Evidence map›Paper›PMID 40506265›Full record

ArticlePublic health nutrition2025

The impact of an integrated nurturing care intervention to improve early childhood development outcomes in Nampula Province, Mozambique.

Filipa de Castro, Katija Momade, Jennifer Yourkavitch, Charles D Arnold, Alberto Manhiça, Filipe Zano, Higino André, Edmilson Ismail, Kristen Cashin, Catherine M Kirk

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In one paragraph

Article in Public health nutrition, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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

10 authors.

Filipa de Castrohttps://ror.org/036jr6x18Save the Children US, Fairfield, CT, USA.ORCID https://orcid.org/0000-0002-6710-6315
Katija MomadeUSAID Advancing Nutrition Mozambique, Nampula, Mozambique.
Jennifer YourkavitchUSAID Advancing Nutrition, Arlington, VA, USA.ORCID https://orcid.org/0000-0002-7701-1918
Charles D ArnoldResults for Development, Washington, DC, USA.
Alberto Manhiçahttps://ror.org/036jr6x18Save the Children US, Fairfield, CT, USA.
Filipe Zanohttps://ror.org/036jr6x18Save the Children US, Fairfield, CT, USA.
Higino AndréAjuda de Desenvolvimento de Povo para Povo (ADPP), Nampula, Mozambique.
Edmilson Ismailhttps://ror.org/036jr6x18Save the Children US, Fairfield, CT, USA.
Kristen CashinSave the Children Mozambique, Nampula, Mozambique.
Catherine M KirkZemiTek LLC, USAID's Global Solution Ventures, Washington, DC, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo estimate the effect of integrating responsive care, early learning and development monitoring into a community-based package of activities on nutrition, sanitation and hygiene, on improvements in early childhood development (ECD) outcomes.

designThis was a quasi-experimental study with nonequivalent comparison groups. The study's primary outcome, ECD, was measured using the Ages and Stages Questionnaire (ASQ-3) and the Global Scales for Early Development (GSED). We also collected data on the early learning home environment, nutritional practices and caregiver depressive symptoms as secondary outcomes.

settingThis study was conducted across twelve districts in Nampula Province, Mozambique. Half of the districts received holistic nurturing care with responsive care, early learning, nutrition, sanitation and hygiene packages (intervention) and the other half received only nutrition, sanitation and hygiene packages (comparison).

participantsWe recruited an age-stratified random sample of 961 caregivers and their children, aged 0-23 months.

resultsWe found a significantly higher mean caregiver engagement total score (mean difference: 0·36;

conclusionsWe discuss the challenges in the integration of nurturing care interventions into existing programmes in high-vulnerability contexts, highlighting the aspects needed to achieve effective caregiver behavioural changes that can translate into improved ECD outcomes.

Indexed as

Child DevelopmentAdultCaregiversFemaleHumansHygieneInfantInfant, NewbornMaleMozambiqueSanitationSurveys and QuestionnairesEarly childhood developmentEarly learningEarly stimulationNurturing careNutrition and caregiving interventions

Identifiers

PMID40506265
PMCPMC13398206

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.