scholarly journals Housing environment and early childhood development in sub-Saharan Africa: A cross-sectional analysis

PLoS Medicine ◽  
2021 ◽  
Vol 18 (4) ◽  
pp. e1003578
Author(s):  
Yaqing Gao ◽  
Long Zhang ◽  
Ashish Kc ◽  
Yinping Wang ◽  
Siyu Zou ◽  
...  

Background The influence of the safety and security of environments on early childhood development (ECD) has been under-explored. Although housing might be linked to ECD by affecting a child’s health and a parent’s ability to provide adequate care, only a few studies have examined this factor. We hypothesized that housing environment is associated with ECD in sub-Saharan Africa (SSA). Methods and findings From 92,433 children aged 36 to 59 months who participated in Multiple Indicator Cluster Survey (MICS) in 20 SSA countries, 88,271 were tested for cognitive and social–emotional development using the Early Childhood Development Index (ECDI) questionnaire and were thus included in this cross-sectional analysis. Children’s mean age was 47.2 months, and 49.8% were girls. Children were considered developmentally on track in a certain domain if they failed no more than 1 ECDI item in that domain. In each country, we used conditional logistic regression models to estimate the association between improved housing (housing with finished building materials, improved drinking water, improved sanitation facilities, and sufficient living area) and children’s cognitive and social–emotional development, accounting for contextual effects and socioeconomic factors. Estimates from each country were pooled using random-effects meta-analyses. Subgroup analyses were conducted by the child’s gender, maternal education, and household wealth quintiles. On-track cognitive development was associated with improved housing (odds ratio [OR] = 1.15, 95% CI 1.06 to 1.24, p < 0.001), improved drinking water (OR = 1.07, 95% CI 1.00 to 1.14, p = 0.046), improved sanitation facilities (OR = 1.15, 95% CI 1.03 to 1.28, p = 0.014), and sufficient living area (OR = 1.06, 95% CI 1.01 to 1.10, p = 0.018). On-track social–emotional development was associated with improved housing only in girls (OR = 1.14, 95% CI 1.04 to 1.25, p = 0.006). The main limitations of this study included the cross-sectional nature of the datasets and the use of the ECDI, which lacks sensitivity to measure ECD outcomes. Conclusions In this study, we observed that improved housing was associated with on-track cognitive development and with on-track social–emotional development in girls. These findings suggest that housing improvement in SSA may be associated not only with benefits for children’s physical health but also with broader aspects of healthy child development.

2020 ◽  
Vol 12 (5) ◽  
pp. 2104
Author(s):  
Anita Soni ◽  
Paul Lynch ◽  
Mike McLinden ◽  
Jenipher Mbukwa-Ngwira ◽  
Mika Mankhwazi ◽  
...  

This article explores the development of a sustainable training programme supporting the inclusion of children with disabilities in early childhood, education and care (ECEC) centres in Malawi. This programme is based on a review of literature of curriculum, pedagogy and teaching approaches in ECEC in sub-Saharan Africa, alongside a review of national policy documents. The training was designed to enable staff to value the inclusion of children with disabilities in ECEC centres, as well as suggesting practical ways to do so. We set out our response to the gap in training of ECEC staff through the development of a supplementary integrated training programme, which, whilst respectful of the curriculum, policy and practice of Malawi, challenged staff to consider ways of including children with disabilities (CWD) and their families. We suggest this is a pragmatic and sustainable model that could be applied to training in other ECEC settings across the region in sub-Saharan Africa. It concludes with guiding principles for training those working in ECEC with young children with disabilities in low-income countries.


2019 ◽  
Vol 4 (2) ◽  
pp. e001233 ◽  
Author(s):  
Jennifer Hollowell ◽  
Mari Dumbaugh ◽  
Mireille Belem ◽  
Sylvain Kousse ◽  
Tessa Swigart ◽  
...  

IntroductionEffective stimulation and responsive caregiving during the first 2 years is crucial for children’s development. By age 3–4 years, over 40% of children in sub-Saharan Africa fail to meet basic cognitive or socioemotional milestones, but there are limited data on parenting and childcare practices. This study, conducted to inform the design of a mass media intervention, explored practices, perceptions, motivators and obstacles to childhood development-related practices among parents and caregivers of children aged 0–2 years in rural Burkina Faso.MethodsWe performed two rounds of six focus groups with 41 informants in two villages, using an adapted version of the Trials of Improved Practices methodology. These first explored beliefs and practices, then introduced participants to the principles and benefits of early childhood development (ECD) and provided illustrative examples of three practices (interactive ways of talking, playing and praising) to try with their children. One week later, further discussions explored participants’ experiences and reactions. Data were analysed inductively using thematic content analysis.ResultsExisting activities with young children were predominantly instructive with limited responsive interaction and stimulation. Participants were receptive to the practices introduced, noted positive changes in their children when they adopted these practices and found engagement with children personally rewarding.ConclusionInteractive, stimulating activities with young children did not appear to be widespread in the study area, but caregivers were receptive to information about the importance of early stimulation for children’s development. ECD messages should be tailored to the local sociocultural context and consider time limitations.


Author(s):  
Jingdong Zhong ◽  
Yang He ◽  
Yuting Chen ◽  
Renfu Luo

This paper empirically investigates the relationships between caregivers’ parenting skills and early cognitive, language, motor, and social-emotional development of children aged 6–24 months. The study is based on data from a survey conducted in 100 villages in a typical poor rural area in western China. A total of 1715 households were enrolled in the study. In the study, Parent and Family Adjustment Scales (PAFAS), Bayley Scales of Infant Development version III (BSID-III), and a socioeconomic questionnaire were used to measure caregiver’s parenting skills, child’s development outcomes, and socioeconomic characteristics in sample households, respectively. Multivariate regression was used to estimate the relationship between a caregiver’s parenting skills and the child’s development outcomes. The results show that, first, parenting skills are positively and significantly associated with children’s cognitive, language, motor, and social-emotional development, and the link between parenting skills and social-emotional development is the strongest; second, the correlation between parenting skills and development outcomes varies across socioeconomic characteristics and parenting skill dimensions. The results provide evidence for the relationship between parenting skills and early childhood development in rural households in western China. Our findings also suggest that interventions aimed at improving caregivers’ parenting skills during the early stages are necessary for human capital development in rural China.


2021 ◽  
Vol 8 ◽  
Author(s):  
Abbie Raikes ◽  
Rebecca Sayre ◽  
Dawn Davis

Low- and middle-income countries (LMIC) are increasing investments in early childhood development programs, including early childhood education. As programs reach scale, there is increasing demand for evidence on impacts of investments. Little work to date has examined capacity required to effectively use data at scale in LMIC, including opportunities and barriers to integrating data into ongoing program implementation and tracking child development and quality of services at scale. Below, we outline the rationale and approach of the Consortium for Pre-primary Data and Measurement in Sub-Saharan Africa, focused on building capacity for data-driven decision-making in early childhood systems. Themes from the first phase include the importance of building diverse groups of stakeholders to define priorities for data and measurement, the need for coordinated and strategic investments in data and measurement, and the value of long-term investments in government/civil society/university partnerships to generate locally relevant data on early childhood education.


2018 ◽  
Vol 4 (2) ◽  
pp. 177-186
Author(s):  
Ramadhan Lubis ◽  
Khadijah Khadijah

Aspects of early childhood development include: Islamic religious education, social-emotional character and independence, language, cognitive, physical-motor and art. Early childhood requires concrete and interesting learning, as RA Al-Kamil and TKIT Nurul 'Ilmi applied traditional games. But not specifically analyzed the emotional development of children. Therefore, this study examined the emotional development of children using traditional games. The study was conducted in RA Al-Kamil and TKIT Nurul ‘Ilmi in first semester of the Academic Year 2018/2019. Subjects in this study are teachers, principals, parents and children of group B. The instruments used were observation forms, interview guidelines and documentation. The research is qualitative. Data analysis techniques used were triangulation and validity. The results showed that (1)traditional games used were against marbles, long clogs, conklak and bakelan; and (2) the emotional development of children develops after the application of traditional games in RA.


Author(s):  
Jace Pillay

In the last decade there has been a significant escalation in the number of orphans and vulnerable children (OVC) in various parts of the world, more particularly, in Sub- Saharan Africa. The author strongly asserts that early childhood education is the main vehicle to address the concerns of OVC in order for them to develop skills and human capital as future adults in order to improve the outcomes for governance and economic development in Africa. He argues on the basis of inclusion that a social justice framework is essential in taking the rights of OVC into consideration. Adopting a bio- ecological systems theoretical model the author presents research findings on the educational, psychological and social experiences of OVC to motivate the need for African governments to take on the responsibility of addressing the plight of OVC through early childhood development and education interventions if they are serious about economic sustainability and prosperity. Although the research discussed in this paper was conducted in South Africa the author believes that the findings could easily depict what happens in the rest of Africa. In concluding, the author considers the implications of the findings in relation to future policies and directions needed for crucial development in Africa.


2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 688-688
Author(s):  
Manisha Shrestha ◽  
Amy Weissman ◽  
Basant Thapa ◽  
Ramesh Adhikari ◽  
Kelly Perry

Abstract Objectives Malnutrition is associated with sub-optimal brain development, which adversely affects cognitive development in children. However, limited information exists in Nepal on the effects of various types of malnutrition on early childhood development (ECD). We assessed the association of stunting, wasting and underweight (three prominent forms of malnutrition) with the four domains of the ECD index (literacy-numeracy, physical, social-emotional and learning development) among children 36 to 59 months of age. Methods This study used a recently published national household survey from Nepal, the Multiple Indicator Cluster Survey (MICS) 2019 dataset. Unadjusted and adjusted logistic regression was used to identify the association between ECD indicators and stunting, wasting and underweight. The study sample consisted of children aged 3–4 years (n = 2870). Children were considered developmentally on track if they met specific criteria in each of the four ECD domains. Results Results indicated that 43.9% of stunted, 8.2% wasted and 29.6% underweight children did not sufficiently meet ECD index criteria to be considered developmentally on track. Adjusted odds ratios (OR) indicated that children with literacy-numeracy skills (stunting OR 0.53, p &lt; 0.01, CI 0.42 – 0.67; underweight OR 0.61, p &lt; 0.01, CI 0.47 – 0.79) were adequately nourished (stunting OR 0.47, p &lt; 0.01, CI 0.29 – 0.75; underweight OR 0.55, p &lt; 0.01, CI 0.34 – 0.88), and children with adequate learning development were less likely to be stunted or underweight (stunting OR 0.54, p &lt; 0.01, CI 0.40 – 0.74; underweight OR 0.54, p &lt; 0.01, CI 0.39 – 0.75). However, the study demonstrated no significant association between malnutrition and social-emotional development after adjusting for confounding variables. Likewise, no association between the four ECD domains and child wasting was observed after adjusting for socio-economic confounders. Conclusions Children's nutrition status impacts ECD outcomes. For better development outcomes among children, ECD components should be integrated into nutrition programming through capacity building activities of mothers, coupling nutrition messaging with ECD and providing books and tools for early learning. Funding Sources Family Health International (FHI 360).


2021 ◽  
Author(s):  
Patricia Kitsao-Wekulo ◽  
Emma Haycraft ◽  
Teresa Mwoma ◽  
Kenneth Okelo ◽  
Esther Kinuthia ◽  
...  

Abstract The Baby Friendly Community Initiative (BFCI) offers a unique platform for integration of counselling on early childhood development (ECD) with existing maternal and child health and nutrition messages. To understand how to efficiently deliver such a program, this study determined the feasibility of integrating counselling on child stimulation into the Kenyan BFCI activities. Qualitative interviews (N=97) among female (aged 15-49 years) and male users, stakeholders, and services providers in Koibatek sub-County (mainly inhabited by the Tugen people, a Nilotic group in sub-Saharan Africa) provided extensive information on understanding regarding ECD, caregiving beliefs, needs at different levels and barriers and facilitators. Contextual influences and existing health system infrastructure are important considerations when designing integrated interventions to improve nurturing care of children.


Sign in / Sign up

Export Citation Format

Share Document