Early Childhood Development through an Integrated Program : Evidence from the Philippines

More attention and resources have been devoted in recent years to early childhood development (ECD) in low- and middle-income countries. Rigorous studies on the effectiveness of ECD-related programs for improving children's development in various dimensions in the developing world are scant. The authors evaluate an important ECD initiative of the Philippine government using longitudinal data collected over three years on a cohort of 6,693 children age 0-4 years at baseline in two "treatment" regions and a "control" region that did not receive the intervention. The initiative includes a wide range of health, nutrition, early education, and social services programs. The authors estimate its impact by using "intent-to-treat" difference-in-difference propensity score matching estimators to control for a variety of observed characteristics measured at the municipality, barangay, household, and child level and unobserved fixed characteristics, with differential impacts by age of children and duration of exposure to the program. There has been a significant improvement in the cognitive, social, motor, and language development, and in short-term nutritional status of children who reside in ECD program areas compared to those in non-program areas, particularly for those under age four at the end of the evaluation period. The proportions of children below age four with worms and diarrhea also have been lowered significantly in program compared to non-program areas, but there are effects in the opposite direction for older children so the overall impact on these two indicators is mixed.

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Bibliographic Details
Main Authors: Armecin, Graeme, Behrman, Jere R., Duazo, Paulita, Ghuman, Sharon, Gultiano, Socorro, King, Elizabeth M., Lee, Nannette
Language:English
Published: World Bank, Washington, DC 2006-05
Subjects:AGED, ATTENTION, AUTISM, CHILD DEVELOPMENT, CHILD HEALTH, CHILD MALNUTRITION, COGNITIVE DEVELOPMENT, COMMUNITY PARTICIPATION, CONTROL GROUPS, COUNSELING, DAY CARE, DAY CARE CENTERS, DAY CARE PROVIDERS, DAY CARE WORKERS, DEVELOPMENTAL POTENTIAL, DIARRHEAL DISEASES, EARLY CHILD DEVELOPMENT, EARLY CHILDHOOD, EARLY CHILDHOOD CARE, EARLY CHILDHOOD DEVELOPMENT, EARLY EDUCATION, ECCD, ECCD PROGRAMS, ECD, ECD PROGRAMS, EDUCATION PROGRAMS, EDUCATIONAL ATTAINMENT, EMOTIONAL DEVELOPMENT, FAMILIES, FINE MOTOR SKILLS, FORMAL EDUCATION, GROWTH MONITORING, HEAD START, HEALTH CARE, HEALTH SERVICES, HOME VISITS, HOSPITALS, HUMAN DEVELOPMENT, IMMUNIZATION, INFANT MORTALITY, INFANTS, INFORMATION CAMPAIGNS, INSTRUCTION, INTERPERSONAL RELATIONSHIPS, INTERVENTION, INTERVENTIONS, IRON, LANGUAGE DEVELOPMENT, LANGUAGE SKILLS, LEARNING, LITERACY, LOW BIRTH WEIGHT, MALNUTRITION, MEDICINES, MIGRATION, MORTALITY, MOTOR SKILLS, NUMERACY, NURSES, NUTRITION, NUTRITIONAL STATUS, PARENT EDUCATION, PARENTING, PATIENTS, POPULATION STUDIES, PREGNANT WOMEN, PRESCHOOL CHILDREN, PRIMARY HEALTH CARE, PRIMARY SCHOOL, PSYCHOLOGY, PUBLIC HEALTH, QUALITY PRESCHOOL, RECOGNITION, SCHOOL AGE CHILDREN, SCHOOL-AGE CHILDREN, SCHOOLING, SCHOOLS, SOCIAL DEVELOPMENT, SOCIAL SERVICES, SOCIAL SKILLS, SPECIAL NEEDS, TEACHERS, TEACHING, TEACHING MATERIALS, THOUGHTS, VERBAL COMMUNICATION, WALKING, WORKERS, YOUNG CHILDREN, YOUNGSTERS, YOUTH,
Online Access:http://documents.worldbank.org/curated/en/2006/05/6783625/early-childhood-development-through-integrated-program-evidence-philippines
https://hdl.handle.net/10986/8659
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Summary:More attention and resources have been devoted in recent years to early childhood development (ECD) in low- and middle-income countries. Rigorous studies on the effectiveness of ECD-related programs for improving children's development in various dimensions in the developing world are scant. The authors evaluate an important ECD initiative of the Philippine government using longitudinal data collected over three years on a cohort of 6,693 children age 0-4 years at baseline in two "treatment" regions and a "control" region that did not receive the intervention. The initiative includes a wide range of health, nutrition, early education, and social services programs. The authors estimate its impact by using "intent-to-treat" difference-in-difference propensity score matching estimators to control for a variety of observed characteristics measured at the municipality, barangay, household, and child level and unobserved fixed characteristics, with differential impacts by age of children and duration of exposure to the program. There has been a significant improvement in the cognitive, social, motor, and language development, and in short-term nutritional status of children who reside in ECD program areas compared to those in non-program areas, particularly for those under age four at the end of the evaluation period. The proportions of children below age four with worms and diarrhea also have been lowered significantly in program compared to non-program areas, but there are effects in the opposite direction for older children so the overall impact on these two indicators is mixed.