Estimates of a multidimensional index of nurturing care in the next 1000 days of life for children in low-income and middle-income countries: a modelling study

McCoy, Dana Charles; Seiden, Jonathan; Cuartas, Jorge; Pisani, Lauren; Waldman, Marcus

doi:10.1016/s2352-4642(22)00076-1

Cited by 35 publications

(45 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The two surveys are highly comparable due to their similar sampling design, implementation procedure, and measurement strategies [ 27 ]. They have been regularly used together in tracking progress in child and maternal health by researchers as well as international and national agencies [ 28 – 31 ]. Both DHS and MICS surveys follow a two-stage, stratified cluster sampling approach.…”

Section: Methodsmentioning

confidence: 99%

Assessing the prevalence of young children living in households prepared for COVID-19 in 56 low- and middle-income countries

Luan

Naicker

et al. 2022

glob health res policy

View full text Add to dashboard Cite

Background The COVID-19 pandemic and governments’ attempts to contain it are negatively affecting young children’s health and development in ways we are only beginning to understand and measure. Responses to the pandemic are driven largely by confining children and families to their homes. This study aims to assess the levels of and associated socioeconomic disparities in household preparedness for protecting young children under the age of five from being exposed to communicable diseases, such as COVID-19, in low- and middle-income countries (LMICs). Methods Using data from nationally representative household surveys in 56 LMICs since 2016, we estimated the percentages of young children under the age of five living in households prepared for communicable diseases (e.g., COVID-19) and associated residential and wealth disparities at the country- and aggregate-level. Preparedness was defined on the basis of space for quarantine, adequacy of toilet facilities and hand hygiene, mass media exposure at least once a week, and phone ownership. Disparities within countries were measured as the absolute gap in two domains—household wealth and residential area - and compared across regions and country income groups. Results The final data set included 766,313 children under age five. On average, 19.4% of young children in the 56 countries lived in households prepared for COVID-19, ranging from 0.6% in Ethiopia in 2016 to 70.9% in Tunisia in 2018. In close to 90% of countries (50), fewer than 50% of young children lived in prepared households. Young children in rural areas or in the poorest households were less likely to live in prepared households than their counterparts. Conclusions A large portion of young children under the age of five in LMICs were living in households that did not meet all preparedness guidelines for preventing COVID-19 and caring for patients at home. This study highlights the need to ensure all families in LMICs have the means to prevent the spread of the pandemic or other communicable illnesses to young children during pandemics.

show abstract

Section: Methodsmentioning

confidence: 99%

Assessing the prevalence of young children living in households prepared for COVID-19 in 56 low- and middle-income countries

Luan

Naicker

et al. 2022

glob health res policy

View full text Add to dashboard Cite

show abstract

“…Globally, violent punishment (euphemistically called violent “discipline”) inflicted by mothers, fathers, and other main caregivers in the home is the most common form of violence against children younger than five [ 5 , 6 , 7 ]. Indeed, more than 220 million—or about 2 out of 3—children aged 2–4 years living in low- and- middle-income countries (LMICs) experienced physical punishment or psychological aggression in the home before the COVID-19 pandemic [ 8 , 9 ]. Recent evidence indicates that VAC, including violent punishment, increased amid the pandemic [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The Apapacho Violence Prevention Parenting Program: Conceptual Foundations and Pathways to Scale

Cuartas

Baker‐Henningham²,

Cepeda³

et al. 2022

IJERPH

Self Cite

View full text Add to dashboard Cite

Violence against children (VAC) is a major global issue with long-lasting negative consequences on individuals and societies. The present study presents a review of the literature on drivers of VAC and the core components of evidence-based violence prevention programs. Moreover, it analyzes the existing services and social infrastructure in Colombia to rigorously inform the design of the Apapacho violence prevention parenting program for families with children younger than five targeted toward Colombia. Findings indicate that (1) VAC in Colombia is a multidimensional issue with roots at the individual, family, community, and society levels, (2) evidence-based violence prevention programs share a common set of content and delivery strategies that could inform the components of the Apapacho program, and (3) there is an urgent need for scalable and flexible violence prevention programs for families with young children in Colombia. Considering existing evidence, the Apapacho violence prevention parenting program will be designed using ecological, developmental, and neuroscience-informed perspectives. This article concludes by presenting the initial components of the theory of change and discussing future directions for the design of the Apapacho program and other violence prevention interventions in LMICs.

show abstract

“…Article 19 of the Convention of the Rights of the Child states that children have the right to be protected from "all forms of physical and mental violence" and VAC is a clear violation of children's rights. VAC has long-term negative effects on children's physical and mental health and academic achievement and increases the risk for later perpetration of child and spousal abuse thus leading to an intergenerational cycle of violence (1,2,(4)(5)(6). There are also large economic costs associated with VAC.…”

Section: Introductionmentioning

confidence: 99%

“…This need has been recognised at the national level -Jamaica is a pathfinder country in the Global Partnership to End Violence Against Children and the government has launched 'The National Plan of Action for an Integrated Response to Children and Violence' (18). To respond to the need for violence-prevention programming, we have developed, implemented, and evaluated two early childhood programmes to reduce VAC at school and at home: (1) the Irie Classroom Toolbox: a teacher-training programme (17, 19), and (2) the Irie Homes Toolbox: a parenting programme (20,21).…”

Section: Introductionmentioning

confidence: 99%

“…Violence against children (VAC) is a global public health problem with high prevalence in low- and middle-income countries (LMIC). Two thirds of children aged 2–4 years living in LMIC, equivalent to more than 220 million children, experience physical punishment or psychological aggression at home ( 1 , 2 ). Over half a billion children each year experience violence in and around schools, including VAC by teachers ( 3 ).…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Irie Classroom Toolbox: Mixed method assessment to inform future implementation and scale-up of an early childhood, teacher-training, violence-prevention programme

Bowers

Francis

Baker‐Henningham

2022

Front. Public Health

View full text Add to dashboard Cite

IntroductionViolence against children (VAC) is a violation of child rights, has high prevalence in low- and middle-income countries, is associated with long-term negative effects on child functioning, and with high economic and social costs. Ending VAC at home and at school is thus a global public health priority.MethodsIn Jamaica, we evaluated an early childhood, teacher-training, violence-prevention programme, (the Irie Classroom Toolbox), in a cluster-randomised trial in 76 preschools. The programme led to large reductions to teachers' use of VAC, although the majority of teachers continued to use VAC at times. In this paper, we describe a mixed-method evaluation of the Irie Classroom Toolbox in the 38 Jamaican preschools that were assigned to the wait-list control group of the trial. In a quantitative evaluation, 108 preschool teachers in 38 preschools were evaluated at pre-test and 91 teachers from 37 preschools were evaluated at post-test. One preschool teacher from each of these 37 preschools were randomly selected to participate in an in-depth interview as part of the qualitative evaluation.ResultsPreschool teachers were observed to use 83% fewer instances of VAC across one school day after participating in the programme, although 68% were observed to use VAC at least once across two days. The qualitative evaluation confirmed these findings with all teachers reporting reduced use of violence, but 70% reporting continued use of VAC at times. Teachers reported that the behaviour change techniques used to deliver the intervention increased their motivation, knowledge and skills which in turn led to improved child behaviour, improved relationships and improved professional well-being. Direct pathways to reduced use of VAC by teachers were through improved child behaviour and teacher well-being. The main reasons for continued use of VAC were due to barriers teachers faced using positive discipline techniques, teachers' negative affect, and child behaviours that teachers perceived to be severe.DiscussionWe describe how we used the results from the mixed-method evaluation to inform revisions to the programme to further reduce teachers' use of VAC and to inform the processes of training, supervision and ongoing monitoring as the programme is scaled-up through government services.

show abstract

Estimates of a multidimensional index of nurturing care in the next 1000 days of life for children in low-income and middle-income countries: a modelling study

Cited by 35 publications

References 16 publications

Assessing the prevalence of young children living in households prepared for COVID-19 in 56 low- and middle-income countries

Assessing the prevalence of young children living in households prepared for COVID-19 in 56 low- and middle-income countries

The Apapacho Violence Prevention Parenting Program: Conceptual Foundations and Pathways to Scale

The Irie Classroom Toolbox: Mixed method assessment to inform future implementation and scale-up of an early childhood, teacher-training, violence-prevention programme

Contact Info

Product

Resources

About