The project of Early Childhood Health System Development Project in the Central and Western Regions was responsible by Pediatric Nursing Department, Faculty of Nursing, Mahidol University and received grant from division of Thai Health Promotion Foundation. This program implements during 2020-2021. The main purpose is to develop early childhood health from pregnancy women to children with the age of 6 years to ensure appropriate growth and development by

1) Develop a system for early childhood development at the district level.

2) Develop the potential of the network of child development centers

Population:  Population consist of pregnancy women, newborn to 6 years old, teachers of child development centers, parents and organizations personals related to child development center; local leader, venue leader, personals in sub-district health promoting hospital, health care personals in secondary care, village health volunteer, community leader, district health board and personals in district public health office.

Methods; 3 phases

Phase 1 

The child development center is being developed in two ways; 1) promoting the child development center as a learning center by promoting teacher competencies and speaking ability, the creation of learning stations, innovations, and media for learning activities, and the supervision of 40 networked child development centers 2) child development centers Promotion Subdivision network, with 9 processes: planning for development, selecting a center for visiting, visiting a center, designing development with benchmarking, making understanding and cooperation with staff, goal setting and planning for development, implementation for resolving system, assessment and comparison, and lesson learned.

Result

1. Teachers from child development centers can share their knowledge and experience about management of child development centers with the network center.

2. Child development centers passing the National Standard for Early Childhood Care, Development and Education Thailand at the A level (80–100 scores) increased from 17.7% to 87.5%.

3. Have 3 child development centers which can transfer knowledge and experience just like learning child development centers.

4. Children in child development centers have normal nutrition status.

Phase 2:

The district health boards (DHB) plan and support the development system and mechanism for early childhood development in two districts: 1) Bang Sai district, Ayutthaya province; and 2) Sukhothai district, Bangkok. DHB operated a strategic plan for creating a strong health system and management of early childhood in districts, driving strategic planning in early childhood, and promoting child development centers to be a model of child development centers and knowledge management 2) In Tha Muang district, Kanchanaburi province, the DHB cooperated with situation analysis, collecting qualitative data, holding public hearings, and creating a strategic plan for the development of early childhood, with planning and implementation as the strategic and conclusion.

Result

Process of plan and support the development system and mechanism for early childhood development by DHB

Phase 3

Health Promotion of Early Childhood in Covid-19 situation, included activities such as supportive early childhood learning, personal protective equipment (PPE), the "Im Oun" bag, which is comprised of dry food, eggs, milk, novels, and toys, a set of activities to promote child development centers to become learning child development centers; and a coaching online project.

Result

439 Im-Oun bags were distributed to children and families. 1,740 children received equipment support for development and learning. Teachers were supported with equipment for teaching at home (Coaching Online).

This project aided in the achievement of the subsistence goal of ensuring quality and equality for all children in two districts (SDG 4). It lowers inequality and promotes kids' health, development, and education for a great early childhood in 2030. (SDG10). This project is also concerned with future economic, social, and political coverage of support that, regardless of gender, age, disability, race, ethnicity, religion, or economic status, others in 2030 and reduce stunting in cases of malnutrition ending in 2030, including goal achievement of an international agreement in the stunting of children under 5 years in 2025.