Child Development 2 Strategies for reducing inequalities and improving developmental outcomes for young children in low-income and middle-income countries

被引:530
作者
Engle, Patrice L. [1 ]
Fernald, Lia C. H. [2 ]
Alderman, Harold [3 ]
Behrman, Jere [4 ,5 ]
O'Gara, Chloe [6 ]
Yousafzai, Aisha [7 ]
de Mello, Meena Cabral [8 ]
Hidrobo, Melissa [9 ]
Ulkuer, Nurper [10 ]
Ertem, Ilgi [11 ]
Iltus, Selim [12 ]
机构
[1] Calif Polytech State Univ San Luis Obispo, San Luis Obispo, CA 94307 USA
[2] Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USA
[3] World Bank, Dev Res Grp, Washington, DC 20433 USA
[4] Univ Penn, Dept Econ, Philadelphia, PA 19104 USA
[5] Univ Penn, Dept Sociol, Philadelphia, PA 19104 USA
[6] William & Flora Hewlett Fdn, Menlo Pk, CA USA
[7] Aga Khan Univ, Dept Paediat & Hlth, Div Women & Child Hlth, Karachi, Pakistan
[8] WHO, CH-1211 Geneva, Switzerland
[9] Int Food Policy Res Inst, Washington, DC 20036 USA
[10] United Nations Childrens Fund, New York, NY USA
[11] Ankara Univ, Dept Pediat, Fac Med, TR-06100 Ankara, Turkey
[12] Bernard van Leer Fdn, The Hague, Netherlands
关键词
POSITIVE PARENTING PROGRAM; CASH TRANSFER PROGRAMS; LOW-BIRTH-WEIGHT; PSYCHOSOCIAL STIMULATION; EARLY INTERVENTION; PRESCHOOL PROGRAM; PROVIDING CARE; COMMUNITY; RISK; PARTICIPATION;
D O I
10.1016/S0140-6736(11)60889-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This report is the second in a Series on early child development in low-income and middle-income countries and assesses the effectiveness of early child development interventions, such as parenting support and preschool enrolment. The evidence reviewed suggests that early child development can be improved through these interventions, with effects greater for programmes of higher quality and for the most vulnerable children. Other promising interventions for the promotion of early child development include children's educational media, interventions with children at high risk, and combining the promotion of early child development with conditional cash transfer programmes. Effective investments in early child development have the potential to reduce inequalities perpetuated by poverty, poor nutrition, and restricted learning opportunities. A simulation model of the potential long-term economic effects of increasing preschool enrolment to 25% or 50% in every low-income and middle-income country showed a benefit-to-cost ratio ranging from 6.4 to 17.6, depending on preschool enrolment rate and discount rate.
引用
收藏
页码:1339 / 1353
页数:15
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