Accountability for funds for Nurturing Care: what can we measure?
early child development
nurturing care framework
official donor assistance
responsive care
tracking
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:
03
10
2018
revised:
05
02
2019
accepted:
06
02
2019
entrez:
20
3
2019
pubmed:
20
3
2019
medline:
9
4
2020
Statut:
ppublish
Résumé
Understanding donor, government and out-of-pocket funding for early child development (ECD) is important for tracking progress. We aimed to estimate a baseline for the WHO, UNICEF and World Bank Nurturing Care Framework (NCF) with a special focus on childhood disability. To estimate development assistance spending, the Organisation for Economic Cooperation and Development's Creditor Reporting System (OECD-CRS) database was searched for 2007-2016, using key words derived from domains of the NCF (good health, nutrition and growth, responsive caregiving, security and safety, and early learning), plus disability. Associated funds were analysed by domain, donor, recipient and region. Trends of ECD/NCF were compared with reproductive, maternal, newborn and child health (RMNCH) disbursements. To assess domestic or out-of-pocket expenditure for ECD, we searched electronic databases of indexed and grey literature. US$79.1 billion of development assistance were disbursed, mostly for health and nutrition (US$61.9 billion, 78% of total) and least for disability (US$0.7 billion, 2% of total). US$2.3 per child per year were disbursed for non-health ECD activities. Total development assistance for ECD increased by 121% between 2007 and 2016, an average increase of 8.3% annually. Per child disbursements increased more in Africa and Asia, while minimally in Latin America and the Caribbean and Oceania. We could not find comparable sources for domestic funding and out-of-pocket expenditure. Estimated international donor disbursements for ECD remain small compared with RMNCH. Limitations include inconsistent donor terminology in OECD data. Increased investment will be required in the poorest countries and for childhood disability to ensure that progress is equitable.
Sections du résumé
BACKGROUND
Understanding donor, government and out-of-pocket funding for early child development (ECD) is important for tracking progress. We aimed to estimate a baseline for the WHO, UNICEF and World Bank Nurturing Care Framework (NCF) with a special focus on childhood disability.
METHODS
To estimate development assistance spending, the Organisation for Economic Cooperation and Development's Creditor Reporting System (OECD-CRS) database was searched for 2007-2016, using key words derived from domains of the NCF (good health, nutrition and growth, responsive caregiving, security and safety, and early learning), plus disability. Associated funds were analysed by domain, donor, recipient and region. Trends of ECD/NCF were compared with reproductive, maternal, newborn and child health (RMNCH) disbursements. To assess domestic or out-of-pocket expenditure for ECD, we searched electronic databases of indexed and grey literature.
RESULTS
US$79.1 billion of development assistance were disbursed, mostly for health and nutrition (US$61.9 billion, 78% of total) and least for disability (US$0.7 billion, 2% of total). US$2.3 per child per year were disbursed for non-health ECD activities. Total development assistance for ECD increased by 121% between 2007 and 2016, an average increase of 8.3% annually. Per child disbursements increased more in Africa and Asia, while minimally in Latin America and the Caribbean and Oceania. We could not find comparable sources for domestic funding and out-of-pocket expenditure.
CONCLUSIONS
Estimated international donor disbursements for ECD remain small compared with RMNCH. Limitations include inconsistent donor terminology in OECD data. Increased investment will be required in the poorest countries and for childhood disability to ensure that progress is equitable.
Identifiants
pubmed: 30885964
pii: archdischild-2018-315429
doi: 10.1136/archdischild-2018-315429
pmc: PMC6557225
doi:
Types de publication
Journal Article
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
S34-S42Informations 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
Lancet. 2008 Apr 12;371(9620):1268-75
pubmed: 18406861
Lancet. 2016 Jun 18;387(10037):2536-44
pubmed: 27086170
Sci Data. 2017 Mar 28;4:170038
pubmed: 28350378
Lancet Glob Health. 2017 Jan;5(1):e104-e114
pubmed: 27955769
Ann N Y Acad Sci. 2018 May;1419(1):74-89
pubmed: 29791727
Arch Dis Child. 2019 Apr;104(Suppl 1):S22-S33
pubmed: 30885963
Health Econ. 1997 Jan-Feb;6(1):11-30
pubmed: 9142528
BMJ Glob Health. 2017 Apr 4;2(2):e000205
pubmed: 28589020
Arch Dis Child. 2019 Apr;104(Suppl 1):S13-S21
pubmed: 30885962
Lancet. 2006 Sep 23;368(9541):1077-87
pubmed: 16997662
Lancet Glob Health. 2015 Jul;3(7):e410-21
pubmed: 26087987
Arch Dis Child. 2019 Apr;104(Suppl 1):S3-S12
pubmed: 30885961
Lancet Glob Health. 2018 Aug;6(8):e859-e874
pubmed: 30012267
Lancet. 2017 Jan 7;389(10064):77-90
pubmed: 27717614
Arch Dis Child. 2019 Apr;104(Suppl 1):S43-S50
pubmed: 30885965
PLoS Med. 2012 Oct;9(10):e1001332
pubmed: 23118619
Lancet. 2017 Jan 7;389(10064):103-118
pubmed: 27717610