Background
Tracking progress towards healthy child development
A call for new measurement solutions
The early Human Capability Index
Development of the eHCI
Utilization of the eHCI
The current study
Methods
Measures
The early Human Capability Index
Domain | Item | Yes/able | Missing |
---|---|---|---|
Physical Health | 1. Is this child sickly or looked after poorly?a | 826 (13.3) | 5 (0.1) |
2. Does this child have good hygiene (i.e. always wash their hands after toileting)? | 4929 (79.3) | 13 (0.2) | |
3. Does this child have positive habits? | 4073 (65.5) | 16 (0.3) | |
4. Does this child know good foods from bad foods? | 3710 (59.7) | 25 (0.4) | |
Verbal Communication | 1. Can this child use a group of words in talking? | 5705 (91.8) | 8 (0.1) |
2. Can this child converse with others? | 5988 (96.3) | 8 (0.1) | |
3. Can this child talk about something that he/she has done? | 5619 (90.4) | 10 (0.2) | |
4. Can this child give detail with good Tongan words? | 3844 (61.9) | 10 (0.2) | |
5. Can this child hold an adult like conversation (for example talkative, always questioning)? | 5078 (81.7) | 16 (0.3) | |
Cultural Knowledge | 1. Shows compassion, understanding and tolerance of others? | 5229 (84.1) | 15 (0.2) |
2. Can this child identify two culturally important foods/dishes? | 5043 (81.1) | 11 (0.2) | |
3. Can this child identify two local plants that provide food/fruits? | 4741 (76.3) | 14 (0.2) | |
4. Does this child show the Tongan cultural values of humility? | 2892 (46.5) | 21 (0.3) | |
5. Does this child show the Tongan cultural values of devotion/commitment/obligation/responsibility? | 2745 (44.2) | 16 (0.3) | |
6. Does this child show the Tongan cultural values of reciprocity in relationships? | 2849 (45.8) | 14 (0.2) | |
7. Does this child participate in cultural routines? | 4764 (76.7) | 11 (0.2) | |
8. Is this child able to say a short prayer? | 5503 (88.5) | 16 (0.3) | |
Social and Emotional | 1. Is this child happy to share their toys and belongings? | 5296 (85.2) | 9 (0.1) |
2. Does this child take care of their own things? | 4579 (73.7) | 4 (0.1) | |
3. Does this child demonstrate respect for adults? | 3870 (62.3) | 11 (0.2) | |
4. Does this child demonstrate respect for other children? | 3945 (63.5) | 11 (0.2) | |
5. Does this child accept responsibility for their actions? | 4264 (68.6) | 9 (0.1) | |
6. Is this child considerate of other people’s feelings? | 4274 (68.8) | 6 (0.1) | |
7. Does this child repeatedly do something wrong even though he/she has been told to stop?a | 3612 (58.1) | 9 (0.1) | |
8. Is this child always helpful? | 5445 (87.6) | 6 (0.1) | |
9. Is this child friendly to other children? | 5644 (90.8) | 9 (0.1) | |
10. Does this child kick, bite or hit adults or other children?a | 2294 (36.9) | 12 (0.2) | |
11. Is this child impatient?a | 3868 (62.2) | 11 (0.2) | |
12. Does this child always understand the difference between acceptable and unacceptable behaviour? | 4522 (72.8) | 8 (0.1) | |
13. Does this child follow simple directions on how to do something? | 5210 (83.8) | 6 (0.1) | |
Perseverance | 1. Does this child always perform tasks independently? | 4583 (73.8) | 8 (0.1) |
2. Does this child always keep at a task until they are finished? | 3348 (53.9) | 9 (0.1) | |
3. Does this child need constant reminding to finish something off?a | 4468 (71.9) | 10 (0.2) | |
4. Does this child get easily distracted from a task?a | 4664 (75.0) | 14 (0.2) | |
Approaches to Learning | 1. Does this child show more curiosity about something new in comparison to something familiar? | 4976 (80.1) | 10 (0.2) |
2. Does this child investigate/explore the function of a new toy/game/puzzle or object? | 4900 (78.8) | 9 (0.1) | |
3. Is this child always wanting to learn new things? | 4850 (78.0) | 12 (0.2) | |
4. When in an unfamiliar environment with a familiar person present, does this child feel free to explore? | 3611 (58.1) | 15 (0.2) | |
5. Is this child diligent in their approach to a new job or task? | 3840 (61.8) | 19 (0.3) | |
Numeracy | 1. Can this child recognise geometric shapes (e.g. triangle, circle, square)? | 3322 (53.5) | 13 (0.2) |
2. Can this child name and identify at least 3 colours? | 4278 (68.8) | 8 (0.1) | |
3. Can this child sort and classify objects by common characteristics (e.g. shape, colour, size)? | 3218 (51.8) | 12 (0.2) | |
4. Can this child name and recognise the symbol of all numbers from 1 to 10? | 3020 (48.6) | 15 (0.2) | |
5. Can this child count to 10? | 5053 (81.3) | 7 (0.1) | |
6. Can this child count to 20? | 2073 (33.4) | 9 (0.1) | |
7. Can this child count to 100? | 430 (6.9) | 13 (0.2) | |
8. Does this child know that a horse is taller than a dog? | 4464 (71.8) | 11 (0.2) | |
9. Does this child know the order of the day (e.g. morning, then afternoon and then evening)? | 2411 (38.8) | 17 (0.3) | |
10. Does this child understand the concepts of yesterday, today and tomorrow? | 1812 (29.2) | 14 (0.2) | |
11. Does this child know that a vehicle weighs more than a cup? | 4197 (67.5) | 11 (0.2) | |
12. Does this child know that the number 8 is bigger than the number 2? | 2258 (36.3) | 16 (0.3) | |
Reading | 1. Does this child know the sounds of three letters of the alphabet? (phonics) | 3932 (63.5) | 16 (0.3) |
2. Can this child identify at least 3 letters of the alphabet? | 3263 (52.5) | 13 (0.2) | |
3. Can this child identify at least 10 letters of the alphabet? | 2232 (35.9) | 14 (0.2) | |
4. Can this child hold a book and turn the pages in the right way? | 3811 (61.3) | 10 (0.2) | |
5. Can this child follow reading directions (i.e. left to right, top to bottom)? | 1799 (28.9) | 9 (0.1) | |
6. Can this child read at least 4 popular words? | 2263 (36.4) | 13 (0.2) | |
Writing | 1. Can this child draw something identifiable? (e.g. a stick person) | 3531 (56.8) | 9 (0.1) |
2. Can this child copy (trace) the shape of a letter (e.g. A, E, F)? | 3392 (54.6) | 5 (0.1) | |
3. Can this child write their own name? | 2428 (39.1) | 9 (0.1) | |
4. Can this child write short and simple words? | 1452 (23.4) | 9 (0.1) | |
6. Can this child write short and simple sentences? | 778 (12.5) | 9 (0.1) |
Demographic characteristics
Data collection procedures
Country context | Year/s | Respondent/s | Method | Data collection purpose | Sample | |
---|---|---|---|---|---|---|
Brazil | Occupies a large area on the eastern coast of South America. In 2017, population was approx. 209,000 and GNI was USD8600 per capita. | 2015 | Preschool teachers | Pen and paper | Adaptation of the eHCI for the Brazilian context [16] | Children from one city in Southwest Brazil |
China | In East Asia, the world’s most populous country. In 2017, population was approx. 1.4 billion and GNI was USD8690 per capita. | 2015/16 | Preschool teachers and caregivers | Pen and paper | Evaluate inequality in children’s outcomes across population groups [17] | Children from two provinces across Northern China |
Kiribati | Comprised of 33 coral atolls and isles in the Central Pacific. In 2017, population was approx. 116,000 and GNI was USD3010 per capita. | 2017 | Preschool teachers and caregivers | Tablet | National baseline of child development to guide policy and programs [14] | Population; aimed to collect data for all children aged 3–5 years nationally |
Lao PDR | A landlocked country in the Southeast of Asia. In 2017, population was approx. 6.9 million and GNI was USD2270 per capita. | 2015/16 | Caregivers | Tablet | Baseline data for an RCT designed to support children’s early development [12] | Children from five provinces across Northern Lao PDR |
Samoa | Comprised of 2 main islands in the South Pacific. In 2017, population was approx. 196,000 and GNI was USD4090 per capita. | 2016 | Preschool teachers and caregivers | Tablet | National baseline of child development to guide policy and programs [13] | Population; aimed to collect data for all children aged 3–5 years nationally |
Tonga | An archipelago of more than 170 South Pacific islands (36 inhabited). In 2017, population was approx. 108,000 and GNI was USD4010 per capita. | 2013/14 | Preschool teachers and caregivers | Pen and paper | Baseline data for an RCT designed to support children’s school readiness [10] | Population; aimed to collect data for all children aged 3–5 years nationally |
Tuvalu | An island country in the South Pacific, comprising 9 small islands. In 2017, population was approx. 11,000 and GNI was USD4970 per capita. | 2015 | Preschool teachers and caregivers | Pen and paper | National baseline of child development to guide policy and programs [15] | Population; aimed to collect data for all children aged 3–5 years nationally |
Participants
Brazil n (%) | China n (%) | Kiribati n (%) | Lao PDR n (%) | Samoa n (%) | Tonga n (%) | Tuvalu n (%) | |
---|---|---|---|---|---|---|---|
Child gender | |||||||
Male | 853 (47.1) | 5587 (48.9) | 4269 (51.2) | 3824 (51.0) | 6293 (51.6) | 3247 (52.3) | 272 (49.5) |
Female | 855 (47.2) | 5338 (46.7) | 3915 (46.9) | 3669 (49.0) | 5898 (48.4) | 2967 (47.7) | 277 (50.5) |
Missing | 102 (5.6) | 496 (4.3) | 155 (1.9) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
Child age | |||||||
2 years | 57 (3.1) | 54 (0.5) | 948 (11.4) | 1410 (18.8) | 1159 (9.5) | 13 (0.2) | 1 (0.2) |
3 years | 571 (31.5) | 3396 (29.7) | 2185 (26.2) | 1749 (23.3) | 4377 (35.9) | 1609 (25.9) | 163 (29.7) |
4 years | 760 (42.0) | 3329 (29.1) | 2136 (25.6) | 1867 (24.9) | 4616 (37.9) | 2058 (33.1) | 180 (32.8) |
5 years | 420 (23.2) | 3360 (29.4) | 2013 (24.1) | 1599 (21.3) | 2039 (16.7) | 2038 (32.8) | 195 (35.5) |
6 years | 0 (0.0) | 1226 (10.7) | 173 (2.1) | 16 (0.2) | 0 (0.0) | 443 (7.1) | 7 (1.3) |
Missing | 2 (0.1) | 56 (0.5) | 884 (10.6) | 852 (11.4) | 0 (0.0) | 53 (0.9) | 3 (0.5) |
Child preschool attendance | |||||||
Yes | 1810 (100.0) | 9159 (80.2) | 7665 (91.9) | 1738 (23.2) | 4657 (38.2) | 2701 (43.5) | 498 (90.7) |
No | 0 (0.0) | 2176 (19.1) | 674 (8.1) | 5755 (76.8) | 7534 (61.8) | 3513 (56.5) | 51 (9.3) |
Missing | 0 (0.0) | 86 (0.8) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) | 0 (0.0) |
Maternal Education | |||||||
No school | – | 307 (2.7) | – | 2265 (30.2) | – | – | – |
Started Primary | – | 1242 (10.9) | 714 (8.6) | 2045 (27.3) | – | – | – |
Finished Primary | – | 3372 (29.5) | 1438 (17.2) | 2182 (29.1) | 222 (1.8) | 81 (1.3) | 47 (8.6) |
Started Secondary | – | 3563 (31.2) | 2319 (27.8) | – | 603 (4.9) | 2399 (38.6) | 89 (16.2) |
Finished Secondary | – | 1358 (11.9) | 2710 (32.5) | 754 (10.1) | 10,037 (82.3) | 2621 (42.2) | 107 (19.5) |
Tertiary | – | 751 (6.6) | 785 (9.4) | 242 (3.2) | 1329 (10.9) | 1107 (17.8) | 117 (21.3) |
Missing | – | 828 (7.2) | 373 (4.5) | 5 (0.1) | 0 (0.0) | 0 (0.0) | 189 (34.4) |
Total n | 1810 | 11,421 | 8339 | 7493 | 12,191 | 6214 | 549 |
Statistical analysis
Results
X2 (df) | RMSEA (90% CI) | CFI | TLI | ||
---|---|---|---|---|---|
Brazil | Full sample | 4595.48 (1503) | 0.034 (0.033–0.035) | 0.94 | 0.94 |
3-year-olds | 3772.55 (1394) | 0.055 (0.053–0.057) | 0.75 | 0.74 | |
4-year-olds | 4413.833 (1503) | 0.050 (0.049–0.052) | 0.82 | 0.80 | |
5-year-olds | 2157.71 (1448) | 0.034 (0.031–0.037) | 0.92 | 0.92 | |
China | Full sample | 35,272.80 (1616) | 0.043 (0.042–0.043) | 0.92 | 0.92 |
3-year-olds | 10,356.63 (1616) | 0.040 (0.039–0.041) | 0.94 | 0.93 | |
4-year-olds | 12,039.11 (1616) | 0.044 (0.043–0.045) | 0.87 | 0.86 | |
5-year-olds | 9892.98 (1616) | 0.039 (0.038–0.040) | 0.84 | 0.83 | |
Kiribati | Full sample | 28,191.32 (1979) | 0.040 (0.039–0.040) | 0.93 | 0.93 |
3-year-olds | 8200.71 (1979) | 0.038 (0.037–0.039) | 0.92 | 0.92 | |
4-year-olds | 7057.17 (1682) | 0.039 (0.038–0.040) | 0.91 | 0.91 | |
5-year-olds | 6245.19 (1979) | 0.033 (0.032–0.034) | 0.91 | 0.91 | |
Lao PDR | Full sample | 22,116.62 (1456) | 0.044 (0.043–0.044) | 0.90 | 0.90 |
3-year-olds | 4744.53 (1456) | 0.036 (0.035–0.037) | 0.87 | 0.86 | |
4-year-olds | 5528.15 (1456) | 0.039 (0.038–0.040) | 0.86 | 0.85 | |
5-year-olds | 5379.22 (1456) | 0.041 (0.040–0.042) | 0.89 | 0.89 | |
Samoa | Full sample | 89,517.11 (1674) | 0.066 (0.065–0.066) | 0.94 | 0.93 |
3-year-olds | 31,146.12 (1616) | 0.065 (0.064–0.065) | 0.93 | 0.93 | |
4-year-olds | 34,712.58 (1674) | 0.065 (0.065–0.066) | 0.94 | 0.93 | |
5-year-olds | 14,613.05 (1674) | 0.062 (0.061–0.062) | 0.94 | 0.94 | |
Tonga | Full sample | 23,936.63 (1793) | 0.045 (0.044–0.045) | 0.93 | 0.93 |
3-year-olds | 6172.07 (1793) | 0.039 (0.038–0.040) | 0.91 | 0.91 | |
4-year-olds | 7724.07 (1793) | 0.040 (0.039–0.041) | 0.92 | 0.92 | |
5-year-olds | 7839.75 (1793) | 0.041 (0.040–0.042) | 0.90 | 0.90 | |
Tuvalu | Full sample | 4144.74 (2043) | 0.043 (0.041–0.045) | 0.95 | 0.94 |
3-year-olds | 2540.33 (2043) | 0.039 (0.033–0.043) | 0.95 | 0.95 | |
`4-year-olds | 2483.74 (1854) | 0.043 (0.039–0.048) | 0.89 | 0.88 | |
5-year-olds | 2600.80 (2043) | 0.037 (0.033–0.042) | 0.89 | 0.89 |
F1 | F2 | F3 | F4 | F5 | F6 | F7 | F8 | F9 | |
---|---|---|---|---|---|---|---|---|---|
Phys 1 | 0.10 | ||||||||
Phys 2 | -0.73 | ||||||||
Phys 3 | -0.69 | ||||||||
Phys 4 | -0.82 | ||||||||
Comm 1 | 0.81 | ||||||||
Comm 2 | 0.91 | ||||||||
Comm 3 | 0.96 | ||||||||
Comm 4 | 0.85 | ||||||||
Comm 5 | 0.65 | ||||||||
Cult 1 | 0.81 | ||||||||
Cult 2 | 0.88 | ||||||||
Cult 3 | 0.88 | ||||||||
Cult 4 | 0.88 | ||||||||
Cult 5 | 0.88 | ||||||||
Cult 6 | 0.88 | ||||||||
Cult 7 | 0.66 | ||||||||
Cult 8 | 0.73 | ||||||||
Soc 1 | 0.65 | ||||||||
Soc 2 | 0.70 | ||||||||
Soc 3 | 0.88 | ||||||||
Soc 4 | 0.88 | ||||||||
Soc 5 | 0.61 | ||||||||
Soc 6 | -0.10 | ||||||||
Soc 7 | -0.73 | ||||||||
Soc 8 | 0.69 | ||||||||
Soc 9 | 0.65 | ||||||||
Soc 10 | 0.05 | ||||||||
Soc 11 | -0.14 | ||||||||
Soc 12 | 0.81 | ||||||||
Soc 13 | 0.82 | ||||||||
Persev 1 | 0.76 | ||||||||
Persev 2 | 0.77 | ||||||||
Persev 3 | -0.11 | ||||||||
Persev 4 | -0.46 | ||||||||
Appr 1 | 0.82 | ||||||||
Appr 2 | 0.90 | ||||||||
Appr 3 | 0.90 | ||||||||
Appr 4 | 0.68 | ||||||||
Appr 5 | 0.93 | ||||||||
Num 1 | 0.86 | ||||||||
Num 2 | 0.85 | ||||||||
Num 3 | 0.86 | ||||||||
Num 4 | 0.86 | ||||||||
Num 5 | 0.79 | ||||||||
Num 6 | 0.79 | ||||||||
Num 7 | 0.76 | ||||||||
Num 8 | 0.84 | ||||||||
Num 9 | 0.85 | ||||||||
Num 10 | 0.85 | ||||||||
Num 11 | 0.84 | ||||||||
Num 12 | 0.87 | ||||||||
Read 1 | 0.77 | ||||||||
Read 2 | 0.93 | ||||||||
Read 3 | 0.92 | ||||||||
Read 4 | 0.78 | ||||||||
Read 5 | 0.89 | ||||||||
Read 6 | 0.75 | ||||||||
Writ 1 | 0.86 | ||||||||
Writ 2 | 0.94 | ||||||||
Writ 3 | 0.93 | ||||||||
Writ 4 | 0.96 | ||||||||
Writ 5 | 0.94 |
X2 (df) | RMSEA (90% CI) | CFI | TLI | |
---|---|---|---|---|
Low maternal education | 19188.69 (1456) | 0.043 (0.043–0.044) | 0.90 | 0.89 |
High maternal education | 3222.03 (1456) | 0.035 (0.033–0.037) | 0.94 | 0.93 |
Brazil | China | Kiribati | Lao PDR | Samoa | Tonga | Tuvalu | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Cα | Oα | Cα | Oα | Cα | Oα | Cα | Oα | Cα | Oα | Cα | Oα | Cα | Oα | |
Physical Health | .20 | .52 | .25 | .43 | .61 | .76 | – | – | .34 | .48 | .47 | .56 | .61 | .77 |
Verbal Communication | .67 | .93 | .67 | .87 | .78 | .91 | .70 | .88 | .78 | .90 | .69 | .92 | .73 | .93 |
Cultural Knowledge | .52 | .89 | .80 | .90 | .84 | .93 | .53 | .79 | .89 | .95 | .79 | .89 | .82 | .92 |
Social and Emotional | .85 | .95 | .71 | .84 | .83 | .91 | .73 | .84 | .85 | .90 | .50 | .70 | .80 | .91 |
Perseverance | .75 | .89 | .48 | .62 | .26 | .33 | .15 | .17 | .38 | .45 | .23 | .31 | .60 | .75 |
Approaches to Learning | .71 | .91 | .70 | .86 | .67 | .86 | .74 | .88 | .85 | .94 | .80 | .91 | .73 | .90 |
Numeracy | .84 | .94 | .87 | .95 | .86 | .94 | .80 | .91 | .92 | .97 | .89 | .96 | .90 | .97 |
Reading | .61 | .87 | .79 | .90 | .79 | .91 | .72 | .91 | .87 | .95 | .82 | .92 | .82 | .93 |
Writing | .78 | .87 | .59 | .78 | .83 | .94 | .65 | .93 | .89 | .96 | .83 | .96 | .83 | .94 |