Integrating social protection and early childhood development: open trial of a family home-visiting intervention, Sugira Muryango

Theresa S. Betancourt, Emily Franchett, Catherine M. Kirk, Robert T. Brennan, Laura Rawlings, Briana Wilson, Aisha Yousafzai, Rose Wilder, Sylvere Mukunzi, Josee Mukandanga, Christian Ukundineza, Kalisa Godfrey & Vincent Sezibera - Early Child Development


A pre-post design with 6–13-month follow-up assessed the feasibility and acceptability of a home-visiting intervention to promote early childhood development, improve parenting and shared decision-making, and reduce violence in impoverished Rwandan households. Twenty vulnerable families with a child 36-months or younger enrolled in Sugira Muryango. Measures of parenting, home environment, family-violence, decision-making, and health-status were administered at pre/post and follow-up. Families reported high satisfaction post-intervention. OMCI scores improved for 4.8% of mother-child dyads at post-intervention and 19.0% at follow-up, while 9.5% of dyads showed declines at both times. HOME Inventory scores improved for 9.5% and 14.3% of dyads at post-intervention and follow-up respectively and declined for 4.8% and 0.0%. Indicators for equal decision-making and child dietary-diversity improved at post-intervention and follow-up. Fewer mothers believed physical punishment was necessary at follow-up. Sugira Muryango shows promise for improving parenting, beliefs about harsh punishment, child nutritional status, and shared decision-making among vulnerable families.

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