Service Providers and Early Childhood Development

服务提供者和幼儿发展

• 批准号: 7142400
• 负责人: SHARON J GHUMAN
• 金额: $ 7.19万
• 依托单位: POPULATION COUNCIL
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-01 至 2008-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7142400
• 关键词: Philippines; behavioral /social science research tag; child care personnel; child health care personnel; child physical development; child psychology; cognition; cost effectiveness; early experience; health care personnel education; health care personnel performance; health care service evaluation; health services research tag; human data; infant human (0-1 year); interview; longitudinal human study; preschool child (1-5); psychomotor function

DESCRIPTION (provided by applicant): Malnutrition, infections, and delayed psychological and motor development are common among pre-school children in low to middle-income nations such as the Philippines. Public sector health services are a key input for improving health and nutrition among young children. But there are serious gaps in current understanding of the causal impact of the quality of health and early childhood development (ECD) related services on child health and ECD. This project will use innovative and rich longitudinal data on service providers and facilities to understand the effect of the quality of public health and ECD-related services on ECD and the demand for health and ECD-related services. The setting for the study is three regions in the Philippines. The analysis will use four rounds of data on 7,922 children age 0 to 4 in round 1 that can be linked to three types of providers (midwives, village health workers, day care providers) per round. The proposed project will be the first to examine data from extensive tests administered to service providers to measure their health and ECD-related knowledge, aptitude, and skills. The study is also unique in other respects. It will consider how the human capital (e.g. schooling) of service providers affects ECD outcomes and demand for services. The project will utilize detailed measures of the characteristics of health facilities. The analysis will extend the existing literature through examination of a range of ECD indicators including height, weight, hemoglobin, and seven domains of cognitive, social and motor development. The study will also consider the under-researched issue of whether family background (e.g. mother's schooling, family wealth) and provider quality characteristics (e.g. ECD-related skills) operate interactively in affecting ECD and demand for ECD-related services. The analysis will involve estimation of fixed effects models that relate health and ECD to health service quality and control for unobserved variables (e.g. related to the non- random placement of better health services across communities) that may bias the estimated impact of the quality of services on health and ECD and demand for health services. The study will provide valuable insight on the role of the human and physical resources of the health sector in improving child health. The findings will be shared with agencies that formulate health policy in the Philippines to provide information that will directly aid them in achieving their aim of improving health service delivery.

描述（由申请人提供）：营养不良、感染以及心理和运动发育迟缓在菲律宾等中低收入国家的学龄前儿童中很常见。公共部门卫生服务是改善幼儿健康和营养的关键投入。但目前对于健康质量和儿童早期发展 (ECD) 相关服务对儿童健康和儿童早期发展 (ECD) 的因果影响的认识还存在严重差距。该项目将使用有关服务提供者和设施的创新且丰富的纵向数据，以了解公共卫生和儿童早期发展相关服务的质量对儿童早期发展的影响以及对卫生和儿童早期发展相关服务的需求。该研究的背景是菲律宾的三个地区。该分析将使用第一轮中 7,922 名 0 至 4 岁儿童的四轮数据，每轮可与三类提供者（助产士、乡村卫生工作者、日托提供者）相关联。拟议的项目将是第一个检查对服务提供者进行的广泛测试的数据，以衡量他们的健康和 ECD 相关知识、能力和技能。这项研究在其他方面也很独特。它将考虑服务提供者的人力资本（例如学校教育）如何影响幼儿早期发展的结果和服务需求。该项目将利用卫生设施特点的详细措施。该分析将通过检查一系列 ECD 指标（包括身高、体重、血红蛋白以及认知、社交和运动发展的七个领域）来扩展现有文献。该研究还将考虑尚未充分研究的问题，即家庭背景（例如母亲的受教育程度、家庭财富）和提供者的质量特征（例如幼儿发展相关技能）是否会交互影响幼儿发展和幼儿发展相关服务的需求。分析将涉及固定效应模型的估计，该模型将健康和早期儿童发展与卫生服务质量联系起来，并控制未观察到的变量（例如，与跨社区更好的卫生服务的非随机安置有关），这些变量可能会影响服务质量的估计影响健康和儿童早期发展以及健康服务需求。该研究将为卫生部门的人力和物力资源在改善儿童健康方面的作用提供宝贵的见解。研究结果将与菲律宾制定卫生政策的机构分享，以提供直接帮助他们实现改善卫生服务提供目标的信息。