A qualitative analysis of the nurturing care environment of families participating in Brazil's Criança Feliz early childhood program.
A qualitative analysis of the nurturing care environment of families participating in Brazil's Criança Feliz early childhood program.
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DOI：
10.1371/journal.pone.0288940
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发表时间：
2023
期刊：
影响因子：
3.7
通讯作者：
中科院分区：
文献类型：
--
作者：
投资巴西的Criança Feliz计划（PCF）等幼儿计划，支持低收入家庭提供养育护理环境，对于确保儿童充分发挥发展潜力至关重要。我们的目的是分析PCF的影响，在联邦区，巴西参加该计划的家庭提供的养育护理环境。一个定性的个案研究进行了深入的访谈的基础上，有目的的抽样22名照顾者参加了至少六个月的PCF。根据养育护理框架的五个组成部分（即，良好的健康、充足的营养、反应灵敏的护理、早期学习以及安保和安全）。照料者认识到儿童保健框架对儿童心理健康（健康良好）的好处，并报告了由于粮食不安全（充足营养）而在提供充足营养方面的挑战。家访者和家庭之间的联系被认为是促进响应式育儿做法（响应式护理）的关键。护理人员赞赏PCF家访期间提供的早期刺激活动（早期学习的机会）。通过方案协调基金多部门行动（安全和安保），促进了获得社会福利方案，如有条件现金转移和粮食援助。另一方面，家庭报告说，在母乳喂养、产妇心理健康和惩戒做法等问题上没有得到PCF的支持。总括而言，基金加强了家庭所提供的培育照顾环境的组成部分。然而，这些家庭的脆弱性和背景执行障碍可能会阻碍家庭充分受益于项目合作框架的活动。
Investing in early childhood programs such as Brazil’s Criança Feliz Program (PCF) to support low-income families in providing a nurturing care environment is critical to ensure that children reach their full developmental potential. We aimed to analyze the influence of the PCF on the nurturing care environment provided by families enrolled in the program in the Federal District, Brazil. A qualitative case study was conducted based on in-depth interviews with a purposive sampling of 22 caregivers enrolled in the PCF for at least six months. Eighteen subthemes emerged from the thematic analysis following the five components of the Nurturing Care Framework (i.e., good health, adequate nutrition, responsive care, early learning, and security and safety). Caregivers recognized the benefits of the PCF on children’s mental health (good health) and reported challenges in providing adequate nutrition due to food insecurity (adequate nutrition). A bond between the home visitor and families was identified as critical to promote responsive parenting practices (responsive care). Caregivers appreciated the early stimulation activities provided during PCF home visits (opportunities for early learning). Access to social welfare programs, such as conditional cash transfer and food assistance, were facilitated through PCF multisectoral actions (safety and security). On the other hand, families reported not receiving support from PCF for issues such as breastfeeding, maternal mental health, and disciplinary practices. In summary, PCF enhanced the components of the nurturing care environment provided by families. However, their vulnerabilities and contextual implementation barriers may prevent families from fully benefiting from PCF activities.
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影响因子：
3.4
作者：
Pedroso J;Buccini G;Venancio SI;Pérez-Escamilla R;Gubert MB
通讯作者：
Gubert MB
影响因子：
4.6
作者：
Cabrera, NJ;Tamisk-LeMonda, CS;Lamb, ME
通讯作者：
Lamb, ME
影响因子：
5.2
作者：
Buccini G;Venancio SI;Pérez-Escamilla R
通讯作者：
Pérez-Escamilla R
影响因子：
15.8
作者：
Bliznashka L;Udo IE;Sudfeld CR;Fawzi WW;Yousafzai AK
通讯作者：
Yousafzai AK
影响因子：
1.9
作者：
Lucas, J. E.;Richter, L. M.;Daelmans, B.
通讯作者：
Daelmans, B.