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Effects of Integrating Early Childhood with Health Services: Experimental Evidence from the Cresça com Seu Filho Home-Visiting Program

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  • Florencia Lopez Boo
  • Maria de la Paz Ferro
  • Pedro Carneiro

Abstract

Delivering early-childhood programs at scale is a major policy challenge. One way to do so is by using existing public infrastructure. This paper experimentally assesses the short-term effects of a new government home-visiting program integrated into health-care services. The program changed the allocation of time for community health workers by asking them to carry out tasks related to early-childhood development. We find that access to the program has a positive but modest effect on home environment quality and no effect on child development or on children’s health status. Our results point to the importance of workload, supervision, and buy-in from delivery actors to enhance fidelity of interventions.

Suggested Citation

  • Florencia Lopez Boo & Maria de la Paz Ferro & Pedro Carneiro, 2025. "Effects of Integrating Early Childhood with Health Services: Experimental Evidence from the Cresça com Seu Filho Home-Visiting Program," Journal of Human Capital, University of Chicago Press, vol. 19(1), pages 169-192.
  • Handle: RePEc:ucp:jhucap:doi:10.1086/734420
    DOI: 10.1086/734420
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