The Role of Pre-Primary Classes on School-Age Cognition in Rural Nepal - 25/02/15
Abstract |
Objectives |
In rural Nepal, we assessed the factors associated with pre-primary school attendance and its relationship to cognitive testing and school progress.
Study design |
Sociodemographic, household, and schooling data were collected among 1466 children age 7-9 years from Sarlahi, Nepal. We performed the Universal Nonverbal Intelligence Test, backward digit span, go/no-go test, Movement Assessment Battery for Children, finger-tapping test, and Stroop numbers test. We conducted adjusted regression analyses to determine the association of pre-primary school attendance with test results and school progress.
Results |
We found that pre-primary class enrollment was lower among children of female sex, Madheshi ethnicity, and low socioeconomic status. In adjusted analyses, pre-primary school enrollment was associated with beneficial scores on all cognitive tests. In addition, children who attended pre-primary school were less likely to repeat grade 1 (prevalence ratio 0.15, 95% CI 0.08-0.30, P < .001) or ever fail a grade (prevalence ratio 0.48, 95% CI 0.26-0.90, P = .02).
Conclusions |
In rural Nepal, there continue to be disparities in pre-primary school attendance; however, independent of these factors, pre-primary school attendance was associated with benefits in multiple cognitive domains and early school performance.
Le texte complet de cet article est disponible en PDF.Keyword : ECD, HOME, MABC, PPC, PR, SES, UNIT
Plan
| Funded by the National Institutes of Health (R01 HD050254-01), the Bill and Melinda Gates Foundation (OPP614), Seattle, Washington, and Sight and Life Research Institute, Baltimore, Maryland. The antenatal micronutrient supplementation study was conducted under the Micronutrients for Health Cooperative Agreement No. HRN-A-00-97-00015-00 and the Global Research Activity Cooperative Agreement No.GHS-A-00-03-00019-00 between the Johns Hopkins University and the Office of Health, Infectious Diseases, and Nutrition, US Agency for International Development, Washington, DC. The preschool child iron and zinc supplementation study was funded by the National Institutes of Health, (HD 38753), the Bill and Melinda Gates Foundation, Seattle, Washington, and a Cooperative Agreement between Johns Hopkins University and the Office of Health and Nutrition, US Agency for International Development, Washington DC (HRN-A-00-97-00015-00). The authors declare no conflicts of interest. |
Vol 166 - N° 3
P. 717-722 - mars 2015 Retour au numéro
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