Orazio Attanasio|Carles Fernández|Emla Fitzsimons|Sally Grantham?McGregor|Costas Meghir|Marta Rubio?Codina
Using the infrastructure of a conditional cash transfer program to deliver a scalable integrated early child development program in Colombia: cluster randomized controlled trial
University College London|Mathematica Policy Research|University College London|Yale University|Institute for Fiscal Studies
assess effectiveness integrated early child development intervention combining stimulation micronutrient supplementation delivered large scale colombia childrens development growth hemoglobin levelscluster randomized controlled trial using 2 2 factorial design municipalities assigned one four groups psychosocial stimulation micronutrient supplementation combined intervention control96 municipalities colombia located across eight 32 departments1420 children aged 1224 months primary carerspsychosocial stimulation weekly home visits play demonstrations micronutrient sprinkles given daily combined delivered female community leaders 18 monthscognitive receptive expressive language fine gross motor scores bayley scales infant developmentiii height weight hemoglobin levels measured baseline end interventionstimulation improved cognitive scores adjusted age sex testers baseline levels outcomes 026 standard deviation p0002 stimulation also increased receptive language 022 standard deviation p0032 micronutrient supplementation significant effect outcome interaction interventions intervention affected height weight hemoglobin levelsusing infrastructure national welfare program implemented integrated early child development intervention large scale showed potential improving childrens cognitive development found effect supplementation developmental health outcomes moreover supplementation interact stimulation implementation model delivering stimulation suggests may serve promising blueprint future policy early childhood developmenttrial registration current controlled trials isrctn18991160