Nurturing care: promoting early childhood development

详细信息    查看全文

• 作者：Pia R Britto ; PhD^a ; ^{pbritto@unicef.org} ; Prof Stephen J Lye ; PhD^b ; ^c ; Kerrie Proulx ; PhD^b ; Prof Aisha K Yousafzai ; PhD^d ; Prof Stephen G Matthews ; PhD^b ; ^c ; Tyler Vaivada ; MSc^f ; Prof Rafael Perez-Escamilla ; PhD^g ; Prof Nirmala Rao ; PhDⁱ ; Patrick Ip ; FRCPCH^j ; Prof Lia C H Fernald ; PhD^k ; Prof Harriet MacMillan ; MD^l ; Prof Mark Hanson ; DPhil^m ; Prof Theodore D Wachs ; PhDⁿ ; Haogen Yao ; PhD^o ; Prof Hirokazu Yoshikawa ; PhD^p ; Adrian Cerezo ; PhD^q ; James F Leckman ; MD^h ; Prof Zulfiqar A Bhutta ; PhD^e ; ^f ; ; the Early Childhood Development Interventions Review Group ; for the Lancet Early Childhood Development Series Steering Committee^&dagger ;
• 刊名：The Lancet
• 出版年：2017
• 出版时间：7-13 January 2017
• 年：2017
• 卷：389
• 期：10064
• 页码：91-102
• 全文大小：356 K
• 卷排序：389

文摘

The UN Sustainable Development Goals provide a historic opportunity to implement interventions, at scale, to promote early childhood development. Although the evidence base for the importance of early childhood development has grown, the research is distributed across sectors, populations, and settings, with diversity noted in both scope and focus. We provide a comprehensive updated analysis of early childhood development interventions across the five sectors of health, nutrition, education, child protection, and social protection. Our review concludes that to make interventions successful, smart, and sustainable, they need to be implemented as multi-sectoral intervention packages anchored in nurturing care. The recommendations emphasise that intervention packages should be applied at developmentally appropriate times during the life course, target multiple risks, and build on existing delivery platforms for feasibility of scale-up. While interventions will continue to improve with the growth of developmental science, the evidence now strongly suggests that parents, caregivers, and families need to be supported in providing nurturing care and protection in order for young children to achieve their developmental potential.