Lay-worker Delivered Home Visiting Promotes Early Childhood Development and Reduces Violence in Rwanda: A Randomized Pilot
| العنوان: | Lay-worker Delivered Home Visiting Promotes Early Childhood Development and Reduces Violence in Rwanda: A Randomized Pilot |
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| المؤلفون: | Vincent Sezibera, Alex Kamurase, Cara M. Antonaccio, Laura B. Rawlings, Odette Uwimana, Aisha K. Yousafzai, Stephanie M. Bazubagira, Jordan Farrar, Robert T. Brennan, Kalisa Godfroid, Shauna M. Murray, Briana Wilson, Dale A. Barnhart, Charles Ingabire, Theresa S. Betancourt |
| المصدر: | Journal of Child and Family Studies. 29:1804-1817 |
| بيانات النشر: | Springer Science and Business Media LLC, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | Gerontology, 050103 clinical psychology, Cash transfers, Poverty, Sanitation, 05 social sciences, Mental health, Child development, Intervention (counseling), Developmental and Educational Psychology, medicine, Anxiety, 0501 psychology and cognitive sciences, Early childhood, medicine.symptom, Life-span and Life-course Studies, Psychology, 050104 developmental & child psychology |
| الوصف: | Early child development (ECD) programs are increasingly combined with targeted cash transfers for poor households to break intergenerational poverty. However, few evidence-based, scalable, and sustainable ECD programs that complement cash transfer programs exist in in low- and-middle-income countries. We conducted a cluster-randomized pilot study to assess whether Sugira Muryango, a strengths-based home-visiting intervention to promote child development and prevent violence among children aged 6–36 months, could be delivered by community-based lay workers to poor families participating in Rwanda’s cash-for-work Vision Umurenge Program (VUP). Data collection occurred among 38 families at baseline, endline, and 6 months after the intervention and included child-level (child engagement, caretaking, and health and development), caregiver-level (family unity and mental health) and household-level (water and sanitation practices and family conflict) outcomes. We compared trajectories of Sugira Muryango families vs. families receiving the cash transfer only over time using mixed-effect models. Sugira Muryango children experienced significantly greater ECD engagement than children in control families and marginally significant reductions in exposure to violent disciplinary methods. Sugira Muryango caregivers reported greater shared decision-making between parents and marginally significant improvements in family unity and anxiety. Conflict within intervention households halved between baseline and follow-up. Satisfaction was high. This randomized pilot demonstrates that Sugira Muryango can be delivered by community-based lay workers, improves access to nurturing care and stimulation among children living in poverty, and may reduce intra-family conflict. A large-scale effectiveness study is underway to assess the intervention’s impact on child development and health outcomes. |
| تدمد: | 1573-2843 1062-1024 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_________::0c32ef6526dfc618087fe5d93130beacTest https://doi.org/10.1007/s10826-020-01709-1Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi...........0c32ef6526dfc618087fe5d93130beac |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 15732843 10621024 |
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