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Addressing multiple modifiable risks through structured community-based Learning Clubs to improve maternal and infant

Jane Fisher1, Tuan Tran2, Stanley Luchters1,3,4

  • 1School of Public Health and Preventative Medicine, Monash University, Melbourne, Victoria, Australia.

BMJ Open
|July 19, 2018
PubMed

Insights

This study tested a comprehensive intervention to improve early childhood development in rural Vietnam by addressing maternal nutrition, mental health, parenting, infant health, and violence. The intervention showed promise in reducing cognitive deficits in two-year-olds.

Area of Science:

  • Global Health
  • Developmental Psychology
  • Public Health Interventions

Background:

  • Optimal early childhood development is crucial due to rapid growth and lasting impacts of early risks.
  • Identifying and mitigating risks during pregnancy and early childhood is an international priority.
  • Existing interventions address risks like maternal nutrition, mental health, parenting, infant health, and gender-based violence.

Purpose of the Study:

  • To evaluate the effectiveness of a complex intervention in reducing deficient cognitive development in two-year-old children in rural Vietnam.
  • To address multiple modifiable risks impacting early childhood development.
  • To provide evidence for scalable interventions in resource-constrained settings.

Main Methods:

  • A two-arm parallel-group cluster-randomised controlled trial was conducted in 84 communes in Ha Nam Province, Vietnam.
  • The intervention, 'Learning Clubs', included perinatal information, learning activities, and social support delivered through community groups and home visits.
  • 1008 pregnant women were enrolled, with 42 communes in the intervention arm and 42 in the control arm receiving usual care.

Main Results:

  • The study is pre-results; no findings are available yet.
  • The primary outcome is the Bayley Scales of Infant and Toddler Development Cognitive Score at two years of age.
  • The trial is powered to detect a significant difference in cognitive scores between intervention and control groups.

Conclusions:

  • The study aims to provide critical insights into effective strategies for promoting early childhood development in low-resource settings.
  • Findings will inform public health policies and interventions for vulnerable populations.
  • Successful outcomes could lead to wider implementation of the 'Learning Clubs' program.
Abstract

Keywords:
Early Childhood DevelopmentEmpowermentGender Based ViolenceMaternalMental Health

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