Counting outcomes, coverage and quality for early child development programmes.
child development
coverage
disability
low- and middle-income countries
outcomes
quality
Journal
Archives of disease in childhood
ISSN: 1468-2044
Titre abrégé: Arch Dis Child
Pays: England
ID NLM: 0372434
Informations de publication
Date de publication:
04 2019
04 2019
Historique:
received:
19
09
2018
revised:
24
01
2019
accepted:
28
01
2019
entrez:
20
3
2019
pubmed:
20
3
2019
medline:
9
4
2020
Statut:
ppublish
Résumé
Improved measurement in early child development (ECD) is a strategic focus of the WHO, UNICEF and World Bank Nurturing Care Framework. However, evidence-based approaches to monitoring and evaluation (M&E) of ECD projects in low-income and middle-income countries (LMIC) are lacking. The Grand Challenges Canada®-funded Saving Brains® ECD portfolio provides a unique opportunity to explore approaches to M&E of ECD programmes across diverse settings. Focused literature review and participatory mixed-method evaluation of the Saving Brains portfolio was undertaken using an adapted impact framework. Findings related to measurement of quality, coverage and outcomes for scaling ECD were considered. Thirty-nine ECD projects implemented in 23 LMIC were evaluated. Projects used a 'theory of change' based M&E approach to measure a range of inputs, outputs and outcomes. Over 29 projects measured cognitive, language, motor and socioemotional outcomes. 18 projects used developmental screening tools to measure outcomes, with a trade-off between feasibility and preferred practice. Environmental inputs such as the home environment were measured in 15 projects. Qualitative data reflected the importance of measurement of project quality and coverage, despite challenges measuring these constructs across contexts. Improved measurement of intervention quality and measurement of coverage, which requires definition of the numerator (ie, intervention) and denominator (ie, population in need/at risk), are needed for scaling ECD programmes. Innovation in outcome measurement, including intermediary outcome measures that are feasible and practical to measure in routine services, is also required, with disaggregation to better target interventions to those most in need and ensure that no child is left behind.
Identifiants
pubmed: 30885962
pii: archdischild-2018-315430
doi: 10.1136/archdischild-2018-315430
pmc: PMC6557221
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
S13-S21Subventions
Organisme : World Health Organization
ID : 001
Pays : International
Informations de copyright
© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Déclaration de conflit d'intérêts
Competing interests: None declared.
Références
Ann N Y Acad Sci. 2018 May;1419(1):249-263
pubmed: 29791725
Ann N Y Acad Sci. 2018 May;1419(1):17-19
pubmed: 29791742
Ann N Y Acad Sci. 2018 May;1419(1):120-140
pubmed: 29791729
Arch Dis Child. 2019 Apr;104(Suppl 1):S22-S33
pubmed: 30885963
BMC Pregnancy Childbirth. 2015;15 Suppl 2:S8
pubmed: 26391444
Int J Qual Health Care. 2007 Dec;19(6):349-57
pubmed: 17872937
J Health Popul Nutr. 2010 Feb;28(1):23-33
pubmed: 20214083
Acta Paediatr. 2010 Feb;99(2):291-7
pubmed: 20353499
PLoS One. 2016 Aug 22;11(8):e0160962
pubmed: 27548634
Ann N Y Acad Sci. 2014 Jan;1308:192-203
pubmed: 24571219
Lancet. 2017 Jan 7;389(10064):91-102
pubmed: 27717615
Lancet Glob Health. 2018 Mar;6(3):e232-e233
pubmed: 29433654
Arch Dis Child. 2019 Apr;104(Suppl 1):S3-S12
pubmed: 30885961
Stat Methods Med Res. 2014 Aug;23(4):346-68
pubmed: 23487019
Bull World Health Organ. 1978;56(2):295-303
pubmed: 96953
Int J Epidemiol. 2014 Apr;43(2):341-53
pubmed: 24760874
PLoS Med. 2010 May 25;7(5):e1000273
pubmed: 20520849
J Pediatr (Rio J). 2020 Jan - Feb;96(1):66-75
pubmed: 30102876
Stat Med. 2006 Jul 15;25(13):2272-83
pubmed: 16143995
Arch Dis Child. 2019 Apr;104(Suppl 1):S43-S50
pubmed: 30885965
Ann N Y Acad Sci. 2014 Jan;1308:68-88
pubmed: 24372533
BMJ Glob Health. 2018 Oct 15;3(5):e000747
pubmed: 30364327
J Glob Health. 2019 Jun;9(1):010902
pubmed: 30863542
Epidemiology. 1994 May;5(3):283-9
pubmed: 7518697
J Health Popul Nutr. 2012 Dec;30(4):472-86
pubmed: 23304914
BMJ. 2015 Mar 19;350:h1258
pubmed: 25791983
Arch Dis Child. 2019 Apr;104(Suppl 1):S34-S42
pubmed: 30885964
J Health Popul Nutr. 2014 Jun;32(2):314-26
pubmed: 25076668
Child Neuropsychol. 2017 Oct;23(7):761-802
pubmed: 27609060
J Eur Econ Assoc. 2022 Jan 28;20(4):1395-1432
pubmed: 35965610
Lancet Glob Health. 2019 Mar;7(3):e366-e375
pubmed: 30784637
Ann N Y Acad Sci. 2018 May;1419(1):230-248
pubmed: 29791735
Arch Dis Child. 2015 May;100(5):482-8
pubmed: 25825411
Ann Trop Paediatr. 2008 Sep;28(3):217-26
pubmed: 18727851