Abstract:
Although prior reviews have documented the effectiveness of engaging male caregivers in early childhood interventions, little is known about how these interventions have been designed and implemented to reach, engage, and support male caregivers in low-resource global settings. We searched five bibliographic databases for intervention studies that engaged male caregivers to improve nurturing care for children under 5 years of age in low- and middle-income countries. Forty-four articles met the inclusion criteria, which represented 33 interventions. Fathers specifically were the most common type of male caregivers targeted in these interventions. The majority of interventions invited fathers to participate alongside their female partners. Community-based peer-groups were the most common delivery model. Most interventions used the same program structure for fathers as applied to mothers, with few considering whether implementation adaptations were needed for men. Intervention curricula were multicomponent and largely targeted child nutrition, health, and couples\' relationships. A minority of programs addressed parenting, psychosocial wellbeing, violence prevention, gender attitudes, or economic support. Behavior change techniques were limited to interactive counseling and peer learning. Male caregivers remain missing from caregiving interventions for young children. A greater focus on implementation research can inform better inclusion, engagement, and support for male caregivers in nurturing care interventions.
摘要:
尽管先前的审查已经记录了让男性照顾者参与幼儿干预的有效性,关于这些干预措施是如何设计和实施的,engage,并在低资源的全球环境中支持男性护理人员。我们搜索了五个书目数据库,以进行干预研究,这些研究使男性护理人员能够改善低收入和中等收入国家5岁以下儿童的养育护理。44条符合纳入标准,代表33项干预措施。父亲是这些干预措施中最常见的男性护理人员。大多数干预措施都邀请父亲与女性伴侣一起参加。基于社区的同伴团体是最常见的交付模式。大多数干预措施对父亲使用的程序结构与对母亲使用的程序结构相同,很少有人考虑男性是否需要实施适应。干预课程是多方面的,主要针对儿童营养,健康,和夫妻关系。少数计划涉及育儿,社会心理健康,预防暴力,性别态度,或经济支持。行为改变技术仅限于互动咨询和同伴学习。对幼儿的护理干预措施仍然缺少男性护理人员。对实施研究的更多关注可以提供更好的包容性,订婚,并支持男性护理人员进行护理干预。