Effects of Integrating Early Childhood with Health Services: Experimental Evidence from the Cresça com Seu Filho Home-Visiting Program

Florencia Lopez Boo, Maria de la Paz Ferro and Pedro Carneiro

Journal of Human Capital, 2025, vol. 19, issue 1, 169 - 192

Abstract: Delivering early-childhood programs at scale is a major policy challenge. One way to do so is by using existing public infrastructure. This paper experimentally assesses the short-term effects of a new government home-visiting program integrated into health-care services. The program changed the allocation of time for community health workers by asking them to carry out tasks related to early-childhood development. We find that access to the program has a positive but modest effect on home environment quality and no effect on child development or on children’s health status. Our results point to the importance of workload, supervision, and buy-in from delivery actors to enhance fidelity of interventions.

Date: 2025
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