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Basic information
Comprahensive development programs
Number of visits observed Average duration of
visit in minutes
Total Girls Boys

Jamica 6 5 1 42.5
Brasil 5 2 3 46
Perú 7 6 1 56.4
Nicaragua 6 5 1 45
Nutrition programs
Number of visits observed
Total Girls Boys Madre embarazada
Bolivia 6 3 2 0
Panamá 5 3 2 1

Caregiver and child participation

Child Primary Primary caregiver is Mother and father
participated caregiver the mother (%) participated (%)
(%) participated
(%)

Comprahensive development programs

Jamaica 100 100 100 0
Brasil 100 100 100 0
Perú 100 100 86 (6 out of 7 visits) 29 (2 out of 7 visits)
Nicaragua 100 100 83 (5 out of 6 visits) 16 (1 out of 6 visits)
Nutrition programs
Bolivia 60 (4 out of 6 vis100 100 0
Panamá 100 100 100 0

Additional information Comprahensive Development Programs:

In Jamaica all visits were conducted in Kingston and surrounding areas (urban).
In Brasil all visits took place in Ronda Alta (semi-urban municipality).
In Perú all visits were conducted in rural indigenous communities. 3 visits in an Amazonian community, 4 in an Ande
In Nicaragua all visits were conducted in semi-urban communities.
All educators observed were women, except for one male educator in the Amazon community Tutumberes (Perú).

Aditional Information Nutrition Programs:

In Bolivia all visits were conducted in El Alto, mostly in Spanish
In Panamá all visits were conducted in Kuna Yala, in indigenous language - translated by the program coordinator
There are important cultural differences in Kuna Yala in particular that make it hard to determine the "quality" of in
Monitors in Bolivia are a mix of men and women, in Panamá they are all woman
 Child's average age
(in months)

26.5
16.6
25.5
21.5

Average duration Child's average

of visit in minutes age (in months)
41 8.4
18 9.4

Amazonian community, 4 in an Andean community. All were conducted at least in part in indigenous language.

zon community Tutumberes (Perú).

slated by the program coordinator

hard to determine the "quality" of interactions between monitor/mother
genous language.
Variable Obs Mean Std. Dev. Min Max

duracion 24 47.92 12.76 25 75

participo_nn 24 1.00 0.00 1 1
participo_c 24 1.00 0.00 1 1
preg_prev 19 3.05 1.22 1 4
modelo_prev 19 2.42 1.35 1 4
uso_manual 17 3.06 0.83 1 4
prep 24 3.29 1.12 1 4
aprop 24 3.67 0.76 1 4
lenguaje 24 3.21 0.83 1 4
explica_c 22 2.82 1.18 1 4
modelo_c 24 3.29 1.04 1 4
modelo_nn 24 2.96 0.86 1 4
explica_nn 24 3.17 0.92 1 4
cuid_nn 24 3.46 0.83 1 4
resumen 24 3.17 1.01 1 4
tema_nr 24 3.96 0.20 3 4
escucha_c 24 3.92 0.28 3 4
responde_c 24 3.75 0.53 2 4
preg_c 24 2.75 0.99 1 4
felicita_c 24 3.04 0.81 2 4
educ_c 24 3.83 0.48 2 4
responde_nn 24 3.75 0.53 2 4
felicita_nn 24 3.58 0.65 2 4
hablo_nn 24 3.17 1.01 1 4
tiempo_nn 24 3.63 0.77 1 4
educ_nn 24 3.79 0.59 2 4
pa_nn 24 3.75 0.68 2 4
pa_c 24 3.75 0.44 3 4
actitud_educ 24 3.46 0.83 1 4
visita_gen~l 24 3.13 0.68 1 4

Basic information:
4.00
P
Duration of the visit (in minutes) 47.92
Child participates(yes=1, 0=no) 1.00 3.50 3.29
Primary caregiver participates (yes=1, 1.00 3.05
3.00

Visit methodology 2.50 2.42

HV preparation of the visit 3.29
2.00
HV asks caregiver about activities prac 3.05
HV asks caregiver to demonstrate activ2.42 1.50

1.00

0.50
 2.50

2.00

1.50
HV uses the manual appropriately 3.06
1.00
HV uses age appropriate activities/me 3.67
HV promotes language development th3.21 0.50
HV gives time for caregiver to practice 3.46
0.00
HV and caregiver agree what activities 3.17 HV preparation of HV asks caregiver HV asks caregiver
HVstays on topic 3.96 the visit about activities to demonstrate
practiced activities
practiced
Explication and demonstration of activities
Explanation of activities for the caregi 2.82
Demonstration of activities for the car 3.29
Explication of activities for the child 3.17
Demonstration of activities for the chi 2.96

Relationship educator/caregiver 4.00

Explication and demonstration
Educator listens to caregiver 3.92 3.50 3.29 3
Educator responds to caregiver 3.75 3.00 2.82
Educator seeks caregiver's opinion, que2.75 2.50
Educator positively reinforces caregive3.04 2.00
Overall relationship educator/caregiver3.83 1.50
1.00
Relationship educator/child 0.50
Educator responds to child 3.75 0.00
Educator positively reinforces caregive3.58 Explanation of Demonstration of Explica
activities for the activities for the activiti
Educator encourages language devpt by 3.17 caregiver caregiver child
Educator gives child enough time to co3.63
Overall relationship educator/chlid 3.79

Overall visit participation and environment

3.92 Relationship educator/
Child participates actively 3.75 4.00 3.75
Caregiver participates actively 3.75 3.50
Educator's effort to promote participa 3.46 3.00 2.75
Overall environment of the visit 3.13
2.50
2.00
1.50
1.00
0.50
0.00
Educator listens to Educator responds Educator seeks
caregiver to caregiver caregiver's opinio
questions, etc.

4.00 3.75 Relationship

3.58
educato
3.50 3.17
3.00
2.50
2.00
4.00 3.75 Relationship
3.58
educato
3.50 3.17
3.00
2.50
2.00
1.50
1.00
0.50
0.00
Educator Educator Educator
responds to positively encourages
child reinforces language
caregiver devpt by
talking about
what child
does
throughout
the visit

4.00 3.75 Overall visit

3.75 participation an
3.46
3.50
3.00
2.50
2.00
1.50
1.00
0.50
0.00
Child Caregiver Educator's effort
participates participates to promote
actively actively participation an
collaboration
 Variable (English) Mean

Duration of the visit (in minutes) 47.92

Child participates(yes=1, 0=no) 1.00
Primary caregiver participates (yes=1, 0=no) 1.00
Educator asks caregiver about activities practiced 3.05
Educator asks caregiver to demonstrate activities pr 2.42
Educator uses the manual appropriately 3.06
Educators preparation of the visit 3.29
Educator uses age appropriate activities/methods 3.67
Educator promotes language development throughou 3.21
Explanation of activities for the caregiver 2.82
Demonstration of activities for the caregiver 3.29
Demonstration of activities for the child 2.96
Explication of activities for the child 3.17
Educator gives time for caregiver to practice activiti 3.46
Educator and caregiver agree what activities caregiv3.17
Educator stays on topic 3.96
Educator listens to caregiver 3.92
Educator responds to caregiver 3.75
Educator seeks caregiver's opinion, questions, etc. 2.75
Educator positively reinforces caregiver 3.04
Overall relationship educator/caregiver 3.83
Educator responds to child 3.75
Educator positively reinforces caregiver 3.58
Educator encourages language devpt by talking abou3.17
Educator gives child enough time to complete activit3.63
Overall relationship educator/chlid 3.79
Child participates actively 3.75
Caregiver participates actively 3.75
Educator's effort to promote participation and colla 3.46
Overall environment of the visit 3.13

Preparation and methodology 3.96

3.67
3.46
3.21 3.17
3.05 3.06

2.42
 asks caregiver HV asks caregiver HV uses the HV uses age HV promotes HV gives time for HV and caregiver HVstays on to
out activities to demonstrate manual appropriate language caregiver to agree what
cticed activities appropriately activities/methods development practice activities activities caregiver
practiced throughout the with child will practice
visit during week

n and demonstration of activities

3.29 3.17
2.96

Demonstration of Explication of Demonstration of

activities for the activities for the activities for the
caregiver child child

ationship educator/caregiver 3.83

3.75

3.04
2.75

ator responds Educator seeks Educator positively Overall relationship

regiver caregiver's opinion, reinforces caregiver educator/caregiver
questions, etc.

elationship
3.58
educator/child3.63 3.79
3.17
 elationship
3.58
educator/child3.63 3.79
3.17

Educator Educator Educator Overall

positively encourages gives child relationship
einforces language enough time educator/chli
aregiver devpt by to complete d
talking about activities
what child
does
throughout
the visit

visit
3.75 participation and environment
3.46
3.13

aregiver Educator's effort Overall

articipates to promote environment of
ctively participation and the visit
collaboration
 3.96

3.17
HV and caregiver HVstays on topic
agree what
activities caregiver
will practice
during week
Visit methodology
HV´s preparation of the visit 3.3
HV asks caregiver about activiti 3.1
HV asks caregiver to demonstrate2.4 Review of activities done since last visit
HV uses the program manual app3.1
HV uses age appropriate activiti 3.7
3.1 2.4
HV actively promotes language 3.2
HV asked mother to practice activ3.5 HV asks HV asks
HV reviewed activities with moth3.2 caregiver caregiver
about to
HVstays on topic 4.0 activities demonstr
practiced ate
during the activities
week practiced

Explication and demonstration of activities

Explanation of activities for the 2.8 Activities & teaching: Explanation & demonstr
Demonstration of activities for t 3.3
Explication of activities for the c 3.2
Demonstration of activities for t 3.0
2.8 3.3 3.2 3.0

Explanatio Demonstra Explication Demonstra

n of tion of of tion of
activities activities activities activities
for the for the for the for the
caregiver caregiver child child

Relationship educator/caregiver
HV listens to caregiver 3.9 Relationship HV - Caregiver
HV responds to caregiver 3.8
HV seeks caregiver's opinion, que2.8
HV positively reinforces caregive3.0
Overall relationship HV/caregiver3.8
3.9 3.8
2.8 3.0

HV listens HV HV seeks HV O
to responds caregiver's positively re
caregiver to opinion, reinforces HV
caregiver questions, caregiver er
etc.
 HV listens HV HV seeks HV O
to responds caregiver's positively re
caregiver to opinion, reinforces HV
caregiver questions, caregiver er
etc.

Relationship educator/child Relationship HV - Child

HV responds to child 3.8
HV positively reinforces caregive3.6 3.8 3.6 3.2 3.6
HV encourages language devpt by 3.2
HV HV HV HV
HV gives child enough time to co3.6 resp positi enco gives
onds vely urag child
Overall relationship HV/chlid 3.8 to reinf es enou
child orce langu gh
s age time
care devp to
giver t by com
talkin plete
g activi
abou ties
t
what
child
does
throu
ghou
t the
visit

Overall visit participation and environment

Child participates actively 3.8
Caregiver participates actively 3.8 Overall visit participation & environmen
HV's effort to promote participa 3.5
Overall environment of the visit 3.1

3.8 3.8 3.5

Child Caregiver HV's effort to

participates participates promote
actively actively participation
and
collaboration
 Activities & methods: Teaching
e since last visit

2.4

HV asks
caregiver 3.7
3.3 3.1 3.2
to
demonstr
ate
activities
practiced
HV´s preparation of HV uses the HV uses age HV actively
the visit program manual appropriate promotes language
appropriately activities/materials development
throughout the visit

Activities & methods: Participation

g: Explanation & demonstration

3.5 3.2

HV asked HV
3.2 3.0 mother to reviewed
practice activities
activities with
Explication Demonstra with child mother at
of tion of the end of
activities activities the visit
for the for the
child child

HV - Caregiver

3.8
2.8 3.0

seeks HV Overall
egiver's positively relationship
nion, reinforces HV/caregiv
estions, caregiver er
.
 seeks HV Overall
egiver's positively relationship
nion, reinforces HV/caregiv
estions, caregiver er
.

onship HV - Child

3.2 3.6 3.8

HV HV Over
enco gives all
urag child relati
es enou onshi
langu gh p
age time HV/c
devp to hlid
t by com
talkin plete
g activi
abou ties
t
what
child
does
throu
ghou
t the
visit

articipation & environment

3.5 3.1

r HV's effort to Overall

es promote environment
participation of the visit
and
collaboration
 3.2

HV actively
promotes language
development
throughout the visit

ation

3.2

ewed
vities

her at
end of
visit
Preparation & Methodology
Bolivia Panamá Promedio
HV had prepared the visit 3.4 2.8 3.1 Activities & te
Educator asks caregiver about nutrition practi3 1 2
Educator has materials necessary for instruc 4 3.6 3.8
3.1 3.4
HV uses materials appropriately 3.4 3.4 3.4
Discussed topics were age appropriate 4 4 4
HV and caregiver agree what nutrition practic3.8 3.2 3.5 HV had HV uses
Educator remains on topic 4 4 4 prepared the materials
visit appropriate
Quality of "consejeria", per topic
HV Provides strong explications 2.5 3.5 3

Quality of relationship educator/caregiver

Bolivia Panamá
HV listens to caregiver 4 3.6 3.8 Re
HV responds to caregiver 3.8 3.2 3.5
3.8 3.5
HV seeks caregiver's opinion, questions, etc. 3.7 2.6 3.2
HV positively reinforces caregiver 4 1.8 2.9
Overall relationship HV/caregiver 4 3.2 3.6 HV listens to HV respon
caregiver to caregiv

Overall participation/visit quality

Bolivia Panamá
Caregiver participates actively 4 3.2 3.6
HVr's effort to promote participation &
collaboration 3.8 2.6 3.2
Overall environment of the visit 3 2.6 2.8

Overa

3.6

Caregiver participates
actively
 Activities & teaching: Explanation & demonstration

3.1 3.4 3 3.5 4

HV had HV uses HV Provides HV and Discussed

prepared the materials strong caregiver topics were
visit appropriately explications agree what age
nutrition appropriate
practices
caregiver will
implement

Relationship: HV - Caregiver

3.8 3.5 3.2 2.9 3.6

HV listens to HV responds HV seeks HV positively Overall

caregiver to caregiver caregiver's reinforces relationship
opinion, caregiver HV/caregiver
questions,
etc.

Overall participation & environment

3.6 3.2 2.8

Caregiver participates HVr's effort to promote Overall environment

actively participation & of the visit
collaboration