Child Development 2 Strategies for reducing inequalities and improving developmental outcomes for young children in low-income and middle-income countries

Child Development 2 Strategies for reducing inequalities and improving developmental outcomes for young children in low-income and middle-income countries
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DOI:
10.1016/s0140-6736(11)60889-1
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发表时间:
2011-10-08
期刊:
影响因子:
168.9
通讯作者:
Iltus, Selim
Iltus, Selim
中科院分区:
医学1区
文献类型:
--
作者:
Engle, Patrice L.;Fernald, Lia C. H.;Iltus, Selim

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本报告是关于低收入和中等收入国家儿童早期发展的系列报告之二,评估了儿童早期发展干预措施的有效性,如育儿支持和学前教育入学率。所审查的证据表明,通过这些干预措施可以改善儿童早期发展,对质量较高的方案和最脆弱的儿童产生更大的影响。促进幼儿发展的其他有希望的干预措施包括儿童教育媒体、针对高危儿童的干预措施,以及将促进幼儿发展与有条件的现金转移方案相结合。对幼儿发展的有效投资有可能减少因贫穷、营养不良和学习机会有限而长期存在的不平等现象。在每个低收入和中等收入国家,将学前教育入学率提高到25%或50%的潜在长期经济影响的模拟模型显示,收益成本比从6.4到17.6不等,这取决于学前教育入学率和折扣率。
This report is the second in a Series on early child development in low-income and middle-income countries and assesses the effectiveness of early child development interventions, such as parenting support and preschool enrolment. The evidence reviewed suggests that early child development can be improved through these interventions, with effects greater for programmes of higher quality and for the most vulnerable children. Other promising interventions for the promotion of early child development include children's educational media, interventions with children at high risk, and combining the promotion of early child development with conditional cash transfer programmes. Effective investments in early child development have the potential to reduce inequalities perpetuated by poverty, poor nutrition, and restricted learning opportunities. A simulation model of the potential long-term economic effects of increasing preschool enrolment to 25% or 50% in every low-income and middle-income country showed a benefit-to-cost ratio ranging from 6.4 to 17.6, depending on preschool enrolment rate and discount rate.