Child Development
Conditions
Keywords
language development, socio-emotional development, cognitive development, motor skills
Brief summary
This is a cluster-randomized study of a home visiting program targeting mothers of children 0 to 2.5 years of age with the objective of improving global child development. The program, Programa Cresça com Seu Filho (PCCSF), will be randomized across 220 microareas in the poorest Region (V) of the state of Fortaleza, Brazil.
Detailed description
This is an evaluation of pilot program, Programa Cresça com Seu Filho (PCCSF) which is publically funded and, developed in a partnership between the Ministry of Health (MoH) of Brazil and the municipal government of Fortaleza. The program targets low-income mothers of children 0 to 2.5 years old, living in low-income neighborhoods in Fortaleza Brazil. The home visits are carried out by community health workers (CHW), who currently work for the Ministry of Health as part of the program Programa Saúde da Família. The CHWs will be trained on the PCCSF curriculum in order to provide 1-hour visits with the early stimulation package during two years. The PCCSF home visiting program is planned to begin implementation the week of March 15, 2016 for half of the community health workers and April 15, 2016 for the other half.
Interventions
Low income mothers of children 0-2.5 years of age in the randomized treatment micro-areas will receive home visits by community health workers trained in the PCCSF curriculum in addition to the basic health curriculum. The community health workers are supervised by trained and experienced nurses.
Low income mothers of children 0-2.5 years of age in the randomized control micro-areas will receive home visits by community health workers trained in the standard basic health curriculum (no PCCSF).
Sponsors
Study design
Eligibility
Inclusion criteria
* Mothers of children ages 0-2.5 years of age * Included in the poverty registry CadastroUnico * Residents of specific 440 poor microareas of Region V of Fortaleza
Exclusion criteria
* Data will not be collected if parental consent not given.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Denver Developmental Screening Test II- aggregate rating of language skills | change from baseline to follow-up at 18 months | language development |
| Denver Developmental Screening Test II - aggregate rating of socioemotional skills | change from baseline to follow-up at 18 months | socioemotional development |
| Denver Developmental Screening Test II -aggregate rating motor skills | change from baseline to follow-up at 18 months | motor development |
| Denver Developmental Screening Test II -aggregate rating cognitive skills | change from baseline to follow-up at 18 months | cognitive development |