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Published on: May 3, 2017
Promoting child development through group-based parent support within a cash transfer program: Experimental effects
Lia C H Fernald1, Rose M C Kagawa1, Heather A Knauer1
1School of Public Health, University of California.
Integrating parenting support programs with conditional cash transfers significantly improved child development, especially in indigenous communities. The key was mutual support and promotion between the programs.
Area of Science:
- Developmental Psychology
- Public Health Policy
- Socioeconomic Interventions
Background:
- Conditional Cash Transfer (CCT) programs aim to alleviate poverty and improve health/education outcomes.
- Parenting support programs can positively influence child development.
- Integration of social programs may enhance their effectiveness.
Purpose of the Study:
- To examine the effects of combining a parenting support program (Educación Inicial - EI) with Mexico's CCT program (Prospera) on child development.
- To assess the impact of different levels of program integration: CCT only, CCT with EI availability, and CCT with EI promotion.
- To investigate effects stratified by community indigenous status.
Main Methods:
- Cluster-randomized trial in 204 communities with 1,113 children.
- Intervention groups: T0 (CCT only), T1 (CCT + EI availability), T2 (CCT + EI promotion).
- Cognitive development assessed using validated tools at baseline and follow-up; intention-to-treat analysis.
Main Results:
- Significant improvements in General Cognitive Index, Verbal Score, and Memory Score in the T2 group (integrated and promoted EI) compared to T0.
- No significant benefits observed when EI was available but not actively promoted by the CCT program (T1 vs. T0).
- EI demonstrated significant positive effects specifically in indigenous communities.
Conclusions:
- Group-based parenting support programs can enhance child development outcomes within CCT frameworks.
- Effective integration and mutual support between CCT and parenting programs are crucial for positive impacts.
- Targeted integration may be particularly beneficial for specific populations, such as indigenous communities.
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