Chile Crece Contigo: Implementation, results, and scaling‐up lessons

Torres, Alberto; Bóo, Florencia López; Parra, Victoria Sandoval; Vazquez, Carmen Inoa; Segura‐Pérez, Sofía; Çetin, Zeynep; Pérez‐Escamilla, Rafael

doi:10.1111/cch.12519

Cited by 27 publications

(31 citation statements)

References 2 publications

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“…The four case studies to which the CAS analysis was applied are presented in detail in this special issue and briefly summarized in the succeeding texts (Khan et al ; Rao & Kaul ; (Richter and Samuels, ); Torres et al ).…”

Section: Summary Of Each Programmementioning

confidence: 99%

“…Chile Crece Contigo's (ChCC) point of entry is prenatal care in public hospitals and currently reaches about 80% of the target population. During the first semester of 2015, ChCC has served 97 947 pregnant women and 668 308 children from birth to age 4 since it was initiated (Torres et al ). The Biopsychosocial Development Support Programme includes access to maternal‐child primary health care, screening and referrals for children with developmental delays and care for hospitalized children.…”

Section: Summary Of Each Programmementioning

confidence: 99%

“…As reported in this special issue, there are more than 30 studies on ChCC, with different methodologies and approaches, including both qualitative and quantitative user satisfaction, impact and process studies (Torres et al ). The findings have shown positive effects on child development, both generally and specifically in the area of social development.…”

Section: Summary Of Each Programmementioning

confidence: 99%

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Scaling up Integrated Early Childhood Development programs: lessons from four countries

Pérez‐Escamilla

Cavallera

Tomlinson

et al. 2017

Child

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Background There is still limited knowledge regarding the translation of early child development (ECD) knowledge into effective policies and large-scale programmes. A variety of frameworks that outline the key steps in scaling up exist, but we argue that taking a complex adaptive systems (CAS) approach assists in understanding the complex, dynamic processes that result in programmes being taken to scale. Objectives The objective of this study is to examine the process of scaling up four major countrylevel ECD programmes through the application of a CAS framework. Methods Nine key informants with a deep knowledge of how each ECD programme was established and brought to scale were interviewed via Skype or phone by using open-ended interviews. The interviews were tape recorded and then transcribed verbatim for subsequent coding by using CAS domains. The coding and integration of the results to identify unique and common CAS scaling up features across the case studies involved an iterative process of reaching consensus. Results The scaling up of all four programmes behaved as a CAS including as follows: (i) positive feedback loops (five themes) and negative feedback loops (two themes); (ii) scale-free networks (two themes); (iii) phase transitions (four themes); (iv) path dependence (two themes); and (v) emergent behaviour (six themes). Five additional themes were identified for sustainability, which was repeatedly mentioned as an important consideration when deciding how to scale up programmes. Conclusions CAS analysis is likely to improve our understanding of how effective ECD programmes become scaled up. Prospective CAS implementation research is needed to continue advancing the knowledge in the field.

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Section: Summary Of Each Programmementioning

confidence: 99%

Section: Summary Of Each Programmementioning

confidence: 99%

Section: Summary Of Each Programmementioning

confidence: 99%

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Scaling up Integrated Early Childhood Development programs: lessons from four countries

Pérez‐Escamilla

Cavallera

Tomlinson

et al. 2017

Child

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“…Other mechanisms are in place to ensure that those in lower income groups have access to care without high cost barriers to care ( fig 1 , box 3 ). 20 21 …”

Section: Methodsmentioning

confidence: 99%

Scaling up an early childhood development programme through a national multisectoral approach to social protection: lessons from Chile Crece Contigo

Milman

Acuña-Castillo

Sansotta

et al. 2018

BMJ

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“…A strong vertical alignment (as well as horizontal) is present in Chile Crece Contigo, where the program is coordinated by the Ministry of Social Development which also has local representation in regional secretaries of social development. 27 In Peru, the program Cuna Más operates under a voluntary partnership between the government and communities, with the local communities monitoring local operations and administering program resources. 28 Actions that would fall under this critical aspect include (Table 3) investment in capacity at all levels of government and participation from all levels in the development of the strategy which would support scalability and implementation, coordination with interinstitutional agreements, and a communication plan common across levels.…”

Section: Critical Aspect 2: Vertical Alignment-from National To Localmentioning

confidence: 99%

Building capacity in health and education systems to deliver interventions that strengthen early child development

Nores¹,

Fernández

2018

Annals of the New York Academy of Sciences

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Building capacity within health and education systems of low- and middle-income countries in order to deliver high-quality early childhood services requires coordinated efforts across sectors, effective governance, sufficient funding, an adequate workforce, reliable data systems, and continuous monitoring, evaluation, and improvement cycles; it also requires partnerships with the private sector, communities, and parents. In addition, building capacity requires leadership, innovation of strategies to fit into existing structures, evidence-based intervention models, and effective partnerships that help make interventions more culturally relevant, help finance them, and help create institutional long-term support and sustainability for them. In this article, we focus on identifying eight critical aspects of enabling systemic support for early childhood services. Every action that strengthens these critical aspects should be seen as necessary, but insufficient, steps toward a national strong governance structure for delivering a locally relevant and comprehensive early child development program that promotes children's developmental potentials.

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Chile Crece Contigo: Implementation, results, and scaling‐up lessons

Abstract: Background Chile Crece Contigo (ChCC) is defined as a comprehensive, intersectoral, and

Cited by 27 publications

References 2 publications

Scaling up Integrated Early Childhood Development programs: lessons from four countries

Scaling up Integrated Early Childhood Development programs: lessons from four countries

Scaling up an early childhood development programme through a national multisectoral approach to social protection: lessons from Chile Crece Contigo

Building capacity in health and education systems to deliver interventions that strengthen early child development

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