Table 2

Description of the Saving Brains responsive care and early learning (RCEL) Transition-To-Scale projects: summary of human resources and curricula content (n=4 projects)

Project nameTransition to scale of an integrated programme of nutritional care and psychosocial stimulation to improved malnourished children’s developmentAn integrated intervention targeted at deprived preschool children in rural areasHome visiting programmes to improve early child development and maternal mental healthSaving Brains, Changing Mindsets
Lead institutionInternational Centre for Diarrhoeal Disease Research, Bangladesh (ICDDR,B)Universidad de Los Andes (UDLA)Faculdade de Medicina da Universidade de São Paulo (USP)Mobile Crèches for Working Mothers’ Children (MC)
CountryBangladeshColombiaBrazilIndia
SiteRural Dhaka area: Narsingdi and KishoreganjCentral rural regions:
Boyacá, Cundinamarca,
Santander
São Paulo, urban slums in western areaDelhi area, Bangalore, Ahmedabad, Chandigarh
Vision/goal/objectivesIntegrate RCEL intervention for poor, underweight children into routine government health servicesImprove quality of a pre-existing public parenting programme in a scalable fashionEvaluate the efficacy and cost-effectiveness of two alternative platforms for home visiting programmeDemonstrate scalability of workplace-based childcare for children of migrant construction workers
Participating children, n159721348004845
Human resources
TypeAssociate health professionalLay community member as paraprofessionalCommunity health workers (CHW) and child development agents (CDA)Personal care worker
Pre-existing/novel cadrePre-existingPre-existingCHWs pre-existing, CDAs novel cadrePre-existing
Incentivisation, including remunerationOccasional small giftsRemunerated by government30% elevated salary pre-existing CHWs, salary-matched CDAsSalaried
Qualification/skill/competenceTechnical qualificationSecondary educationNo qualification neededPrimary and secondary education
Gender of workersMajority femaleMajority femaleExclusively femaleMajority female
Length of training15 days85 hours over 3.5 weeks40 hours initial (Reach Up) and 32 hours refresher36 days
Workers recruited (completing training, delivering project), n354 (320, 168)171 (171, 171)15 (15, 13)139 (83, 67)
Frequency of supervisionMinimum once per month.Every 6 weeksOnce per weekSix months rigorous, then monthly
Curricula content
Group versus individual2 or 4–5 dyads80% group, 20% individualAll individual70% group, 30% individual
Duration of intervention12 months11 months12 months3 months
Average length of sessions50 min1 hour1 hour8 hours (full creche day)
Sessions, n25552475
Frequency of contacts per month23225
MaterialsPlay materialsBooks, puzzles, images and toys (recyclable materials)Books, puzzles, images and toys (recyclable materials)Play materials, blocks, puzzles, big picture books, toys (low cost)
CurriculumAdaptation of Reach UpAdaptation of Reach UpAdaptation of Reach UpThematic curriculum on school readiness skills
Use of digital mediaNoneNoneNoneNone
Mechanism of behaviour change
 MentoringYesYesYesYes
 Problem solvingYesYes
 Didactic
 DemonstrationsYesYesYesYes
 Service mapping
 EmpowermentYesYesYesYes
 Peer supportYesYes
 Media
 MaterialsYesYes
Published references21 48 4921 5021 5021 51