The principles of Nurturing Care promote human capital and mitigate adversities from preconception through adolescence

被引:61
|
作者
Black, Maureen M. [1 ,2 ]
Behrman, Jere R. [3 ,4 ]
Daelmans, Bernadette [5 ]
Prado, Elizabeth L. [6 ]
Richter, Linda [7 ]
Tomlinson, Mark [8 ,9 ]
Trude, Angela C. B. [1 ]
Wertlieb, Donald [10 ]
Wuermli, Alice J. [11 ]
Yoshikawa, Hirokazu [11 ]
机构
[1] Univ Maryland, Sch Med, Pediat, Baltimore, MD 21201 USA
[2] RTI Int, Res Triangle Pk, NC 27709 USA
[3] Univ Penn, Sch Arts & Sci, Dept Econ, Philadelphia, PA 19104 USA
[4] Univ Penn, Populat Studies Ctr, Sch Arts & Sci, Philadelphia, PA 19104 USA
[5] WHO, Maternal Newborn Child & Adolescent Hlth & Agein, Geneva, Switzerland
[6] Univ Calif Davis, Nutr, Davis, CA 95616 USA
[7] Univ Witwatersrand, Ctr Wxcellence Human Dev, Johannesburg, South Africa
[8] Stellenbosch Univ, Global Hlth, Cape Town, South Africa
[9] Queens Univ, Sch Nursing & Midwifery, Belfast, Antrim, North Ireland
[10] Tufts Univ, Eliot Pearson Dept Child Study & Human Dev, Medford, MA 02155 USA
[11] NYU, Global TIES Children, New York, NY USA
来源
BMJ GLOBAL HEALTH | 2021年 / 6卷 / 04期
基金
英国医学研究理事会; 英国惠康基金;
关键词
child health; EARLY-CHILDHOOD; LEARNING OPPORTUNITIES; DEVELOPING-COUNTRIES; LOW-INCOME; CHILDREN; HEALTH; EDUCATION; SCHOOL; ASSOCIATION; OUTCOMES;
D O I
10.1136/bmjgh-2020-004436
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
A comprehensive evidence-based framework is needed to guide policies and programmes that enable children and adolescents to accrue the human capital required to meet the Sustainable Development Goals (SDGs). This paper proposes a comprehensive, multisectoral, multilevel life-course conceptualisation of human capital development by building on the Nurturing Care Framework (NCF), originally developed for the foundational period of growth and development through the age 3 years. Nurturing care (NC) comprises stable environments that promote children's health and nutrition, protect from threats, and provide opportunities for learning and responsive, emotionally supportive and developmentally enriching relationships. NC is fostered by families, communities, services, national policies and beyond. The principles apply across the life course, endorse equity and human rights, and promote long-term human capital. This paper presents an evidence-based argument for the extension of the NCF from preconception through adolescence (0-20 years), organised into six developmental periods: preconception/prenatal, newborn/birth, infancy/toddlerhood, preschool, middle childhood and adolescence. The proposed framework advances human capital within each developmental period by promoting resilience and adaptive developmental trajectories while mitigating negative consequences of adversities. Attaining the SDGs depends on strengthening human capital formation, extending throughout childhood and adolescence and supported by NC. Embedded in enabling laws, policies and services, the dynamic NCF components can mitigate adversities, enhance resilience and promote the well-being of marginalised groups. The life-course extension of the NCF is strategically positioned to enhance human capital, to attain the SDGs and to ensure that children or adolescents are not left behind in reaching their developmental potential.
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页数:9
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