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Objectives: Early childhood education and care (ECEC) services are attended by most children before school entry, reaching many living in circumstances of poverty and providing opportunity to support their nutrition. In this study, we examine the extent to which this opportunity is being met, comparing two common types of service provision: centre- versus family- provided food. Methods: Intensive in-situ observations were undertaken across 10 ECEC services in highly disadvantaged Australian communities. All meals provided to children aged 3.5–5 years across an ECEC day (N = 48), of which 11% were experiencing severe food insecurity, were photographed and analysed to assess nutritional adequacy with reference to national dietary standards. Results: Meals provided did not meet national dietary recommendations for quality or quantity. Nutrition was least adequate in services with policies of family-provided food. These services were also those that served families experiencing the highest levels of severe food insecurity (29%). Conclusions: In the absence of policies for the provision of food in ECEC, services are not realising their potential to support child nutrition in the context of poverty presenting increased risk to lifetime trajectories of health and wellbeing. System level policy interventions are required to facilitate equitable access to nutritious food and attendant life chances. Significance: ECEC services present an important opportunity to address social inequities, including inequities associated with experiences of poverty. Yet, to date knowledge of the extent to which ECEC services are meeting the nutritional needs of children remains unclear. This study provides evidence from an intensive data collection in ECEC services located in areas at high risk of poverty. Our findings suggest that the nutritional needs of children are not being met within these services, but particularly where provision of food is the responsibility of families. This article highlights the need for system level policies for food provision to overcome perpetuation of poverty for these children. [ABSTRACT FROM AUTHOR]

Background: In developed economies, most children attend Early Childhood Education and Care (ECEC) services before school entry, many from early life and across long days. For this reason, ECEC services present significant potential to provide food environments that positively influence eating behaviours and food preferences with attendant effect on life course trajectories of health and wellbeing. Yet there is evidence that feeding practices that limit optimal ongoing nutrition, such as pressure and restriction, are amplified in ECEC services serving disadvantaged communities. We sought to identify underlying explanatory mechanisms through observation of children's feeding experiences and educator explanations comparing, family‐provided and service‐provided meals. Method: This study used qualitative analyses of educator interviews and observation records from 55 mealtimes in 10 ECEC services: 5 providing food and 5 requiring family food provision. Results: High levels of concern drove educator's controlling feeding practices at mealtimes but presented differently across meal provision modes. In centres that provided food, educators' concern focused on food variety, manifesting in pressure to 'try' foods. In centres requiring family‐provided food, concern focused on nutrition quantity and quality and manifested as control of order of food consumption and pacing of intake to ensure food lasted across the day. Interview data suggested that conflict aversion limited optimal nutrition. In centres providing food, this was seen in menus that prioritized child food preferences. In centres requiring family meal provision, conflict aversion was seen as reticence to discuss lunchbox contents with families. Conclusion: The findings direct attention to public health intervention. Currently, ECEC face significant barriers to realizing their potential to support child nutrition and establish positive life course trajectories of nutrition. To do so requires targeted supports that enable sufficient supply and quality of food in the context of poverty. [ABSTRACT FROM AUTHOR]

Background: Early childhood education and care (ECEC) services have the potential to influence or disrupt sleep patterns given that ECEC attendance coincides with the normative transition towards napping cessation. Objective: In light of the evidence that sleep patterns in early childhood are foundational to lifelong health, this study investigated parent–educator communication about children's 24-h sleep cycles. Communication is critical in ensuring regularity and responsiveness to children's sleep behaviours, yet knowledge about if and how this happens is limited. We sought to address this gap. Method: This study draws upon survey data, both numeric and text, from 116 parents and 39 educators across 25 ECEC services in Brisbane, Australia. The type and regularity of communication strategies between ECEC educators and parents were analysed to establish frequency and demographic patterning. Qualitative analyses investigated the content of sleep-related communication between educators and parents. Results: Most educators and parents reported discussing children's sleep through in-person communication at pick-up and drop-off times. Qualitative analysis of the content of parent–educator communication identified three key themes: sleep quantity, quality and practices. Communication focused primarily on the quantity of children's sleep while attending ECEC settings, and communication about sleep quality and home practices were less frequent. Educators communicated more sleep-related information with parents than parents did with educators. Conclusions: This study highlights the need for frequent, bi-directional parent–educator communication. Providing practices which support regularity of sleep across home and ECEC settings and responding to the developmental transition toward napping cessation promotes children's sleep health. [ABSTRACT FROM AUTHOR]

Across developed economies, most children attend early childhood education and care (ECEC) programs attending up to 10,000 h prior to school. These programs present significant opportunity for public health nutrition interventions through provision of healthy food. We sought to identify whether this opportunity is being taken through analysis of population data from Queensland, Australia. Specifically, we asked if meal provision occurs in locations where risk of food insecurity is high and how economic functioning of ECEC services is associated with meal provision. Of ECEC services in Queensland, (N = 1623) administrative data on meal provision (2020) was available for 947 ECEC services (58.4% of cohort). We assessed the association of meal provision in these services with area indices of social disadvantage (geographic location, social disadvantage, proportion of child developmental vulnerability) and ECEC service economic functioning (fee structure, market competition). ECEC services in remote and rural communities were less likely to provide meals. A similar but weaker trend was evident in socio-economically disadvantaged metropolitan communities. In these locations market competition increased likelihood of meal provision but without fee increase. The competitive market works contrary to the potential for ECEC services to support child nutrition and promote public health. Children living in disadvantaged communities, where food insecurity is inevitably higher, are less likely to have meals provided by their ECEC service. Market competition increases the likelihood of meal provision, yet in disadvantaged communities, parents' ability to pay constrains fees that can be charged raising concern about food quality and effects on quality of provision more broadly. Systemic public supports to enable high quality food provision without compromising other aspects of quality, particularly in the most disadvantaged communities, should be a public health priority. • early education centres in disadvantaged locations are less likely to provide meals • market competition increases likelihood of meal provision in disadvantaged areas • Meal provision in disadvantaged areas is not associated with fee increase • Concerns about food quality and broader quality of provision are raised • Mixed-markets do not realise the potential to support child nutrition and health [ABSTRACT FROM AUTHOR]