T: The intervention arm includes an adaption of the Jamaica Reach Up and Learn home visiting program to a group setting.
The target population are children aged 6-30 months old registered in the community health and nutrition intervention. Children area offered to participate in bimonthly group sessions. Each session will have materials and activities appropriate for children spanning a 6-month range (6-12 m, 12-18 m, 12-24 m, 24-30 m) and can accommodate a maximum of 10 children per age group. If more households are interested than can be accommodated by the program, interested families will be randomly selected for participation. A total of 40 children per site will be able to participate in the ECD activities at any one time. With bi-monthly meetings, each child will be exposed to 12 sessions for each age group, and is eligible to transition to the next.
T+ enhanced play materials/activities package. Caregivers/children participating to the group ECD sessions will be invited to pay within a play space equipped with books, and homemade/purchased age-appropriate toys. The making and maintenance of the toys and materials will be supported by volunteers’ scouts youth groups, who have a capillary presence in the country. This T+ intervention will be phased in after 6 months of implementation.