ArticleLancet regional health. Americas2024
Scaling up a home-visiting program for child development in Brazil: a comparative case studies analysis.
Article in Lancet regional health. Americas, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- An implementation strategy bundle to improve home visit quality of the national child development program in Brazil: an implementation feasibility trial.Implementation science communications · 2026Article
- Addressing social determinants of health and equity in early childhood: a qualitative document analysis of national policies in Ecuador.International journal for equity in health · 2026Article
- Exploring the barriers and facilitators of implementing family-focused child development programmes in real-world settings: a scoping review.BMJ paediatrics open · 2026Article
- Nurturing Care Systems Underlying Early Childhood Food Insecurity in Brazil: A Causal Loop Diagram Approach.Maternal & child nutrition · 2026Article
- Implementation barriers of Brazil's national home visitation program for early childhood development: A qualitative evaluation.PLOS global public health · 2026Article
- Socioeconomic and maternal mental health factors associated with the parenting and development of children in an early childhood promotion program: analysis via structural equation modeling.BMC public health · 2025Article
- Do Playful Parenting Programs Implemented at Scale Improve Caregiver Practices and Child Development?Children (Basel, Switzerland) · 2025Article
- Breastfeeding Practices and Food Consumption of Socially Vulnerable Children.Foods (Basel, Switzerland) · 2025Article
- Scaling parenting programs for early child development in four low- and middle-income countries.Frontiers in public health · 2025Article
- Article
- Blueprint for Enhancing Implementation Quality ofGlobal implementation research and applications · 2025Article
- Article
- Determining RE-AIM indicators for evaluating the Estratégia Amamenta e Alimenta Brasil (EAAB - Brazilian Breastfeeding and Complementary Feeding Strategy).Revista de saude publica · 2024Article
- A global scoping review of adaptations in nurturing care interventions during the COVID-19 pandemic.Frontiers in public health · 2024Article
- Process Evaluations for the Scale-Up of Complex Interventions - a Scoping Review.International journal of integrated careArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
Background: In 2016, Brazil scaled up the Methods: This comparative case study analysis selected five contrasting municipalities based on population size, region of the country, implementation model, and length of time implementing the PCF. We conducted 244 interviews with PCF municipal team (municipal managers, supervisors, home visitors), families, and cross-sectoral professionals. A rapid qualitative analysis was used to identify themes across RE-AIM dimensions. Findings: Families' limited knowledge and trust in PCF goals were a barrier to its reach. While the perceived benefit of PCF on parenting skills and ECD enabled reach, the lack of referral protocols to address social needs, such as connecting food-insecure families to food resources, undermined effectiveness. Questions about whether the social assistance sector should be in charge of PCF challenged its adoption. Implementation barriers exacerbated by the COVID-19 pandemic included low salaries, temporary contracts, high turnover, infrequent supervision, lack of an effective monitoring system, and nonexistence or non-functioning multisectoral committees. The absence of institutionalized funding was a challenge for sustainability. Interpretation: Complex intertwined system-level barriers may explain the unsuccessful implementation of PCF. These barriers must be addressed for Brazil to benefit from the enormous reach of the PCF and the evidence-based nurturing care principles it is based upon. Funding: NIH/NICHD.
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