Maternal responses to infant facial expressions were examined in two socioeconomically diverse samples of South African mothers (Study I, N = 111; and Study II, N = 214; age: 17-44 years) using pupil and gaze tracking. Study I showed increased pupil response to infant distress expressions in groups recruited from private as compared to public…

This study evaluated the impact of a parenting intervention on children's cognitive and socioemotional development in a group of caregivers and their 21-to-28-month-old children in a low-income South African township. A randomized controlled trial compared an experimental group (n = 70) receiving training in dialogic book-sharing (8 weekly group…

This study explores the cognitive development of children born to adolescent mothers within South Africa compared to existing reference data, and explores development by child age bands to examine relative levels of development. Cross-sectional analyses present data from 954 adolescents (10-19 years) and their first-born children (0-68 months).…

This qualitative study explored caregivers' perceptions of factors influencing early childhood development in low-income, urban South African settings, from a social ecological perspective. Individual interviews were conducted with 15 caregivers of 3-5-year-old children; a reflexive thematic analysis approach was adopted. In the family and home…

Background: Contextual factors are likely to influence whether young children are able to adhere to recommended health behaviours. This study aimed to: (1) describe the social and environmental characteristics of children under five living in Soweto, South Africa; and (2) determine factors associated with screen time and outdoor play in this…

In South Africa, many infants spend more time with carers other than their parents due to socio-economic demands on mothers. Carers thus play an important role in the infants' lives. This qualitative study explored child carers' knowledge and understanding of the 'first 1000 days' initiative and their perception of themselves as attachment…

Children in low-income communities are at risk for developmental delays and sensory losses. mHealth screening tools enable community health workers to detect developmental delays and sensory losses. This study aims to describe a combined (developmental and sensory -- hearing and vision) mHealth-supported screening programme conducted by community…

This article reports on the utilization of group discussion by teachers to improve the comprehension skills of learners in their multilingual classes. The study aimed to examine solutions to low comprehension skills among learners whose language of instruction differed from their home languages. The participants were teachers (n = 12) and learners…

Children in impoverished settings face a multitude of risk factors that may impact early childhood development (ECD). Poor ECD can lead to negative outcomes and the continuation of the intergenerational cycle of poverty. Early stimulation from caregivers can counter the effects of risk factors. Increased developmental literacy supports positive…

The aim of this study was to explore the experiences of early childhood development (ECD) centre staff in providing care and learning support to children living in a high-risk, low socioeconomic community. We interviewed 14 staff from an ECD centre. Interviews were audio-recorded, transcribed verbatim and analysed thematically. We derived four…

Community health workers possess valuable insight into the experiences of South Africa's children and caregivers. However, their knowledge is often overlooked in efforts to understand local realities, inform interventions, and develop relevant policies. This study aimed to explore community health workers' perspectives of the first 1000 days of…

Within South Africa, approximately 1.5 million children suffer from malnutrition and stunting with dire effects on their early development and thriving potential. Nutritional care within the first 1000 days of children's life plays pivotal role in their holistic development when a stable, safe, nurturing and responsive relationship is provided by…

In South Africa, the mother-infant relationship is often conceptualized using international frameworks. Yet, contextual knowledge of mother-infant bonding is essential, as a strong mother-infant bond enhances a mother's capacity to care for her infant, and is associated with many positive child development outcomes. Community health workers work…

Caregivers of young children play a significant role through a child's early childhood. External factors such as environment, socio-economic status, and support system, impact children's early development experiences. This study explored how caregivers perceived their role in the early child development of 3-4-year-old children in an…

Community health workers have been shown to be an effective way to improve health outcomes in under-resourced contexts like South Africa. Community health workers can support health and well-being through supporting mother-infant bonding, which is associated with a wide range of benefits. The bond between mother and infant is critical for infants'…