TY - JOUR
T1 - Strengthening systems for integrated early childhood development services: a cross-national analysis of governance
JF - Ann N Y Acad SciAnn N Y Acad Sci
Y1 - 2014
A1 - Britto, P. R.
A1 - Yoshikawa, H.
A1 - van Ravens, J.
A1 - Ponguta, L. A.
A1 - Reyes, M.
A1 - Oh, S.
A1 - Dimaya, R.
A1 - Nieto, A. M.
A1 - Seder, R.
KW - *Child Development
KW - Child
KW - Child, Preschool
KW - coordination
KW - Delivery of Health Care, Integrated/organization & administration
KW - early childhood
KW - Early Intervention (Education)/*organization & administration
KW - Early Medical Intervention/organization & administration
KW - governance
KW - Humans
KW - Infant
KW - Infant, Newborn
KW - low- and middle-income countries (LMICs)
KW - National Health Programs
KW - systems strengthening
AB - 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.
VL - 1308
SN - 0077-8923
N1 - 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.
ER -