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Table 1 Structural factors affecting ECD

From: The impact of social determinants of health on early childhood development: a qualitative context analysis in Iran

Themes

Subthemes

examples

Relation

Economic factors

Decreased economic growth

- Increasing poverty, unemployment, etc., all of which reduce the well-being of children

(PM 9)

- Reducing per capita budget for health, education, etc.

 

- Increasing household expenses

(M 6)

- Reducing family investments for children

(PM 8)

- Negative effects on the quality of parenting, the formation of behavior, and mental and physical development of children

(CSP 4)

Economic instability

- Increasing parents’ financial stress and its negative effects on relationships with their children and reducing life quality among families and children

(Aca 3)

Reverse country investment curve

- Low return on investment due to the highest investment in youth and middle age and the lowest investment in childhood in the country

(PM 9)

- No allocation of a certain amount of GDP to children

(PM 38)

Economic inequities

- Inequity in access to available resources, services and care for children in different families

(Aca 24)

- Creating a significant difference in the chances of achieving potential development in children in different families

(PM 8)

Inflation

- Decreased level of welfare of families and children due to rising prices of basic necessities of life such as food, clothing, and housing as well as ignoring some of the needs of children

(M 27)

Family living conditions

- Poor economic status at the micro level, which reduces the standard of living for children, the inability to meet the natural needs of children, the increase in the number of working children, the reduction in school enrollment, and the negative effects of low quality housing on the formation of behavior and mental and physical development of children, and vice versa.

(CSP23)

Political factors

Lack of political discourse

- Lack of a comprehensive and coherent discourse about children in the country

(PM22)

- Lack of space for negotiation, confusion of negotiation processes, and lack of mutual dialogue between institutions

(PM12)

Different interpretations by different intellectual and political groups in relation to ECD

- Political decisions related to children’s affairs and influencing the approaches used for the integrated development of children

(PM25)