Measurement of cognition and profiling early learning environments in India, Indonesia, and Senegal: a UKRI GCRF Action Against Stunting Hub protocol paper

Introduction - Childhood stunting is associated with poorer child health, growth and development including diminished cognitive abilities. Mapping out the links between child stunting and Early Childhood Education and Development (ECED) is critical to increasing understanding of the causes and effects of childhood stunting, and for programme and policy development. The aim of this study is to investigate and compare the development and educational environments across India, Indonesia, and Senegal, and to identify the multifactorial drivers and impacts of childhood stunting to inform a new typology.

Methods and analysis - This current study is part of an interdisciplinary observational research study, where women are recruited during pregnancy and mother-infant pairs followed prospectively, up to 24 months after birth. Eight measures will be used to profile children’s early development and learning environments in two sample cohorts: a) children aged 12 and 24 months born to the women recruited during pregnancy (i.e., 500 pregnant mothers per country); and b) a preschool case-control cohort of siblings from the main cohort aged between 3:6 to 5:6 years of age where anthropomorphic measures will be collected to assess degrees of stunting. Profiling of the development and learning environments in the countries will include both parent/caregiver self-reported and local staff (enumerators) direct assessments of children and settings.