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Transforming Parenting Programs: A Public Health Approach for Better Child Development

This research agenda highlights the significance of parenting in children's development outcomes and advocates for a public health approach to parenting programs in low- and middle-income countries. By emphasizing the importance of good parenting in building emotional resilience and reducing burdens on health, education, and justice systems, the agenda discusses essential criteria for successful implementation. It delves into understanding prevalence rates, risk and protective factors, designing population-based programs, and addressing pertinent questions. Additionally, it touches upon introducing evidence-based programs, considering cultural acceptability, involving stakeholders, and evaluating existing policies. The agenda also sheds light on challenges such as untrained workforce, political constraints, overwhelmed child protection services, costs, and funding constraints, as well as potential benefits for researchers from high-income countries.

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Transforming Parenting Programs: A Public Health Approach for Better Child Development

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  1. 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

  2. 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

  3. 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?

  4. 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”?

  5. 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

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