Protocol to develop sustainable day care for children aged 1-4 years in disadvantaged urban communities in Dhaka, Bangladesh.
Protocol to develop sustainable day care for children aged 1-4 years in disadvantaged urban communities in Dhaka, Bangladesh.
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DOI：
10.1136/bmjopen-2018-024101
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发表时间：
2018-08-01
期刊：
影响因子：
2.9
通讯作者：
Mashreky SR
中科院分区：
文献类型：
--
作者：
Das M;Elsey H;Shawon RA;Hicks J;Ferdoush J;Huque R;Fieroze F;Nasreen S;Wallace H;Mashreky SR
5岁以下儿童缺乏安全、刺激和促进健康的环境，阻碍了他们的身体、社会和认知发展，即幼儿发展。改善幼儿发展对儿童有影响，并能提高往往照顾年幼兄弟姐妹的女孩的教育程度，改善母亲的就业前景。制定和评价幼儿发展方案在儿童保育方面的影响，需要评估一系列社会、卫生、教育和经济影响，包括赋予妇女权力。生活在贫民窟的儿童早期发育不良的风险很高，需要采取全面、可持续的干预措施，在这种情况下解决幼儿发展问题。这项研究将在孟加拉国的达卡进行，该市有850多万居民生活在贫民窟中。我们与政府、非政府组织和社区合作，正在为达卡的低收入社区开发和测试一种可持续的日托模式。一个连续的混合方法的方法正在使用的研究，定性工作探索定量结果。将对200个有5岁以下儿童的家庭进行调查，以确定日托需求并评估幼儿发展（家长报告和直接评估）。将从数量和质量上评估四种幼儿发展衡量工具的可行性：照顾者报告的早期发展指数、衡量早期学习质量和成果、早期人类能力指数和国际发展和早期学习评估。定性方法将有助于了解母亲工作时对日托的需求和看法。将利用启发性行动研究，为5岁以下儿童制定一个适合当地情况并可能可持续的日托模式。研究选择了达卡南部的一个病房，因为这是贫民窟和非贫民窟家庭相邻居住的典型社区，使我们能够探索富裕家庭补贴贫困家庭日托的潜力。研究结果将予以公布，并向国家、地区和地方行动者的决策者提供信息，以便将研究纳入儿童保育和幼儿发展的政策和做法。本研究的伦理批准来自利兹大学医学与健康学院医学院研究伦理委员会（参考：MREC 16 -106）和孟加拉国医学研究理事会（参考：BMRCAIREC/20 I 6-20 I 9 I 250）。
Lack of safe, stimulating and health-promoting environments for children under-5 hinders their physical, social and cognitive development, known as early childhood development (ECD). Improving ECD impacts on children, and can improve educational attainment for girls, who often care for younger siblings, and employment prospects for mothers. Developing and evaluating the impacts of ECD programmes within childcare needs to assess a range of social, health, educational and economic impacts, including women’s empowerment. Children living in slums are at high risk of poor early development and holistic, sustainable interventions are needed to address ECD in these contexts. This study will be undertaken in Dhaka, Bangladesh, a city where over 8.5 million inhabitants live in slums. In collaboration with government, non-governmental organisations and communities, we are developing and testing a sustainable day-care model for low-income communities in Dhaka. A sequential mixed methods approach is being used in the study, with qualitative work exploring quantitative findings. Two hundred households with children under-5 will be surveyed to determine day-care needs and to assess ECD (parent-reported and direct assessment). The feasibility of four ECD measuring tools Caregiver-Reported Early Development Index, Measuring Early Learning Quality and Outcomes, The Early Human Capability Index and International Development and Early Learning Assessment will be assessed quantitatively and qualitatively. Qualitative methods will help understand demand and perceptions of day care while mothers work. Participatory action research will be used to develop a locally appropriate and potentially sustainable model of day care for under-5 children. A ward in the south of Dhaka has been selected for the study as this typifies communities with slum and non-slum households living next to each other, allowing us to explore potential for better-off household to subsidise day care for poorer households. Findings will be published and inform decision makers at the national, regional and the local actors in order to embed the study into the policy and practice on childcare and ECD. Ethical approvals for this study were obtained from the School of Medicine Research Ethics Committee at the Faculty of Medicine and Health at the University of Leeds (ref: MREC16-106) and the Bangladesh Medical Research Council (ref: BMRCAIREC/20 I 6-20 I 9 I 250).
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影响因子：
3.1
作者：
Bradbury, H;Mainemelis, C
通讯作者：
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DOI：
10.1080/1350293x.2017.1331062
发表时间：
2017-01-01
影响因子：
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作者：
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