Population-based approaches for monitoring the nurturing care environment for early childhood development: A scoping review.

Autor: Pedroso J; Departamento de Nutrição, Universidade de Brasilia, Brasilia, Brazil., Dos Anjos Coelho Kubo SE; Departamento de Nutrição, Universidade de Brasilia, Brasilia, Brazil., Silva PO; Departamento de Nutrição, Universidade de Brasilia, Brasilia, Brazil., Ferreira de Castro G; Departamento de Nutrição, Universidade de Brasilia, Brasilia, Brazil., Pimentel JL; Departamento de Nutrição, Universidade de Brasilia, Brasilia, Brazil., Pérez-Escamilla R; Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut, USA., Gubert MB; Departamento de Nutrição, Universidade de Brasilia, Brasilia, Brazil., Buccini G; Department of Environmental and Occupational Health, University of Nevada Las Vegas, Las Vegas, Nevada, USA.
Jazyk: angličtina
Zdroj: Maternal & child nutrition [Matern Child Nutr] 2022 Mar; Vol. 18 Suppl 2, pp. e13276. Date of Electronic Publication: 2021 Nov 04.
DOI: 10.1111/mcn.13276
Abstrakt: Selecting indicators to monitor nurturing care (NC) environments that support decision-making and guide the implementation of integrated early childhood development (ECD) programmes has become a priority globally. Several population-based approaches have been attempted to create a set of indicators or a composite index methodology to measure the NC environment using existing secondary data. However, they have not been systematized. Our scoping review aimed to analyse the population-based approaches for monitoring the domains of the NC (e.g. good health, adequate nutrition, responsive caregiving, security and safety, and opportunities for early learning). ECD experts, peer-reviewed, and grey literature were systematically searched with no year or language restrictions. Data extraction used a standard predefined protocol. Thirty-two population-based approaches were identified. Most approaches were composed of a set of indicators (53.1%, n = 17) versus composite indexes (46.9%, n = 15) and had the country as their unit of analysis (68.8%, n = 22). Twenty-seven approaches were applied in middle-income countries (84.4%) and thirteen in low-income countries (40.6%). Four approaches were guided by the NC framework (12.5%), and 56.3% (n = 18) did not include any indicator representing responsive caregiving. NC indicators (n = 867) were sorted into 100 groups of indicators. Twenty of the 32 approaches had some kind of methodological validation (62.5%). We identified six methodological challenges to build a population-based approach. Standardized methods for selecting and validating indicators, and coordinated efforts to share findings/data with stakeholders should be prioritized. Given the great variability in methods and indicators used to measure NC environments, valid approaches should be flexible to work well across different contexts.
(© 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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