Exploring the Associations between Early Childhood Development Outcomes and Ecological Country-Level Factors across Low- and Middle-Income Countries

Dados Bibliográficos

ID15499016
AutoresKasim Allel (0000-0002-2144-7181, University College London, autor correspondente), Gerard Joseph Abou Jaoude (0000-0001-6022-3036, University College London), Stavros Poupakis (0000-0002-2688-5404, University College London), Neha Batura (0000-0002-8175-8125, University College London), Jolene Skordis-Worrall (0000-0002-8633-0208, University College London), Hassan Haghparast-Bidgoli (0000-0001-6365-2944, University College London)
Ano2021
Volume18
Fascículo7
Páginas3340-3340
Data de publicação2021-03-24
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores do periódicoISSN: 1661-7827 • E-ISSN: 1660-4601
EditoraMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph18073340
PMID33804888
OpenAlexW3139022067
IdiomaEN
Citações recebidas6
Referências citadas43

A poor start in life shapes children's development over the life-course. Children from low- and middle-income countries (LMICs) are exposed to low levels of early stimulation, greater socioeconomic deprivation and persistent environmental and health challenges. Nevertheless, little is known about country-specific factors affecting early childhood development (ECD) in LMICs. Using data from 68 LMICs collected as part of the Multiple Indicator Cluster Surveys between 2010 and 2018, along with other publicly available data sources, we employed a multivariate linear regression analysis at a national level to assess the association between the average Early Childhood Development Index (ECDI) in children aged 3-5 and country-level ecological characteristics: early learning and nurturing care and socioeconomic and health indicators. Our results show that upper-middle-income country status, attendance at early childhood education (ECE) programs and the availability of books at home are positively associated with a higher ECDI. Conversely, the prevalence of low birthweight and high under-5 and maternal mortality are negatively associated with ECDI nationally. On average, LMICs with inadequate stimulation at home, higher mortality rates and without mandatory ECE programs are at greater risks of poorer ECDI. Investment in early-year interventions to improve nurturing care and ECD outcomes is essential for achieving Sustainable Development Goals

Attendance · Developing country · Developmental psychology · Early childhood · Economic growth · Economics · Environmental health · Geography · Population · Psychological intervention · Socioeconomic status · Socioeconomics · Child Nutrition and Water Access · Demography · Early Childhood Education and Development · Medicine · Poverty, Education, and Child Welfare · Psychology