Scaling up a home-visiting program for child development in Brazil: a comparative case studies analysis.

ABSTRACT:

Background

In 2016, Brazil scaled up the Criança Feliz Program (PCF, from the acronym in Portuguese), making it one of the largest Early Childhood Development (ECD) programs worldwide. However, the PCF has not been able to achieve its intended impact. We aimed to identify barriers and facilitators to achieving the PCF implementation outcomes across the RE-AIM dimensions (Reach, Effectiveness or Efficacy, Adoption, Implementation and Maintenance) during the COVID-19 pandemic.

Methods

This comparative case study analysis selected five contrasting municipalities based on population size, region of the country, implementation model, and length of time implementing the PCF. We conducted 244 interviews with PCF municipal team (municipal managers, supervisors, home visitors)

SUBMITTER: Buccini G 

PROVIDER: S-EPMC10793162 | biostudies-literature | 2024 Jan

REPOSITORIES: biostudies-literature