Nairobi Early Childcare in Slums (NECS) Study Protocol: a mixed-methods exploration of paid early childcare in Mukuru slum, Nairobi.
Nairobi Early Childcare in Slums (NECS) Study Protocol: a mixed-methods exploration of paid early childcare in Mukuru slum, Nairobi.
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DOI：
10.1136/bmjpo-2020-000822
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发表时间：
2020
影响因子：
2.6
通讯作者：
Kirkwood BR
中科院分区：
文献类型：
--
作者：
Hughes RC;Kitsao-Wekulo P;Bhopal S;Kimani-Murage EW;Hill Z;Kirkwood BR
最初的几年很关键。早期护理可以为终身受益的人力资本积累奠定基础。相反，早期的逆境会破坏大脑发育、学习和未来的收入。贫民窟是早年最具挑战性的地方之一，也是很难照顾孩子的地方。家庭和工作结构的变化意味着，对于在快速城市化的非洲长大的许多学龄前儿童来说，基本上是非正式的有偿托儿似乎正在成为一种“新常态”。然而，人们对这种托儿服务的质量知之甚少。建立对内罗毕典型贫民窟采用何种托儿策略以及为什么使用托儿策略的严格理解，特别关注付费托儿服务的提供和质量。通过这项工作，为质量评估和干预措施的设计和实施提供信息，这些干预措施有可能在生命过程中最关键的时候接触到一些最脆弱的儿童。将采用混合方法。与父母/照顾者的定性研究(深入访谈和焦点小组讨论)将探讨儿童保育的需要和决策。一项(对480个家庭的)家庭调查将估计父母/照顾者使用不同的育儿策略以及相关的父母/照顾者的特点。随后，将对儿童保育提供者进行测绘和调查，以记录和评估当前付费儿童保育的质量。半结构化观察将通过可观察的特征/实践来增强自我报告的质量。最后，与儿童保育提供者的深入访谈和焦点小组讨论将探讨他们的行为和动机。定性数据将通过专题分析和跨方法三角测量进行分析。将通过流行病学方法(随机效应、回归模型和空间统计)分析定量和空间数据。英国和肯尼亚已经批准了合乎道德的批准。调查结果将通过期刊出版物、社区和政府利益攸关方研讨会、政策简报和社交媒体内容进行传播。
The early years are critical. Early nurturing care can lay the foundation for human capital accumulation with lifelong benefits. Conversely, early adversity undermines brain development, learning and future earning. Slums are among the most challenging places to spend those early years and are difficult places to care for a child. Shifting family and work structures mean that paid, largely informal, childcare seems to be becoming the ‘new normal’ for many preschool children growing up in rapidly urbanising Africa. However, little is known about the quality of this childcare. To build a rigorous understanding what childcare strategies are used and why in a typical Nairobi slum, with a particular focus on provision and quality of paid childcare. Through this, to inform evaluation of quality and design and implementation of interventions with the potential to reach some of the most vulnerable children at the most critical time in the life course. Mixed methods will be employed. Qualitative research (in-depth interviews and focus group discussions) with parents/carers will explore need for and decision-making about childcare. A household survey (of 480 households) will estimate the use of different childcare strategies by parents/carers and associated parent/carer characteristics. Subsequently, childcare providers will be mapped and surveyed to document and assess quality of current paid childcare. Semistructured observations will augment self-reported quality with observable characteristics/practices. Finally, in-depth interviews and focus group discussions with childcare providers will explore their behaviours and motivations. Qualitative data will be analysed through thematic analysis and triangulation across methods. Quantitative and spatial data will be analysed through epidemiological methods (random effects regression modelling and spatial statistics). Ethical approval has been granted in the UK and Kenya. Findings will be disseminated through journal publications, community and government stakeholder workshops, policy briefs and social media content.
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DOI：
10.1016/s2214-109x(16)30266-2
发表时间：
2016-12
期刊：
The Lancet. Global health
影响因子：
--
作者：
Lu C;Black MM;Richter LM
通讯作者：
Richter LM
影响因子：
1.6
作者：
Clark, Shelley;De Almada, Midanna;Wanjohi, Milka
通讯作者：
Wanjohi, Milka
影响因子：
4
作者：
Bakibinga, Pauline;Kabaria, Caroline;Yeboah, Godwin
通讯作者：
Yeboah, Godwin
DOI：
10.3329/jhpn.v28i1.4520
发表时间：
2010-02
期刊：
Journal of health, population, and nutrition
影响因子：
--
作者：
Hamadani JD;Tofail F;Hilaly A;Huda SN;Engle P;Grantham-McGregor SM
通讯作者：
Grantham-McGregor SM
影响因子：
3.7
作者：
Kimani-Murage EW;Muthuri SK;Oti SO;Mutua MK;van de Vijver S;Kyobutungi C
通讯作者：
Kyobutungi C