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Workforce preparation for delivery of nurturing care in low‐ and middle‐income countries: Expert consensus on critical multisectoral training needs.

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Title: Workforce preparation for delivery of nurturing care in low‐ and middle‐income countries: Expert consensus on critical multisectoral training needs.
Authors: Pearson, Emma (AUTHOR), Rao, Nirmala (AUTHOR), Siraj, Iram (AUTHOR), Aboud, Frances (AUTHOR), Horton, Caroline (AUTHOR), Hendry, Helen (AUTHOR)
Source: Child: Care, Health & Development. Jan2024, Vol. 50 Issue 1, p1-12. 12p.
Subjects: Institutional cooperation, Consensus (Social sciences), Middle-income countries, Child development, Medical care, Mentoring, Labor supply, Low-income countries, Interprofessional relations, Research funding, Nurturing behavior, Delphi method
Abstract: Background: Services to support nurturing care through early childhood development (ECD) in low‐ and middle‐income countries are hampered by significant workforce challenges. The global early childhood workforce is both diverse and complex, and it supports the delivery of a wide range of services in extremely diverse geographical and social settings. In the context of contemporary global goals for the universal provision of quality early childhood provision, there is an urgent need to build appropriate platforms for strengthening and supporting this workforce. However, the evidence base to support this work is severely limited. Methods: To contribute to evidence on how to strengthen the ECD workforce in low‐ and middle‐income countries, this study used a Delphi methodology involving three rounds of data collection with 14 global experts, to reach consensus on the most critical training needs of three key early childhood workforce groups: (i) health; (ii) community‐based paraprofessionals, and (iii) educational professionals working across ECD programmes. Results: The study identified a comprehensive set of shared, as well as distinct, training needs across the three groups. Shared training needs include the following: (i) nurturing dispositions that facilitate work with children and families in complex settings; (ii) knowledge and skills to support responsive, adaptable delivery of ECD programmes; and (iii) systems for ECD training and professional pathways that prioritise ongoing mentoring and support. Conclusions: The study's detailed findings help to address a critical gap in the evidence on training needs for ECD workers in low‐resource contexts. They provide insights into how to strengthen content, systems, and methods of training to support intersectoral ECD work in resource‐constrained contexts. [ABSTRACT FROM AUTHOR]
Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Workforce preparation for delivery of nurturing care in low‐ and middle‐income countries: Expert consensus on critical multisectoral training needs.
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  Data: <searchLink fieldCode="JN" term="%22Child%3A+Care%2C+Health+%26+Development%22">Child: Care, Health & Development</searchLink>. Jan2024, Vol. 50 Issue 1, p1-12. 12p.
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  Data: <searchLink fieldCode="DE" term="%22Institutional+cooperation%22">Institutional cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22Consensus+%28Social+sciences%29%22">Consensus (Social sciences)</searchLink><br /><searchLink fieldCode="DE" term="%22Middle-income+countries%22">Middle-income countries</searchLink><br /><searchLink fieldCode="DE" term="%22Child+development%22">Child development</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care%22">Medical care</searchLink><br /><searchLink fieldCode="DE" term="%22Mentoring%22">Mentoring</searchLink><br /><searchLink fieldCode="DE" term="%22Labor+supply%22">Labor supply</searchLink><br /><searchLink fieldCode="DE" term="%22Low-income+countries%22">Low-income countries</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Nurturing+behavior%22">Nurturing behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Delphi+method%22">Delphi method</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Background: Services to support nurturing care through early childhood development (ECD) in low‐ and middle‐income countries are hampered by significant workforce challenges. The global early childhood workforce is both diverse and complex, and it supports the delivery of a wide range of services in extremely diverse geographical and social settings. In the context of contemporary global goals for the universal provision of quality early childhood provision, there is an urgent need to build appropriate platforms for strengthening and supporting this workforce. However, the evidence base to support this work is severely limited. Methods: To contribute to evidence on how to strengthen the ECD workforce in low‐ and middle‐income countries, this study used a Delphi methodology involving three rounds of data collection with 14 global experts, to reach consensus on the most critical training needs of three key early childhood workforce groups: (i) health; (ii) community‐based paraprofessionals, and (iii) educational professionals working across ECD programmes. Results: The study identified a comprehensive set of shared, as well as distinct, training needs across the three groups. Shared training needs include the following: (i) nurturing dispositions that facilitate work with children and families in complex settings; (ii) knowledge and skills to support responsive, adaptable delivery of ECD programmes; and (iii) systems for ECD training and professional pathways that prioritise ongoing mentoring and support. Conclusions: The study's detailed findings help to address a critical gap in the evidence on training needs for ECD workers in low‐resource contexts. They provide insights into how to strengthen content, systems, and methods of training to support intersectoral ECD work in resource‐constrained contexts. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Data: <i>Copyright of Child: Care, Health & Development is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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        Value: 10.1111/cch.13180
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 1
    Subjects:
      – SubjectFull: Institutional cooperation
        Type: general
      – SubjectFull: Consensus (Social sciences)
        Type: general
      – SubjectFull: Middle-income countries
        Type: general
      – SubjectFull: Child development
        Type: general
      – SubjectFull: Medical care
        Type: general
      – SubjectFull: Mentoring
        Type: general
      – SubjectFull: Labor supply
        Type: general
      – SubjectFull: Low-income countries
        Type: general
      – SubjectFull: Interprofessional relations
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      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Nurturing behavior
        Type: general
      – SubjectFull: Delphi method
        Type: general
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      – TitleFull: Workforce preparation for delivery of nurturing care in low‐ and middle‐income countries: Expert consensus on critical multisectoral training needs.
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              M: 01
              Text: Jan2024
              Type: published
              Y: 2024
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