Scaling up of Brazil's Crianca Feliz early childhood development program: an implementation science analysis.

ABSTRACT: To address inequities that prevent socioeconomically vulnerable young children from reaching their full developmental potential, Brazil implemented Programa Criança Feliz (PCF) ("Happy Child" early childhood development program) in 2934 of its 5570 municipalities. A qualitative case study was carried out on the basis of in-depth interviews with 22 key informants, employing purposive sampling, from past or current national and state coordination teams. Thematic analysis followed the RE-AIM framework, and complex adaptive system constructs mapped how barriers and enablers influenced scale-up. One overarching theme related to PCF emergence, and 18 subthemes were identified within the RE-AIM. An enabling national political environment favored PCF emergence through a top-down approach that led

SUBMITTER: Buccini G 

PROVIDER: S-EPMC8349773 | biostudies-literature | 2021 Aug

REPOSITORIES: biostudies-literature