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Often overlooked in discussions related to how to ensure accessible and affordable high-quality early childhood education is the heavy burden that has been carried by the early childhood workforce; the data reveal a level of exploitation of this workforce that must be considered and addressed. This chapter will focus attention on the economic realities of the early childhood workforce as a key element to achieve equitable access to affordable high-quality early childhood services.

Through analysis of interviews conducted in 1996‐98 with reduced‐load professionals and managers in organizations, this study examines in‐depth the meaning of a good family life from the perspective of those seeking to enhance their personal and family experience by cutting back on hours devoted to work. The results suggest that the concept of family well‐being is more complex and multi‐faceted than prior research has indicated. Six different dimensions of family well‐being are identified through examination of recurrent themes in the interviews: (1) spending high quality time with family members; (2) being able to relax in free time; (3) emotional well‐being and health of family members; (4) high quality communication and support; (5) high quality child care and education; (6) satisfaction with work and work load at home. Finally, three paradigms of family well‐being derived from interview data are proposed: Family well‐being as effective parenting, family well‐being as love and being together, family well‐being as peace and harmony.

Childcare is an essential part of early life environment that has a significant influence on lifelong physical and mental health. This study aimed to examine the relationship between development, growth and frequency of illness in different types of care.

This cross-sectional study recruited 177 children aged 30–36 months and their caregivers. Of these 66 were being cared for at home and 111 were attending out-of-home day-care facilities. An interview form, growth measurement and the Denver Developmental Screening Test II were collected. The association between child developmental, growth and illness variables was analyzed with Chi-square, Fisher's exact and Mann–Whitney U tests.

This study found that the development and growth results did not show statistically significant differences between the home-care and day-care groups. The number of minor illnesses was significantly lower in home-care children than in day-care children (OR = 0.33, 95% CI = 0.15-0.72).

This study indicated that the risk of infection is increased in the children attending day care. Provision of a healthy and safe childcare environment needs to be an essential health promotion strategy to improve family and child well-being.

As the number of women's participation in the labor market has increased rapidly over the past decades, so did the number of children in nonparental care. The study findings reflect that the development of a day-care center for children was unclear, whereas the risk of infection was increased. Therefore, provision of a healthy and safe childcare environment needs to be an essential health promotion strategy to improve family and child well-being.

Children experience toxic stress if there is pronounced activation of their stress-response systems, in situations in which they do not have stable caregiving. Due to their exposure to multiple poverty-related risks, African American children may be more susceptible to exposure to toxic stress. Toxic stress affects young children’s brain and neurophysiologic functioning, which leads to a wide range of deleterious health, developmental, and mental health outcomes. Given the benefits of early care and education (ECE) for African American young children, ECE may represent a compensating experience for this group of children, and promote their positive development.

The international wealth of sociological literature on family policy has grown significantly during the past ten years not only in terms of the number of studies published but, more importantly, in terms of the scope of topics and the depth of analysis. One of the reasons for this concern with family policy is the steadily increasing number of social policy areas (such as health, savings, housing, transport, food supply, recreation and welfare, among others) found to affect either the family as a group or individuals as family members.

The second national goal for Healthy People 2010 is the elimination of health disparities related to social disadvantage in the United States. Unfortunately, progress to date has been limited. Our national strategy to achieve this goal has been too narrowly focused on public health. Success will require a broader strategy including alignment of existing national policies in non-health areas that affect the health of the socially disadvantaged such as education, health care, labor, welfare, housing, criminal justice, the environment, and taxation if it is to succeed. Key criteria are needed to begin to prioritize areas for federal investment to achieve this goal. These include the impact of the targeted condition on disparities, evidence base for the intervention, potential impact of the policy on disparities, economic impact, and federal politics. Two “big ideas” offer promise including federal investment in early child education and enhanced primary care within federally qualified community health centers. The proposed criteria are applied to each proposed policy.

This chapter considers the interwoven history of child care advocacy and feminism in Canada. It begins by examining the efforts of second-wave feminists to make child care part of national political discussions. It then moves into the 1980s and 1990s, when, as part of broader neoliberal reforms, feminist demands were no longer foregrounded in child care advocacy. Instead, ‘social investment’ and childhood development rationales took centre stage. This chapter considers the implications of the ‘disappearing woman’ from child care advocacy, and concludes by making a case for the ongoing relevance of intersectional feminism to the child care landscape, to ensure that all women are offered meaningful choice, opportunities and rights when it comes to their roles as caregivers and workers.

The role of care as a critical influence on child nutrition, health, and development has received increasing attention in the last decade. While the role of care has been well elaborated at a conceptual level, we still lack simple valid and reliable tools to measure many aspects of care. Psychosocial care includes the behaviors and practices that support children's healthy growth and psychosocial development. The research presented here constitutes one of the first attempts to quantify some of the various dimensions of child‐care practices (namely type, quality, and frequency) and to summarize the information into a composite, age‐specific index of child‐care practices. The main purpose of this research is to examine, specifically within the context of Pakistan, which of the maternal and household characteristics constituted more severe constraints to the provision of good child care. The main findings of this research have important policy implications. They suggest that specific training in child feeding and the use of preventive health services for poor mothers with little formal education could have a large impact on the growth of children living in impoverished environments.

Workforce pressures are the key constraining factor in effective delivery of the CAMHS agenda (Kurtz et al, 2006). The continuing investment and expansion of Child and Adolescent Mental Health Services (CAMHS) has key implications for workforce planning, and improving outcomes for children and young people requires an adequately resourced, trained and motivated workforce. Every Child Matters: Change for children in health services and the National Service Framework for Children, Young People and Maternity Services establishes for the first time, clear standards for promoting the health and well‐being of children and young people, and for providing high quality services that meet their needs. This paper explores the key workforce issues facing child and adolescent mental health services as identified by child and adolescent practitioners. A number of key themes are identified along with the associated challenges.

On the basis of the data collected from 144 practitioners, we studied impact of the Palm Beach County Quality Improvement System (QIS) on practitioners. We found that (a) the duration of early learning coaching, (b) the intensity of career advisors, (c) quality workshops and conferences, (d) college courses, and (e) scholarship for books and supplies in relation to taking college courses are related to improving practitioners' job skills and level of certification and degree in early childhood care and education. We found that additional income to practitioners through the WAGE$ program is effective in retaining them. We also found that the professional development program has differential impact on practitioners of various racial and ethnic groups and that more encouragement and support should be given to African-American and Hispanic practitioners to engage in professional development and pursue advancement in the level of certificate and degree. All these findings have implications for the policy of early care and education in general and for other quality improvement initiatives for early care and education in particular.