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Children from disadvantaged families are at greater risk of developing regulation difficulties. Research suggests that family-level resources such as parental education or income are related to self-regulation development. However, most studies looking at the role of family resources have used single estimators of socioeconomic status or applied a composite score, neglecting that an interplay of resources may affect self-regulation outcomes. In N = 248 at-risk children (Mage: 65.7 months, 51% female), we examined the effect of economic, cultural, and social family resources on behavioral self-regulation in kindergarten. Results showed that family income, maternal education, and available help in child-rearing predicted the Head-Toes-Knees-Shoulders task performance. The results indicate that behavioral self-regulation is associated with different family resources beyond socioeconomic status. [ABSTRACT FROM AUTHOR]

Despite increasing demands, the uptake of parenting education programs in developing countries is limited. This study evaluated the effectiveness of a Learning Through Play (LTP) informed, illustration-based parent educational training program designed for low-literacy populations in Bangladesh to promote early childhood development. A quasi-experimental design was employed, involving parents of typically developing children and children with special needs aged 0–6 years. Results showed significant enhancements in parenting knowledge, skills, and attitudes in both groups, with larger effects on knowledge and attitudes among parents of special needs children. The findings underscore the potential of LTP Calendar-based educational training programs as cost-effective, culturally sensitive, and accessible strategies for enhancing positive parenting practices and child development outcomes in economically disadvantaged settings. Future research should focus on cultural sensitivity evaluation, sample size expansion, and long-term impact assessment to further validate and extend these findings. [ABSTRACT FROM AUTHOR]

As the U.S Hispanic population has increasingly grown throughout the years, the growing population has indicated that there will be change in the makeup of the cultural fabric of the country. The Hispanic population growth has led to the increase in numbers of English Learner (EL) students in both private and public schools in the U.S. which has subsequently led to the need to adapt and improve the U.S. education system for EL students. As the transformation in our counties cultural fabric continues to change the same change needs to be reflected on the student's education. This narrative will explain and rationalize the pedagogical practices that are in place to improve and embrace multilingualism and multiculturalism in education from early childhood development to higher education. The narrative found that a key indicator that influences the success of Hispanic students is early childhood development and education, this includes having access to necessary resources, being in culturally stimulating environment and training in English proficiency. The narrative also found that early education should not be limited to just schools but also needs the cooperation from the student's family and cultural centers. If early childhood development is not established the student will not be on the same level as other students and will be attempting to catch up to the education level other students are at. As the student gets older practices such as the ones being practiced in early childhood development should expand throughout the student's education. [ABSTRACT FROM AUTHOR]

The state of early learning provision remains elusive in Namibia. This study aimed at determining the provision of early learning to children aged between 0–8 years; caregivers' capabilities; and the resources availability in the country. The study used a mixed methods approach in collecting data from a sample of 32 ECD centres and caregivers. The convergent parallel mixed methods used a questionnaire, observation check list, photography and interviews with caregivers. Thematic analysis was applied to augment the qualitative data. The results showed that achieving inclusive, equitable and quality education for all children in Namibia was a pipe dream in the prevailing education, economic and social situation in the country. Factors contributing to the non-attainment of quality and equitable ECD for all children included; overcrowded ECD centres; inadequate learning environments and poor physical facilities. This study recommends a comprehensive training programme, a better learning environment, and the use of locally available materials for teaching at ECD centres. [ABSTRACT FROM AUTHOR]

This study aimed to examine the relations of early childhood development with maternal health literacy and mothers' early parenting practices. This cross-sectional study was conducted on mothers with children aged 36–59 months (n = 503) with a survey form, Early Childhood Development Index (ECDI) and Turkish Health Literacy Scale-32. Children of mothers with sufficient/excellent health literacy levels, children who are breastfed for 12 months and longer, and children with a screen time of 2 h or less were more likely to be ECDI-on-track (AOR (CI) = 2.52 (1.53–4.15); 2.28 (1.41–3.70); 2.04 (1.18–3.50); respectively). In conclusion, children whose mothers were adequately health literate, who were breastfed longer and who had less screen time were better on ECDI indicators. Increasing the knowledge and skills of mothers on early parenting practices and supporting them to be good health literacy will contribute positively to the early development of children. [ABSTRACT FROM AUTHOR]

This paper studies the association between caregiver–child interactions and early childhood development in literacy and numeracy in West and Central Africa. Data comes from Multiple Cluster Indicator Surveys (MICS) conducted in Central African Republic, Chad, Democratic Republic of the Congo, Gambia, Ghana, Guinea-Bissau, Sierra Leone, and Togo between 2017 and 2020. A multilevel logistic regression is used to estimate the likelihood of being developmentally on track for 35,752 children aged 3–4 years. The results indicate that cognitively stimulating interactions with caregivers such as reading and telling stories are correlated with a higher likelihood of being developmentally on track. Interactions with mothers are associated with significantly higher odds of being developmentally on track but not interactions with fathers. [ABSTRACT FROM AUTHOR]

In line with international trends in early childhood care and education (ECCE) recognising the importance of early learning, the Department of Basic Education in South Africa has pledged to professionalise the sector, increase access and improve quality. From a systemic point of view, professionalisation of the sector will require collaboration on multiple levels between various stakeholders working in different systems to bring about simultaneous improvement in conditions of employment, resource provision, and infrastructure development. To aid the government in supporting skills development in this sector, particularly for those servicing the most indigent populations, we employed a multi-method design to determine critical skills gaps and how they could best be addressed. Data were gathered through online questionnaires, a desktop review and focus group and individual interviews. Thematic analysis revealed the need for managerial training, practical learning opportunities for practitioners, the necessity for more home-based ECCE services and systemic improvement. Based on the findings, we make suggestions of how key stakeholders could partner to best address these needs. [ABSTRACT FROM AUTHOR]

In this reflective piece, representatives of the agencies that funded and managed the Early Learning Systems Research program – the UK Foreign, Commonwealth and Development Office (FCDO) and the World Bank – take stock of recent global developments in research, policy, and financing by donors for early childhood education (ECE). A rapid increase in research on early childhood interventions has secured a consensus that in vesting in early matters for later outcomes in life. In recent years, development finance institutions have taken unprecedented steps to incorporate ECE into their policies and approaches, have helped build research capacity, and fostered communities of practice on ECE. Despite these developments, however, the share of official development assistance (ODA) for ECE remains extremely low. Limited prioritization of ECE by donors may be reinforced by a persistence of low demand for ECE financing from governments and differences in delivery mechanisms between ECE and other levels of education. The authors conclude with considerations for researchers, practitioners, and policymakers interested in increasing donor finance for ECE. [ABSTRACT FROM AUTHOR]

Can at-scale, government-implemented parent training programs improve parenting practices and child development outcomes? This article presents evidence on the effects of a low-cost, group-based early childhood education program that provided parent training and direct child stimulation in rural communities, evaluated in six Mexican states. Despite limited take-up, the program had positive impacts on observed parent behaviors in its first year. An index of observed parenting behaviors increased by 0.20 standard deviations, with larger effects (0.32 standard deviations) for parents of the youngest children (ages 0–35 months). An index of impacts on child development showed no statistically significantly effects, but certain aspects of child development showed suggestive evidence of positive impacts in the first year. For both parenting practices and child development, effect sizes were smaller and not statistically significant in the second year. The fade-out of effects is consistent with existing literature on parenting programs. Impacts of the program on child development were not significantly different for girls versus boys or for younger versus older children. These results suggest that parent training can be implemented at low cost, although design changes to improve implementation and take-up would likely be needed to generate sustained impacts on parenting practices. [ABSTRACT FROM AUTHOR]

Quality caregiving practices facilitate early childhood development. This study examined the levels of parents' engagement in caregiving activities with children aged 36–59 months and the socioeconomic and child-rearing environmental factors. A total of 1035 children and their caregivers were analysed using the Vietnam Multiple Indicator Cluster Survey 2014. Multivariate logistic regression was performed separately for each following outcome caregiving activity: reading books, telling stories, singing songs, naming/counting, taking the child outside, and playing with child. Results showed that fathers' engagement levels were substantially lower than the mothers' in all caregiving activities. Reading books and telling stories was among the least frequent activities engaged in by both parents. Results from the logistic regression model showed that parental high education level, richest household wealth, and having adequate learning resources at home were positively associated with parents' engagement in caregiving activities. These findings provide important evidence for promoting positive parental caregiving. [ABSTRACT FROM AUTHOR]

This paper explores Grade R teacher expressions of themselves as teachers of numeracy, and as teachers working in the transition phase of schooling, after their participation in a research-informed numeracy-focused professional development (PD) intervention. The Early Number Fun (ENF) programme had 33 teachers from 17 Eastern Cape schools participating monthly over 18 months. Inclusion of Grade R to schooling is relatively new following policy changes in Early Childhood Development. In-service support tends to be subsumed within the Foundation Phase without attention to the specialised nature of Grade R that emphasises learning through play. ENF focused on the development of specialised teacher knowledge to support the development of early number sense through play, particularly with conceptual manipulatives. Data sources include three pre-, during, and post-PD questionnaires. Findings reveal that participation in ENF, and access to multiple research informed numeracy resources, supported teachers in their relationship with numeracy and the teaching thereof. Questionnaire responses indicate greater confidence in themselves as knowledgeable teachers of numeracy and that belonging to the ENF community supported navigation of positive professional identities within the mixed messages of policy. The findings contribute to the community-supported field of Grade R PD research and early numeracy teaching and learning. In concluding we discuss implications of this research for Grade R PD and for policy. [ABSTRACT FROM AUTHOR]

This study investigated six-year-old children's metacognitive and self-regulatory processes during task engagement and their relations to children's online metacognitive experiences, particularly feelings of difficulty (FOD). Sixty first graders (57% boys; M age: 6.2 yr., SD = 3 months) were individually interviewed. They were engaged in an ecological and challenging graphic task. Based on C.Ind.Le Coding Scheme, the present study took into account indicators of metacognitive knowledge (i.e., knowledge of persons, tasks and strategies), metacognitive regulation (i.e., planning, monitoring, control and evaluation) and emotional and motivational regulation (i.e., emotional and motivational monitoring and control). Moreover, children's spontaneous comments of FOD were coded. Results showed that the communication of the FOD were significantly associated with the deployment of metacognition and self-regulation, with the exception of planning. The communication of FOD during the task allowed children to mobilize resources and to achieve their goals. Indeed, children who displayed higher evidence of metacognition and self-regulation felt that the task would be difficult but that they would be able to solve it. We discuss the importance of promoting and hearing the children's voices and judgments about their metacognitive experiences to solve the activities in educational contexts. [ABSTRACT FROM AUTHOR]

Early childhood development (ECD) access and quality inequalities can manifest as school and labour market outcomes that are persistently unequal by race, gender and geography. Using the General Household Survey 2019 and Early Childhood Development Census 2009–2014 data, we find that household socio-economic status, proximity to ECD centres and the mother’s educational attainment are positively associated with ECD enrolment. Having an economically inactive or unemployed adult in the household is negatively associated with enrolment rates. This paper also evaluates the programme gains (value added) of five ECD programmes in the large-scale cross-sectional the Early Learning Outcomes Measure study. We find gains that are surprisingly large, considering that these programmes served mainly poorer children, and because contact time per week for three of the programmes was only 2½ to 8 hours. [ABSTRACT FROM AUTHOR]

Early childhood development research typically focusses on populations that are either of upper or lower socioeconomic status. A population especially overlooked is the 'missing-middle', represented by middle-income, urban populations. Knowledge of children's development from middle-income populations to guide the implementation and customisation of early intervention policies, is needed. The Vineland-3 was used to describe the developmental outcomes of 55 young children, six to 24 months old, from an urban, middle-income setting in South Africa. The mHealth PEDS was used to identify caregivers' developmental concerns. Caregivers' concerns were positively associated with their children's developmental outcomes (φ = 0.355; p = .024), emphasising their valuable contribution in early identification of developmental delays. Fifteen percent (n = 8) of participants' children presented with developmental delays, with low birth weight identified as a significant risk (φ = 0.415; p = .011) and higher maternal education as a significant protective factor (φ = 0.365; p = .016). High gross motor proficiency appears to be a strength within this population, while receptive language and play skills require attention. Early childhood development should be prioritised across all socioeconomic classes to help ensure that children from the 'missingmiddle' do not miss out on the opportunity to thrive. [ABSTRACT FROM AUTHOR]

The purpose of this study was to (1) explore demands and resources among centre-based and Family, Friend and Neighbor (FFN) early childhood education (ECE) caregivers, and (2) investigate how these factors are associated with the quality of caregiver-child relationships. ECE caregivers (n = 257) completed a survey that assessed demands, resources, and the quality of caregiver-child relationships. Analyses included univariate and bivariate analyses and hierarchical linear regression modelling. Centre-based caregivers (n = 173) reported higher stress, less knowledge related to wellness, and lower confidence related to self-care practices compared to FFN caregivers (n = 84) (all p <.05). Mindfulness was associated with higher reported closeness with children in their care (p <.05). Centre-based caregivers may experience more demands and less resources compared to FFN caregivers which could impact the quality of care. Mindfulness strategies may help to mitigate demands and bolster the well-being of ECE caregivers and healthy early childhood development. [ABSTRACT FROM AUTHOR]

Being school-ready when transitioning to the primary school system has been associated with favourable outcomes during schooling and adult life. While children living in socio-economically disadvantaged areas may be at a higher risk of being less school-ready, research in the area has highlighted that not all children experience such a delay. This study examined a range of factors that may account for differences in outcomes across five school readiness domains (physical health and well-being, social competence, emotional maturity, language and cognitive development, and communications skills and general knowledge) within a sample of children living in socio-economically disadvantaged areas. Drawing on data from a sample of five-year-old children involved in the Preparing for Life (PFL) evaluation in Ireland, this study explored the role of child and early environmental factors in facilitating or hindering children's development across these school readiness domains. Statistical analysis identified child's sex, parental involvement and learning materials at home, parent–child interactions, mother's attempt to breastfeed, and mother–child attachment as significant predictors of school readiness after accounting for other factors. Findings contribute to the Irish and international literature on the role of early demographical and environmental factors in shaping school readiness, especially for children from socio-economically disadvantaged areas. [ABSTRACT FROM AUTHOR]

This paper explores neighborhood-built environment features related to 'better than expected' and 'as expected' early childhood development outcomes (ECD) in 14 Australian disadvantaged communities. This paper draws from mixed methods data collected in the Kids in Communities Study – an Australian investigation of community effects on ECD – in communities across five states and territories. In total, 93 interviews and 30 focus groups were conducted with service providers and parents, and geographic information systems were used to create built environment measures for each local community. Housing factors (e.g. better affordability, tenure, less high-density public housing) were consistently related to disadvantaged local communities with 'better than expected' ECD outcomes. Physical access to services and public transport, living in a walkable area, having high-quality public open space, and a mix of local destinations was perceived to be consistently important by community members in disadvantaged communities regardless of ECD outcomes. Findings may help policymakers to consider neighborhood features that contribute to better ECD outcomes. [ABSTRACT FROM AUTHOR]

Early childhood education (ECE) is important to provide the necessary support for children's healthy development during the preschool period. We evaluated whether ECE positively impacted early childhood development in Lao PDR. We pooled two rounds of nationally representative cross-sectional household surveys — Lao Social Indicator Surveys 2011/2012 and 2017. The study sample included 9316 children 3–4 years old. Multivariate logistic regression and propensity score-matching analysis were performed to estimate the impact of preschool attendance on children's development status. The results showed that preschool attendance positively impacted children's literacy-numeracy, learning ability, physical growth, and social-emotional development. We confirmed that home stimulation by caregivers also positively impacted children's literacy-numeracy and learning abilities. Since there are large socioeconomic and geographical disparities among Laotian children attending preschool, further efforts should be made to promote equitable and inclusive access to ECE in Lao PDR. [ABSTRACT FROM AUTHOR]

Sustainable Development Goal Target 4.2.1 is monitored by determining the proportion of children aged 24 to 59 months who are developmentally on track in the domains of health, learning, and psychosocial well-being. UNICEF has developed a caregiver report measure, the Early Childhood Development Index 2030 (ECDI2030), to measure progress towards this target. This paper examines whether a newly developed tool, the Early Childhood Development Assessment Scale-Direct Assessment (ECDAS-DA) can add value to the measurement of Target Indicator 4.2.1 by complementing UNICEF's ECDI2030, and explores the psychometric properties of the ECDAS-DA. A total of 956 children (476 girls) aged 3 to 5 years from Bangladesh, China, India and Myanmar were administered the ECDAS-DA in individual sessions. Caregivers provided responses to a survey based on UNICEF's ECDI2030. Confirmatory Factor Analyses indicated that learning, health, and psychosocial well-being domains of the ECDAS-DA were three component parts of one underlying construct of early child development. Significant correlations between the ECDAS-DA and the caregiver-reported ECDI2030 survey were found in the learning and health domains but findings were mixed for the psychosocial well-being domain. Multiple measures of early development could be important in measuring SDG Target 4.2.1 and the ECDAS-DA has the potential to complement UNICEF's ECDI2030. [ABSTRACT FROM AUTHOR]

This study aimed to discover the effect of physical education on the emotional and mental development of pre-schoolers. The study involved 355 pre-schoolers (162 males and 158 females) aged 4 (N = 215) and 5 (N = 150) years (mean age = 4.36, SD = 0.76) who attend public preschool institutions in Moscow, Russia. All respondents were divided into two groups. In the experimental group, physical activities were held every day, whereas the control, had only two sessions per week. To analyze the relationship between sports and understanding of emotions by children, Pearson's correlation analysis was used. The experimental group's result was 14% higher than that of the control. The examination also unveiled a strong correlation between regular exercises and positive mental health of examined children. Physical education has a positive effect on the emotional and mental development of pre-schoolers. It would be beneficial if these research results would be considered while establishing modern approaches to the development of the theoretical and methodological basis of physical education as a separate subject in preschool institutions. [ABSTRACT FROM AUTHOR]

Life history theory emphasises plasticity in developmental and biological programming where conditions in early life, lead to long-term consequences for health and wellbeing. Studies linking water, sanitation, and hygiene, nutrition, and child growth and development have emphasised the optimisation of linear growth as a key metric for the evaluation of intervention efficacy. Life history characteristics pertaining to human growth and phenotypic plasticity, suggest that different developmental outcomes in early childhood may be responsive to different stimuli at different ages. Energy utilisation by the human brain, from birth through childhood, accounts for a disproportionate percentage of the resting metabolic rate. Undernutrition in early life, and its relative resultant energy deficiency, may trigger adaptive physiological mechanisms prioritising brain growth at the expense of body growth. Emphasis placed on linear growth may have impeded the significance of WASH due to excluding aspects of child development beyond height/weight. We propose that incorporating evolutionary public health and life history theory perspectives, allows for the identification of age-appropriate biological outcomes and WASH indicators, while anticipating the timing and life-course suitability of the interventions being operationalised. Finally, integrating reflections regarding context allows for the development of transformative WASH interventions. [ABSTRACT FROM AUTHOR]

The aim of this study was to explore the experiences of early childhood development (ECD) centre staff in providing care and learning support to children living in a high-risk, low socioeconomic community. We interviewed 14 staff from an ECD centre. Interviews were audio-recorded, transcribed verbatim and analysed thematically. We derived four over-arching themes which demonstrated contextual-, parent-, child- and staff-related factors that influenced ECD staff's daily work experiences. Challenges relating to poverty, violence, trauma, and substance exposure cut across each theme. Providing a safe and nurturing learning place for children was essential to staff and allowed them an opportunity to deal with some challenges. Characteristics of staff such as passion, resourcefulness, and commitment, went a long way in providing motivation to overcome challenges. Finding ways to support ECD staff working in low socioeconomic environments are important avenues for further research to prevent staff burnout, and to promote optimal child development. [ABSTRACT FROM AUTHOR]

Through a 48-item questionnaire shared via social media, 546 participants from 47 American States reported on their children's (ages 0–8) play activities during early social distancing efforts as a result of the COVID-19 pandemic. Descriptive and inferential statistics were used for data analysis. Results from the questionnaire indicate participants took social distancing guidelines seriously by keeping children at home and away from other children during the period of social distancing, thus affecting play behaviours. The study's findings are significant in that they document some parents' perspectives of their children's play during a unique period in American history. The authors discuss implications for parent and child play behaviours including the need for more unstructured play time, realities of parents working from home with children present, and the effects of children having a lack of access to peers to play with for sociodramatic and symbolic play. Recommendations for future research are provided. [ABSTRACT FROM AUTHOR]

The current study conducted in Pakistan aimed to test if parental stimulation practices modify the effect of general child health status on early developmental risks in hospitalized children. Development was assessed using the Survey of Well-being of Young Children. Child health status was a global rating on a Likert scale. Parental engagement was categorized based on the number of activities with their children (low ≤ 3, high > 3). A total of 231 children were assessed. Children with poor health status were reported to be 1.9 (95% Confidence Intervals [CI] 1.4–2.8, p = 0.000) times at risk of developmental delay by parents who had lower engagement and about 3 times (3.63 for mothers CI 1.79–7.37, p = 0.003; 2.96 for fathers CI 1.17–7.49, p = 0.027) significantly at risk of behaviour–emotional concerns by parents with higher engagement. The authors conclude that parental engagement and developmental screening can be incorporated as part of in-patient paediatric assessment. [ABSTRACT FROM AUTHOR]

Early childhood development (ECD) is a crucial determinant of adulthood capabilities. This paper investigates the current ECD status among young children of 3–4 years of age in Bangladesh and its relation to various socio-demographic and familial factors using data from the latest round of the Multiple Indicator Cluster Survey (MICS). Results from the logistic regressions confirm many existing findings for developing countries and draw new insights specific to the country. Physical and mental disabilities hinder all types of early development. Enrolment in pre-school education programmes, the presence of children's books at home and parents' engagement in certain learning-stimulating activities are crucial for development in literacy-numeracy and learning. Development in the physical domain is fundamentally associated with wealth status. Failure to attain adequate social-emotional development can be largely attributed to domestic hostility toward children and mothers' experience of functional difficulties. [ABSTRACT FROM AUTHOR]

Using a longitudinal telephonic survey of adults, this paper provides empirical evidence from South Africa on early childhood care and education (ECCE) attendance trends just before and during the COVID-19 pandemic. About 39% of adult respondents living with children aged 0–6 indicated that at least one child had attended an ECCE programme in February 2020. After a period of ECCE programme closures and lockdowns, estimates fell to as low as 7% in July/August 2020, partially recovered to 28% in November/December 2020, dropped again to 7% in early February 2021 but then recovered significantly to 36% by April/May 2021. A decomposition analysis suggests that a large part of the recovery in ECCE attendance in 2021 was attributed to higher reported perceived ability to be able to afford ECCE programme fees. This could relate to lower fee ECCE programmes resuming operations in anticipation of government relief payments. [ABSTRACT FROM AUTHOR]

Multisectoral national policies for early childhood development (ECD) have been developed since 1979, yet until now the number of countries adopting them has not been systematically documented. Numerous global declarations, including Education for All and the Sustainable Development Goals (SDGs), have supported ECD policy planning. Selection and search criteria were established and applied to identify and classify multisectoral ECD policy documents. A descriptive study was conducted to assess historical trends in policy adoption, regional coverage, income levels, governance categories, and crisis countries. Policies were first developed in Colombia, and later in Namibia, South Africa, Mauritius and Maldives. By December 2019, 76 countries (39% of 197 countries worldwide) and one territory had adopted 125 multisectoral ECD policy instruments. Of them, 51% were policies; 37% strategies and/or action plans; 11% laws; and 7% regulatory documents. By 2010, 43 countries had adopted an ECD policy instrument, peaking in 2011 when 14 countries adopted policies. From 2012 to 2019, 29 countries adopted a policy. South Asia (88%), Latin America and the Caribbean (65%), and Sub-Saharan Africa (58%) lead policy development. Policies have been adopted by 53% of low-income countries and 55% of lower middle-income countries. Fewer upper middle-income countries (38%) and high-income countries (14%) have adopted an ECD policy. Previous research found that countries using participatory policy planning processes resulted in well-implemented ECD policies. The presence of a multisectoral ECD policy prepared in a participatory manner helps establish a strong enabling environment for expanding and improving ECD services. To attain SDG 4.2, additional lower- and middle-income countries, countries with emergencies, and authoritarian regimes should be prioritized for support. Finally, we recommend an indicator be established to identify the number of countries that have adopted ECD policies to help measure SDG 4.2. This study provides, for the first time, a criteria-based list of multisectoral national policies for early childhood development (ECD) in 76 countries (39% of 197 countries worldwide) and one territory and examines regional policy coverage and needs. Initial studies reveal the development, adoption, and implementation of multisectoral national ECD policies help expand ECD programs in countries. More technical assistance is needed to develop and implement ECD policies, especially in lower- and middle-income countries, including those with humanitarian emergencies and authoritarian regimes. A new SDG indicator for multisectoral national ECD policy development is recommended for future use. More research is required regarding policy impacts in relation to methods and processes of policy development, structures, key elements, and contents. [ABSTRACT FROM AUTHOR]

Caregivers of young children play a significant role through a child's early childhood. External factorssuch as environment, socio-economic status, and support system, impact children's early development experiences. This study explored how caregivers perceived their role in the early child development of 3-4-year-old children in an under-resourced community in KwaZulu-Natal. Purposive sampling was used to recruit eight caregivers via the crèche their child attended. Biographical questionnaires and semi-structured interviews were used to collect data. Through thematic analysis, the findings highlight that childrearing practices are influenced by the specific context of informal settlements, townships, and associated environments. The study further reveals how community members and structures assist them and their role in the child's development. Ultimately, the findings indicate that caregivers require further information on several areas of ageappropriate development and the importance thereof. This study highlights the factors that can assist caregivers in facilitating positive developmental outcomes. [ABSTRACT FROM AUTHOR]

Community health workers have been shown to be an effective way to improve health outcomes in under-resourced contexts like South Africa. Community health workers can support health and well-being through supporting mother-infant bonding, which is associated with a wide range of benefits. The bond between mother and infant is critical for infants' health, nutrition, care, and future development. However, mother-infant bonding faces many challenges in South Africa, including poverty, poor health care, lack of education, maternal depression, substance abuse, and high rates of crime and violence. Thus, the aim of this study was to explore how community health workers might enhance mother-infant bonding. Semistructured interviews were conducted with 15 community health workers. A thematic analysis suggests that that there are many contextual inhibitors of mother-infant bonding, that support is vital for mother-infant bonding, and that community health workers provide comprehensive, holistic support. [ABSTRACT FROM AUTHOR]

Parents of young children are often unaware of the general importance of play in children's development and their own roles in children's play. Lack of leisure, lack of space, the COVID-19 pandemic, Early Childhood Centre teacher communication and use of media and digital toys for children, have affected and reduced children's free play. Drawing on Vygotsky's Zone of Proximal Development as an underpinning theoretical framework, this paper explores the contestations of play and learning using parents' voices. The study used open-ended qualitative questionnaires to extract parents' feedback on their understanding and practices of play with 3–4-year-old children. The researchers used convenient purposive sampling and selected 6 parents of young children from middle-income families in Pretoria, South Africa. In a time of schoolification of the early childhood years, the findings highlight that although parents believed that play was essential, they set up structured learning environments for their 3–4-year-old children at home. The study accentuated the importance of parent intervention programmes so that parents are aware of how to engage in play with their children appropriately, and what the appropriate adult roles for extending and enhancing play are. [ABSTRACT FROM AUTHOR]

This article outlines the collective reading tasks using interactive book media. Due to the importance of stimulating aspects of child development, the writers attempt to report a qualitative case study research on the effectiveness of collective reading tasks via interactive book media to stimulate early childhood development in language, cognitive, and motor skills. Ten early childhood education teachers and 65 children (38 girls and 27 boys) from five private early childhood education institutions in Indonesia participated in the study. Data for this study were collected using interviews with teachers, classroom observation, and students documentation. Based upon our qualitative content analysis, the findings show that reading books together in Indonesia using interactive book media can stimulate children's language, cognitive, and motor development. This study provides an exciting opportunity to advance our knowledge of collective reading tasks with interactive book media encompassing various other activities that are very effective in stimulating children's development, particularly aspects of language, cognitive, and motor development. [ABSTRACT FROM AUTHOR]

Focussing on the experiences and perceptions of parents and volunteer caregivers of children with disabilities, this paper reports on a study that explored the provision of early childhood development and inclusive education for children with disabilities in rural Malawi. Drawing on a community-based participatory research (CBPR) design, ten local community researchers and two Malawian researchers collaborated to interview forty caregivers and parents of children with disabilities attending ten Community Based Care Centres (CBCCS) in Southern Malawi. Findings are reported through four key themes: experiences of disability, inclusion, learning and developmental progress; factors influencing non-enrolment and absenteeism; barriers to learning and progress; and accountability and support channels. Five key components were highlighted: 1) relevance of peer interactions for learning outcomes and wellbeing; 2) the importance of the CBCC as (a model for) a safe space against discrimination; 3) relevance of quality education and pre-school teacher training; 4) necessity of material support to decrease absenteeism; 5) the need for greater community and state support for children with disabilities. The implications of the study's findings are discussed, including the importance and relevance of considering the perspectives of community based actors in program and policy design. [ABSTRACT FROM AUTHOR]

Purpose: Oncological diseases, especially if experienced in the first 3 years of life, expose young children to conditions of serious physical and emotional stress causing delays in their physical development, cognitive acquisitioning and issues related to their emotional and social functioning. This study examines the effects of the participation in an early childcare intervention to support the children's development, which was proposed to children from 0 to 36 months, at the moment of cancer diagnosis in their hospital setting. Method: A prospective multicenter programme was offered to young children (<3 years) newly diagnosed with cancer. These children were treated in three pediatric oncology centers affiliated to the Italian Association of Pediatric Hematology-Oncology. The children's strengths and weaknesses, in different developmental areas, were examined pre-programme and 6 months post-programme. Results: Fifty-three young children were enrolled in the study. The data showed that at the moment of diagnosis the majority of the children demonstrated low scores across all the abilities in the subscales examined, highlighting a mental age below their chronological age (ΔT0 = 3.5 months). However, post-programme, the children were shown to have significantly reduced the gap between their chronological and mental age (ΔT1 = 1 month), demonstrating improvements in all their developmental abilities. Conclusion: The study confirms significant implications for early childcare programmes, delivered in hospitals for young children with cancer, in terms of support for their ongoing physical, cognitive and social development. Therefore, the study demonstrated the necessity, for all pediatric oncology centers, to invest in early childhood education programmes. [ABSTRACT FROM AUTHOR]

In South Africa, the mother-infant relationship is often conceptualized using international frameworks. Yet, contextual knowledge of mother-infant bonding is essential, as a strong mother–infant bond enhances a mother's capacity to care for her infant, and is associated with many positive child development outcomes. Community health workers work intimately with South Africa's mothers and infants, and are a valuable source of insight into local experiences. This study explored South African community health workers' perspectives of mother–infant bonding. Semi-structured interviews were conducted with 15 community health workers. A thematic analysis of the interviews suggests that the community health workers perceive mother–infant bonding as a central component of early development. Bonding was seen to improve mothers' care capacity, especially in poverty-stricken contexts. The benefits of bonding were characterized as being far-reaching, from pregnancy to adulthood. The community health workers described effective approaches to bonding as being simple, intuitive, and free. [ABSTRACT FROM AUTHOR]

The reading challenges children face in the lower grades of primary school in South Africa are well publicised. Children's literature is critical in early childhood education, supporting growth in multiple domains. The study aimed to explore the implementation of Grade R children's literature curricula at selected early childhood development (ECD) centres in Johannesburg. Four Grade R teachers teaching at different ECD centres were chosen as the study's participants. The four ECD centres selected were in demographically disparate areas of Johannesburg. Two followed the Curriculum Assessment Policy Statements (CAPS) curriculum, one followed the Independent Schools Association of Southern Africa (ISASA) curriculum, and one followed the Reggio-Montessori curriculum. The study is a generic qualitative inquiry, and data were generated using semi-structured interviews with Grade R teachers at the ECD centres, observations of lessons, and document analysis. Three themes emerged from the data analysis. Firstly, the Grade R children's literature curricula's content, design, and implementation aim to develop children holistically. Secondly, Grade R teachers use different methods to teach children's literature. Finally, Grade R teachers pay close attention to their classroom contexts when planning and executing children's literature lessons. The authors conclude that the architecture of the children's literature curriculum at the selected centres is a complex function of various factors. These include the content of the curriculum, the methods used by the teachers in delivering it, and the teacher's responses to the contexts in which they teach. [ABSTRACT FROM AUTHOR]

The dismissal and devaluing of indigenous knowledge during the successive eras of colonialism and apartheid in South Africa compelled the African majority to adopt the colonisers' values, attitudes, language, cultural practices, morality, and institutions. In education, the consequent neglect of sociocultural contexts inevitably influenced the cultural identities of children negatively and disrupted the intergenerational continuity of core values and traditions especially in the early years of development. Early childhood development is acknowledged as the most critical developmental phase when behaviour, attitudes, and values are learnt and retained. It presents an ideal opportunity to impart rich values and social mores, particularly in the current context of moral and ethical decline in democratic South Africa. Local/community resources and positive cultural values and practices can contribute to children's holistic development by building strong foundations for essential prosocial values that are embodied in ubuntu. With roots in African traditional society and philosophy, ubuntu espouses the ideal of interconnectedness and interdependence among people. This article reports on the views of a sample of urban, rural, and semi-rural early childhood development staff and community members on the inclusion of ubuntu values and principles in the early childhood development curriculum. The collective support for the inclusion of ubuntu in the preschool phase suggests the potential for developing socially responsible citizens for cohesive co-existence in democratic South Africa. [ABSTRACT FROM AUTHOR]

Community health workers possess valuable insight into the experiences of South Africa's children and caregivers. However, their knowledge is often overlooked in efforts to understand local realities, inform interventions, and develop relevant policies. This study aimed to explore community health workers' perspectives of the first 1000 days of life, the critical period of development between conception and two years of age. Semi-structured interviews were conducted with 15 community health workers working with mothers and infants in Khayelitsha, Cape Town. A thematic analysis suggests that the community health workers view the first 1000 days as fundamental and foundational for children's development. Furthermore, the community health workers identified key needs for mothers/caregivers and infants within the first 1000 days. The findings provide contextual grounding for the importance of the first 1000 days within South African communities. [ABSTRACT FROM AUTHOR]

During early childhood, economically disadvantaged children can experience challenges that affect their social-emotional, language, and physical health development across the lifespan. Psychologists have tested several interventions to address developmental problems during early childhood, but information about the degree to which economically disadvantaged children are included in such research is limited. The current paper reviews selected interventions in the areas of social-emotional, language, and physical health challenges to examine the degree to which economically disadvantaged children have been included in early childhood intervention research and to identify efficacious interventions for practitioners and researchers. The review suggests that some areas, such as interventions for Type 1 diabetes and child anxiety disorders, warrant additional research with economically disadvantaged children. The authors recommend increased dissemination, collaboration among early childhood professionals, and the replication of effective interventions with young children and their families to increase their access to quality early childhood care. [ABSTRACT FROM AUTHOR]

Objectives: To explore and describe caregivers' handwashing knowledge and practices in the context of underprivileged urban communities. Design: A qualitative descriptive and exploratory study was conducted during August and September 2017, through five focus-group discussions, with caregivers of children younger than five years attending ECD centres. Setting: Early childhood development (ECD) centres in various underprivileged communities in Ibhayi and Motherwell, Nelson Mandela Bay. Subjects: Thirty-five adults, aged between 24 and 60 years, functioning as primary or secondary caregivers to 105 children, participated. Results: Three themes emerged, of which the first entailed the knowledge of handwashing and compliance with water, sanitation and hygiene (WASH) recommendations. Practical challenges that may prevent compliance with recommendations were highlighted. Handwashing as a social norm emerged as the second theme, and reflection on strategies at primary health care level to increase awareness regarding handwashing in communities was the third theme. Conclusion and recommendations: Current handwashing counselling at primary health care sites may not be perceived as relevant in underprivileged communities. However, with adequate support ECD practitioners have influence to change the handwashing behaviour and knowledge of pre-school children and families. Furthermore, communication and dissemination of handwashing messages should be clear, practical and relevant to address inappropriateness of current poster images and should include suggestions on what to do when experiencing infrastructure challenges and in times of water restrictions. Health-promotion strategies should focus on optimising handwashing practices while caring for pre-school children. [ABSTRACT FROM AUTHOR]

In this study, we investigate the association between family environment and early childhood development among children aged 6–24 months in rural counties in China. To do this, we used cross-sectional data from a large scale survey, including 1809 child-caregiver dyads across 22 nationally designated poverty counties. We found that 53.95% of children were at the risk of cognitive development delay, 60.26%, 36.27%, 40.69% of children were at the risk of language, motor, and social-emotional development delay respectively. Moreover, the good quality of family environment was significantly associated with the child's development. Rural family environments are providing insufficient stimulation for children, especially a low variety of developmental enriching materials and lacking play activities. Our study confirms the need for programmatic interventions that provide reliable ways to learn how to play with their children and build a stimulating environment to improve early childhood development in the region. [ABSTRACT FROM AUTHOR]

Parental decision-making in infant and child male circumcision is influenced by complex, interrelated factors on many levels. Several studies have highlighted reasons for the acceptance and non-acceptance of child male circumcision. This study investigates the factors that influence parental decision-making in this matter and proposes a parental decision-making framework. The study was conducted in the townships of Diepsloot and Diepkloof in Gauteng, South Africa, using 48 in-depth interviews with parents, grandparents and uncles of the boys, as well as government officials and members of civil society as part of an explorative case study. Purposive and snowball sampling were used to select the participants. Thematic analysis was used to analyse the data by applying the conceptual framework of Bronfenbrenner's ecological systems theory. Three main themes emerged from the data: microsystem factors related to health and hygiene, the father's circumcision status, cultural expectations, pain, the child's autonomy and the extended family; mesosystem factors related to early childhood development centres; and exosystem factors related to circumcision policies and financial considerations. [ABSTRACT FROM AUTHOR]

In this study, it is aimed to reveal the effect of creative drama activities implemented in early childhood on the executive functions of children who are between 60 and 72 months old. The study is designed as quasi experimental study with pretest and posttest control group. In the class determined as the experimental group, 18 drama sessions, which are planned according to the learning outcomes improving executive functions, were implemented. In the study, to evaluate the executive functions of the children The Map Task, Camel- Dwarf Game and Tower of London Test were used as data collection tools. A meaningful difference was observed in the executive functions of forward memory and the backward memory, inhibition, problem solving and cognitive flexibility of the children in the experimental group that the creative drama activities were implemented. [ABSTRACT FROM AUTHOR]

Children in impoverished settings face a multitude of risk factors that may impact early childhood development (ECD). Poor ECD can lead to negative outcomes and the continuation of the intergenerational cycle of poverty. Early stimulation from caregivers can counter the effects of risk factors. Increased developmental literacy supports positive parenting, thus improving ECD outcomes. This study aimed to determine if mHealth and conventional awareness campaigns have an effect on caregivers' developmental literacy. Caregivers were recruited from a primary healthcare facility in a low-resource setting. Participants were randomly divided into three groups; two intervention groups (mHealth and conventional awareness campaigns) and a control group. Caregivers' developmental literacy was assessed prior to their exposure to awareness campaigns. Participants were reassessed after three months, during which the intervention groups received the same information, through different mediums. The results showed that neither of the awareness campaigns was more effective (p=.359); as the intervention groups' results were similar to those of the control group. There was, however, a significant improvement (p=.000) from pre-test to post-test, across the entire sample. The improvements may be due to pre-test face-to-face (FTF) interviews between healthcare professionals and caregivers. FTF interviews may be effective in fostering developmental literacy in primary caregivers of young children in low socio-economic populations. [ABSTRACT FROM AUTHOR]

We investigated the feasibility and acceptability of integrating early childhood development into Prevention of Mother-to-Child Transmission (PMTCT) services in Malawi. We recruited mothers living with HIV in the PMTCT programs who had an infant ≤8 weeks of age. Group ECD sessions were delivered while mothers waited for HIV consultations. Follow up was conducted at 9 months postnatal. A sub-sample of mothers completed in-depth interviews which were translated, transcribed, and analyzed. 197 mothers were recruited for the integrated program: 147/197 (75%) enrolled, 114/147 (78%) completed follow up, and 62/114 (54%) completed interviews. Acceptability of the program was high, with reports of improved self-confidence and parenting capacity, increased father involvement and improved relationships with healthcare providers. Participants reported that the program made PMTCT visits more enjoyable and supportive, and reduced time and effort required for HIV care. Mothers also believed stigma within healthcare settings was reduced. The integration of ECD into PMTCT is feasible and acceptable in a low-resource setting like Malawi. Findings indicate that the integration has potential to increase satisfaction and potential retention in HIV care programs. Additional research is required to test the effects of integrated programs on child health and development, maternal health and adherence. Benefits for mothers and children can be achieved through the successful integration of an early childhood development programme into PMTCT Option B+ services in Malawi. Our study based on in-depth interviews with 62 mothers indicated that such an approach is feasible and acceptable. Participating mothers reported that the integration of the early childhood development component improved their confidence and they believed it improved their parenting; led to improved relationships with health care providers; increased the engagement of fathers and support from others in the family; helped mothers build a new social network and support system through the peer engagement components; reduced the risk of stigmatization in the health care setting. [ABSTRACT FROM AUTHOR]

Screening of children's developmental milestones is imperative for early identification of developmental delays and early intervention. Translated developmental screening tools increase accessibility and in turn enable timely identification and intervention, which allows children to reach their potential. This quantitative study evaluated the translation accuracy of the Northern Sotho and Zulu Parents Evaluation Development Status: Developmental Milestones (PEDS:DM) in comparison with the English version of the tool. The study was conducted at a regional healthcare facility in South Africa. Stratified convenience sampling was utilised with a total of 546 caregivers representing children from 1 month to 6 years of age. The findings generally reflected a strong correspondence between the English and Northern Sotho, and the English and Zulu PEDS:DM tool, respectively. A few test items in the expressive language domain did not correspond significantly between languages. This could be due to cultural and social differences and should be investigated. [ABSTRACT FROM AUTHOR]

Family engagement in childcare is important to ensure the optimal growth, development, and safety of children. Previous research has explored family engagement practices, but limited research is available on the application of theory to explain the uptake of family engagement principles. The purpose of this study was to explore the use and perceptions of the National Association of the Education for Young Children’s six principles of effective family engagement among childcare providers from various childcare settings following the Innovation-Decision Process of the Diffusion of Innovation Theory. A semi-structured interview with a card-sorting task was used to explore providers’ knowledge, adoption, and perceived difficulty of implementation as well as their perceived outcomes, reasoning for use or non-use, and advice on use of the family engagement principles. Notable findings suggest variance in childcare providers’ knowledge, adoption, and perceived difficulty of all six family engagement principles. Childcare providers mentioned various perceived outcomes and reasoning for use of principles, such as improved relationship with parents and enhanced child learning. Lack of time and perceived disinterest of parents were commonly reported difficulties for the use of family engagement principles. Future studies should expand upon the exploration of family engagement practices and comparison between different childcare settings and philosophies. Further efforts are needed to investigate effective integration and use of technology for communication. [ABSTRACT FROM AUTHOR]

This article examined perceptions on curriculum implementation regarding rural Zimbabwean early childhood development (ECD) teachers in 2017. The study aimed to locate teachers as agents of change in schools by reviewing their perceptions in implementing the recently introduced ECD framework. In this qualitative multiple case study, 30 rural teachers from Zimbabwe's 10 provinces shared their views as well as strengths and weaknesses of the competence-based curriculum. Implicit in the teachers' descriptions of effective curriculum implementation were their perspectives on effective classroom instruction. Such perspectives offer much insight into challenges experienced in curriculum implementation for rural schools. Using teacher agency as a theoretical framework, findings of the study revealed that teachers lack support regarding proper infrastructural facilities, and schools lack human, financial, and material resources for successful curriculum implementation. The researcher recommends that as a basis for future policy, the concerns of teachers, parents, and learners in complex ECD settings need to be highly prioritized by the curriculum makers ahead of planning and implementing a new curriculum. [ABSTRACT FROM AUTHOR]