Childhood cognitive, socio-emotional, and motor development and hygiene practices. Mental and Behavioural Disorders Child development
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: There are three kinds of participants in the study; target children, volunteer mothers, and kindergarten teachers. The inclusion criteria are as follows: 1. Children To be part of the intervention, children have to be attending the kindergarten of one of the 40 treatment schools. They can be either male or female. Officially only those aged 4 and 5 are supposed to be attending kindergarten, however in reality there are many children who attend that are not in this age range. Of these total participants, a subset will be chosen to be part of our sample and therefore surveyed. These children are chosen as a random sample of all children meeting the following inclusion criteria: 1.1. Aged 3-5 years as of the start of the school term 11th September 2017 1.2. Reported in July 2017 that they are either currently attending one of the 80 study schools or intend to do so come the start of school term in September 2017 2. Mothers Volunteers in the place scheme can be anyone willing to take part as long as they are female – this is because a major focus of the program is on female empowerment. Our sample of volunteer mothers to be surveyed will be made up from the sample of primary caregivers. Hence to be eligible to be surveyed, individuals must be the primary caregiver of one of the sampled target children. 3. Teachers The only requirement of kindergarten teachers is that they are a teacher in one of the study schools as of the start of the intervention in October 2017. All kindergarten teachers in the study schools will be surveyed.
Exclusion criteria
Exclusion criteria: Inclusion criteria not met.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The primary outcome is children’s cognitive and socio-emotional developmental outcomes. We will measure developmental outcomes of the child, through the use of the International Development and Early Learning Assessment (IDELA) tool, developed by Save the Children. This provides measures of development along 5 core domains; emergent numeracy, emergent literacy, socio-emotional skills, motor skills, and executive function. The full set of primary outcomes will be measured at two timepoints; baseline - before the start of the intervention (September 2017), and endline - soon after the end of the intervention 10 months later (August 2018). In addition a reduced form of the IDELA will be delivered at midline - the midway point of the intervention (March 2018). | — |
Secondary
| Measure | Time frame |
|---|---|
| All of the following will be measured at baseline and midline: 1. Target children’s health outcomes - we will collect data on the incidence of diarrhoea, fever and respiratory infections using the definitions of the WHO as measures of morbidity. We will also measure arm circumference. 2. Developmental outcomes of siblings - we will measure the development of younger siblings through the Caregiver-Reported Early Development Index (CREDI) short form, and of older siblings through Ravens progressive matrices and tests of basic literacy and numeracy. Child pre-school attendance and participation in the Play Schemes - the household survey will collect details on target child’s pre-school attendance. 3. Maternal knowledge of child stimulation and care practices - we will collect information on the mother’s knowledge of stimulation and care practice, and her beliefs regarding the importance of these for children’s development. To test knowledge, we will rely on a selection of items from the Knowledge of Infant Development (KIDI). 4. Psychological well-being of primary caregivers - We will measure psychological wellbeing outcomes of primary caregivers through the use of two scales: the SRQ-20 measure of depression and the Rosenberg measure of Self-esteem. 5. Enhanced quantity of resources allocated to child within the households - the presence of toys and learning materials in the house will be assessed together with parental involvement with the child, the child’s routines and organisation of the child’s time inside and outside the family house. This will be assessed using the Family Care Indicators, developed by UNICEF. 6. Target children’s hygiene knowledge - we will construct a hygiene knowledge score based on child’s responses to questions such as what are good times to wash your hands, what material is needed to wash hands and what are reasons for why washing hands is important. 7. Pre-school engagement of primary caregivers - we collect data on the frequency of | — |
Countries
Ghana