Pathways to Scale Up Early Childhood Programs: A Scoping Review of Reach Up and Care for Child Development
This scoping review aims to identify implementation pathways of Reach Up (RU) and Care for Child Development (CCD) programmes in low- and middle-income countries. The review includes 33 programmes from 23 low- and middle-income countries. A thematic analysis identified 37 implementation strategies across six "building blocks of implementation": programme emergence, intersectoriality, intervention characteristics, workforce, training, and monitoring systems. Implementation pathways across building blocks are highly influenced by contextual factors, such as infrastructure, social norms, and the target population’s demand and interest, which may shape different implementation outcomes. Six "building blocks" shaping implementation pathways of CCD and RU in LMICs were identified. The careful consideration of context and use of intentional evidence-based planning can enable the successful implementation of nurturing care for early childhood development interventions. An "ECD Implementation Checklist for Enabling Programme Scale Up" is included to guide decision-making regarding context and implementation strategies to support implementation outcomes and subsequent programme success.
Related links:
Care for Child Development
Reach up and Learn
Promoting early childhood development globally through caregiving interventions

Authors: Gabriela Buccini, Lily Kofke, Haley Case, Marina Katague, Maria Fernanda Pacheco, Rafael Pérez-Escamilla
Year: 2023
Language: English
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