The principles of Nurturing Care promote human capital and mitigate adversities from preconception through adolescence.

The principles of Nurturing Care promote human capital and mitigate adversities from preconception through adolescence.
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DOI:
10.1136/bmjgh-2020-004436
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发表时间:
2021-04
期刊:
影响因子:
8.1
通讯作者:
Yoshikawa H
Yoshikawa H
中科院分区:
医学2区
文献类型:
--
作者:
Black MM;Behrman JR;Daelmans B;Prado EL;Richter L;Tomlinson M;Trude ACB;Wertlieb D;Wuermli AJ;Yoshikawa H

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需要一个全面的基于证据的框架来指导政策和计划,使儿童和青少年能够积累实现可持续发展目标(SDG)所需的人力资本。本文以养育框架(NCF)为基础,提出了一个全面、多部门、多层次的人力资本发展生命历程概念,该框架最初是为 3 岁以下的成长和发展的基础期而开发的。养育照护 (NC) 包括稳定的环境,促进儿童的健康和营养,防止威胁,并提供学习和反应性、情感支持和发展丰富的关系的机会。 NC 是由家庭、社区、服务、国家政策等因素促成的。这些原则适用于整个生命周期,支持公平和人权,并促进长期人力资本。本文提出了基于证据的论证,将 NCF 从受孕前延伸到青春期(0-20 岁),分为六个发展阶段:受孕前/产前、新生儿/出生、婴儿/幼儿期、学前、儿童中期和青春期。拟议的框架通过促进复原力和适应性发展轨迹,同时减轻逆境的负面影响,在每个发展时期提高人力资本。实现可持续发展目标取决于加强人力资本形成,贯穿整个儿童期和青少年期,并得到 NC 的支持。动态的NCF组成部分嵌入有利的法律​​、政策和服务中,可以减轻逆境,增强复原力并促进边缘化群体的福祉。 NCF生命周期延伸的战略定位是增强人力资本,实现可持续发展目标,并确保儿童或青少年在发挥其发展潜力方面不落后。
A comprehensive evidence-based framework is needed to guide policies and programmes that enable children and adolescents to accrue the human capital required to meet the Sustainable Development Goals (SDGs). This paper proposes a comprehensive, multisectoral, multilevel life-course conceptualisation of human capital development by building on the Nurturing Care Framework (NCF), originally developed for the foundational period of growth and development through the age 3 years. Nurturing care (NC) comprises stable environments that promote children’s health and nutrition, protect from threats, and provide opportunities for learning and responsive, emotionally supportive and developmentally enriching relationships. NC is fostered by families, communities, services, national policies and beyond. The principles apply across the life course, endorse equity and human rights, and promote long-term human capital. This paper presents an evidence-based argument for the extension of the NCF from preconception through adolescence (0–20 years), organised into six developmental periods: preconception/prenatal, newborn/birth, infancy/toddlerhood, preschool, middle childhood and adolescence. The proposed framework advances human capital within each developmental period by promoting resilience and adaptive developmental trajectories while mitigating negative consequences of adversities. Attaining the SDGs depends on strengthening human capital formation, extending throughout childhood and adolescence and supported by NC. Embedded in enabling laws, policies and services, the dynamic NCF components can mitigate adversities, enhance resilience and promote the well-being of marginalised groups. The life-course extension of the NCF is strategically positioned to enhance human capital, to attain the SDGs and to ensure that children or adolescents are not left behind in reaching their developmental potential.
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发表时间: 2017-01-07
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期刊: The Lancet. Global health
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期刊: Lancet (London, England)
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发表时间: 2016-10-01
期刊: PEDIATRIC OBESITY
影响因子: 3.8
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