medRxiv PreprintsInternational30 October 2026
Enablers and barriers to scaling an ECD parenting program into primary health care services in rural Bangladesh
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Early childhood development programs play a crucial role in fostering child development. However, scaling-up these programs in low- and middle-income countries poses significant challenges. We conducted a mixed-method study of an evidence-based early childhood parenting program integrated into the primary health care services (community clinics) across four districts in rural Bangladesh. The program caters to caregivers of children aged 6-36 months with mild-to-moderate malnutrition. The parenting program is delivered by government community health workers (CHWs) with small groups of mother-ch
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