Sep 11, 2016

Impact of a child stimulation intervention on early child development in rural Peru: a cluster randomised trial using a reciprocal control design

Journal of Epidemiology and Community Health
S M HartingerDaniel Mäusezahl

Abstract

Stimulation in early childhood can alleviate adverse effects of poverty. In a community-randomised trial, we implemented 2 home-based interventions, each serving as an attention control for the other. One group received an integrated household intervention package (IHIP), whereas the other group received an early child development (ECD) intervention. The primary objective of the study was to evaluate the effect of IHIP on diarrhoea and respiratory infections, the details of which are described elsewhere. Here, we present the impact of the ECD intervention on early childhood development indicators. In this non-blinded community-randomised trial, an ECD intervention, adapted from the Peruvian government's National Wawa Wasi ECD programme, was implemented in 25 rural Peruvian Andean communities. We enrolled 534 children aged 6-35 months, from 50 communities randomised 1:1 into ECD and IHIP communities. In ECD communities, trained fieldworkers instructed mothers every 3 weeks over the 12 months study, to stimulate and interact with their children and to use standard programme toys. IHIP communities received an improved stove and hygiene promotion. Using a nationally validated ECD evaluation instrument, all children were assessed at...Continue Reading

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References

Mentioned in this Paper

Study
Home Care Services, Hospital-Based
Health Campaigns
Federal Government
Research Methodology
Adverse Effects
Evaluation
Respiratory Tract Infections
Infant Development
Slums

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