Progress in the implementation of the Strategy Include to
Grow.
Translated into English
By Sacha Harris
October 2014
National Stratagy of Social Inclusion
ENDIS Incluir para Crecer
Development “Include to grow”
From people to people:
Tool of Management to
articulate inter-sectoral and
inter governmentally policy of
social inclusion development,
oriented achievement results,
recognizing
the
ongoing
competence and processes.
Approved by Supreme Decree Nº008-2013MIDIS
Rights Approach
Social Inclusion Development Policy
CIAS
Social Policy
Social Inclusion
Development
Policy
(focus)
Life Cycle Approach: “we all want to
be well”
Cross-cutting
dimensions:
Gender,
Intercultural
and
Disability
Strategic
axis
1 and
2 – Early
Childhood
El FED
como
parte
de Incluir
Development
para
Crecer
Early Childhood
Priority for girls and boy
from 0-5 years old.
Include to Grow National Strategy Approved by Supreme Nº 008-2013-MIDIS signed by 14 areas.
Associated
indicators for
Early Childhood
Development
Chronic Child Manutrition
DCI Below the age of 5
Peru 2007- 2014 I sem
DCI variation (WHO standards) 2011-2013
(percentage points)
3,0
2,4
-1,1
-7,8
-9,8
-17,1
-2,8
-0,4 -2,1 -1,4
NACIONAL
Ucayali
Tumbes
Tacna
-2,7
San Martin
-0,8
Puno
Moquegua
Madre de Dios
-2,4
Loreto
Lima
Lambayeque
-0,2
La Libertad
Junin
Ica
Huanuco
Huancavelica
Cusco
Cajamarca
Ayacucho
Arequipa
Apurimac
Ancash
Amazonas
Source: DFHS PpR 2014 1sem
-4,5 -5,9 -5,9
-2,7
-4,0
0,0
Piura
0,9
0,4
Pasco
2,7
6,7
-2,0
Childhood anemia evolution
Anemia (6 to 36 months)
Peru 2007-2014 1-sem
Anemia Variation(6 to 36 months)
2011-2013
(Percentage points)
11,9
5,8
5,4
7,3 8,0
4,2
-17,0
-1,9
Ucayali
San Martín
Puno
Piura
Pasco
1,8
Moquegua
Loreto
Madre de Dios
-3,8
Lima
Lambayeque
-10,0
Junín
Ica
Huánuco
-2,1
La Libertad
-8,1
Huancavelica
Cusco
Cajamarca
Ayacucho
2,0 2,2
Tumbes
2,7
Arequipa
-2,4
Apurímac
Áncash
Amazonas
1,0
Source: DFHS PpR
2013
5,7
5,5
5,5
14,4
12,6
Tacna
12,8
Early Childhood
Implementation
Advancement
CombantPosicionamiento
against Chronic
Malnutrition
político
Chronic malnutrition
reduction commitment
Commitment to promote the
Early Childhood
Development
Lamas, San Martín.
August, 2012
DCI objective for
2016: 10%
Ratified by CIAS and ANGR
Lamay, Cusco. Octubre, 2013
DCI al
2016 =
10%
Anemia al
2016 = 20%
Initial
education 2016
= 85%
Water and
sanitation by
2016 = 85%
El FED como parte de Incluir
Vision para Crecer
Boys and Girls in Peru in a good
status of health and nutrition, with
crucial thinking, efective
communication skills, resourceful,
emotionnally confident, socially
qualified and autonomous, in full
possession of their rights; living a
happy childhood, without violence,
with equal opportunities, and
respecting their particularities.
7 Multiple intervening factors
Healthy
Birth
Physical and
mental state of
health of
expectant
mother
Nutritional
health of
expectant
mother
Strong
Attachment
Interaction
between
mother and
child
Adequate
nutritional
status
Healthy
practices
First
Steps
Secure,
organized
space with
materials
Effective
Communication
Continuous
parent-child
dialogue
Behavuioural
and Emotional
Management
Symbolic
Functioning
(Housing
reresentati
ons, use of
symbols)
Quality of
interactions
Helathy
spaces
Nutritional
state of
mother
Diversity of
experiences
Adult
Sensitivity
Communication
spaces
Free play
Intervention is
effective
41 organized
1. Improved nutritional well being
interventions for
each stage of life
and components
geared towards:
2. Improved health and emotional well being of the expectant mother
3. Maintaining child’s well being
4. Promoting the development of Strong Attachment
5. Promoting Motor development
6. Promoting the the development of Verbal Communication
7. Promoting knowledge of emotional management
8. Preventing and mitigate the impact of violence and the absence of
parental care
9. Prevent and mitigate the impact of violence against women
Where will we
find advances in
Early Childhood
Development?
Convention on Performance Allocation
FED functions through the Convention
on Performance Allocation between the
Ministry of Development and Social
Inclusion and the Ministry , by MEF
and the Regional Government
Subscription of the
Convention on Performance
Allocation– (CAD)
First Phase:
Second Phase:
May 15th 2014
October 2014
 Management
Commitments
and
Coverage Goals linked to the results of
the DIT
 Conditions and/or mechanisms for the
assignment of resources of the FED.
 Districts of poverty quintiles 1 and 2 of
poverty of prioritized deparments for
the measurment of the fulfillment of
requirements.
 Validity of the FED and allocated
amounts
Implementation of the DIT within the
territory
16 departaments
S/. 170 MM
Criterias for
prioritization:
16 departments
prioritized by
gaps in the main
results linked to
the DIT
Results of the ENDIS
DIT, via performance
incentives. Measure
the provision of an
adequate packet of ss
given to the user.
•Prevalence of the DCI
•Prevalence of
Anemia
•Performance in
Reading
Comprehension
•Performance in
Mathematics
•Access to potable
water and sanitation.
De Intervenciones Sectoriales a una
in the provision of services”
Intervención Integral
What the FED proposes as “Change
¿Qué estamos haciendo?
Sectoral
Interventions
Comprehensive
Packet of Services
CRED: 50.8%
Iron Supplement (6 to 36
months): 19.6%
Rotavirus and pneumococcus (<12
months): 72.9%
Net coverage of early child hood
education(3-5 years): 74.6%
Coverage of household potable
water: 67%
Central focus on
institutions
Achieved
CRED +
iron+
vaccines + basic
education+
access to water
and sanitation
Central
focus on
child
Each boy and girl must receive the complete package of
interventions
Package 1
Package 2
Package 3
Before birth
The first 24 months
Between 3 and 5 years
4 auxiliary exams in
the first trimester
CRED complete for age
Prenatal care
Rotavirus and
pneumococcus vaccines
Multimicronutrients
Family Support
Iron and Folic acid
supplement
DNI
Package 4
Environment
Access to chlorinated water for human consuption
(residual chlorine in sample of water for consuption=
0.1 mg/l).
Early Child
Education
Environmental Improvement
Axis 1 and
2
Objective:
To close the coverage
and quality of basic
services gap: water
and sanitation,
electrification,
telecommunications
and rural roads.
Early
Childhood
Development
Axis 4
Economic
Inclusion
•Access to sanitation and water
services , which involves less
morbidity by IRA and EDA and
contributes to a reduction in Chronic
Infant Malnutrition.
•Quality of home infrastructure, which
improves the quality of the home
environment as well as contributes to
physical, cognitive, motor, emotional
and social development.
•Access to infrastructure and
basic services, leading to
greater productivity and
promoting increased
independent household
income.
Advances in Social Programs of MIDIS
To improve early childhood development of
boys and girls less than 3 years and to
overcome the gaps in their cognitive, social,
physical and emotional development.
Parental care and learning of
families of boys and girls less
than 36 months and
pregnant
women
are
strengthened.
Comprehensive attention is
given to girls and boys
between 6 and 36 months, in
their need for health,
nutrition,
learning
and
protection.
Advances of the MIDIS Social
Programs
1. Serves 102,365 girls and boys, in 23 departments of Perú, which represents an
increase in coverage of more than 82.9% since the creation of the program in
March 2012.
2. Construction of 89 Centers of Comprehensive Infant Attention (CCIA) through the
FONCODES (S/. 87 millions) in 18 departments. These will benefit more than
4,780 girls and boys.
3. The SAF now serves for the first time rural zones where the highest levels of
poverty are concentrated.
4. More than S/. 60 million has been invested in aquiring equipment and materials
which have allowed for improvements of quality of two of their services.
2014 Target:
118,849 users
64,544 daily beneficiaries
54,305 families assisted
August 2014 progress:
102,365 users
53,764 daily beneficiaries
48,601 families assisted
Advances in the MIDIS Social
Programs
Deliver conditional monetary
incentives based on health and
education requirements on the
part of home users.
Offer monetary incentive transfers
(MIT) of S/. 200.00 bimonthly to
households in situations of poverty
on the condition that they fulfill
requirements.
Advances in the MIDIS Social
Programs
1. The program continues to serve 753,638 households to date, which represents
an increase in coverage of more than 53% from 2011.
2. It has moved from 700 districts to 1,142 districts between december 2011 and
july 2014)
3. In the setting of financial inclusion, a saving system has been installed for all
users of the program and 412,00 debit cards have been distributed.
Additionally, 60 thousand users are scheduled to be trained by the end of 2014.
2014 Target:
840,420 supported households
August 2014 Progress:
753,638 supported households
653,467 abandoned households
Strategic Axis 1 and 2 – Early Childhood
Development
Interventions
by axis
Age Range
Interventions in
Infrastructure
National Support Program geared towards indigent
populations – JUNTOS
Access to identification cards - RENIEC
National program against family and sexual violence MIMPV
Yachay Program- MIMPV
Targeted Nutritional Program - MINSA
Neonatal Maternal Health- MINSA
National Cradle Program Plus National School Feeding
Program - Qali Warma
Student Learning Achievement of the EBR – MINEDU
Performance Incentive Fund and Achievement of Social
Outcome-FED
PIM 17th July 2014
in Axis 1 and 2
S/. 2,600 millon
Access and use of Rural Electrification - MINEM
Investment in telecommunications Fund(FITEL) - MTC
Decentralized Provias- MTC
Fund for economic inclusion in Rural Zones
Water and sanitation for the Rural/Urban population MVCS
Rural Habitat- MVCS
Strategic
Axis
3 – Comprehensive
El FED
como
parte de IncluirChild
para Development
Crecer
and Youth
Strategic
Axiscomo
3: Comprehensive
Child and
El FED
parte de Incluir
para Crecer
Development
Age appropriate competencies for personal,
education and professional development
Prevalence of teenage
pregnancy
Coverage and quality of
Basic Education
Sexual Education
comprehensively incorporated in
the curriculum framework and
implemented in the IIEE
Greater access to comprehensive
services with an emphasis on
sexual health and reproduction
Reduction of physical and sexual
abuse in adolescents.
Regulatory changes for full access
to differenciated health services.
IIEE with appropriate operating
conditions
Quality materials, received on time
and used in learning activities
Currriculum properly graded, pertinent
and of high cognitive load,
implemented by well trained teaching
staff and directors
Services addressing specific needs of
those in most vulnerable social
situations
Detection, prevention and prompt
treatment of health risks and nutrition
of students
Students have an adequate intake of
food
Child Labor
Lower levels of monetary
poverty
Improve the limited
capacity of prevention and
protection of labour
conditions where child
labour is allowed.
To improve the perception of
parents and the NNA
concerning education and
child labour
Axis Strategy 3 – Child and Youth
Comprehesive Development
Interventions
by Axis
Age Range
Interventions in
Infrastructure
National Support Program directed to indigent
populations- JUNTOS
Population access to identification cards – RENIEC
National Program against family and sexual violenceMIMP
Yachay Program- MIMP
National School Feeding Program - Qali Warma
EBR Student Learning Achievement Program MINEDU
Access and use of the Rural Electrification - MINEM
Investment in telecommuications Fund(FITEL) MTC
Decentralized Provias - MTC
Economic inclusion in Rural Zones Fund
Water and sanitation for Urban/Rural populations
Program - MVCS
Rural Habitat - MVCS
PIM July
17th 2014 in
Axis 3
S/. 16,450
millon
Implementation of Strategy Axis 3 – Child and
Youth Comprehensive Development
Healthy Learning
•Initiated by the Ministry of Education (MINEDU), Ministry of Health (MINSA) and Ministry of
Development and Social Inclusion (MIDIS) in order to provide targeted food and school
health to boys and girls of pre-primary and primary public education institutions of PNAE
Qali Warma service setting.
• To date more than 700 thousand health evaluations have been conducted through the
School Health Plan.
Multisectoral Prevention of Teenage Pregnancy– MINSA (November 2013)
Priority axes of intervention to delay first sexual encounters among youth, increase
appropriate graduation of Secondary Education, the effective inclusion of Comprehensive
Sexual Education in the curriculum implementing in primary education, the use of modern
anticontraception methods and the reduction of violence of all types towards adolescents.
National Prevention and Eradication of Child Labour– MTPE (December 2012)
•Articulated with regional and local actors in the form of a Regional Steering Committee for the
Prevention and Eradication of Child Labour -CDREPETI.
•Between the main axis, reduction of social tolerance of child labour, improvement of work
conditions where child labour is allowed and protection against danagerours work and
exploitation.
Advances of MIDIS Social
Programs
Qali Warma (“lively child”) has as an end goal to
provide quality food service to boys and girls at
the pre-primary (from 3 years) and primary
public education institutions in the enitre
national territory. Thus, the program seeks:
Guarantee food everyday throughout the
school year
Contribute to better attention in class,
promoting attendance and retetion
Promote better eating habits among
users
Advances of MIDIS Social
Programs
1. The MIDIS and the Qali Warma program are part of the Healthy Learning initiative, which
seeks to benefit and enhance student achievement throughout the country through actions
articulated by the MINSA and MINEDU, regional and local government.
2. A total of 110 Procurement Committees were recorded where various food aquisition
processes were carried out at the local level, and a total of 46,837 School Feeding
Committees-CAEs were registered.
3. MIDIS programs continue functioning as articulated by the MINEDU for the execution of
investment projects in education institutions: construction of kitchens, stores and bathrooms
for a total of more than S/. 49 millones.
4. The MIDIS Programs through the Procurement Committee has continued purchasing local
agricultural produce from small holder farmers which are used by the Local School Feeding
Committee such as: la quinua, kañiwa, kiwicha.
2014 Goal:
2´899,846 students will receive food at school, at
the pre-pimary and primary level.
54,060 education institutions
(100% of schools of 1st and 2nd Quintile)
August 2014 Progress:
2´500,000 focus on pre-primary and primary level
52,000 education institutions
El FED como parte de Incluir
Strategy Axispara
4 – Economic
Crecer Inclusion
Estrategia Nacional Incluir para Crecer aprobada con Decreto Supremo Nº 008-2013-MIDIS firmada por 14 sectores.
Strategic Axis 4: Economic Inclusion
Increase Household Independent
Increase quantity of families in
the labour force
Increase of productivity of active
families
Technical capabilities
Quantity of public assets
Employability
Access to economic
services
Provision of physical and
natural assets
Access to services which
facilitate employability
Collective Action
Strategic Axis 4: Economic Inclusion
Interventions by
axis
Age range
Interventions in
infrastructure
Population access to identification cards- RENIEC
Social Energy Inclusion Fund- OSINERGMIN
18 Scholarships - MINEDU
Youth to Work- MTPE
Program to generate socially inclusive employment–Perú
Work - MTPE
Agrorural- MINAG
From 17 to
64 years
Access and use of Rural Electrification - MINEM
Telecommunication Investment Fund (FITEL) - MTC
Descentralized Provias - MTC
Economic Inclusion in Rural Zones Fund
Water and Sanitation for Urban/Rural populations - MVCS
Rural Habitat– MVCS
My Irrigation Fund - MINAG
PIM July 17
2014 in Axis
4
S/. 25,253
millons
Strategy Axis 4: Economic Inclusion
Axis 1 and 2
Objective
To close gaps of
coverage and
quality of basic
services
Early
Childhood
Development
Axis 4
Economic
Inclusion
•Access to sanitation and water services , which
involves less morbidity by IRA and EDA and
contributes to a reduction in Chronic Infant
Malnutrition.
•Quality of home infrastructure, which improves
the quality of the home environment as well as
contributes to physical, cognitive, motor,
emotional and social development.
•Access to infrastructure and basic
services, leading to greater
productivity and promoting increased
independent household income.
Focalización:
570 distritos
Strategic
Axis 4: Economic
Inclusion
FRONTERA
VRAEM
49
81
771,780 Residents.
48% PEPI
513,534 Residents.
78% PEPI
16
33
52
28
Quintiles 1 and
2 of poverty
and +50% of
households
PEPI
466
2,759,615 Residents.
77% PEPI
1
379
2,007,618
Residents.
76% PEPI
26
35
ALTO
HUALLAGA
62
510,362
Residents
45% PEPI
Environmental Improvement
Amount Transfered to date: S/.490.8 MM
According to department
(In millions of S/.)
(D.S N° 118-2013-EF, D.S N° 292-2013, D.S N° 033-2014-EF, D.S N° 053-2014-EF,
D.S N° 090-2014-EF,
D.S N° 132-2014-EF, D.S N° 172-2014-EF, D.S N° 232-2014-EF)
0
Transfer to Local
Government: S/.
447.5 MM (91.2%)
80.8 % require work
on rural tracks, water
and sanitation,
telecommunications
and electrification.
1,328 interventions
530 targeted
districts(93.0 % of
total districts) en
pre-investment,
investment or
post-investment
68% of the total
required amount for
interventions in Water
and Sanitation, 22 %
required for rural
roads, 6 % for
telecommunications
and 4% for
Electrification.
Ayacucho
Puno
Apurímac
12
Huánuco
%
Cusco
Huancavelica
77
%
Cajamarca
Ancash
San Martín
Tumbes
Ucayali
Loreto
Tacna
Pasco
Piura
Junín
Amazonas
Lambayeque
Arequipa
La Libertad
Madre De Dios
Ica
Múltiple*
20
40
60
80
100
120
140
114.6
69.1
60.7
53.9
53.3
81.7
%
49.5
14.0
13.6
11.5
10.1
8.7
6.9
4.5
3.7
3.4
3.3
2.6
2.0
1.6
1.0
S/.490.8 MM for
1,328
interventions
0.5
0.5
1.8
* Son estudios de pre inversión multi departamentales en el sector telecomunicaciones.
Fuente: FONIE
S/.
Advances in MIDIS Social Programs
• Generation of greater sustainable
economic opportunities for extremely
poor rural homes, contributing to the
reduction of processes of exclusion which
determine which households
cannot
access the markets.
• Haku Wiñay (“let us grow”), is
implemented in rural communities in
situations of poverty and seeks to
develop productive capabilities and rural
entrepreneurship which contribute to
the generation and diversification of
income; thereby improving access to
food security.
Advances in MIDIS Social Programs
1. Haku Wiñay: 27,046 thousand homes have developed productive capabiliites,
through technical assistance and personalized training; in 52 districts and 13
departments.
2. More than four thousand households have access to modules of technical irrigation
for sprinking at the familiy level, therefore more than five thousand households
counted with households with best sanitation conditions, order and cleanliness.
3. Continue implementing more than 780 business profiles of rural inclusive business
competition, in Amazonas, Abancay, Ayacucho, Cajamarca, Cusco, Huancavelica,
Huánuco, Loreto, Tarapoto and Piura departments.
2014 Target:
22,626 new homes in Haku Wiñay - 300 population
centers, 49 districts, 16 departments, program
execution - 209 projects.
8,890 new homes (D.S N° 214-2014-EF; R.M N° 1752014-MIDIS)
Total Target: 31,516 homes
August 2014 Progress:
Focus on 27,046 thousand homes
To start the work with 21,954 homes.
Financial Inclusion: Achievements
•
•
•
•
I million 81 thousand users of PPSS JUNTOS
and Pension 65 have a savings account,
where they keep direct monetary incentives
pay.
The program was successful in distributing
debit cards to 60% of users of the JUNTOS
Program for the promotion of electronic
financial mediums.
Actions of Financial Education continue
working towards a Training Plan and the
promotion of savings, oriented to users of
the Social Program. By the endo of 2013
they hope to train 60 thousand rural women
from the JUNTOS Program.
Pension
65
continues
developing
information actions and financial education
directed towards the elderly.
El FED como parte de Incluir
Strategic Axis 5: Protection of the elderly
para Crecer
Strategic Axis 5: Protection of the
Elderly
Wellbeing and Social Protection of
Elderly 65 years and older
Increase in Economic Security
Pension Coverage
Capability to generate
independent household
income
Increase in the Quality of Services
for elderly persons
Strengthening of local social
support networks
Quality Health Services
Plan
Information and Education on
Aging
Access to Quality Health
Services
Participation and Social
Inclusion
Access to
Complementary Health
services for well being
Strategic Axis 5: Protection of the Elderly
Interventions by
Axis
Age Range
Interventions in
Infrastructure
Population access to identity card - RENIEC
National Solidarity Assistance Program
Dignified Life - MIMPV
65 years and
older
Access and use of Rural Electrification - MINEM
Telecommunications Investment Fund (FITEL) - MTC
Decentralized Provias - MTC
Fund for Economic Inclusion in Rural Zones
Water and Sanitation program for the Urban/Rural
population - MVCS
Rural Habitat– MVCS
My Irregation Fund- MINAG
PIM 17 th
July 2014 in
Axis 5
S/. 2,689
million
Advances in MIDIS Social Programs
 Provides periodic income which mitigates social
vulnerability of elderly persons 65 years and
older who live in conditions of extreme pverty,
with the end of improving their quality of life.
Non-contribution pensions in the form of
monetary transfers of S/. 250.00 are given to
users, bimonthly.
 A strategy for the implementation of campaigns
focused on the health of users of the Program in
collaboration with MINSA is being developed.
 Finally, “Productive Learning” is recovering the
indigenous knowledge for partnership in local
development.
Advances in MIDIS Social Programs
1. The taret of an annual 380,000 users receving a non-contribution pension was met
representing and incease in coverage of more than 834% from 2011.
2. The program serves the elderly of 98.5% of districts of the country (1,835 districts)
• 100% of the districts of VRAEM
• 100% of the districts wit more than 50% of the population living in extreme poverty
• 98.8% of districts with native/indigenous communities
• 60 frontier districts
• Presence in 6 districts of the Four Watersheds of Pastaza, Tigre, Corrientes and
Marañon.
3. There are developing interventions of productive knowledge in 14 departments and 49
districts.
4. The program in coordination with the Health sector has achieved to date a total of 165.917
cases en 1.38 medical campaigns.
2014 Target:
380,000 users, all of whom have a savings
account
50,000 additional users (D.S N° 218-2014EF; R.M N° 176-2014-MIDIS)
Total Goal: 430,000 users
August 2014 Progres:
380,000 users, all of whom have a savings
account