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Research article
Theresa S. Betancourt
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3683-4440
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The most recent version of this article is available here.
Background: Sugira Muryango (SM) is an early child development and violence-prevention home-visiting program delivered by trained lay workers. This cluster-randomised trial evaluates whether families living in extreme poverty who receive SM in combination with government-provided social protection demonstrate greater responsive and positive caregiving, nutrition, care seeking, hygiene, and father involvement compared with control families receiving usual care (UC).
Methods: Sugira Muryango (SM) was delivered to families with children aged 6–36 months living in extreme poverty. We assessed changes in outcomes in intervention and UC control families using structured surveys and observation. Analyses were intent to treat using mixed models.
Results: Families receiving SM improved significantly on responsive caregiving using the Home Observation for Measurement of the Environment (Cohen’s d= 0.78; p< 0.001) and the Observation of Mother-Child Interaction (Cohen’s d= 0.29; p< 0.001) and showed decreased violent discipline (OR:0.34: 95% CI: 0.22, 0.51) compared with UC. Children in families receiving SM also had a 0.44 higher increase in food groups consumed in the past 24 hours (Cohen’s d= 0.34, p< 0.001), increased care seeking for diarrhoea (OR=2.2, 95% CI: 1.5, 3.1) and fever (OR: 3.3, 95% CI: 2.3, 4.8), and improved hygiene behaviours such as proper treatment of water (OR: 3.6; 95% CI: 2.4, 5.5) compared with UC. SM was also associated with a decreased intimate partner violence (OR=0.67, 95% CI: 0.33, 1.3) and caregiver depression and anxiety (OR=0.9, 95% 0.58, 1.4).
Conclusions: Sugira Muryango led to improvements in family functioning and caregiver behaviours linked to child development and health.
Keywords
home-visiting, early childhood development (ECD), violence, social protection, father engagement
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On 12 Apr, 2020
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On 11 Apr, 2020
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On 11 Apr, 2020
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Editorial decision: Minor revision
On 04 Apr, 2020
Editor assigned
On 08 Mar, 2020
Submission checks complete
On 07 Mar, 2020
Editor invited
On 07 Mar, 2020
No comments provided
Editorial decision: Minor revision
On 22 Feb, 2020
Review #2 received
Received 18 Feb, 2020
Reviewer #2 agreed
On 07 Feb, 2020
Review #1 received
Received 25 Jan, 2020
Reviewer #1 agreed
On 10 Jan, 2020
Reviewers invited
Invitations sent on 07 Jan, 2020
Editor assigned
On 25 Dec, 2019
Submission checks complete
On 24 Dec, 2019
Editor invited
On 24 Dec, 2019
Version 1
Posted 02 Sep, 2019
No comments provided
Review #2 received
Received 04 Dec, 2019
Editorial decision: Major revision
On 04 Dec, 2019
Review #1 received
Received 17 Nov, 2019
Reviewer #2 agreed
On 08 Nov, 2019
Reviewer #1 agreed
On 01 Nov, 2019
Reviewers invited
Invitations sent on 07 Oct, 2019
Editor assigned
On 26 Aug, 2019
Submission checks complete
On 22 Aug, 2019
Editor invited
On 22 Aug, 2019
First submitted
On 10 Aug, 2019
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Health Policy
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This preprint is under consideration at BMC Public Health. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Theresa S. Betancourt
Corresponding Author
ORCiD: https://orcid.org/0000-0002-3683-4440
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Review
No community comments so far
Editor assigned
On 12 Apr, 2020
Submission checks complete
On 11 Apr, 2020
Editor invited
On 11 Apr, 2020
No comments provided
Editorial decision: Minor revision
On 04 Apr, 2020
Editor assigned
On 08 Mar, 2020
Submission checks complete
On 07 Mar, 2020
Editor invited
On 07 Mar, 2020
No comments provided
Editorial decision: Minor revision
On 22 Feb, 2020
Review #2 received
Received 18 Feb, 2020
Reviewer #2 agreed
On 07 Feb, 2020
Review #1 received
Received 25 Jan, 2020
Reviewer #1 agreed
On 10 Jan, 2020
Reviewers invited
Invitations sent on 07 Jan, 2020
Editor assigned
On 25 Dec, 2019
Submission checks complete
On 24 Dec, 2019
Editor invited
On 24 Dec, 2019
Version 1
Posted 02 Sep, 2019
No comments provided
Review #2 received
Received 04 Dec, 2019
Editorial decision: Major revision
On 04 Dec, 2019
Review #1 received
Received 17 Nov, 2019
Reviewer #2 agreed
On 08 Nov, 2019
Reviewer #1 agreed
On 01 Nov, 2019
Reviewers invited
Invitations sent on 07 Oct, 2019
Editor assigned
On 26 Aug, 2019
Submission checks complete
On 22 Aug, 2019
Editor invited
On 22 Aug, 2019
First submitted
On 10 Aug, 2019
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Health Policy
License:
This work is licensed under a CC BY 4.0 License. Read Full License
The most recent version of this article is available here.
Background: Sugira Muryango (SM) is an early child development and violence-prevention home-visiting program delivered by trained lay workers. This cluster-randomised trial evaluates whether families living in extreme poverty who receive SM in combination with government-provided social protection demonstrate greater responsive and positive caregiving, nutrition, care seeking, hygiene, and father involvement compared with control families receiving usual care (UC).
Methods: Sugira Muryango (SM) was delivered to families with children aged 6–36 months living in extreme poverty. We assessed changes in outcomes in intervention and UC control families using structured surveys and observation. Analyses were intent to treat using mixed models.
Results: Families receiving SM improved significantly on responsive caregiving using the Home Observation for Measurement of the Environment (Cohen’s d= 0.78; p< 0.001) and the Observation of Mother-Child Interaction (Cohen’s d= 0.29; p< 0.001) and showed decreased violent discipline (OR:0.34: 95% CI: 0.22, 0.51) compared with UC. Children in families receiving SM also had a 0.44 higher increase in food groups consumed in the past 24 hours (Cohen’s d= 0.34, p< 0.001), increased care seeking for diarrhoea (OR=2.2, 95% CI: 1.5, 3.1) and fever (OR: 3.3, 95% CI: 2.3, 4.8), and improved hygiene behaviours such as proper treatment of water (OR: 3.6; 95% CI: 2.4, 5.5) compared with UC. SM was also associated with a decreased intimate partner violence (OR=0.67, 95% CI: 0.33, 1.3) and caregiver depression and anxiety (OR=0.9, 95% 0.58, 1.4).
Conclusions: Sugira Muryango led to improvements in family functioning and caregiver behaviours linked to child development and health.
Figure 1
Figure 2
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