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Scaling parenting programs for early child development in four low- and middle-income countries
Frances Aboud1, Carina Omoeva2, Rafael Contreras Gomez2
1Department of Psychology, McGill University, Montreal, QC, Canada.
Scaling parenting programs requires early planning for design, workforce, and government buy-in. Successful scale depends on implementation research and eight key indicators for horizontal and vertical expansion.
Area of Science:
- Global Health
- Developmental Psychology
- Public Health Policy
Background:
- Meta-analyses confirm parenting programs' value for child development in low- and middle-income countries.
- Scaling these programs horizontally and vertically remains under-documented.
- This study investigates enablers and barriers to scaling parenting programs in Bhutan, Rwanda, Serbia, and Zambia.
Purpose of the Study:
- To identify critical factors enabling or hindering the scale-up of established parenting programs.
- To analyze both horizontal (wider reach) and vertical (system integration) scaling processes.
- To provide evidence-based recommendations for effective program scaling.
Main Methods:
- Multi-method data collection over four years by an independent research organization.
- In-depth interviews with technical teams, providers, and government stakeholders.
- Phone surveys with program providers and content analysis of qualitative data.
Main Results:
- Horizontal scale enablers: adaptable program design, trained existing workforce, community need, and advocacy for demand.
- Vertical scale enablers: government adoption, system integration, and multisectoral stakeholder engagement.
- Eight indicators identified for successful scale: demand, reach, equity, workforce, multisectorality, adoption, policy/finance, and integration.
Conclusions:
- Strategic planning for scale must begin at program inception, focusing on design, workforce, and government ownership.
- Continuous implementation research is vital for adaptive management and course correction.
- Utilizing eight defined indicators can effectively evaluate the success of scaled parenting programs.
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