社区参与早期儿童发展干预试验:从印度农村的基石计划中吸取经验教训
Zahiruddin Quazi Syed1, Shital Telrandhe2, Penny A Holding3
1Datta Meghe Institute of Higher Education and Research Deemed to be University, Department of Community Medicine, Jawaharlal Nehru Medical College, Wardha, Maharashtra, India.
Frontiers in public health
|August 21, 2025
概括
脚石计划通过社区参与改善了印度农村的早期儿童发展. 这种适应性方法带来了显著的收益, 特别是对于弱势儿童, 证明了培养护理的可扩展模式.
科学领域:
- 全球健康
- 发展心理学
- 基于社区的干预
背景情况:
- 在资源乏的环境中,儿童早期发展 (ECD) 干预需要适应情境的战略.
- 印度农村的脚石计划旨在通过社区参与增强家长和儿童发展.
- 这项研究提供了可扩展的,社区拥有的ECD模型的见解.
研究的目的:
- 评估步骤计划对育儿实践和儿童发展成果的影响.
- 评估社区驱动的,适应性的ECD干预框架的有效性.
- 在资源有限的环境中提供可扩展的护理模式.
主要方法:
- 在印度马哈拉施特拉邦的106个村庄进行集群随机对照试验,其中656名孕妇参加了试验.
- 干预集群接受了与干服务相结合的响应式育儿和营养计划.
- 社区参与利用参与式规划,Photostory和专门的委员会;结果在24个月后使用混合效应模型进行评估.
主要成果:
- 社区参与度高 (85%的家庭参与,70%的家庭定期参加) 和父亲参与度增加 (4.3%至33.65%).
- 当地的志愿者 (Balsakhis) 提供了超过80%的会议;与政府系统的整合得到了实现.
- 在24个月的儿童发育得分有显著的改善 (p>0.05),在最低财富五分位数的儿童的认知,运动和语言领域取得了最大的进步.
结论:
- 参与的社区参与对于在资源乏的环境中成功的ECD干预至关重要.
- 脚石计划发展成为一个由社区驱动的平台,
- 这些发现支持建立公平,可持续和可扩展的ECD干预的适应性框架.
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