Predictors of quality of childcare centers in low-income settings: findings from a cross-sectional study in two Nairobi slums.
childcare centers
informal settlements
nurturing care
predictors
quality
slums
Journal
Frontiers in public health
ISSN: 2296-2565
Titre abrégé: Front Public Health
Pays: Switzerland
ID NLM: 101616579
Informations de publication
Date de publication:
2023
2023
Historique:
received:
10
02
2023
accepted:
03
10
2023
medline:
1
12
2023
pubmed:
29
11
2023
entrez:
29
11
2023
Statut:
epublish
Résumé
Rapid urbanization and increased women's involvement in paid work have contributed to the upsurge of informal childcare centers, especially in low-income settings where quality is a major issue. However, there are limited data on the factors associated with the quality of childcare centers in informal settlements in Africa. We conducted a quantitative observation and questionnaire survey of 66 childcare centers to identify the factors associated with the quality of childcare services in two informal settlements (Korogocho and Viwandani) in Nairobi. The quality of the centers (outcome variable) was assessed using a locally developed tool. Data on center characteristics including type, size, location, length of operation, charges, and number of staff were collected. Center providers' knowledge, attitude, and practices (KAP) in childcare were assessed through a questionnaire, focusing on nurturing care and business management. Data were described using means and standard deviation or frequencies and percentages. Associations between quality center score (outcome variable) and other variables were examined using multivariable linear regression to identify potential predictors of the quality of the center environment. A total of 129 childcare centers were identified and categorized as home-based ( Our results show that center providers' knowledge and practices are a major driver of the quality of childcare centers in informal settlements in Nairobi. Interventions for improving the quality of childcare services in such settings should invest in equipping center providers with the necessary knowledge and skills through training and supportive supervision.
Sections du résumé
Background
UNASSIGNED
Rapid urbanization and increased women's involvement in paid work have contributed to the upsurge of informal childcare centers, especially in low-income settings where quality is a major issue. However, there are limited data on the factors associated with the quality of childcare centers in informal settlements in Africa.
Methods
UNASSIGNED
We conducted a quantitative observation and questionnaire survey of 66 childcare centers to identify the factors associated with the quality of childcare services in two informal settlements (Korogocho and Viwandani) in Nairobi. The quality of the centers (outcome variable) was assessed using a locally developed tool. Data on center characteristics including type, size, location, length of operation, charges, and number of staff were collected. Center providers' knowledge, attitude, and practices (KAP) in childcare were assessed through a questionnaire, focusing on nurturing care and business management. Data were described using means and standard deviation or frequencies and percentages. Associations between quality center score (outcome variable) and other variables were examined using multivariable linear regression to identify potential predictors of the quality of the center environment.
Findings
UNASSIGNED
A total of 129 childcare centers were identified and categorized as home-based (
Implication
UNASSIGNED
Our results show that center providers' knowledge and practices are a major driver of the quality of childcare centers in informal settlements in Nairobi. Interventions for improving the quality of childcare services in such settings should invest in equipping center providers with the necessary knowledge and skills through training and supportive supervision.
Identifiants
pubmed: 38026308
doi: 10.3389/fpubh.2023.1163491
pmc: PMC10644197
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1163491Informations de copyright
Copyright © 2023 Nampijja, Langat, Oloo, Okelo, Muendo, Kiyeng, Amboka, Abboah-Offei, Ray, Kitsao-Wekulo, Kimani-Murage and Elsey.
Déclaration de conflit d'intérêts
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Références
J Pediatr Nurs. 2013 Jan;28(1):3-19
pubmed: 22326400
Front Public Health. 2023 Jul 17;11:1195460
pubmed: 37529428
Prev Sci. 2016 Feb;17(2):259-73
pubmed: 26411312
Child Dev. 2011 Jan-Feb;82(1):48-65
pubmed: 21291428
Lancet. 2011 Oct 8;378(9799):1339-53
pubmed: 21944378
Lancet. 2007 Jan 6;369(9555):60-70
pubmed: 17208643
Int J Epidemiol. 2015 Apr;44(2):462-71
pubmed: 25596586
PLoS One. 2018 Mar 13;13(3):e0194263
pubmed: 29534091
Soc Sci Med. 2016 Aug;163:107-16
pubmed: 27423067
J Genet Psychol. 2002 Mar;163(1):112-25
pubmed: 11952260
Philos Trans R Soc Lond B Biol Sci. 2021 Jun 21;376(1827):20200430
pubmed: 33938281
Soc Sci Med. 2013 Nov;97:241-9
pubmed: 23312302
Int J Environ Res Public Health. 2021 Apr 18;18(8):
pubmed: 33919534
Autism. 2014 Oct;18(7):815-26
pubmed: 24353274
BMJ Open. 2021 Mar 5;11(3):e042544
pubmed: 33674370
Int J Environ Res Public Health. 2014 Feb 05;11(2):1794-802
pubmed: 24503975
Cochrane Database Syst Rev. 2014 Sep 25;(9):CD010543
pubmed: 25254354