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Introducing a public health approach to parenting programmes in low- and middle-income countries: A research agenda. Catherine L. Ward, Matthew Sanders, Frances Gardner and Andrew Dawes. Parenting as a public health issue.
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Introducing a public health approach to parenting programmes in low- and middle-income countries:A research agenda Catherine L. Ward, Matthew Sanders, Frances Gardner and Andrew Dawes
Parenting as a public health issue • Parenting plays a key role in a range of children’s developmental outcomes • Good parenting also builds children’s emotional resilience • So parenting reduces the burden on the health system – and…. • On the educational and criminal justice system • And boosts the national economy
What criteria must be met for a public health approach to work? • Know the prevalence rates of the target behaviour • Understand risk and protective factors • Target risk and protective factors in programmes • And for population-based approaches, design programmes with low intensity and wide reach • Questions: • Is this necessarily a linear approach? • What is “good enough” evidence?
Introducing evidence-based programmes to LMICs • Examine cultural acceptability • What is “culture”? • Who to invite to comment? • Audit existing policies and programmes • Test and develop programmes in context • What is “context”?
Other issues to consider in LMICs • The available workforce is relatively untrained • Political will for early intervention in the face of other immediate priorities • Child protection services typically swamped with statutory removal of children • Costs and funding • Benefits to researchers from HICs