Strengthening systems for integrated early childhood development services: a cross-national analysis of governance
| Autor: | Liliana Angelica Ponguta, Maria Regina Reyes, Hirokazu Yoshikawa, Pia Rebello Britto, Roland Dimaya, Jan van Ravens, Soojin S. Oh, Ana María Nieto, Richard C. Seder |
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| Rok vydání: | 2014 |
| Předmět: |
Economic growth
National Health Programs media_common.quotation_subject Developing country Distribution (economics) General Biochemistry Genetics and Molecular Biology Child Development History and Philosophy of Science Early Medical Intervention Early Intervention Educational Humans Quality (business) Early childhood Child Health policy media_common business.industry Delivery of Health Care Integrated General Neuroscience Corporate governance Environmental resource management Infant Newborn Infant Child development Scale (social sciences) Child Preschool business |
| Zdroj: | Annals of the New York Academy of Sciences. 1308 |
| ISSN: | 1749-6632 |
| Popis: | While there has been substantial growth in early childhood development (ECD) services in low- and middle-income countries (LMICs), there is considerable inequity in their distribution and quality. Evidence-based governance strategies are necessary, but currently they are insufficient for widespread, quality implementation. In particular, there is a limited understanding of the use of systems approaches for the analysis of ECD services as they go to scale. The aim of this paper is to present findings from four countries, using a cross-national case study approach to explore governance mechanisms required to strengthen national systems of ECD services. While different sets of governance strategies and challenges were identified in each country, overarching themes also emerged with implications for systems strengthening. Study results focus on local, mid-level and central governance, with recommendations for effective coordination and the integration of ECD services in LMICs. |
| Databáze: | OpenAIRE |
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