittee Statistical NGOs / Office (SIC) Partners NCFC Secretariat Ministry of Ministry of Health the Attorney (SIC) Ministry of General Ministry of Human Education Development (SIC) (SIC) As shown in the information flow chart, an • Representatives from the two major politi- NCFC Monitoring and Information cal parties Subcommittee will be formed. It is proposed that this committee be comprised of: • Technical resource persons • Members of the NCFC • Children and adolescents 30 Monitoring and Evaluation
  • 31. It is proposed that the subcommittee be • The timing of birth intervals responsible for: • The mental health status of children and • Reviewing the proposed guidelines for adolescents monitoring and evaluation. • The incidence and prevalence of child • Agreeing on the monitoring indicators and abuse in all its forms baseline data. • The recidivism rates among adolescents • Agreeing on the flow of information from who come in conflict with the law the source of information gathering to the It is also recommended that a longitudinal NCFC Secretariat. This will include the study be conducted over the full period that development of a mechanism for input the plan will be implemented. This means from children. selecting a sample of children from birth and • Agreeing on the terms of reference for any following them through their lifespan to staff/consultant hired to compile and ana- assess the impact of policies and services on lyze the relevant data or conduct the trien- their lives. nial situational analysis and evaluation studies. It is proposed that the subcommittee meet, as necessary, to agree on the structure and • Reviewing periodic draft NPA monitoring process for carrying out their duties and reports and triennial situational analysis and then at least twice a year to review bi-annual evaluation reports submitted by the NCFC NPA monitoring reports. It is also proposed Secretariat or consultant (as necessary). that once every three years the subcommit- tee meet to discuss the findings of the situa- • Making policy recommendations to the tional analysis and evaluation reports. larger NCFC body based on the contents of the monitoring reports and the triennial sit- 4.4 The Structure of the NPA uational analysis and evaluation reports. The overall aim of the NPA is to improve the • Ensuring the timely compilation and offi- lives of children and adolescents in Belize. cial release of periodic monitoring reports The improvement envisioned is stated as and updates on the status of progress on goals and objectives in the NPA. The goals the NPA and ensuring the same for the sit- and objectives are broad qualitative state- uational analysis and evaluation reports. ments that present a vision of the state of Reports and updates are to be sent to the children and adolescents in the next 12 policy-makers, the NHDAC, the Central years. Statistical Office, international develop- To enable the effective monitoring of ment partners, key government ministries, progress toward meeting those goals and NGOs, communities, and the public. objectives, the NPA has outlined a set of tar- • Ensuring that the NCFC conducts annual gets that are to be achieved by 2015. The tar- retreats to discuss the findings of the peri- gets outlined in the NPA are child-centred, odic and triennial reports in order to make defining the outcome of what is to be adjustments (as necessary) to the NPA. achieved, if the strategies and actions are effectively employed. The strategies and The Subcommittee should also be responsible actions therefore determine how the targets for ensuring that research activities are con- are to be achieved. To ensure that the NPA is ducted in 2004 to enable the establishment of moving toward achieving its targets, a set of baseline data in areas in which this has been social indicators has been developed. These identified as an urgent need. This includes social indicators indicate the status of chil- studies to determine baseline data on: dren and adolescents in relation to the tar- gets set in the NPA. • The incidence and patterns and trends in the manifestation of disabilities Monitoring and Evaluation 31
  • 32. 4.5 Guidelines for Monitoring the NPA achieving the outcome desired. It is critical The monitoring of the NPA is therefore to note that there must be flexibility at the premised on following progress through level of strategies and actions to ensure that matching the indicators with the targets to be the NPA becomes an effective working docu- achieved by 2015. This means that the focus ment which can respond to the recommen- of monitoring is not on whether or not the dations resulting from the monitoring and strategies and actions were completed, but evaluation process. on whether those strategies and actions were effective in showing positive changes toward The following tables are presented as a the achievement of the targets of the NPA. guide to be used to monitor the NPA. The first table outlines the targets and indicators For example, if the strategies and actions to for measuring progress as well as defines: reduce juvenile delinquency are not showing (a) the information system to be used to col- positive changes in the monitoring indica- lect the relevant data and information for the tors, and if it is clear that the target of reduc- purposes of monitoring and evaluation; ing recidivism by 80 per cent will not be achieved by 2015, then the monitoring (b) the period or frequency of data and infor- process needs to recommend that new mation collections e.g. monthly, quarterly, strategies and actions be developed rather annually, biennially, or every five years etc., and than continuing to employ those that are not Table 1.1 Data Monitoring Systems and Agencies Targets Indicators Level of Information Frequency of Agency Dis-aggregtion System Data Responsible Collection (c) the agency responsible, e.g. department, (c) comments regarding progress or regress ministry, organization, etc. in achieving the targets set for 2015. The comments here are intended to be brief. The second table is a Progress Monitoring Major comments are to be written in the nar- Chart which outlines the targets and indica- rative of the larger monitoring report. tors and then goes on to define: (a) the baseline data or starting point for These tables or charts are to be used in con- measuring progress e.g. IMR = 21.1 per junction with other sources of information 1,000 live births in 2003; that provide a more qualitative means of monitoring progress. For example, an (b) the status of the indicator and the year of improved quality of education can only be the data e.g. IMR = 17.1 per 1,000 live births measured if both quantitative and qualitative in 2007; and measures are taken to monitor progress. 32 Monitoring and Evaluation
  • 33. Table 1.2 Progress Monitoring Chart Targets Indicators (a) Baseline (b) Status-Yr. (c) Comments Data-Yr. 4.6 Guidelines for Evaluating the NPA the evaluation process. Some key questions In addition to the ongoing monitoring of the to be answered in the evaluation process are NPA is the need to engage in periodic evalu- ations. The evaluations will be concerned • Are the NPA targets being met? mainly with the level of progress toward achieving the overall goals, objectives, and • Are the NPA objectives and goals being targets of the NPA. They will, therefore, be met? To what extent? concerned with measuring the impact of the • What are the best practices to be replicated NPA over a specific period of time. A two- and why? pronged approach to evaluation is recom- mended–on the one hand, to carry out a situ- • What strategies need to be discontinued ational analysis which compiles and ana- and why? lyzes both quantitative and qualitative data to measure impact, and on the other hand, • What are the major challenges? to conduct an evaluation of the internal • What lessons can be learnt? processes and systems for implementing the NPA. It is recommended that a situational • What now needs to be completed within analysis and evaluation studies be complet- the next three-year period and where will ed every three years. the resources come from? The Situational Analysis should examine the • Who are the major stakeholders for the current status of children and adolescents next period and what are their interests? and record the major challenges and oppor- • What new benchmarks need to be set for tunities for addressing and meeting their monitoring and evaluation in the next needs, while abiding by both national and period? international commitments. While the monitoring of the NPA is the The Evaluation Study should focus more on responsibility of a core group of persons and the NPA and how that process has been able organizations (children and adolescents to meet its own targets, objectives, and included), the evaluation process should goals within a specified period of time. The involve all relevant stakeholders. Situational Analysis should greatly inform Monitoring and Evaluation 33
  • 34. Annex A- The Working Group The National Plan of Action for Children and Adolescents was devel- oped, reviewed and approved by a bi-partisan Working Group com- prised of: Three representatives from the People’s United Party: Joan Musa Sandra Hall H.E. Dolores Balderamos Garcia with Melissa Balderamos-Mahler as an alternate Three representatives from the United Democratic Party Kathy Esquivel Diane Haylock Darrel Bradley with Honourable Patrick Faber as an alternate National Youth Council Rafael Castillo National Committee for Families and Children Judith Alpuche UNICEF Dr. Nadya Vasquez Roy Bowen Minelva Johnson – Consultant Joop Hendrikx - Consultant PAHO Sandra Jones ANNEX B - The Technical Committees The National Plan of Action for Children and Adolescents was developed with technical input from: Ministry of Education Ernest Raymond, Projects and Planning Yolanda Gongora, Director of School Services Dativa Martinez, Director of Education Support Services Sakina Mohammed; Coordinator, Communications Skills Program Eleanor Enriquez-Castillo, Coordinator, Special Education Unit Diane Hall; Coordinator, Community Liaison and Security Program Anthony Castillo, Coordinator, Employment Training and Education Services Arthur Shears, Consultant, National Apprenticeship Program Alana Gillett, Coordinator, Pre-school Unit Shirlene Tablada, Coordinator, School Health and Physical Education Program (SHAPES) Dr. Paul Jones, Consultant Ministry of Health Dr. Peter Allen, Director of Planning and Projects Dr. Natalia Largaespada Beer, Director of the Maternal and Child Program Nurse Malva Allen, Coordinator, Maternal and Child Health Program Nurse Dorla Mckenzie, Prevention of Mother to Child Transmission Project 34 Annex A - The Technical Committees
  • 35. Dr. Paul Edwards, Director of the National AIDS Program and the National Health Surveillance Erica Goldson-McGregor, Acting Director, HECOPAB Ministry of Human Development, Labour and Local Government Anita Zetina, Director of the Women’s Department Ava Pennill, Director of the Department of Human Services Fermin Olivera, Director of the Community Rehabilitation Department Maureen Williams, Inspector of Social Services Institutions, MHD Kevin Cadle, Human Development Coordinator, Community Rehabilitation Department National Committee for Families and Children Judith Alpuche, Executive Director John Flowers, Program Coordinator National AIDS Commission Martha Carrillo, Executive Director, National AIDS Commission Ministry of Tourism and Culture Yasser Musa, President of the National Institute for Culture and History Andy Palacio, Director of the Institute of Creative Arts Leroy Green, Institute of Creative Arts With Affiliates Diane Haylock Michael Coye Althea Sealy Civil Society Organizations Lorna McDougal, National Organization for the Prevention of Child Abuse and Neglect Jewel Quallo, Belize Family Life Association Joan Burke, Belize Family Life Association Sonia Lenares, Young Women’s Christian Association Carolyn Gentle-Gennitty, Young Men’s Christian Association Michael Cain, Alberto August, Herman Ramirez and Candelaria Young; Friends Boys School Rodel Beltran-Perrera, Alliance Against AIDS International Development Organizations Sandra Jones, PAHO Roy Bowen, UNICEF Minelva Johnson, UNICEF Joop Hendrikx, UNICEF ANNEX C - Technical and Administrative Support The National Plan of Action for Children and Adolescents was developed with Technical and Administrative support from: Belize Council of Churches Rev. Canon Leroy Flowers Dame Elaine Middleton – Consultant National Committee for Families and Children Adele Catzim – Consultant Yuri Espiritu Annex B - The Working Group 35