Impact evaluation of Centers for Childhood Development and Community-Based Monitoring on child development and health
DOI:
https://doi.org/10.36901/em.v11i2.1825Palabras clave:
child development, home visiting, impact evaluation, PeruResumen
In Peru, the implementation of Community-Based Monitoring (CBM) programs focusing on early childhood development outcomes particularly in rural areas is a phenomenon relatively unexplored. Using home visits for improving and strengthening health care practices and interactions of positive parenting in adults with children under the age of three, the goal of the CBM program is to improve different dimensions of child development. The study uses a quasi-experimental design with children aged 6-36 months from four districts of Maynas, province in the Amazon area of Peru. Data were collected at baseline (2016) and follow-up (2017). To estimate causal effects, we used Propensity Score Matching (PSM) to construct comparable treatment and control groups, followed by a Difference-in-Differences (DiD) approach to control for time-invariant unobserved factors. Results show positive and statistically significant effects on overall early childhood development, particularly in fine motor skills and language development. The program also reduced chronic malnutrition, although no significant effects were found on acute malnutrition or morbidity indicators. Impacts were stronger in rural areas, where program implementation was more established. The study concludes that CBM programs with home visits can improve developmental outcomes and reduce inequalities, highlighting the importance of implementation quality and suggesting potential for scaling in rural contexts.
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Attanasio, O. P., Di Maro, V., & Vera-Hernández, M. (2012). Community Nurseries and Nutritional Status of Poor Children. Evidence from Colombia.
Attanasio, O. P., Fernández, C., Fitzsimons, E., Grantham-McGregor, S. M., Meghir, C., & Rubio-Cordina, M. (2014). Using the infrastructure of a conditional cash transfer program to deliver a scalable integrated early child development program in Colombia: cluster randomized controlled trial. British Medical Journal, 349:g5785.
Aracena, M., Krause, M., Pérez, C., Méndez, J., Salvatierra, L., Soto, M., Pandoja, T., Navarro, S., & Salinas, A. (2009). A cost-effectiveness evaluation of a home visit program for adolescent mothers. Journal of Health Psychology, 14(7), 878-887.
Avellar, S. A., & Supplee, L. H. (2013). Effectiveness of Home Visiting in Improving Child Health and Reducing Child Maltreatment. Pediatrics, 132 (Suppl. 2), 90-99. DOI: https://doi.org/10.1542/peds.2013-1021G
Banco Interamericano del Desarrollo (2016). Resultados de la evaluación de impacto del Servicio de Acompañamiento a Familias del Programa Nacional Cuna Más. Documento sin publicar.
Benavides, M., Garcia, S., & J. Stuart (2016). Evaluación de Procesos del Programa «Creciendo Juntos» en La Provincia de Maynas - Loreto. Documento sin publicar.
Behrman, J. R., Cheng, Y., & Todd, P. E. (2004). Evaluating Preschool Programs when Length of Exposure to the Program Varies: A Nonparametric Approach.
Bernal, R., Fernández, C., Flórez, C. E., & Gaviria, A. (2009). Evaluación de impacto del Programa Hogares Comunitarios de Bienestar del ICBF (No. 005854). Universidad de los Andes-CEDE.
Bernal, R., & Fernández, C. (2013). Subsidized childcare and child development in Colombia: Effects of Hogares Comunitarios de Bienestar as a function of timing and length of exposure. Social, Science & Medicine, 97(2013), 241-249.
Bhutta, Z. A., Darmstadt, G. L., Hasan, B. S., & Haws, R. A. (2005). Community-based interventions for improving perinatal and neonatal health outcomes in developing countries: a review of the evidence. Pediatrics, 115(Supplement 2), 519-617.
Blössner, M., & de Onis, M. (2005). Malnutrition: Quantifying the health impact at national and local levels. World Health Organization. Environmental Burden of Disease Series, No. 12.
Bronfenbrenner, U., & Ceci, S. J. (1993). Heredity, environment, and the question «How?»: A first approximation.
Caldera, D., Burrell, L., Rodriguez, K., Crowne, S. S., Rohde, C., & Duggan, A. (2007). Impact of a statewide home visiting program on parenting and on child health and development. Child Abuse & Neglect, 31(2007), 829-852.
Card, D., & Krueger, A. (1994). Minimum Wages and Employment: A Case Study of the Fast-Food Industry in New Jersey and Pennsylvania. The American Economic Review, 84(4), 772-793.
Castro, F., Mantilla, M., Guimet, M., & Miranda, L. (2022). Evaluación de impacto a largo plazo del servicio de Acompañamiento a Familias del Programa Nacional Cuna Más en resultados educativos. Ministerio de Desarrollo e Inclusión Social.
Concha-Eastman, A. (2016). Introduction: Home Visitation as a Primary Prevention Tool for Violence. En: L. Roggman & N. Cardia (2016). Home Visitation Programs Preventing Violence and Promoting Healthy Early Child Development. Springer International Publishing.
Cueto, S., Guerrero, G., Leon, J., Zevallos, A., & Sugimaru, C. (2009). Promoting Early Childhood Development through a Public Programme: Wawa Wasi in Peru. GRADE: Working Paper 51.
Garcia, S., Stuart, J., & Roldan, E. (2016). Evaluación de procesos del programa CPVC en los distritos de Mazán, Indiana y Napo en la provincia de Maynas - Loreto. Documento sin publicar.
Grantham-McGregor, S., Cheung, Y. B., Cueto, S., Glewwe, P., Richter, L., Strupp, B., & International Child Development Steering Group (2007). Developmental potential in the first 5 years for children in developing countries. The Lancet, 369, 60-70. DOI:10.1016/S0140-6736(07)60032-4
Guerrero, G., & F. Demarini (2016). Atención y educación de la primera infancia en el Perú: avances y retos pendientes. Investigación para el desarrollo en el Perú: once balances. GRADE.
Janssens, W., & Rosemberg, C. (2014). The impact of a Caribbean home-visiting child development program on cognitive skills. Economics of Education Review, 39(2014), 22-37.
Josephson, K., & Coddington, C. (2017). Supporting the early childhood workforce at scale: The Cuna Más home visiting program in Peru.
Jungmann, T., Brand, T., Dahne, V., Herrmann, P., Gunay, H., Sandner, M., & Sierau, S. (2015). Comprehensive evaluation of the Pro Kind home visiting program: A summary of results. Mental Health & Prevention, 3(2015), 89-97.
Kats, K., Jarret, M. H., El-Mohandes, A., Schneider, S., McNeely-Johnson, D., & Kiely, M. (2011). Effectiveness of a Combined Home Visiting and Group Intervention for Low Income African American Mothers: The Pride in Parenting Program. Matern Child Health Journal, 15(2011), 75-84.
Leroy, J. L. (2011). The impact of daycare programs on child health, nutrition and development in developing countries: A systematic review.
Maggi, F., Irwin, G. L., Siddiqi, A., Poureslami, I., Hertzman, E., & Hertzman, C. (2005). International perspectives one early child development. Analytic and Strategic Review Paper prepared by the Knowledge Network for Early Child Development of the Commission on the Social Determinants of Health, Geneva, Switzerland: World Health Organization.
Ministerio de Economía y Finanzas (2016). Evaluación de impacto del Servicio de Acompañamiento a Familias (SAF) del Programa Nacional Cuna Más - Resultados Finales. Informe de evaluación. Elaborado por María Caridad Araujo, Marta Rubio-Codina, Marta Dormal, Lima, Perú.
Ministerio de Desarrollo e Inclusión Social (2017). Evaluación de Impacto del Servicio de Cuidado Diurno del Programa Nacional Cuna Más - Resultados finales. Informe de evaluación. Documento sin publicar.
Nievar, M. A., Van Egeren, L. A., & Pollard, S. (2010). A meta-Analysis of home visiting programs: Moderators of Improvements in Maternal Behavior. Infant Mental Health Journal, 31(5), 499-520.
Peacock, S., Konrad, S., Watson, E., Nickel, D., & Muhajarine, N. (2013). Effectiveness of home visiting programs on child outcomes: a systematic review. BMC Public Health, 13(17).
Rosenbaum, P. R., & Rubin, D. B. (1983). The central role of the propensity score in observational studies for causal effects. Biometrika, 70(1), 41-55.
Shore, R. (1997). Rethinking the brain: New insights into early development.
Tomlinson, M., Rotheram-Borus, M. J., le Roux, I. M., Youssef, M., Nelson, S. H., Scheffler, A., Weiss, R. E., O’Connor, M., & Worthman, C. M. (2016). Thirty-Six-Month Outcomes of a Generalist Paraprofessional Perinatal Home Visiting Intervention in South Africa on Maternal Health and Child Health and Development. Society for Prevention Research, DOI: 10.1007/s11121-016-0676-x
Wachs, T. D. (1993). Going beyond nutrition: nutrition, context, and development. Monographs of the Society for Research in Child Development, 58(7), 100-110.
Young, M. E. (Ed.). (2002). From early child development to human development: Investing in our children’s future. World Bank Publications.
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Derechos de autor 2026 Juan León Jara Almonte, Martín Benavides, Fernando Alarcón
Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
