Integrating social protection and early childhood development: open trial of a family home-visiting intervention, Sugira Muryango
Integrating social protection and early childhood development: open trial of a family home-visiting intervention, Sugira Muryango
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DOI：
10.1080/03004430.2018.1464002
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发表时间：
2020-01-25
影响因子：
1.4
通讯作者：
Sezibera, Vincent
中科院分区：
文献类型：
--
作者：
Betancourt, Theresa S.;Franchett, Emily;Sezibera, Vincent
一项经过6-13个月跟踪的岗前设计评估了家访干预的可行性和可接受性，以促进儿童早期发展、改善育儿和共同决策，并减少卢旺达贫困家庭的暴力。苏吉拉·穆尔扬戈有20个孩子小于或等于36个月的弱势家庭。父母养育、家庭环境、家庭暴力、决策和健康状况的测量在治疗前/治疗后和治疗后进行。家庭报告干预后的满意度很高。OMCI评分在干预后提高了4.8%，在随访时提高了19.0%，而9.5%的母子在这两个时间段都出现了下降。在干预后和随访时，家庭库存得分分别改善了9.5%和14.3%，下降了4.8%和0.0%。在干预后和后续行动中，平等决策和儿童饮食多样性的指标有所改善。更少的母亲认为有必要在后续行动中进行体罚。苏吉拉·穆尔扬戈展示了改善育儿方式、对严厉惩罚的信念、儿童营养状况以及弱势家庭共同决策的希望。
A pre-post design with 6-13-month follow-up assessed the feasibility and acceptability of a home-visiting intervention to promote early childhood development, improve parenting and shared decision-making, and reduce violence in impoverished Rwandan households. Twenty vulnerable families with a child 36-months or younger enrolled in Sugira Muryango. Measures of parenting, home environment, family-violence, decision-making, and health-status were administered at pre/post and follow-up. Families reported high satisfaction post-intervention. OMCI scores improved for 4.8% of mother-child dyads at post-intervention and 19.0% at follow-up, while 9.5% of dyads showed declines at both times. HOME Inventory scores improved for 9.5% and 14.3% of dyads at post-intervention and follow-up respectively and declined for 4.8% and 0.0%. Indicators for equal decision-making and child dietary-diversity improved at post-intervention and follow-up. Fewer mothers believed physical punishment was necessary at follow-up. Sugira Muryango shows promise for improving parenting, beliefs about harsh punishment, child nutritional status, and shared decision-making among vulnerable families.