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Early Childhood Intervention and Early
Rehabilitation System in the Republic of
Belarus
STATISTICS
Total number of children in Belarus
as of 01. 01. 2011 – 1 733 400
Children with special needs – 126,
785 (7,3%)
Out of them:
1, 53% - children with multiple
disorders
8, 64%- children with disabilities
Early Childhood Intervention (ECI) in Belarus
• The first Resource Center was established in 2002 in
Minsk.
• There are 32 Early Intervention Rooms and 2 ECI
Centers.
• ECI is one of the priorities of the national social policy, in
particular “National Programme on Demographic Security
in Belarus for 2001-2015”.
UNICEF assistance to national ECI system
development
•
Advocate and strive to promote intra-and inter-agency coordination;
•
Assist to Ministry of Health in enhancement of unified national system of early
childhood intervention, including development of standards and identification,
registration and monitoring of young children with specific needs in
psychological and physical development;
•
Strengthen capacity-building for specialists;
•
Assist in ECI services development including innovative methods of diagnosis,
evaluation, and rehabilitation of young children with specific needs and
methodological recommendations for practical use;
•
Analyse and identify ways for stabilization and decrease of primary disability of
children up to 18 y.o.;
•
Raise public awareness on the specific social, educational and human rights
needs of young children with special needs, in order to overcome stigma and
improve status of these children and their families.
Services for Children with Special Needs and their Families
Correction and
rehabilitation
centers - 143
Ministry of
Finance
Integrated groups
in kindergartens 376.
Special preschools - 48
Ministry of
Education
Ministry of
Health
Integrated
groups in
schools – 5 475
Specialized
schools - 16
Special boarding
schools - 47
Children’s homes
/ orphanages - 5
Ministry of Labour and
Social Protection
Territorial Center of
Social Services for
Population
ECI centers and
rooms in children’s
polyclinics
Child/Adolescent
psychoneurological
dispensaries
Medical
rehabilitation
centers/
Departments
rehabilitation
policlinics
Infant homes
of
in
ECI Functions
• Education of parents in early care and support to young children with
special needs aimed at full development of child’s potential at a
maximum possible capacity;
•Development of individual rehabilitation plan for young children, its
implementation, and monitoring;
•Provision of social and psychological support to families raising
children with special needs.
ECI Principles
Early start – early identification and rehabilitation of children with defined
level of disability risk.
Continuity – ECD specialists in partnership with parents ensure everyday
rehabilitation at the place of residence.
Succession – observation and monitoring of status and progress in
specialized institutions and in outpatients.
Comprehension – provision of medical, psychological, pedagogic, and
social rehabilitation package.
Individuality – development of the individual rehabilitation and integration
programme for each child.
Example of ECI Services for Children Under 3 (Brest oblast)
1 stage
(0-1 months.)
Maternity Hospitals
Identification of children at risk to have neurological disorders
Intensive therapy
departments in
maternity hospitals
2 stage
(1 month-1 year)
Early rehabilitation
in cases of identified
organic brain damages
and
psycho-motor delays
3 stage
(1-3)
rehabilitation
at early stage of
Children’s cerebral palsy
Children’s Polyclinics
Psycho -neurological
departments in children’s
hospitals;
ECI rooms in
Medical Rehabilitation centers
For children with
psycho-neurologic disorders
Medical Rehabilitation
Centers for children with
psycho-neurological
disorders
Children’s
Polyclinics
Habilitation
Centers
for Children
with
Disabilities
Rehabilitation
Centers
for Children
with
Disabilities
Children’s
Polyclinic
(ECI
departments)
Rehabilitation
Center
of the |Ministry
of
Labour
and Social
Protection
Impact of interagency cooperation for ECI
The interagency cooperation strengthening shall contribute to the
achievement of the following results:
Strive to 100% identification of children with high level of risk to
disability as a consequences of nervous system damage;
Strive to 100% coverage with quality rehabilitation services for
children under 6 months at high risk level of disability;
Decrease number of children with disability status (especially levels 3
and 4), including neurological disorders, through ensuring each child
has access to and receive comprehensive rehabilitation services;
Example of inter-agency cooperation piloted by the Center “Tonus”
(Brest oblast)
• Providing multidisciplinary rehabilitation services for children U3 with
special needs under.;
• Coordinated efforts of healthcare, education, and social protection service
providers;
• Regular update of the unified U3 children Database by all responsible
parties;
• Development of individual rehabilitation programme and work plan with
engagement of parents at all stages.
ECI priorities in Belarus
• Strengthening inter-agency cooperation on the stages of early
identification, tracking and follow-up to increase effectiveness of ECI;
• Capacity building for specialists;
• Insuring access to the complex ECI services for children and families, in
particular in rural areas and at community level;
• Integrating innovative approaches and methods to ECI system.
• Development of comprehensive services aimed at education,
consultation, and support provision for parents.
• Active parents’ engagement to ECI programmes and services;
• Prevention of institutionalization of infants and children U3 with special
needs;
• Promote effective transition to inclusive preschool and primary school
services.
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