scholarly journals Center-Based Child Extended Care: Implications for Young Children’s Development in a Five-Year Follow-Up

2012 ◽  
Vol 02 (04) ◽  
pp. 435-440 ◽  
Author(s):  
Tokie Anme ◽  
Emiko Tanaka ◽  
Ryoji Shinohara ◽  
Yuka Sugisawa ◽  
Taeko Watanabe ◽  
...  
2001 ◽  
Vol 19 (2) ◽  
pp. 159-180 ◽  
Author(s):  
Geert-Jan J. M. Stams ◽  
Femmie Juffer ◽  
Marinus H. Ijzendoorn ◽  
Renéa. C. Hoksbergen

2019 ◽  
Vol 149 (10) ◽  
pp. 1833-1842 ◽  
Author(s):  
Deanna K Olney ◽  
Jef L Leroy ◽  
Lilia Bliznashka ◽  
Marie T Ruel

ABSTRACT Background Child development is affected by multiple factors throughout pregnancy and childhood. Multisectoral programs addressing these factors may improve children's development. Objective We evaluated the impact of a food-assisted multisectoral nutrition program (Tubaramure) on children's (4–41.9 mo) motor and language development. Tubaramure was targeted to Burundian women and children in the first 1000 d and provided micronutrient-fortified food rations; nutrition, health, and hygiene behavior change communication; and health system–strengthening activities. Methods Program impact was assessed using a cluster-randomized controlled trial with repeated cross-sections: 2010 (baseline, children 4–41.9 mo), 2012 (follow-up during implementation, children 4–23.9 mo), and 2014 (follow-up postimplementation, children 24–41.9 mo). Sixty villages were randomly assigned to 4 groups with varying timing and duration of food rations: pregnancy–24 mo; pregnancy–18 mo; 0–24 mo; and control, no direct Tubaramure benefits. Treatment groups were pooled and compared with control using difference-in-difference estimates. We examined impact pathways by assessing program impacts on intermediary variables and their associations with development outcomes. Results At first follow-up, Tubaramure positively affected language (0.4 milestones, P < 0.05) but not motor development among children aged 4–23.9 mo. Among the 12–23.9 mo age subgroup, the program positively affected language (0.7 milestones, P < 0.01) and motor (0.6 milestones, P = 0.08) development. At second follow-up, among children aged 24–41.9 mo, Tubaramure marginally affected motor development (0.4 milestones, P = 0.09). In age subgroup analyses, program impacts were limited to children aged 24–29.9 mo [0.4 motor (P = 0.09) and 1.0 language (P < 0.01) milestones]. Pathway analyses revealed significant positive impacts on diet, health, and nutritional indicators of children aged 12–23.9 mo and health and nutritional indicators of children aged 24–29.9 mo, supporting the plausibility of program impacts on child development. Conclusions Tubaramure had small positive impacts on children's motor and language development through multiple pathways, demonstrating the role multisectoral nutrition programs can play in improving children's development. This trial was registered at clinicaltrials.gov as NCT01072279.


2008 ◽  
Author(s):  
Bridget Hamre ◽  
Stephanie M. Jones ◽  
Donna M. Bryant ◽  
Patricia Wesley ◽  
Andrew J. Mashburn ◽  
...  

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