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Exploring the Associations between Early Childhood Development Outcomes and Ecological Country-Level Factors across Low- and Middle-Income Countries

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  • Kasim Allel

    (Institute for Global Health, University College London, London WC1E 6BT, UK)

  • Gerard Abou Jaoude

    (Institute for Global Health, University College London, London WC1E 6BT, UK)

  • Stavros Poupakis

    (Institute for Global Health, University College London, London WC1E 6BT, UK)

  • Neha Batura

    (Institute for Global Health, University College London, London WC1E 6BT, UK)

  • Jolene Skordis

    (Institute for Global Health, University College London, London WC1E 6BT, UK)

  • Hassan Haghparast-Bidgoli

    (Institute for Global Health, University College London, London WC1E 6BT, UK)

Abstract

A poor start in life shapes children’s development over the life-course. Children from low- and middle-income countries (LMICs) are exposed to low levels of early stimulation, greater socioeconomic deprivation and persistent environmental and health challenges. Nevertheless, little is known about country-specific factors affecting early childhood development (ECD) in LMICs. Using data from 68 LMICs collected as part of the Multiple Indicator Cluster Surveys between 2010 and 2018, along with other publicly available data sources, we employed a multivariate linear regression analysis at a national level to assess the association between the average Early Childhood Development Index (ECDI) in children aged 3–5 and country-level ecological characteristics: early learning and nurturing care and socioeconomic and health indicators. Our results show that upper-middle-income country status, attendance at early childhood education (ECE) programs and the availability of books at home are positively associated with a higher ECDI. Conversely, the prevalence of low birthweight and high under-5 and maternal mortality are negatively associated with ECDI nationally. On average, LMICs with inadequate stimulation at home, higher mortality rates and without mandatory ECE programs are at greater risks of poorer ECDI. Investment in early-year interventions to improve nurturing care and ECD outcomes is essential for achieving Sustainable Development Goals.

Suggested Citation

  • Kasim Allel & Gerard Abou Jaoude & Stavros Poupakis & Neha Batura & Jolene Skordis & Hassan Haghparast-Bidgoli, 2021. "Exploring the Associations between Early Childhood Development Outcomes and Ecological Country-Level Factors across Low- and Middle-Income Countries," IJERPH, MDPI, vol. 18(7), pages 1-15, March.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:7:p:3340-:d:523054
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    2. Deniz Karaoğlan & Meltem Dayioğlu & Dürdane Şirin Saraçoğlu & Serap Sağir, 2024. "Unlevel Playing Field: Socioeconomic Determinants of Early Childhood Development in Turkiye," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 17(4), pages 1741-1770, August.

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