This intervention targets vulnerable children under 3 who are at risk of malnutrition and developmental delays, and whose families live in conditions of poverty. Frontline government service providers receive 4 days of training using a curriculum focused on the integration of health, nutrition, and early stimulation and using a packet of materials that include child development cards and a promise card. Child development cards are divided by age (e.g., birth to 6 months, 6 to 12 months) and visually depict the activity that parents are encouraged to conduct with their child including health, nutrition and early stimulation activities focused on communication and play. The promise card includes 12 activities that parents promise to conduct with their child, which they report on with their service provider at the next meeting.Early stimulation messages for families with children under 3 were incorporated into existing governmental services focused on nutrition and health.
Click here to see full program profile
CEI approaches in actionSchool supportTeacher trainingTeaching materials (teaching guides, lesson plans, etc.)Early Childhood Development
Model details2010Not-for-profitHealth/NutritionOtherEarly stimulation, communication, playActiveShort-term projectBangladesh Ministry of Health and Family Welfare20,000
Scale20,000 children and families reachedMarch, 2016
The intervention is expanding into the regions of Satkania, Muladi and Kulaura and approximately 20,000 children and their families are now participating. Scaling up is made possible by a formal partnership between Save the Children and the Bangladesh Ministry of Health and Family Welfare. Important steps in forging a collaborative relationship include having quality data to highlight program impact from the pilot study, a formal Memorandum of Understanding, and sustaining close working relationships with government officials at central and local levels from senior to more junior positions.
Monitoring & EvaluationYes
Initially, a pilot study was conducted in rural Bangladesh in 4 unions in the district of Meherpur, including approximately 300 children. For the pilot study, 2 different service delivery models were tested. The first involved training community volunteers to hold group sessions and share effective parenting practices regarding early stimulation with mothers, while the second model involved training government health and social welfare service providers to incorporate early stimulation messages into their work at clinics and through home visits. Both service delivery models revealed significant positive results for children's cognitive and linguistic development and parenting behaviors. Now in a scaling phase, this program determined frontline government workers to be the preferred mode for service delivery.
Ongoing monitoring is collaborative and conducted by frontline government service providers and Save the Children staff both at community clinics and at home visits. A rigorous pilot study was conducted to assess two intervention models and a scale-up study with World Bank and AIR is currently underway.Standardized assessment performanceOtherParenting practices, dietary practices, parental knowledgeYesYes
From pilot study (n=300):
Participant children at endline had significantly higher Bayley language and cognitive scores than comparison children. Participant parents at endline had significantly improved home stimulation practices, dietary diversity and knowledge of developmental milestones than comparison familes.