ArticleChildren (Basel, Switzerland)2023
A Tale of Two Programs for Parents of Young Children: Independently-Conducted Case Studies of Workforce Contributions to Scale in Bhutan and Rwanda.
Article in Children (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Blended Delivery of a Primary Care Parenting Program for Child Development: A Randomized Clinical Trial.JAMA network open · 2026Trial
- Health worker support for early learning, responsive caregiving, and safety and security: a scoping review.BMC health services research · 2026Article
- Pilot Implementation of the NeuroSense PremmieEd Parenting Educational Programme for Parents with Infants in the Neonatal Intensive Care Unit: A Sequential Cohort Design.Children (Basel, Switzerland) · 2025Article
- Scaling up home-visiting to promote early childhood development and prevent violence in Rwanda: a hybrid type-2 effectiveness-implementation trial.Journal of child psychology and psychiatry, and allied disciplines · 2025Article
- Do Playful Parenting Programs Implemented at Scale Improve Caregiver Practices and Child Development?Children (Basel, Switzerland) · 2025Article
- Scaling parenting programs for early child development in four low- and middle-income countries.Frontiers in public health · 2025Article
- Equipping community health workers in Rwanda to deliver a gender transformative parenting program to prevent violence against women and children at scale.Frontiers in reproductive health · 2025Article
- Using Implementation Research to Inform Scaling of Parenting Programs: Independently Conducted Case Studies from Zambia and Bhutan.Children (Basel, Switzerland) · 2024Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
Two case studies of parenting programs, aiming to improve parenting practices and child development outcomes, and implemented by Save the Children/Ministry of Health/Khesar Gyalpo University in Bhutan and Boston College/University of Rwanda/FXB in Rwanda, respectively called Prescription to Play and Sugira Muryango, were conducted by an independent research and learning group. Implementation research focused on the workforce, a crucial but little-studied element determining the success of programs going to scale. Mixed methods were used to examine their training, workload, challenges, and quality of delivery. Health assistants in Bhutan and volunteers in Rwanda were trained for 10-11 days using demonstrations, role plays, and manuals outlining activities to deliver to groups of parents (Bhutan) or during home visits (Rwanda). Workers' own assessments of their delivery quality, their confidence, and their motivations revealed that duty, confidence, and community respect were strong motivators. According to independent observations, the quality of their delivery was generally good, with an overall mean rating on 10 items of 2.36 (Bhutan) and 2.44 (Rwanda) out of 3. The facilitators of scaling for Bhutan included institutionalizing training and a knowledgeable workforce; the barrier was an overworked workforce. The facilitators of scaling for Rwanda included strong follow-up supervision; the barriers included high attrition among a volunteer workforce.
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