IntroductionUniversal access to quality early childhood development and care is a fundamental part of Sustainable Development Goal 4.2.1. Research from diverse settings, including that in low and middle income countries, now demonstrates the positive impact that interventions to promote play, stimulation, early communication and responsiveness can have, not just on child development, but on long term gains in education and economic growth. International agencies have recently produced the Nurturing Care Framework for Early Child Development in order to promote this and to encourage countries to move the focus from child survival to child thrival. Research on the best methods of integration of these programmes into present care practices, particularly in African settings is still very limited.MethodsWe used qualitative methods to gain an understanding of care practices (play, developmental stimulation, early communication and responsive feeding) for children 0–2 years. We conducted 18 focus groups (FGDs), six PFGDs (Participatory Research focus groups), 18 in depth interviews (IDIs) and 20 observations with caregivers in rural and urban settings of Malawi. We used a topic guide, audio-recorded the FGDs and IDIS and transcribed them in Chichewa or Yao and then into English. We coded data using an inductive approach to thematic analysis. We placed the data within a framework with the emerging major and minor themes. We conducted quality assurance for translations and coding frameworks through cross comparison of data and used respondent validation to check our results.ResultsMalawian caregivers see children’s play as a consequence of good health and wellbeing, less an interaction that a parent undertakes to promote wellbeing and learning. Non-verbal communication and responsiveness with infants is clearly present and caregivers have many one-on-one interactions with young infants. Furthermore, many caregivers have good knowledge of feeding recommendations but cannot always follow these due to constraints on money. When children become mobile (toddlers), play is an activity done more often between children or with other caregivers such as siblings or grandparents.Community members consider that caring for children from 0–2 years is a woman’s domain. Despite this, both men and women acknowledge the importance of maternal wellbeing in enabling good care of children. The present socioeconomic situation of most families in our study means that income generation and food security come first. Many mothers spend most of their time managing the responsibilities of daily living and have limited time to dedicate to children’s play, responsiveness and communication with their children.DiscussionProgrammes promoted as part of the Nurturing Care Framework which provide advice on developmental stimulation, play, early communication and responsive feeding should ensure that topics within these programmes are culturally appropriate for the setting. Furthermore, programmes must not be an added burden to parents but be supportive to p...
Variation Management during the Product & Process Development can profoundly impact the quality, the cost of the product and the number of scraps in mass production… Designers want tight tolerances to ensure product performance; manufacturers prefer loose tolerances to reduce manufacturing and assembly cost. To analyse compromise solutions, the primary aim is to establish an objective function. This paper presents a model for the key indicators assessment to the relevance of variation management: cost, and investigates which model used in decision analysis is the most appropriate to prioritize and aggregate the predetermined performance measures. The applications of this model are demonstrated through an industrial case study where tolerance allocation, product development, problem is firstly addressed. Once optimized tolerances are attained, inspection planning, process development, problem is approached to ensure the optimized awaited quality level for the least cost.
Most of complex selection problems in real-life applications are considered under multiple conflicting attributes for manufacturing firms. The appropriate selection plays an important role in the firm's performance from the tactical and operational viewpoints. The classical methods for the selection problems in manufacturing firms are inadequate to deal with uncertainties, including insufficiency in information availability and the imprecise or vague nature in experts' judgments and preferences. To overcome these difficulties, this paper introduces a novel distance-based decision model for the multiattributes analysis by considering the concepts of intuitionistic fuzzy sets (IFSs), grey relations and compromise ratio approaches. A weighting method for the attributes is first developed based on a generalized version of the entropy and IFSs along with experts' judgments. Then, a new grey relational analysis is introduced to analyze the extent of connections between two potential scenarios by an intuitionistic fuzzy distance measurement. Finally, a new intuitionistic fuzzy compromise ratio index to prioritize the scenarios is proposed by considering the weight of the strategy for the maximum group utility in intuitionistic fuzzy grey environment. The feasibility and practicability of the proposed distance-based decision model is illustrated in detail, and it is implemented in a real case study to the inspection planning for the oil pump housing from Renault automobile manufacturing.
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