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Improving early childhood development in the context of the nurturing care framework in Kenya

A policy review and qualitative exploration of emerging issues with policy makers

Dados Bibliográficos

ID22089747
AutoresM Abboah-Offei (0000-0002-9738-878X, University of the West of Scotland, autor correspondente), Patrick Amboka (0000-0003-0473-4012, African Population and Health Research Center), Margaret Nampijja (0000-0002-1200-6042, African Population and Health Research Center), George Owino (0000-0002-5295-8937, Africa Early Childhood Network), George Evans Owino, Kenneth Okelo (0000-0003-1908-3371, African Population and Health Research Center), Patricia Kitsao-Wekulo (0000-0003-4206-9746, African Population and Health Research Center), Ivy Chumo (0000-0003-1235-719X, African Population and Health Research Center), Ruth Muendo (African Population and Health Research Center), Linda Oloo (African Population and Health Research Center), Maryann Wanjau (United Nations Children's Fund), Elizabeth Mwaniki (0000-0002-7387-4468, African Population and Health Research Center), Maurice Mutisya (0000-0001-5981-6344, African Population and Health Research Center), Emma Haycraft (0000-0002-7359-1759, Loughborough University), Robert M Hughes (0000-0003-1308-666X), Robert C Hughes (0000-0002-1345-3063, London School of Hygiene & Tropical Medicine), P Griffiths (0000-0002-0591-9724, Loughborough University), Helen Elsey (0000-0003-4724-0581, University of York)
Ano2022
Volume10
Páginas1016156-1016156
Data de publicação2022-09-27
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoFrontiers in Public Health (JOURNAL)
Identificadores do periódicoISSN: 2296-2565 • E-ISSN: 2296-2565
EditoraFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1016156
PMID36238244
OpenAlexW4297425228
IdiomaEN
Citações recebidas8
Referências citadas26

Introduction: The Nurturing Care Framework (NCF) describes "nurturing care" as the ability of nations and communities to support caregivers and provide an environment that ensures children's good health and nutrition, protects them from threats, and provides opportunities for early learning through responsive and emotionally supportive interaction. We assessed the extent to which Kenyan government policies address the components of the NCF and explored policy/decision makers' views on policy gaps and emerging issues. Methods: A search strategy was formulated to identify policy documents focusing on early childhood development (ECD), health and nutrition, responsive caregiving, opportunities for early learning and security and safety, which are key components of the NCF. We limited the search to policy documents published since 2010 when the Kenya constitution was promulgated and ECD functions devolved to county governments. Policy/decision-maker interviews were also conducted to clarify emerging gaps from policy data. Data was extracted, coded and analyzed based on the components of the NCF. Framework analysis was used for interview data with NCF being the main framework of analysis. The Jaccard's similarity coefficient was used to assess similarities between the themes being compared to further understand the challenges, successes and future plans of policy and implementation under each of the NCF domains. Results: = 66 were included in final analysis. The 66 documents included 47 County Integrated Development Plans (CIDPs) and 19 national policy documents. Twenty policy/decision-maker interviews were conducted. Analysis of both policy and interview data reveal that, while areas of health and nutrition have been considered in policies and county level plans (coefficients >0.5), the domains of early learning, responsive caregiving and safety and security face significant policy and implementation gaps (coefficients ≤ 0.5), particularly for the 0-3 year age group. Inconsistencies were noted between county level implementation plans and national policies in areas such as support for children with disabilities and allocation of budget to early learning and nutrition domains. Conclusion: Findings indicate a strong focus on nutrition and health with limited coverage of responsive caregiving and opportunities for early learning domains. Therefore, if nurturing care goals are to be achieved in Kenya, policies are needed to support current gaps identified with urgent need for policies of minimum standards that provide support for improvements across all Nurturing Care Framework domains

Business · Developmental psychology · Early childhood · Economic growth · Economics · Geography · Management science · Policy development · Political science · Process management · Qualitative research · Social science · Sociology · Child Nutrition and Water Access · Early Childhood Education and Development · Global Maternal and Child Health · Medicine · Psychology · Public Administration

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Obras citantes distintas8
Citações por ano2
Intervalo de citações2022 - 2026 (5)
Velocidade de citaçãocurrent
Altamente citadoNão
Tipos de citaçãoNeutras: 8
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