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The problem
Intervention: Nurturing Care Framework approach including health care, nutrition, responsive caregiving, early learning opportunities, and safety/security
Who it was tested with: Children in the first 2 years of life across multiple low-income sites in Africa, Asia, and South America.
Experience from people who deliver programmes: stories, case studies and lessons learned. Valuable for understanding how and why, and for spotting what to test next, but not a measure of effect.
"The MAL-ED study authors systematically examine how enteric pathogens, nutrition, and the home environment during the first 2 y of life relate to children's development at age 5 y across multiple low-income sites." The study demonstrates that comprehensive early care addressing multiple domains (health, nutrition, caregiving, environment) is associated with better cognitive outcomes.
The study uses a measure (WPPSI-III) developed and normed in the United States, which required cultural and linguistic adaptations. The document excerpt does not provide complete effect sizes or specific outcome data for the age 5 assessment.
Across countries and designs
5 studies · 4 countries
