SERVICES AT SACSOWACH
Investing in our health system’s scope for ECD services during pregnancy and the first two years of life is easier, less costly and more effective than trying to intervene later in preschool and formal education settings. By the time children reach three years old, and enter ECD centres, it is too late. We invest so much time and money in these centres, yet we have missed the window of opportunity. We then face the risk that their brains will not have developed optimally to support future learning and development it is a case of too little too late. The health system, because it already reaches nearly every mother and child, is the most feasible platform from which to launch services. Its extensive primary health care platform includes both home-based and clinic visits just at the right time in a child’s life. Can the health system do this? Yes, the policy and service delivery footprint is in place. The foundations just need to be strengthened.