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Prioritizing research for integrated implementation of early childhood development and maternal, newborn, child and adolescent health and nutrition platforms

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dc.contributor.author Sharma, Renee
dc.contributor.author Gaffey, Michelle F.
dc.contributor.author Alderman, Harold
dc.contributor.author Bassani, Diego G.
dc.contributor.author Bogard, Kimber
dc.contributor.author Darmstadt, Gary L.
dc.contributor.author Das, Jai K.
dc.contributor.author de Graft-Johnson, Joseph E.
dc.contributor.author Hamadani, Jena D.
dc.contributor.author Horton, Susan
dc.contributor.author Huicho, Luis
dc.contributor.author Hussein, Julia
dc.contributor.author Lye, Stephen
dc.contributor.author Pérez-Escamilla, Rafael
dc.contributor.author Proulx, Kerrie
dc.contributor.author Marfo, Kofi
dc.contributor.author Mathews-Hanna, Vanessa
dc.contributor.author Mclean, Mireille S.
dc.contributor.author Rahman, Atif
dc.contributor.author Silver, Karlee L.
dc.contributor.author Singla, Daisy R.
dc.contributor.author Webb, Patrick
dc.contributor.author Bhutta, Zulfiqar A.
dc.date.accessioned 2019-01-25T16:03:17Z
dc.date.available 2019-01-25T16:03:17Z
dc.date.issued 2017
dc.identifier.uri https://hdl.handle.net/20.500.12866/4736
dc.description.abstract BACKGROUND: Existing health and nutrition services present potential platforms for scaling up delivery of early childhood development (ECD) interventions within sensitive windows across the life course, especially in the first 1000 days from conception to age 2 years. However, there is insufficient knowledge on how to optimize implementation for such strategies in an integrated manner. In light of this knowledge gap, we aimed to systematically identify a set of integrated implementation research priorities for health, nutrition and early child development within the 2015 to 2030 timeframe of the Sustainable Development Goals (SDGs). METHODS: We applied the Child Health and Nutrition Research Initiative method, and consulted a diverse group of global health experts to develop and score 57 research questions against five criteria: answerability, effectiveness, deliverability, impact, and effect on equity. These questions were ranked using a research priority score, and the average expert agreement score was calculated for each question. FINDINGS: The research priority scores ranged from 61.01 to 93.52, with a median of 82.87. The average expert agreement scores ranged from 0.50 to 0.90, with a median of 0.75. The top-ranked research question were: i) "How can interventions and packages to reduce neonatal mortality be expanded to include ECD and stimulation interventions?"; ii) "How does the integration of ECD and MNCAH&N interventions affect human resource requirements and capacity development in resource-poor settings?"; and iii) "How can integrated interventions be tailored to vulnerable refugee and migrant populations to protect against poor ECD and MNCAH&N outcomes?". Most highly-ranked research priorities varied across the life course and highlighted key aspects of scaling up coverage of integrated interventions in resource-limited settings, including: workforce and capacity development, cost-effectiveness and strategies to reduce financial barriers, and quality assessment of programs. CONCLUSIONS: Investing in ECD is critical to achieving several of the SDGs, including SDG 2 on ending all forms of malnutrition, SDG 3 on ensuring health and well-being for all, and SDG 4 on ensuring inclusive and equitable quality education and promotion of life-long learning opportunities for all. The generated research agenda is expected to drive action and investment on priority approaches to integrating ECD interventions within existing health and nutrition services. en_US
dc.language.iso eng
dc.publisher Edinburgh University Global Health Society
dc.relation.ispartof urn:issn:2047-2986
dc.rights info:eu-repo/semantics/restrictedAccess
dc.rights.uri https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject Research en_US
dc.subject Adolescent en_US
dc.subject Child en_US
dc.subject Child Development en_US
dc.subject Child, Preschool en_US
dc.subject Delivery of Health Care, Integrated/organization & administration en_US
dc.subject Female en_US
dc.subject Global Health en_US
dc.subject Humans en_US
dc.subject Infant en_US
dc.subject Infant, Newborn en_US
dc.subject Maternal-Child Health Services/organization & administration en_US
dc.subject Nutritional Status en_US
dc.subject Pregnancy en_US
dc.title Prioritizing research for integrated implementation of early childhood development and maternal, newborn, child and adolescent health and nutrition platforms en_US
dc.type info:eu-repo/semantics/article
dc.identifier.doi https://doi.org/10.7189/jogh.07.011002
dc.subject.ocde https://purl.org/pe-repo/ocde/ford#3.02.00 es_PE


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