@article {5868, title = {Strengthening systems for integrated early childhood development services: a cross-national analysis of governance}, journal = {Ann N Y Acad SciAnn N Y Acad Sci}, volume = {1308}, year = {2014}, note = {1749-6632
Britto, Pia Rebello
Yoshikawa, Hirokazu
van Ravens, Jan
Ponguta, Liliana Angelica
Reyes, Maria
Oh, Soojin
Dimaya, Roland
Nieto, Ana Maria
Seder, Richard
Journal Article
United States
Ann N Y Acad Sci. 2014 Jan;1308:245-55. doi: 10.1111/nyas.12365.}, month = {Jan}, pages = {245-55}, edition = {2014/02/28}, abstract = {While there has been substantial growth in early childhood development (ECD) services in low- and middle-income countries (LMICs), there is considerable inequity in their distribution and quality. Evidence-based governance strategies are necessary, but currently they are insufficient for widespread, quality implementation. In particular, there is a limited understanding of the use of systems approaches for the analysis of ECD services as they go to scale. The aim of this paper is to present findings from four countries, using a cross-national case study approach to explore governance mechanisms required to strengthen national systems of ECD services. While different sets of governance strategies and challenges were identified in each country, overarching themes also emerged with implications for systems strengthening. Study results focus on local, mid-level and central governance, with recommendations for effective coordination and the integration of ECD services in LMICs.}, keywords = {*Child Development, Child, Child, Preschool, coordination, Delivery of Health Care, Integrated/organization \& administration, early childhood, Early Intervention (Education)/*organization \& administration, Early Medical Intervention/organization \& administration, governance, Humans, Infant, Infant, Newborn, low- and middle-income countries (LMICs), National Health Programs, systems strengthening}, isbn = {0077-8923}, doi = {10.1111/nyas.12365}, author = {Britto, P. R. and Yoshikawa, H. and van Ravens, J. and Ponguta, L. A. and Reyes, M. and Oh, S. and Dimaya, R. and Nieto, A. M. and Seder, R.} }