Global development assistance for early childhood care and education in 134 low- and middle-income countries, 2007-2021.

IF 7.1 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH BMJ Global Health Pub Date : 2024-11-20 DOI:10.1136/bmjgh-2024-015991
Yiqun Luan, Dominic Hodgkin, Jere Behrman, Alan Stein, Linda Richter, Jorge Cuartas, Chunling Lu
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Abstract

Introduction: Low- and middle-income countries (LMICs) often dedicate limited domestic funds to expand quality early childhood care and education (ECCE), making complementary international donor support potentially important. However, research on the allocation of international development assistance for ECCE has been limited.

Methods: We analysed data from the Creditor Reporting System on aid projects to assess global development assistance for ECCE in 134 LMICs from 2007 to 2021. By employing keyword-searching and funding-allocation methods, we derived two estimates of ECCE aid: a lower-bound estimate comprising projects primarily focusing on ECCE and an upper-bound estimate comprising projects with both primary and partial ECCE focus, as well as those that could benefit ECCE but did not include ECCE keywords. We also assessed aid directed to conflict-affected countries and to ECCE projects integrating COVID-19-related activities.

Results: Between 2007 and 2021, the lower-bound ECCE aid totaled US$3646 million, comprising 1.7% of the total US$213 279 million allocated to education. The World Bank led in ECCE aid, contributing US$1944 million (53.3% out of total ECCE aid). Low-income countries received less ECCE aid per child before 2016, then started to catch up but experienced a decrease from US$0.8 (2020) per child to US$0.6 (2021) per child. Funding for ECCE projects with COVID-19 activities decreased from a total of US$50 million in 2020 to US$37 million in 2021, representing 11.4% and 6.6% of annual total ECCE aid, respectively. Over 15 years, conflict-affected countries received an average of US$0.3 per child, a quarter of the aid received by non-conflict-affected countries (US$1.2 per child).

Conclusion: Although ECCE aid increased significantly between 2007 and 2021, its proportion of total educational aid fell short of UNICEF's suggested 10% minimum. Recommendations include increasing the share of ECCE aid in total educational aid, increasing aid to low-income and conflict-affected countries, and investing more in preparing ECCE programmes for future global crises.

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2007-2021 年全球对 134 个中低收入国家幼儿保育和教育的发展援助。
导言:中低收入国家(LMICs)通常将有限的国内资金用于扩大优质幼儿保育和教育(ECCE),因此国际捐助方的补充性支持可能非常重要。然而,有关幼儿保育和教育国际发展援助分配的研究却很有限:我们分析了贷方报告系统(Creditor Reporting System)中有关援助项目的数据,以评估 2007 至 2021 年间全球对 134 个低收入和中等收入国家幼儿保育和教育的发展援助。通过关键字搜索和资金分配方法,我们得出了幼儿保育和教育援助的两个估计值:下限估计值包括主要关注幼儿保育和教育的项目,上限估计值包括主要关注和部分关注幼儿保育和教育的项目,以及可能有益于幼儿保育和教育但未包含幼儿保育和教育关键字的项目。我们还评估了对受冲突影响国家的援助以及对纳入 COVID-19 相关活动的幼儿保育和教育项目的援助:2007 至 2021 年间,幼儿保育和教育援助下限总额为 3.646 亿美元,占教育拨款总额 2.13279 亿美元的 1.7%。世界银行在幼儿保育和教育援助方面处于领先地位,提供了 1.94 亿美元(占幼儿保育和教育援助总额的 53.3%)。2016 年之前,低收入国家每名儿童获得的幼儿保育和教育援助较少,之后开始迎头赶上,但每名儿童获得的援助从 0.8 美元(2020 年)减少到 0.6 美元(2021 年)。对开展 COVID-19 活动的幼儿保育和教育项目的资助从 2020 年的 5000 万美元降至 2021 年的 3700 万美元,分别占幼儿保育和教育年度援助总额的 11.4% 和 6.6%。15 年间,受冲突影响的国家平均每名儿童获得 0.3 美元的援助,是未受冲突影响的国家所获援助(每名儿童 1.2 美元)的四分之一:尽管 2007 年至 2021 年间幼儿保育和教育援助大幅增加,但其在教育援助总额中所占比例仍未达到联合国儿童基金会建议的最低 10%。建议包括提高幼儿保育和教育援助在教育援助总额中的比例,增加对低收入国家和受冲突影响国家的援助,以及加大投资力度,为幼儿保育和教育计划做好准备,以应对未来的全球危机。
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来源期刊
BMJ Global Health
BMJ Global Health Medicine-Health Policy
CiteScore
11.40
自引率
4.90%
发文量
429
审稿时长
18 weeks
期刊介绍: BMJ Global Health is an online Open Access journal from BMJ that focuses on publishing high-quality peer-reviewed content pertinent to individuals engaged in global health, including policy makers, funders, researchers, clinicians, and frontline healthcare workers. The journal encompasses all facets of global health, with a special emphasis on submissions addressing underfunded areas such as non-communicable diseases (NCDs). It welcomes research across all study phases and designs, from study protocols to phase I trials to meta-analyses, including small or specialized studies. The journal also encourages opinionated discussions on controversial topics.
期刊最新文献
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