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Impacts of Integrating Early Childhood with Health Services: Experimental Evidence from the Cresça Com Seu Filho Home Visiting Program

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Listed:
  • López Bóo, Florencia

    (Inter-American Development Bank)

  • de la Paz Ferro, Maria

    (Inter-American Development Bank)

  • Carneiro, Pedro

    (University College London)

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 impacts of a new government home visiting program integrated into health care services. The program changed the allocation of time for community health workers, asking them to carry out early childhood development-related tasks. We find that access to the program has a positive but modest impact on home environment quality and no impact on child development nor 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

  • López Bóo, Florencia & de la Paz Ferro, Maria & Carneiro, Pedro, 2024. "Impacts of Integrating Early Childhood with Health Services: Experimental Evidence from the Cresça Com Seu Filho Home Visiting Program," IZA Discussion Papers 17130, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp17130
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    References listed on IDEAS

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    1. Baker-Henningham, Helen & López Bóo, Florencia, 2010. "Early Childhood Stimulation Interventions in Developing Countries: A Comprehensive Literature Review," IZA Discussion Papers 5282, Institute of Labor Economics (IZA).
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    3. Lai Yin Cheng & Xin Wang & Phoenix Kit-han Mo, 2019. "The effect of home-based intervention with professional support on promoting breastfeeding: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(7), pages 999-1014, September.
    4. Baker-Henningham, Helen & López Bóo, Florencia, 2010. "Early Childhood Stimulation Interventions in Developing Countries: A Comprehensive Literature Review," IZA Discussion Papers 5282, Institute for the Study of Labor (IZA).
    5. Prakash Shakya & Mika Kondo Kunieda & Momoko Koyama & Sarju Sing Rai & Moe Miyaguchi & Sumi Dhakal & Su Sandy & Bruno Fokas Sunguya & Masamine Jimba, 2017. "Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-24, May.
    6. Helen Baker-Henningham & Florencia López Boo, 2014. "Intervenciones de estimulación infantil temprana en los países en vías de desarrollo: lo que funciona, por qué y para quién," Económica, Instituto de Investigaciones Económicas, Facultad de Ciencias Económicas, Universidad Nacional de La Plata, vol. 60, pages 120-186, January-D.
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    8. Walker, Susan P. & Powell, Christine & Chang-Lopez, Susan M. & Baker-Henningham, Helen & Grantham-McGregor, Sally & Vera-Hernández, Marcos & Lopez Boo, Florencia, 2015. "Delivering Parenting Interventions through Health Services in the Caribbean," IDB Publications (Working Papers) 7305, Inter-American Development Bank.
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    More about this item

    Keywords

    early childhood; parenting;

    JEL classification:

    • J10 - Labor and Demographic Economics - - Demographic Economics - - - General
    • I10 - Health, Education, and Welfare - - Health - - - General

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