Strengthening systems for integrated early childhood development services: a cross-national analysis of governance.

Abstract:

: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.

journal_name

Ann N Y Acad Sci

authors

Britto PR,Yoshikawa H,van Ravens J,Ponguta LA,Reyes M,Oh S,Dimaya R,Nieto AM,Seder R

doi

10.1111/nyas.12365

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

245-55

eissn

0077-8923

issn

1749-6632

journal_volume

1308

pub_type

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