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Global Pathways to Thriving Children: Implementing Large-scale Multi-Component Nutrition and Child Development Programs

delete2026-06-19
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OA
AI
M
Maureen M. Black *
C
Chessa K. Lutter
DOI:10.1016/j.tjnut.2026.101677delete
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Abstract

Abstract

En 中文
Thriving children are likely to develop the human capital necessary to become healthy, competent, and economically stable adults, beginning with achieving expected rates of growth and development as infants. However, millions of young children in low-and middle-income countries are not thriving, largely due to nutritional deficiencies and lack of learning opportunities, often caused by poverty. Although nutrition interventions can support children’s growth and nutrition, and child development and parenting interventions can support children’s learning and responsive caregiving, there are few large-scale, multi-component programs that can support both nutrition and child development. Informed by concepts of nurturing care and principles of implementation science, this paper provides rational and systems-based criteria for implementing large-scale, multi-component nutrition and child development programs for children in disadvantaged environmental conditions. The criteria include: 1) Goals. Set goals informed by theory and evidence-based interventions; 2) Equity. Reach vulnerable children. Implement developmentally and culturally appropriate program; 3) Quality. Establish workforce development. Support resources for delivery. Monitor for accountability; 4) Engagement. Engage participants, communities, and stakeholders in active roles; 5) Outcome:
Keywords:
Thriving Children
Nurturing Care
Implementation Science
Multi-component Nutrition and Development Programs
Low- and Middle-Income Countries
Sustainability
CHW
Community Health Worker
D-Score
Development Score
DAZ
Age-adjusted D-Score
GSED
Global Scales For Child Development
ICDS
Integrated Child Development Services Scheme
LMIC
low- and middle-income country
NCF
Nurturing Care Framework
UNICEF
United Nations Children’s Fund
WHO
World Health Organization

Journal

T
the journal of nutrition
IF:
0
Papers:
237
Citations:
0

Organization

I
independent consultant
Scholars:
166
Papers: 147
Citations: 0
U
university of maryland school of medicine
Scholars:
1.1K
Papers: 398
Citations: 0
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