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Related Experiment Video

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Human resources and curricula content for early child development implementation: multicountry mixed methods

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Responsive caregiving and early learning (RCEL) interventions are key for early child development (ECD) in low and middle-income countries. Key implementation decisions involve worker training, retention, and adaptable curricula to ensure effective ECD programs.

Keywords:
child healthearly child developmentevaluationhealth systemsimplementation

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Area of Science:

  • Global Health
  • Developmental Psychology
  • Public Health Interventions

Background:

  • WHO recommends responsive caregiving and early learning (RCEL) for early child development (ECD).
  • Implementation in low and middle-income countries (LMICs) needs evidence on human resources and curricula.
  • Data from the Grand Challenges Canada Saving Brains ECD portfolio was used.

Purpose of the Study:

  • To describe human resources and curricula content for RCEL projects in diverse LMICs.
  • To identify key factors for successful RCEL implementation.

Main Methods:

  • Mixed methods evaluation of 32 RCEL projects across 17 LMICs.
  • Quantitative data from standardized reporting tools.
  • Qualitative data from ECD experts and stakeholders analyzed via thematic content analysis.

Main Results:

  • Human resource themes: worker characteristics, incentives, retention, training, supervision.
  • Curricula themes: adaptation, fidelity, duration, dosage.
  • Project heterogeneity due to lack of standard ECD package; integration challenges exist.

Conclusions:

  • Identified themes for policymakers on RCEL implementation in LMICs.
  • Need for larger studies with impact, process, and costing evaluations for national/regional scale-up.
  • Supportive training, supervision, incentives, retention, dosage, and delivery are crucial.