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SIEF Event | Sugira Muryango Home-Visiting to Promote ECD

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Sugira Muryango is a 12-week home-visiting intervention to promote early childhood development and prevent violence that uses active coaching by non-specialist home visitors. In the SIEF-supported cluster randomized trial in Rwanda, the intervention was integrated into the government social protection scheme and targeted families ranked at the most extreme level of poverty who had a child between 6-36 months of age. Community-based coaches visited families once a week for 12 weeks to provide male and female caregivers with play-based “active coaching” to enhance their interactions with their children, as well as coaching on responsive caregiving, nutrition, hygiene, emotion regulation and nonviolent interactions among household members. The evaluation found that the program had positive impacts: it led to improvements in children’s gross motor skills, communication and problem-solving skills, and social emotional development. Males became much more involved in childcare, females experienced less intimate partner violence and children experienced a reduction in violent disciplining. These findings indicate a potential for improving children’s development and the overall home environment by adding components on parenting, conflict resolution and non-violent discipline to existing social protection programs. The presentation will cover the development of Sugira Muryango, findings from the cluster-randomized trial, costing analyses, and a brief update on ongoing work to conduct long-term follow-up assessments of families and children served by the intervention while testing of implementation science strategies to further scale and extend the reach of the intervention.

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