دورية أكاديمية
أعرض في EDS

Scaling up of Brazil's Criança Feliz early childhood development program: an implementation science analysis.

التفاصيل البيبلوغرافية
العنوان: Scaling up of Brazil's Criança Feliz early childhood development program: an implementation science analysis.
المؤلفون: Buccini G; Department of Environmental and Occupational Health, University of Nevada Las Vegas School of Public Health, Las Vegas, Nevada., Venancio SI; Instituto de Saúde da Secretaria de Estado da Saúde de São Paulo, São Paulo, Brazil., Pérez-Escamilla R; Department of Social and Behavioral Sciences, Yale School of Public Health, New Haven, Connecticut.
المصدر: Annals of the New York Academy of Sciences [Ann N Y Acad Sci] 2021 Aug; Vol. 1497 (1), pp. 57-73. Date of Electronic Publication: 2021 Mar 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: New York Academy of Sciences Country of Publication: United States NLM ID: 7506858 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1749-6632 (Electronic) Linking ISSN: 00778923 NLM ISO Abbreviation: Ann N Y Acad Sci Subsets: MEDLINE
أسماء مطبوعة: Publication: 2006- : New York, NY : Malden, MA : New York Academy of Sciences ; Blackwell
Original Publication: New York, The Academy.
مواضيع طبية MeSH: Child Development* , Health Plan Implementation* , Program Evaluation* , Regional Medical Programs*, Brazil ; Child ; Child, Preschool ; House Calls ; Humans ; Implementation Science
مستخلص: To address inequities that prevent socioeconomically vulnerable young children from reaching their full developmental potential, Brazil implemented Programa Criança Feliz (PCF) ("Happy Child" early childhood development program) in 2934 of its 5570 municipalities. A qualitative case study was carried out on the basis of in-depth interviews with 22 key informants, employing purposive sampling, from past or current national and state coordination teams. Thematic analysis followed the RE-AIM framework, and complex adaptive system constructs mapped how barriers and enablers influenced scale-up. One overarching theme related to PCF emergence, and 18 subthemes were identified within the RE-AIM. An enabling national political environment favored PCF emergence through a top-down approach that led to governance challenges. Changes in the enrollment criteria for families facilitated reach, and evidence-based methodology favored the designing of the home visits. However, operationalizing the intersectoral actions remains a barrier for effectiveness, while intrasectoral resistance across levels delayed adoption. WhatsApp facilitated networking, capacity building, and adoption. Rushed scale-up generated barriers for quality delivery and led to different implementation pathways across municipalities. Legal institutionalization is critical to assure permanent funding and maintenance. PCF has enhanced early childhood services in Brazil, but strong negative feedback loops need to be addressed for effective sustainability.
(© 2021 New York Academy of Sciences.)
References: Child Care Health Dev. 2018 Jan;44(1):50-61. (PMID: 29235170)
Lancet. 2011 Oct 8;378(9799):1325-38. (PMID: 21944375)
Ann N Y Acad Sci. 2014 Jan;1308:245-55. (PMID: 24571220)
Cad Saude Publica. 2019 Mar 11;35(3):e00224317. (PMID: 30864615)
Health Policy Plan. 2012 Aug;27(5):365-73. (PMID: 21821667)
Child Care Health Dev. 2018 Jan;44(1):4-11. (PMID: 29235169)
Am J Public Health. 1999 Sep;89(9):1322-7. (PMID: 10474547)
Lancet. 2017 Jan 7;389(10064):103-118. (PMID: 27717610)
Arch Dis Child. 2019 Apr;104(Suppl 1):S13-S21. (PMID: 30885962)
Child Dev Perspect. 2015 Sep;9(3):164-171. (PMID: 30854024)
Health Serv Res. 2007 Aug;42(4):1758-72. (PMID: 17286625)
Lancet. 2017 Jan 7;389(10064):91-102. (PMID: 27717615)
Lancet. 2017 Jan 7;389(10064):77-90. (PMID: 27717614)
Arch Dis Child. 2019 Apr;104(Suppl 1):S43-S50. (PMID: 30885965)
Child Dev. 2004 Sep-Oct;75(5):1435-56. (PMID: 15369524)
BMJ. 2014 Mar 07;348:g1687. (PMID: 24609605)
Child Dev. 2017 Mar;88(2):388-397. (PMID: 28138978)
J Community Psychol. 2020 May;48(4):1163-1177. (PMID: 31970812)
Am J Public Health. 2013 Jun;103(6):e38-46. (PMID: 23597377)
Int J Qual Health Care. 2007 Dec;19(6):349-57. (PMID: 17872937)
J Gen Intern Med. 2019 Jun;34(6):1032-1038. (PMID: 30623387)
Adv Nutr. 2015 Jul 15;6(4):440-51. (PMID: 26178028)
BMJ Open. 2020 Apr 26;10(4):e032134. (PMID: 32341042)
معلومات مُعتمدة: K99 HD097301 United States HD NICHD NIH HHS; R00 HD097301 United States HD NICHD NIH HHS
فهرسة مساهمة: Keywords: Brazil; early child development; implementation evaluation; nurturing care; quality; scale-up
تواريخ الأحداث: Date Created: 20210319 Date Completed: 20211213 Latest Revision: 20220802
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC8349773
DOI: 10.1111/nyas.14589
PMID: 33738809
قاعدة البيانات: MEDLINE
الوصف
تدمد:1749-6632
DOI:10.1111/nyas.14589