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Comparing China REACH and the Jamaica Home Visiting Program.

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Early childhood interventions like China REACH show comparable skill development to Jamaica

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Area of Science:

  • Child Development
  • Global Health
  • Education Policy

Background:

  • Delayed child skill development is prevalent in low- and middle-income countries.
  • There is a need for effective, low-cost early childhood development strategies.
  • The Jamaica Reach Up and Learn program is a successful home-visiting intervention.

Purpose of the Study:

  • To evaluate the effectiveness of the China REACH program, a replication of the Jamaica Reach Up and Learn intervention.
  • To compare child skill growth profiles between the China REACH and Jamaica interventions.
  • To assess the scalability and cost-effectiveness of the intervention in diverse settings.

Main Methods:

  • Utilized a modified Rasch model to anchor assessment scores across different programs.
  • Compared child skill growth curves between the China REACH and Jamaica interventions.
  • Analyzed treatment effect sizes and skill growth patterns for treatment and control groups.

Main Results:

  • Language skill growth curves were comparable across both the China REACH and Jamaica interventions.
  • No statistically significant differences were found in skill growth curves between the two programs.
  • The China REACH intervention demonstrated significant improvements in multiple child skills.

Conclusions:

  • The Jamaican curriculum can be effectively scaled to larger populations, as shown by the China REACH program.
  • Intervention effect sizes and skill growth are comparable across different cultural settings and scales.
  • Early childhood interventions are a worthwhile investment, with annual costs around $500 per child.