This research project aims to design and evaluate an innovative model for childcare provision in rural Kenya that emphasizes child development and economic participation for women in a cost-effective manner. Using a randomized controlled trial (RCT) design, the project will examine the impact of allowing children in Tharaka Nithi County (TNC) in Kenya to attend pre-school from the age of 3 versus the current early childhood development programming in Kenya which is for children aged 4 and above. The potential to offer early childhood development care for 3-year-olds is a key investment to be considered with high potential for expansion across Kenya and beyond. The intervention will introduce an enhanced curriculum for pre-primary 1 (PP1) and will be adapted for the Kenyan context and include coaching of teachers and caregivers. Using a rigorous research design, and by collecting data from both children and parents, the project will capture data on child development, employment, income, intra-household dynamics and broader women empowerment indicators. The project seeks to impact policies aimed at advancing both child development as well as women's economic empowerment in Kenya.
The PP1 intervention consists of six main components: A. Expanding admission to 3-year-olds in the current preschools (they currently start at 4), B. Adapting the government curriculum to accommodate the 3-year-old children (as the curriculum currently starts at 4 years) C. Developing teacher activity guides to support curriculum implementation for both 3- and 4-year-olds, D. Providing developmentally appropriate teaching and learning materials (e.g. picture books, puzzles, games), E. Adding an extra teacher in the preschool class (PP1), and F. Training the teachers how to use the activity guides and learning materials and how to use evidence-based and developmentally-appropriate instructional strategies through teacher-training workshops and in-class coaching. The experimental design involves a Randomized Controlled Trial (RCT) to assess the impact of the Tharaka Nithi County Preschool Program on child development and women's labor supply. The intervention targets 3-4-year-olds, utilizing the existing infrastructure of PP1 (pre-primary 1) in selected public schools. Participants were recruited in 2 cohorts: Cohort 1: Randomization will take place by computer following a census of eligible households (those with children 2y8mo-3y6mo at baseline who have expressed willingness to participate) within a radius of 3km from the 118 schools. Within the 3km catchment area of the schools 15 children will be selected and their families consented for the intervention and data collection. Following this, within the catchment group of the 60 treatment schools 5 children are randomly admitted to the treatment schools and another 5 are randomly selected as controls within the same communities. Within the catchment area of the control schools 5 children and their families are randomly selected for observation. Data is collected from the families (mother and father - when present), and the children (assessments) at baseline, midline, and at the end of the intervention. In addition, within each school (treatment and control) 5 4-year olds are recruited. They are also subject to the intervention, since they are in the same classrooms as the 3-year-olds. However, the non-treated 4-year-olds are still attending PP1 class but in a non-treated school. Cohort 2: The same treatment and control schools are involved. Only 3 year olds are recruited (2y8mo-3y6mo at baseline). Investigators will identify the 5 closest consenting families with 3-year-olds to each of the treatment schools. If it is a treatment school, the 5 children are admitted to the PP1 in that school. The five children and their families in the radius of the control school are kept for observation. Consenting takes place before treatment status is revealed. Data is collected from the families (mother and father - when present), and the children (assessments) at baseline and at the end of the intervention. Preschool teacher interviews and classroom observations will be conducted after 1 year of intervention and again at the end of the second year of intervention in all study schools.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
2,017
The intervention targets 3-4-year-olds and is using the existing infrastructure of PP1. PP1 is the first part of the pre-primary program, which currently admits only 4-year-old children for one year. Under the proposed intervention, children will attend PP1 starting when they are 3 years old. This curriculum will be enhanced and extended for the broader age range.
School system
Tharaka Nithi County, Kenya
Mean Score International Development and Early Learning Assessment (IDELA)
IDELA is commonly used for program evaluation. Total score range from 0-100% with higher scores indicating better performance.
Time frame: 1 year and 2 years
Mean Score Wechsler Preschool and Primary Scale of Intelligence (WPPSI)- Full Scale IQ (FSIQ)
WPPSI assesses cognitive development using engaging, game-like tasks to measure Verbal Comprehension, Visual Spatial, Fluid Reasoning, Working Memory, and Processing Speed. Total score range 40 to 160. Higher scores indicate higher IQ.
Time frame: 1 year and 2 years
Mean Score WPPSI-IV Verbal Comprehension Index (VCI)
Measures a child's ability to understand and use language, with scores ranging from 40 to 160. Higher scores indicate better comprehension.
Time frame: 1 year and 2 years
Mean Score Preschool Self-Regulation Assessment (PSRA)
A tool using direct tasks and an observer-rated scale to evaluate children aged 3-5 on attention, impulse control, and emotional regulation. Score range 0-36 with higher scores indicating better self-regulation.
Time frame: Baseline, 1 year and 2 years
Mean Score Quality of the Classroom Environment using an adapted version of the Measuring Early Learning Environments (MELE)
Includes three subscales: implementation of learning activities, classroom interactions and use of learning materials. Focus: Understanding the effectiveness of the intervention in promoting a high quality teaching and learning environment. Scores range from 1-5 with higher scores indicating better environment.
Time frame: 1 year and 2 years
Mean Scores International Development and Early Learning Assessment (IDELA) Subscales
IDELA is commonly used for program evaluation. The five subscales: Emergent Literacy, Emergent Numeracy, Socio-Emotional Development, Motor Development and Executive Function. Scores range for each subscale is 0-100% with higher scores indicating better performance.
Time frame: 1 year and 2 years
Teacher Satisfaction
Teachers' satisfaction with their workload, work environment, appreciation from parents and social status in the community assessed by self-report. Scores range from 8-40 with higher scores indicating higher satisfaction.
Time frame: 1 year and 2 years
Teacher Burnout
Teacher burnout including subscales on emotional exhaustion and personal accomplishment assessed by self-report. Scores range from 0-54 on emotional exhaustion with higher scores indicating higher exhaustion. Scores range from 0-30 on personal accomplishment with higher scores indicating higher accomplishment.
Time frame: 2 years
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