Day-Care for Healthy Child Development and Wider Social and Economic Gain in Urban Areas in Low- and Middle Income Countries

Book excerpt: Rapid urbanization in low- and middle income countries (LMICs) has triggered a childcare crisis. As families move to the city, they leave behind extended family and traditional support networks; parents and guardians - particularly mothers - are working long hours outside the home often in informal and unstable jobs. In response to the increasing demand a range of informal, private and NGO providers have sprung up to provide day, and sometimes night, care. Governments are struggling to respond, and the care for children in the early years frequently falls between ministries. The combination of these factors in LMIC cities has left children from low-income families with substandard childcare which poses a threat to their immediate and long-term health and development.