Photostory norsk9/26/2023 ![]() ![]() At endpoint we observed a trend toward activities being provided for children at a level of difficulty higher than child's level of developmental. Parental engagement levels remained stable, toward being less actively engaged. ![]() In exploring change over the implementation process, at endpoint children were more likely to be observed as more engaged in their play activities ( p < 0.05). Using a rating system which measured both the structure of the tasks, and the emotional engagement of the child and parent, many activities and practices observed were evaluated as providing at least an adequate learning space. A total of 161 Photostories were collected (72 at baseline and 89 at endpoint). Results: We developed a systematic framework to support data capture, analysis, and data utilization using multistep iterative mixed method process. We explored role of Photostory approach in engaging community in process of stimulating positive ECD experiences. This paper utilized collected data to explore utility of rating framework to describe and measure behavior and to track change. We integrated Photostory process into routine visits undertaken during implementation of Stepping-Stones, an ECD intervention program. A standardized rating system was established to monitor levels of, and change in, community practices. A systematic format to capture, archive and evaluate photographic material was developed. Methodology: The Photostory method was built through a cyclical process to describe and explore early-childhood practices in central-India through photographs and stories. Objective: Paper describes development and adaptation of an integrated photostory approach documenting actions and stimulating positive change in Early Child Development (ECD). Photographs and narratives also engage decision makers, inspiring changes in policy and practice. 6Research and Development & Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, Indiaīackground: Capturing real-life practices through photographs provides an opportunity to create awareness and focus discussions on relevant issues in community.5School of Epidemiology in Public Health, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.4Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.3Educational Psychologist, Institute of Educational Development, Aga Khan University, Nairobi, Kenya.2School of Epidemiology in Public Health, Datta Meghe Institute of Medical Sciences, Wardha, India.1School of Epidemiology in Public Health & Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Wardha, India.Abhay Gaidhane 1 Penny Holding 2 Minal Shah 3 Manoj Patil 4 Shital Telrandhe 4 * Navnita Jadhav 4 Priti Kogade 4 Sonali Chaudhari 5 Quazi Syed Zahiruddin 6
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