SCALE-8, Stimulation of Children And effects on Learning and Education at 8 years

More than 250 million children living in low- and middle-income countries (LMIC) are not achieving their development potential due to biological, psychosocial and environmental risks for poor early development. These could be inadequate stimulation, malnutrition, infectious illnesses, maternal depression and societal violence. The current study is a follow up on a previous project which assessed the effectiveness, feasibility and cost of integrated early stimulation and nutrition interventions in a government community-based health service. The initial study reported significant impact on children’s development at age 2 years. These gains were sustained at age 4 years although with smaller impact. There are however limited evidence of the enduring effects of protective early childhood interventions that promote development on later life outcomes in LMIC. This is something the present study aims to mitigate. Here children will be re-enrolled at age 8 years to determine beneficial effects on learning, behavior and growth that have endured to school age. These data will provide insights on whether there are any sustained benefits, whether any sub-group of children have benefitted more or less from the exposure to early interventions. The data will also identify risks and protective factors in the child’s life course that are influencing outcomes to inform intervention development

PMT: Muneera A Rasheed/Aisha K Yousafzai

Country: Pakistan