Maternal, paternal, and other caregivers' stimulation in low- and- middle-income countries.

<h4>Background and objectives</h4>Globally, studies have shown associations between maternal stimulation and early child development. Yet, little is known about the prevalence of paternal and other caregivers' stimulation practices, particularly in low- and- middle-income countries...

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Main Authors: Jorge Cuartas, Joshua Jeong, Catalina Rey-Guerra, Dana Charles McCoy, Hirokazu Yoshikawa
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0236107
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author Jorge Cuartas
Joshua Jeong
Catalina Rey-Guerra
Dana Charles McCoy
Hirokazu Yoshikawa
author_facet Jorge Cuartas
Joshua Jeong
Catalina Rey-Guerra
Dana Charles McCoy
Hirokazu Yoshikawa
author_sort Jorge Cuartas
collection DOAJ
description <h4>Background and objectives</h4>Globally, studies have shown associations between maternal stimulation and early child development. Yet, little is known about the prevalence of paternal and other caregivers' stimulation practices, particularly in low- and- middle-income countries (LMICs).<h4>Methods</h4>Data from the Multiple Indicators Cluster Survey (MICS) and the Demographic and Health Survey (DHS) were combined across 62 LMICs (2010-2018). The sample included 205,150 mothers of children aged 3 and 4 years. High levels of stimulation were defined as caregiver engagement in at least 4 out of 6 possible activities with the child. The proportion of mothers, fathers, and other caregivers providing high levels of stimulation was calculated by country, region, and for the whole sample. Socioeconomic disparities within and between countries were estimated.<h4>Results</h4>On average, 39.8% (95% CI 37.4 to 42.2) of mothers, 11.9% (95% CI 10.1 to 13.8) of fathers, and 20.7% (95% CI 18.4 to 23.0) of other adult caregivers provided high levels of stimulation. Stimulation varied by region, country income group, and Human Development Index (HDI), with higher levels of maternal and paternal-but not other caregivers'-stimulation in high-income and high-HDI countries. Within countries, stimulation levels were, on average, lower in the poorest relative to the richest households, and some but not all countries exhibited differences by child sex (i.e., boys vs. girls) or area (i.e., urban vs. rural).<h4>Conclusions</h4>Results suggest a need for intervention efforts that focus on increasing caregiver stimulation in LMICs, particularly for fathers and in low-income contexts.
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spelling doaj.art-c7f5701bf77b437488e9196db6d535772022-12-21T22:42:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01157e023610710.1371/journal.pone.0236107Maternal, paternal, and other caregivers' stimulation in low- and- middle-income countries.Jorge CuartasJoshua JeongCatalina Rey-GuerraDana Charles McCoyHirokazu Yoshikawa<h4>Background and objectives</h4>Globally, studies have shown associations between maternal stimulation and early child development. Yet, little is known about the prevalence of paternal and other caregivers' stimulation practices, particularly in low- and- middle-income countries (LMICs).<h4>Methods</h4>Data from the Multiple Indicators Cluster Survey (MICS) and the Demographic and Health Survey (DHS) were combined across 62 LMICs (2010-2018). The sample included 205,150 mothers of children aged 3 and 4 years. High levels of stimulation were defined as caregiver engagement in at least 4 out of 6 possible activities with the child. The proportion of mothers, fathers, and other caregivers providing high levels of stimulation was calculated by country, region, and for the whole sample. Socioeconomic disparities within and between countries were estimated.<h4>Results</h4>On average, 39.8% (95% CI 37.4 to 42.2) of mothers, 11.9% (95% CI 10.1 to 13.8) of fathers, and 20.7% (95% CI 18.4 to 23.0) of other adult caregivers provided high levels of stimulation. Stimulation varied by region, country income group, and Human Development Index (HDI), with higher levels of maternal and paternal-but not other caregivers'-stimulation in high-income and high-HDI countries. Within countries, stimulation levels were, on average, lower in the poorest relative to the richest households, and some but not all countries exhibited differences by child sex (i.e., boys vs. girls) or area (i.e., urban vs. rural).<h4>Conclusions</h4>Results suggest a need for intervention efforts that focus on increasing caregiver stimulation in LMICs, particularly for fathers and in low-income contexts.https://doi.org/10.1371/journal.pone.0236107
spellingShingle Jorge Cuartas
Joshua Jeong
Catalina Rey-Guerra
Dana Charles McCoy
Hirokazu Yoshikawa
Maternal, paternal, and other caregivers' stimulation in low- and- middle-income countries.
PLoS ONE
title Maternal, paternal, and other caregivers' stimulation in low- and- middle-income countries.
title_full Maternal, paternal, and other caregivers' stimulation in low- and- middle-income countries.
title_fullStr Maternal, paternal, and other caregivers' stimulation in low- and- middle-income countries.
title_full_unstemmed Maternal, paternal, and other caregivers' stimulation in low- and- middle-income countries.
title_short Maternal, paternal, and other caregivers' stimulation in low- and- middle-income countries.
title_sort maternal paternal and other caregivers stimulation in low and middle income countries
url https://doi.org/10.1371/journal.pone.0236107
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