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Impacts of Integrating Early Childhood with Health Services: Experimental Evidence from the Cresça Com Seu Filho Home Visiting Program

Author

Listed:
  • López Bóo, Florencia

    (Inter-American Development Bank)

  • de la Paz Ferro, Maria

    (Inter-American Development Bank)

  • Carneiro, Pedro

    (University College London)

Abstract

Delivering early childhood programs at scale is a major policy challenge. One way to do so is by using existing public infrastructure. This paper experimentally assesses the short-term impacts of a new government home visiting program integrated into health care services. The program changed the allocation of time for community health workers, asking them to carry out early childhood development-related tasks. We find that access to the program has a positive but modest impact on home environment quality and no impact on child development nor on children's health status. Our results point to the importance of workload, supervision and buy-in from delivery actors to enhance fidelity of interventions.

Suggested Citation

  • López Bóo, Florencia & de la Paz Ferro, Maria & Carneiro, Pedro, 2024. "Impacts of Integrating Early Childhood with Health Services: Experimental Evidence from the Cresça Com Seu Filho Home Visiting Program," IZA Discussion Papers 17130, Institute of Labor Economics (IZA).
    • Handle: RePEc:iza:izadps:dp17130
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    References listed on IDEAS

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    1. Baker-Henningham, Helen & López Bóo, Florencia, 2010. "Early Childhood Stimulation Interventions in Developing Countries: A Comprehensive Literature Review," IZA Discussion Papers 5282, Institute of Labor Economics (IZA).
    2. Thomas Hone & Davide Rasella & Mauricio L Barreto & Azeem Majeed & Christopher Millett, 2017. "Association between expansion of primary healthcare and racial inequalities in mortality amenable to primary care in Brazil: A national longitudinal analysis," PLOS Medicine, Public Library of Science, vol. 14(5), pages 1-19, May.
    3. Lai Yin Cheng & Xin Wang & Phoenix Kit-han Mo, 2019. "The effect of home-based intervention with professional support on promoting breastfeeding: a systematic review," International Journal of Public Health, Springer;Swiss School of Public Health (SSPH+), vol. 64(7), pages 999-1014, September.
    4. Baker-Henningham, Helen & López Bóo, Florencia, 2010. "Early Childhood Stimulation Interventions in Developing Countries: A Comprehensive Literature Review," IZA Discussion Papers 5282, Institute for the Study of Labor (IZA).
    5. James J. Heckman, 2008. "Schools, Skills, And Synapses," Economic Inquiry, Western Economic Association International, vol. 46(3), pages 289-324, July.
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    7. Susan P. Walker & Christine Powell & Susan M. Chang & Helen Baker-Henningham & Sally Grantham-McGregor & Marcos Vera-Hernández & Florencia López Bóo, 2015. "Delivering Parenting Interventions through Health Services in the Caribbean," IDB Publications (Working Papers) 91816, Inter-American Development Bank.
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    9. Luo, Renfu & Emmers, Dorien & Warrinnier, Nele & Rozelle, Scott & Sylvia, Sean, 2019. "Using community health workers to deliver a scalable integrated parenting program in rural China: A cluster-randomized controlled trial," Social Science & Medicine, Elsevier, vol. 239(C).
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    JEL classification:

    • J10 - Labor and Demographic Economics - - Demographic Economics - - - General
    • I10 - Health, Education, and Welfare - - Health - - - General

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