Improving the quality of early childhood care at scale: The effects of "From Zero to Forever"
Improving the quality of early childhood care at scale: The effects of "From Zero to Forever"
复制标题
DOI：
10.1016/j.worlddev.2019.02.012
复制
发表时间：
2019-06-01
影响因子：
6.9
通讯作者：
Maria Ramirez, Sara
中科院分区：
文献类型：
--
作者：
Bernal, Raquel;Maria Ramirez, Sara
发展中国家的重点正在从增加获得幼儿保育服务的机会转向提高其质量。鉴于将幼儿发展纳入联合国可持续发展目标，出现了一种全球呼声，要求制定整合营养、健康和发展组成部分的幼儿方案。然而，发展中国家对儿童早期综合干预措施的大规模研究很少，因此，人们对其有效性和可持续性知之甚少。在本文中，我们通过分析2011至2013年间哥伦比亚“从零到永远”的国家幼儿战略的扩展，研究了大规模扩大包括护理、教育、卫生和营养在内的一揽子综合服务对儿童生长和发展的直接和中期影响。结果表明，更多地获得以中心为基础的综合护理对词汇量有很大的直接影响，并在干预后持续五年，而对营养状况的影响较小。(C)2019爱思唯尔有限公司。保留所有权利。
The focus in developing countries is shifting from increasing access to early childhood care services to improving its quality. In light of the inclusion of early childhood development in the UN Sustainable Development Goals, there has emerged a global call for early childhood programs that integrate nutrition, health and development components. However, large-scale studies of integrated early childhood interventions are scarce in developing countries, and thus, little is known about its effectiveness and sustain ability. In this paper we study the immediate and medium-run effects of a large-scale expansion of an integrated package of services including care, education, health and nutrition on child growth and development, by analyzing the expansion of the Colombian national early childhood strategy known as "From Zero to Forever" between 2011 and 2013. The results indicate that the increased access to integrated center-based care had a large immediate effect on vocabulary that persists five years into the intervention, and less robust effects on nutritional status. (C) 2019 Elsevier Ltd. All rights reserved.