Development Media International , London, UK.
Development Media International , Ouagadougou, Burkina Faso.
Glob Health Action. 2020 Dec 31;13(1):1772560. doi: 10.1080/16549716.2020.1772560.
Around two thirds of children in Sub-Saharan Africa are at risk of not meeting their developmental potential. Scalable interventions, based on an understanding of local contexts, that promote nurturing care in children's early years are needed.
To investigate age-related patterns of Early Childhood Development (ECD) practices amongst caretakers of children aged 0-3 years in rural households in Burkina Faso, in order to inform the design of a mass media campaign to be evaluated through a randomized controlled trial.
A household survey using a structured questionnaire was used to collect data from 960 rural mothers of children aged 0-3 years in a regionally stratified random sample of 130 villages.
The mother was the main caretaker and engaged most in ECD-related activities at all ages (0-3 years). The father, grandmother and older children also engaged in ECD-related activities with older children (aged 1-3 years). Singing and playing occurred moderately frequently. Singing in the last three days: 36% at age 0-5 months increasing to 84% at age 3 years; playing in the last three days: 26% at age 0-5 months, increasing to 65% at age 3 years. Activities such as reading, counting, drawing, 'showing and naming' and 'chatting' were limited, particularly in the child's first year. Reasons for not engaging in these activities include lack of literacy, lack of books and toys or playthings and a belief that the child was too young.
Opportunities for learning, especially through verbal interactions, appeared to be limited during the developmentally crucial first three years, most notably in the first year of life. The challenge for ECD intervention development in Burkina Faso will be finding ways to promote more responsive interactions at an early age and finding ways of mobilizing other family members to become more engaged in stimulating activities in the child's early years.
撒哈拉以南非洲地区约有三分之二的儿童面临无法发挥其发展潜力的风险。需要基于对当地情况的了解，制定可推广的干预措施，促进儿童早期的养育关怀。
调查布基纳法索农村家庭中 0-3 岁儿童看护者的儿童早期发展（ECD）实践与年龄相关的模式，以便为一项大众媒体宣传活动的设计提供信息，该活动将通过随机对照试验进行评估。
使用结构化问卷对一个地区分层随机抽取的 130 个村庄中的 960 名 0-3 岁儿童的农村母亲进行了家庭调查，以收集数据。
母亲是主要看护者，在所有年龄段（0-3 岁）都参与了与 ECD 相关的活动。父亲、祖母和年龄较大的孩子也与年龄较大的孩子（1-3 岁）一起参与了 ECD 相关的活动。唱歌和玩耍的频率适中。过去三天唱歌的情况：0-5 个月时为 36%，3 岁时增加到 84%；过去三天玩耍的情况：0-5 个月时为 26%，3 岁时增加到 65%。阅读、数数、绘画、“展示和命名”和“聊天”等活动受到限制，尤其是在孩子的第一年。不参与这些活动的原因包括缺乏读写能力、缺乏书籍和玩具或游戏以及认为孩子太小。
在发展至关重要的头三年，尤其是在生命的第一年，学习机会，尤其是通过言语互动，似乎受到限制。布基纳法索 ECD 干预措施发展的挑战将是找到促进早期更具反应性互动的方法，并找到动员其他家庭成员在孩子早年更积极参与刺激活动的方法。
