Priority-Setting in the Roll out of South Africa's National Integrated ECD Policy

Autor/inn/en	Desmond, Chris; Viviers, André; Edwards, Taygen; Rich, Kate; Martin, Patricia; Richter, Linda
Titel	Priority-Setting in the Roll out of South Africa's National Integrated ECD Policy
Quelle	In: Early Years: An International Journal of Research and Development, 39 (2019) 3, S.276-294 (19 Seiten)Infoseite zur Zeitschrift PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Richter, Linda)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0957-5146
DOI	10.1080/09575146.2019.1572074
Schlagwörter	Foreign Countries; Needs Assessment; Child Development; Young Children; Budgets; Pregnancy; Home Visits; At Risk Persons; Mothers; Play; Group Activities; Child Care Centers; Intervention; Human Services; Public Policy; Sequential Approach; Cost Effectiveness; Community Benefits; South Africa + Suchen Sie Ihr Suchwort? Ausland; Bedarfsermittlung; Kindesentwicklung; Frühe Kindheit; Finanzhaushalt; Schwangerschaft; Hausbesuch; Risikogruppe; Mother; Mutter; Spiel; Gruppenaktivität; Child care facilities; Child care services; Kinderzentrum; Kinderbetreuung; Humanitäre Hilfe; Öffentliche Ordnung; Schrittfolge; Kosten-Nutzen-Analyse; Kosten-Nutzen-Denken; Südafrika; Süd-Afrika; Republik Südafrika; Südafrikanische Republik
Abstract	The South African National Integrated Early Childhood Development Policy was approved by the South African Cabinet in 2015. Given capacity and financial constraints, all services outlined cannot be implemented in a single step. Priorities must be set. We examine the budget implications (total cost and cost per child) and benefits of the four largest components of the Policy: interventions to improve pregnancy outcomes; home visits for at-risk mothers of children under 2 years of age; community-based playgroups for mothers and children, and center-based early childhood development services. Further, we identify which services are based on the strongest evidence, the value-based trade-offs that characterise the prioritising decisions, and which logistical factors favour alternative orderings of services. The interventions to improve pregnancy outcomes are low cost, based on sound evidence and would make use of the established healthcare infrastructure. Home visits for at-risk mothers are associated with improved development for targeted children and consequential benefits for caregivers and broader society. Playgroups are a promising low-cost intervention, but further evidence is required to determine their effectiveness. Centre-based services are expensive and generate smaller developmental returns, but provide childcare. The results highlight the value judgements required to determine the appropriate sequencing of interventions. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2020/1/01