Evidence map›Paper›PMID 32341042›Full record

ArticleBMJ open2020

Human resources and curricula content for early child development implementation: multicountry mixed methods evaluation.

Maya Kohli-Lynch, Victoria Ponce Hardy, Raquel Bernal Salazar, Sunil S Bhopal, Alexandra Brentani, Vanessa Cavallera, Esther Goh, Jena D Hamadani, Rob Hughes, Karim Manji and 6 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Maya Kohli-LynchMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-1108-6383
Victoria Ponce HardyMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK.
Raquel Bernal SalazarEconomics Department, Universidad de Los Andes, Bogota, Colombia.
Sunil S BhopalMaternal and Child Health Intervention Research Group, London School of Hygiene and Tropical Medicine, London, UK.ORCID 0000-0003-1229-781X
Alexandra BrentaniDepartamento do Pediatria, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil.
Vanessa CavalleraDepartment of Mental Health and Substance Abuse, World Health Organization, Geneva, Switzerland.
Esther GohBernard Van Leer Foundation, The Hague, Netherlands.
Jena D HamadaniMaternal and Child Health Division, ICDDR,B, Dhaka, Bangladesh.
Rob HughesMaternal and Child Health Intervention Research Group, London School of Hygiene and Tropical Medicine, London, UK.
Karim ManjiDepartment of Paediatrics and Child Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam, Tanzania.
Kate M MilnerMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK.
James RadnerMunk School of Global Affairs and Public Policy, University of Toronto, Toronto, Ontario, Canada.
Sonia SharmaSector IV, Mobile Crèches, New Delhi, India.
Karlee L SilverGrand Challenges Canada, Toronto, Ontario, Canada.
Joy E LawnMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK.
Cally J TannMaternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK Cally.Tann@lshtm.ac.uk.ORCID 0000-0003-0131-4952

Funding

World Health Organization 001
6 · The paper itself

Abstract

objectiveThe WHO recommends responsive caregiving and early learning (RCEL) interventions to improve early child development (ECD), and to achieve the Sustainable Development Goals' vision of a world where all children thrive. Implementation of RCEL programmes in low and middle-income countries (LMIC) requires evidence to inform decisions about human resources and curricula content. We aimed to describe human resources and curricula content for implementation of RCEL projects across diverse LMICs, using data from the Grand Challenges Canada Saving Brains ECD portfolio.

settingWe evaluated 32 RCEL projects across 17 LMICs on four continents.

participantsOverall, 2165 workers delivered ECD interventions to 25 909 families.

interventionProjects were either stand-alone RCEL or RCEL combined with health and nutrition, and/or safety and security. PRIMARY AND SECONDARY OUTCOMES: We undertook a mixed methods evaluation of RCEL projects within the Saving Brains portfolio. Quantitative data were collected through standardised reporting tools. Qualitative data were collected from ECD experts and stakeholders and analysed using thematic content analysis, informed by literature review.

resultsMajor themes regarding human resources included: worker characteristics, incentivisation, retention, training and supervision, and regarding curricula content: flexible adaptation of content and delivery, fidelity, and intervention duration and dosage. Lack of an agreed standard ECD package contributed to project heterogeneity. Incorporation of ECD into existing services may facilitate scale-up but overburdened workers plus potential reductions in service quality remain challenging. Supportive training and supervision, inducement, worker retention, dosage and delivery modality emerged as key implementation decisions.

conclusionsThis mixed methods evaluation of a multicountry ECD portfolio identified themes for consideration by policymakers and programme leaders relevant to RCEL implementation in diverse LMICs. Larger studies, which also examine impact, including high-quality process and costing evaluations with comparable data, are required to further inform decisions for implementation of RCEL projects at national and regional scales.

Indexed as

Child DevelopmentCurriculumDeveloping CountriesSustainable DevelopmentChildHumansQualitative ResearchWorkforcechild healthearly child developmentevaluationhealth systemsimplementation

Identifiers

PMID32341042
PMCPMC7204990

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.