{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T23:58:58Z","timestamp":1772236738865,"version":"3.50.1"},"reference-count":36,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T00:00:00Z","timestamp":1728345600000},"content-version":"unspecified","delay-in-days":281,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Public Health Nutr."],"published-print":{"date-parts":[[2024]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:sec id=\"S1368980024001642_as1\">\n\t    <jats:title>Objective:<\/jats:title>\n\t    <jats:p>To assess changes in caregiver practices for young children after integrating the <jats:italic>Responsive Care and Early Learning (RCEL) Addendum<\/jats:italic> package into nutrition services after 10 months of implementation.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980024001642_as2\">\n\t    <jats:title>Design:<\/jats:title>\n\t    <jats:p>We measured changes in RCEL practices through a pre- and post-intervention assessment comprising a household survey and observations. To implement the intervention, we trained health service staff and community volunteers to deliver RCEL counselling to caregivers of children 0\u201323 months of age through existing community and facility-level platforms.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980024001642_as3\">\n\t    <jats:title>Setting:<\/jats:title>\n\t    <jats:p>Jalal-Abad and Batken regions in the Kyrgyz Republic.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980024001642_as4\">\n\t    <jats:title>Participants:<\/jats:title>\n\t    <jats:p>Caregivers of children aged 0\u201323 months at baseline.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980024001642_as5\">\n\t    <jats:title>Results:<\/jats:title>\n\t    <jats:p>We found statistically significant increases in RCEL practices, availability of early learning opportunities in the home, decreases in parenting stress and improvements in complementary feeding practices after the intervention implementation period.<\/jats:p>\n\t  <\/jats:sec>\n\t  <jats:sec id=\"S1368980024001642_as6\">\n\t    <jats:title>Conclusions:<\/jats:title>\n\t    <jats:p>Findings show that delivery of RCEL counselling using the <jats:italic>RCEL Addendum<\/jats:italic> was associated with improved responsive care practices and early learning opportunities. We also found that integration of RCEL with infant and young child feeding counselling did not disrupt nutrition service delivery or negatively affect complementary feeding outcomes, but rather suggest synergistic benefits. Given the importance of providing holistic care to support optimal early childhood development, these findings provide new evidence on how to strengthen the delivery of nurturing care services in the Kyrgyz Republic.<\/jats:p>\n\t  <\/jats:sec>","DOI":"10.1017\/s1368980024001642","type":"journal-article","created":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T07:48:18Z","timestamp":1728373698000},"update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":3,"title":["Promoting responsive care and early learning practices among caregivers of children 0\u201323 months in the Kyrgyz Republic: findings from integrating a counselling intervention with nutrition services"],"prefix":"10.1017","volume":"27","author":[{"given":"Lesley","family":"Oot","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veronica","family":"Varela","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cholpon","family":"Abdimitalipova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marie Paul","family":"Nisingizwe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen","family":"Cashin","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Begimai","family":"Zhumgalbekova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelsey","family":"Torres","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Malia","family":"Uyehara","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kathryn","family":"Beck","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tim","family":"Williams","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nazgul","family":"Abazbekova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saikalbubu","family":"Bozova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cholponai","family":"Umurzakova","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7701-1918","authenticated-orcid":false,"given":"Jennifer","family":"Yourkavitch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Romilla","family":"Karnati","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine","family":"Kirk","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2024,10,8]]},"reference":[{"key":"S1368980024001642_ref10","year":"2021"},{"key":"S1368980024001642_ref17","unstructured":"17. Hentschel, E , Yousafzai, AK & Aboud, FE (2021) The Nurturing Care Framework: Measuring Responsive Care and Early Learning Activities. Boston, MA: Harvard T.H. Chan School of Public Health."},{"key":"S1368980024001642_ref24","unstructured":"24. Walker, P , Powell, C , Chang, SM et al. (2019) Delivering Parenting Interventions through Health Services in the Caribbean. I Z A Institute of Labor Economics 12106\u2019; available at https:\/\/docs.iza.org\/dp12106.pdf (accessed September 2023)."},{"key":"S1368980024001642_ref25","doi-asserted-by":"publisher","DOI":"10.3389\/fpubh.2020.608173"},{"key":"S1368980024001642_ref18","doi-asserted-by":"publisher","DOI":"10.1177\/01650254241236366"},{"key":"S1368980024001642_ref5","doi-asserted-by":"publisher","DOI":"10.1136\/bmjgh-2020-003872"},{"key":"S1368980024001642_ref11","unstructured":"11. Richardson, D , Otchere, F & Musatti, A (2022) The Impact of the War in Ukraine and Subsequent Economic Downturn on Child Poverty in Eastern Europe and Central Asia (Internet). Florence, Italy: UNICEF Innocenti \u2013 Global Office of Research and Foresight; available at https:\/\/www.unicef.org\/eca\/media\/24706\/file\/The%20impact%20of%20the%20war%20in%20Ukraine%20and%20subsequent%20economic%20downturn%20on%20child%20poverty%20in%20eastern%20Europe%20and%20Central%20Asia.pdf (accessed June 2023)."},{"key":"S1368980024001642_ref14","unstructured":"14. USAID Advancing Nutrition (2021) Nurturing Care to Improve Early Childhood Development: Kyrgyz Republic Country Profile (Internet). https:\/\/www.advancingnutrition.org\/sites\/default\/files\/2021-10\/ecd_landscape_brief_kyrgyz_republic.pdf (accessed May 2023)."},{"key":"S1368980024001642_ref29","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1003602"},{"key":"S1368980024001642_ref6","unstructured":"6. WHO (World Health Organization) (2020) Improving Early Childhood Development: WHO Guideline (Internet). Geneva: WHO; available at https:\/\/www.who.int\/publications\/i\/item\/97892400020986 (accessed May 2023)."},{"key":"S1368980024001642_ref32","doi-asserted-by":"publisher","DOI":"10.1080\/17450128.2017.1395100"},{"key":"S1368980024001642_ref8","unstructured":"8. United Nations Children\u2019s Fund (UNICEF) (2012) Community Infant and Young Child Feeding Counseling Package: Planning Guide (Internet). https:\/\/www.unicef.org\/documents\/community-iycf-package (accessed May 2023)."},{"key":"S1368980024001642_ref15","unstructured":"15. UNICEF (n.d.) Children in Kyrgyzstan (Internet). https:\/\/www.unicef.org\/kyrgyzstan\/children-kyrgyzstan (accessed September 2023)."},{"key":"S1368980024001642_ref34","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-16137-1"},{"key":"S1368980024001642_ref7","unstructured":"7. USAID Advancing Nutrition (2023) Responsive Care and Early Learning Addendum. Arlington, VA: USAID Advancing Nutrition; available at https:\/\/www.advancingnutrition.org\/resources\/responsive-care-early-learning-addendum (accessed September 2023)."},{"key":"S1368980024001642_ref21","unstructured":"21. UNICEF (2021) MICS 6: Indicators and Questionnaires. UNICEF: New York; available at https:\/\/mics.unicef.org\/tools?round=mics6 (accessed June 2023)."},{"key":"S1368980024001642_ref27","unstructured":"27. Ministry of Health of the Kyrgyz Republic (2015) Order No. 585 \u2018On Monitoring of Healthy Children at the Primary Health Care Level in the Kyrgyz Republic.\u2019 https:\/\/continent-online.com\/Document\/?doc_id=34072378#pos=0;0 (accessed June 2023)."},{"key":"S1368980024001642_ref28","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-060221D"},{"key":"S1368980024001642_ref2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31390-3"},{"key":"S1368980024001642_ref4","doi-asserted-by":"publisher","DOI":"10.3945\/an.115.010363"},{"key":"S1368980024001642_ref22","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-021-02939-y"},{"key":"S1368980024001642_ref16","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-2160"},{"key":"S1368980024001642_ref13","unstructured":"13. McCormack, M (2018) Snapshot: Preschool Education in the Kyrgyz Republic. Bishkek, Kyrgyz Republic: Public Foundation for Families."},{"key":"S1368980024001642_ref23","unstructured":"23. StataCorp (2021) Stata Statistical Software: Release 17. College Station, TX: StataCorp LLC."},{"key":"S1368980024001642_ref36","unstructured":"36. Abidin, RR (2012) (PSI-4) Parenting Stress Index, 4th ed. (PSI-4) (Internet). Lutz, FL: Psychological Assessment Resources; available at https:\/\/www.wpspublish.com\/psi-4-parenting-stress-index-fourth-edition (accessed August 2023)."},{"key":"S1368980024001642_ref30","doi-asserted-by":"publisher","DOI":"10.1111\/nyas.13720"},{"key":"S1368980024001642_ref26","unstructured":"26. Maalouf-Manasseh, Z , Oot, L & Sethuraman, K (2015) Giving Children the Best Start in Life: Integrating Nutrition and Early Childhood Development Programming within the First 1000 Days. Washington, DC: Food and Nutrition Technical Assistance III Project (FANTA) and FHI 360; available at https:\/\/www.fantaproject.org\/sites\/default\/files\/resources\/Nutrition-Early-Childhood-Development-Technical-Brief-Jan2016.pdf (accessed May 2023)."},{"key":"S1368980024001642_ref35","doi-asserted-by":"publisher","DOI":"10.1016\/j.appdev.2018.12.001"},{"key":"S1368980024001642_ref31","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-017-2656-7"},{"key":"S1368980024001642_ref9","unstructured":"9. National Statistical Committee of the Kyrgyz Republic & UNICEF (2019) 2018 Kyrgyzstan Multiple Indicator Cluster Survey, Snapshots of Key Findings. Bishkek, Kyrgyzstan: National Statistical Committee of the Kyrgyz Republic and UNICEF; available at https:\/\/www.stat.kg\/media\/files\/c50def33-f18c-44d3-aecb-1f45786034dd.pdf (accessed May 2023)."},{"key":"S1368980024001642_ref12","unstructured":"12. UN Women (2019) Investing in Early Childhood Education and Care in Kyrgyz Republic: An Assessment of Care Deficits, Costs and Impact on Employment, Gender Equality and Fiscal Returns. https:\/\/www.unwomen.org\/en\/digital-library\/publications\/2019\/04\/investing-in-early-childhood-education-and-care-in-kyrgyz-republic (accessed June 2023)."},{"key":"S1368980024001642_ref3","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31659-2"},{"key":"S1368980024001642_ref20","unstructured":"20. Washington Group on Disability Statistics (2023) About the Washington Group (Internet). https:\/\/www.washingtongroup-disability.com\/ (accessed July 2023)."},{"key":"S1368980024001642_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31389-7"},{"key":"S1368980024001642_ref33","unstructured":"33. World Bank (n.d.) Individuals using the Internet (% of Population) \u2013 Kyrgyz Republic (Internet). https:\/\/data.worldbank.org\/indicator\/IT.NET.USER.ZS?locations=KG (accessed September 2023)."},{"key":"S1368980024001642_ref19","unstructured":"19. WHO & UNICEF (2021) Indicators for Assessing Infant and Young Child Feeding Practices: Definitions and Measurement Methods. Geneva: WHO & UNICEF. Licence: CC BYNC-SA 3.0 IGO; available at https:\/\/creativecommons.org\/licenses\/by-nc-sa\/3.0\/igo (accessed May 2023)."}],"container-title":["Public Health Nutrition"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1368980024001642","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,10,8]],"date-time":"2024-10-08T07:48:31Z","timestamp":1728373711000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1368980024001642\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024]]},"references-count":36,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024]]}},"alternative-id":["S1368980024001642"],"URL":"https:\/\/doi.org\/10.1017\/s1368980024001642","relation":{},"ISSN":["1368-9800","1475-2727"],"issn-type":[{"value":"1368-9800","type":"print"},{"value":"1475-2727","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024]]},"assertion":[{"value":"\u00a9 JSI Research and Training Institute, Inc., 2024. Published by Cambridge University Press on behalf of The Nutrition Society","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (https:\/\/creativecommons.org\/licenses\/by\/4.0\/), which permits unrestricted re-use, distribution and reproduction, provided the original article is properly cited.","name":"license","label":"License","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}},{"value":"This content has been made available to all.","name":"free","label":"Free to read"}],"article-number":"e202"}}