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Related Experiment Video

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The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
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The Dutch Solid Start program: describing the implementation and experiences of the program's first thousand days.

Joyce M Molenaar1,2, Inge C Boesveld3, Jeroen N Struijs3,4

  • 1Department of Quality of Care and Health Economics, Centre for Nutrition, Prevention and Health Services, National Institute for Public Health and the Environment (RIVM), 3721, MA, Bilthoven, the Netherlands. Joyce.molenaar@rivm.nl.

BMC Health Services Research
|August 30, 2023
PubMed
Summary

The Dutch Solid Start program improved cross-sectoral collaboration for the first thousand days of life. Sustainable funding and supportive regulations are crucial for its long-term success.

Keywords:
Cross-sectoral collaborationFirst thousand daysHealth inequitiesIntegrated careMaternal and child healthRainbow Model of Integrated CareSolid Start program

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Area of Science:

  • Public Health
  • Social Policy
  • Child Development

Background:

  • The Dutch Solid Start program, initiated in 2018, targets the first thousand days of life (preconception to age two).
  • It aims to improve child well-being, especially for vulnerable families, by enhancing medical and social sector collaboration.
  • Key to the program are Solid Start coalitions designed to foster inter-sectoral partnerships.

Purpose of the Study:

  • To evaluate the implementation of the Dutch Solid Start program.
  • To assess the extent of Solid Start implementation across municipalities.
  • To understand stakeholders' experiences with program implementation and cross-sectoral collaboration.

Main Methods:

  • Quantitative data collected via questionnaires from 352 Dutch municipalities (2019-2021).
  • Qualitative data gathered through focus groups (n=6) and interviews (n=19) with diverse stakeholders.
  • Analysis employed descriptive statistics for quantitative data and the Rainbow Model of Integrated Care for qualitative data.

Main Results:

  • Solid Start coalitions grew significantly (40 in 2019 to 140 in 2021), increasing cross-sectoral collaboration.
  • Stakeholders reported increased urgency regarding the first thousand days and improved professional relationships.
  • Barriers included limited resources and regulations; needs identified were sustainable funding, supportive policies, and client involvement.

Conclusions:

  • Solid Start has driven incremental improvements in cross-sectoral care for the first thousand days.
  • The program has not fundamentally transformed systemic structures.
  • Addressing needs like sustainable funding is vital for program longevity and impact.