Investing in the foundation of sustainable development: pathways to scale up for early childhood development

Building on long-term benefits of early intervention (Paper 2 of this Series) and increasing commitment to early childhood development (Paper 1 of this Series), scaled up support for the youngest children is essential to improving health, human capital, and wellbeing across the life course. In this...

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Veröffentlicht in:The Lancet (British edition) Jg. 389; H. 10064; S. 103 - 118
Hauptverfasser: Richter, Linda M, Daelmans, Bernadette, Lombardi, Joan, Heymann, Jody, Boo, Florencia Lopez, Behrman, Jere R, Lu, Chunling, Lucas, Jane E, Perez-Escamilla, Rafael, Dua, Tarun, Bhutta, Zulfiqar A, Stenberg, Karin, Gertler, Paul, Darmstadt, Gary L
Format: Journal Article
Sprache:Englisch
Veröffentlicht: England Elsevier Ltd 07.01.2017
Elsevier B.V
Elsevier Limited
Schlagworte:
Analysis
Child Development
Child Health Services - economics
Child Health Services - organization & administration
Child Protective Services - economics
Child Protective Services - organization & administration
Child, Preschool
Childhood
Children
Children & youth
Childrens health
Costs
Developing Countries
Early childhood education
Early Intervention, Educational - economics
Early Intervention, Educational - organization & administration
Equality
Expenditures
Financing, Government
Health
Human capital
Humans
Internal Medicine
Low income groups
Maternal & child health
Maternal Health Services - economics
Maternal Health Services - organization & administration
Nutrition
Politics
Poverty
Pregnancy
Preschool education
Risk analysis
Risk factors
Scaling up
Sustainable development
ISSN:0140-6736, 1474-547X
Online-Zugang:Volltext
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Zusammenfassung:Building on long-term benefits of early intervention (Paper 2 of this Series) and increasing commitment to early childhood development (Paper 1 of this Series), scaled up support for the youngest children is essential to improving health, human capital, and wellbeing across the life course. In this third paper, new analyses show that the burden of poor development is higher than estimated, taking into account additional risk factors. National programmes are needed. Greater political prioritisation is core to scale-up, as are policies that afford families time and financial resources to provide nurturing care for young children. Effective and feasible programmes to support early child development are now available. All sectors, particularly education, and social and child protection, must play a role to meet the holistic needs of young children. However, health provides a critical starting point for scaling up, given its reach to pregnant women, families, and young children. Starting at conception, interventions to promote nurturing care can feasibly build on existing health and nutrition services at limited additional cost. Failure to scale up has severe personal and social consequences. Children at elevated risk for compromised development due to stunting and poverty are likely to forgo about a quarter of average adult income per year, and the cost of inaction to gross domestic product can be double what some countries currently spend on health. Services and interventions to support early childhood development are essential to realising the vision of the Sustainable Development Goals.
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Early Childhood Development Series Steering Committee
Paper 3 Working Group
Zulfiqar A Bhutta, Maureen M Black, Pia R Britto, Bernadette Daelmans, Gary L Darmstadt, Tarun Dua, Paul Gertler, Jody Heymann, Joan Lombardi, Florencia Lopez Boo, Stephen J Lye, Harriet MacMillan, Rafael Perez-Escamilla, Nirmala Rao, Linda M Richter (chair).
RR Bouhouch, Z Cetin, K Chadwick, J Das, A Earle, SKG Jensen, NZ Khan, N Milovantseva, A Ralaidovy, N Rao, A Raub, M-L Samuels, S Segura-Pérez, C Servili, Y Shawar, J Shiffman, M Tomlinson, A Torres, E Vargas-Barón, C Vazquez, H Yoshikawa.
Members listed at the end of the report
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(16)31698-1