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| Name | Class |
|---|---|
| Municipal Secretary of Health, Fortaleza Brasil | UNKNOWN |
| Universidade Federal do Ceara | OTHER |
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This is a cluster-randomized study of a home visiting program targeting mothers of children 0 to 2.5 years of age with the objective of improving global child development. The program, Programa Cresça com Seu Filho (PCCSF), will be randomized across 220 microareas in the poorest Region (V) of the state of Fortaleza, Brazil.
This is an evaluation of pilot program, Programa Cresça com Seu Filho (PCCSF) which is publically funded and, developed in a partnership between the Ministry of Health (MoH) of Brazil and the municipal government of Fortaleza. The program targets low-income mothers of children 0 to 2.5 years old, living in low-income neighborhoods in Fortaleza Brazil. The home visits are carried out by community health workers (CHW), who currently work for the Ministry of Health as part of the program Programa Saúde da Família. The CHWs will be trained on the PCCSF curriculum in order to provide 1-hour visits with the early stimulation package during two years. The PCCSF home visiting program is planned to begin implementation the week of March 15, 2016 for half of the community health workers and April 15, 2016 for the other half.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Treatment: | Experimental | Home visiting with PCCSF |
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| Control | Experimental | Home visiting no PCCSF |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Home visiting intervention PCCSF (220 clusters) | Behavioral | Low income mothers of children 0-2.5 years of age in the randomized treatment micro-areas will receive home visits by community health workers trained in the PCCSF curriculum in addition to the basic health curriculum. The community health workers are supervised by trained and experienced nurses. |
| Measure | Description | Time Frame |
|---|---|---|
| Denver Developmental Screening Test II- aggregate rating of language skills | language development | change from baseline to follow-up at 18 months |
| Denver Developmental Screening Test II - aggregate rating of socioemotional skills | socioemotional development | change from baseline to follow-up at 18 months |
| Denver Developmental Screening Test II -aggregate rating motor skills | motor development | change from baseline to follow-up at 18 months |
| Denver Developmental Screening Test II -aggregate rating cognitive skills | cognitive development | change from baseline to follow-up at 18 months |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Florencia Lopez Boo, Ph.D. | Inter-American Development Bank | Principal Investigator |
| Cristiana Ferreira da Silva, Ph.D. | Secretaria Municipal de Saúde de Fortaleza | Principal Investigator |
| Marcia Rocha, M.A. | Inter-American Development Bank | Principal Investigator |
| Suzanne Duryea, P.h.D. | Inter-American Development Bank | Principal Investigator |
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| ID | Term |
|---|---|
| D006792 | House Calls |
| ID | Term |
|---|---|
| D011364 | Professional Practice |
| D009934 | Organization and Administration |
| D006298 | Health Services Administration |
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| Home visiting without PCCSF (220 clusters) | Behavioral | Low income mothers of children 0-2.5 years of age in the randomized control micro-areas will receive home visits by community health workers trained in the standard basic health curriculum (no PCCSF). |
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