Background
Say and Play was created in response to the cry for a tool that helps adults support the psychosocial needs of young children, and would not exist without formative research and extensive community involvement to ensure the tool targeted those most in need in the most appropriate way. PCI began the Say and Play development process with a rapid assessment to evaluate services for orphan and vulnerable children (OVC) under-7 years old in Zambia and found that, although services such as health, nutrition and child protection are being provided, psychosocial support is overlooked due to insufficient training and understanding in how to work with this age group. While older OVC are reached with psychosocial support services through primary school and trained home-based caregivers, OVC under-7 are often underserved and unable to benefit from such services until primary school, by which time the psychosocial damage may be extensive.
A formative assessment to inform the design and implementation strategies of appropriate psychosocial support for OVC under-7 in Zambia established that early childhood development (ECD) teachers and home-based care (HBC) caregivers are the ideal persons to provide these services. PCI began working with Dr. Jonathan Brakarsh, author of the Journey of Life series and a child psychologist living and working Zimbabwe, to develop a tool that would be easy for teachers and caregivers to use, help children open up through fun and interactive activities, and mobilize communities to better support the psychosocial needs of young children.
PCI held three focus group discussions with 15 ECD teachers and HBC caregivers to identify relevant topics and then conducted two brainstorming discussion forums with local implementing partners to critically review suggested formats. The result of these discussions led to the initial drafts of Say and Play, which were pilot tested with ECD teachers, HBC caregivers and community action group members. Seven ECD teachers from seven community ECD centers pilot tested Say and Play on children aged 3-7 years old, providing information that further tailored the activities, stories, questions and pictures to young children. Nine HBC caregivers from seven HBC organizations pilot tested in their communities, with families and groups of children, ensuring the questions and activities are appropriate for a community setting. Seven school heads and teachers pilot tested Say and Play on community action groups such as Neighborhood Watch Committees, Women’s Groups and Parent Community School Committees, helping adapt questions for adults to include an aspect of community mobilization. In total, Say and Play was pilot tested on over 100 children and adults. After pilot testing, Say and Play went through a technical review process with local and international child experts that further refined the tool to ensure that stories, questions and games effectively address the psychosocial needs of young children.
PCI continuously worked hand-in-hand with early childhood development teachers, home based care caregivers, parent community school committee members and community action groups to create a user-friendly tool. Throughout pilot testing, ECD teachers and HBC caregivers reported that they learned new things about children they work with every day; parents and guardians listened to the thoughts of young children about, at times, rarely discussed topics such as death or sexual abuse; and children enjoyed the games and finally had their voices heard. Say and Play strengthens communication between adults and young children, and relies on the expertise of children to know what they want.
Currently, Say and Play is being used in HIV clinics while children and their caregivers are waiting to see the doctor; in early childhood development centers to identify children in distress and link them to needed services; by home-based care teams to assess family relationships and strengthen them; and in areas affected by conflict and violence. Say and Play enables field workers to assess the support children require, to provide the children with information that strengthens their resilience, with the outcome that the children can now take action and better control over their lives despite an uncertain future.
Say and Play is a unique tool based on the universal experiences of children, relying on the fact that all children know best about their own likes and dislikes. As adults, we must learn to listen to children more often, and Say and Play provides an opportunity to do so.
He can be contacted at brakarsh@yoafrica.com or brakaim@hotmail.com.