There is substantial evidence that early childhood development (ECD) programming can improve child health and development outcomes. An important component of ECD programming is supporting positive parenting and early stimulation practices. While many parents could benefit from such programming, mothers that are HIV-infected may particularly benefit given the higher risks of poorer child development among HIV-exposed children. Catholic Relief Services (CRS) in Cameroon is implementing the Key Interventions to Develop Systems and Services (KIDSS) ECD program for HIV-exposed children. This impact evaluation will ascertain to what extent the KIDSS home-based component of the ECD model affects attainment of age-appropriate developmental milestones (measured by the Ages and Stages Questionnaire 3 (ASQ-3)) in HIV-exposed children in Cameroon. The study design is a cluster-randomized controlled trial with a cohort of 200 mother/child dyads across 10 study clinics. HIV+ mothers will be recruited during pregnancy and their children will be followed up until 18 months of age. The intervention group will receive regular home-based ECD services focused on positive parenting and early stimulation. The control group will not have any exposure to ECD services, though they may receive home-based services focused on HIV care and treatment, hygiene, and nutrition. Randomization occurs at the clinic (cluster) level.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
HEALTH_SERVICES_RESEARCH
Masking
NONE
Enrollment
230
Health facilities will be randomized to intervention and control groups. The clients at clinics assigned to the intervention group will receive Home-based Early Childhood Development (ECD+) program. The clients at clinics assigned to the control group will not receive the Early Childhood Development (ECD) program.
Catholic Relief Services
Yaoundé, Cameroon
Attainment of age-appropriate developmental milestones
Child Development Outcomes, measured by ASQ-3 (18-month survey)
Time frame: ASQ-3 score assessed 18 months after birth.
Attainment of age-appropriate developmental milestones
Child Development Outcomes, measured by ASQ-3 (12-month survey)
Time frame: ASQ-3 score assessed 12 months after birth.
Attainment of age-appropriate developmental milestones
Child Development Outcomes, measured by ASQ-3 (6-month survey)
Time frame: ASQ-3 score assessed 6 months after birth.
Attainment of age-appropriate developmental milestones
Child Development Outcomes, measured by ASQ-Social Emotional (SE)
Time frame: ASQ-SE score assessed at 18 months after birth.
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