Summary information

Study title

Early childhood development and disability in Malawi, a mixed methods study 2016-2018

Creator

Lynch, P, University of Birmingham
Jolley, E, Sightsavers
Schmidt, E, Sightsavers

Study number / PID

853877 (UKDA)

10.5255/UKDA-SN-853877 (DOI)

Data access

Restricted

Series

Not available

Abstract

This mixed-method study sought to share evidence that would aid the Malawi government and other stakeholders to better understand the complex dynamics that ‘enable’ or ‘inhibit’ quality early childhood development (ECD) for children with disabilities using one rural district in Southern Malawi as an example. Tikule Limodzi (‘Let’s Grow Together’) was a three-year (2015 to 2018) multi-agency study that seeks to promote the inclusion of children with disabilities in community based child centres (CBCCs) in a rural district of Southern Malawi. The main purpose of the project was to explore ways of developing the skills of volunteer caregivers to support children with disabilities in CBCCs through the use of inclusive strategies and resources. This mixed-method study also sought to share evidence that would aid the Malawi government and other stakeholders to better understand the complex dynamics that ‘enable’ or ‘inhibit’ quality early childhood development (ECD) for children with disabilities using one rural district in Southern Malawi as an example.The University of Birmingham (UoB) and Sightsavers International have invited researchers and academics from leading institutions working in the areas of early childhood development and education (ECDE) and special educational needs and disability (SEND), educational psychology, applied anthropology, and epidemiology in Malawi, the UK and the USA to co-design and conduct an innovative three-year study. This study will provide the ESRC, DfID, the Malawi Government and its partners in education with a better understanding of the complex dynamics that can enable or inhibit quality ECDE for CWDs. The Malawi Government has prioritised ECDE as part of its Growth and Development Strategy II (2012-16) to increase equity of access and improve the quality of early childhood services which are currently reaching just over one third of children aged three to five years. This research programme, which aims to address the...
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Topics

Methodology

Data collection period

01/12/2016 - 31/07/2018

Country

Malawi

Time dimension

Not available

Analysis unit

Individual
Organization

Universe

Not available

Sampling procedure

Not available

Kind of data

Numeric
Text

Data collection mode

The study was a cluster-randomised controlled trial (CRCT) of a caregiver training intervention delivered in CBCCs in a rural district in Malawi. Forty-eight CBCCs were selected and randomly allocated to an intervention or a control group (24 CBCCs each). This report presents the baseline data collected at the pre-intervention stage.The primary outcomes for the CRCT were: 1) percentage of children with developmental age equal to actual age (primary outcome), 2) caregiver satisfaction/motivation score, 3) CBCC environmental rating scale. All outcomes were measured pre and post intervention.The sample size was calculated to detect a 10% change in the proportion of children whose developmental age being equal to their biological age (expected increase from 70% to 80%). Based on the 95% confidence interval, 80% power, 10% non-response and 50% variation between the clusters (7), we recruited a total of 935 children (around 467 per arm) or 20 children per CBCC.We also collected qualitative data in the form of focus group discuss and interviews at 9 (non- trial CBCCs) in the same district as the trial: 1) understanding the current provision of early childhood development and education for children with disabilities in rural Malawi. 2) 10 case studies of children with disabilities attending CBCCs in the intervention arm of trial.

Funding information

Grant number

ES/M005453/1

Access

Publisher

UK Data Service

Publication year

2019

Terms of data access

The Data Collection is available for download to users registered with the UK Data Service.

Related publications

Not available