Measures of quality are now in widespread use across states as part of quality improvement initiatives. For example, many states are currently using global measures of quality that were first developed for research and practice purposes (such as the Environmental Rating Scales) in their Quality Rating Systems (QRSs). Although global quality…

The advent of schooling, the cash economy, and new political systems have brought about many situations providing challenges to the Samburu and the Turkana nomadic pastoralists in northern Kenya. This report details the experiences of the staff of the El-barta project in working with communities within a situation of isolation, harsh climatic…

If early childhood systems are to be effective at the population level then they must be able to provide family-centered care to all the racial, ethnic and cultural groups that they serve. Despite major policy driven and technological advances in healthcare, health disparities across different races and ethnicities persist. For example, the infant…