Health & Nutrition

Reflective supervision is a form of supervision that supports home visiting implementation quality by helping providers develop critical competencies and manage powerful emotions that often accompany the work. Sessions focus on the complexity and importance of all relationships (e.g., supervisor-supervisee; provider-client; parent-child) over administrative compliance or performance evaluation. Quality reflective supervision delivered over time may lead to improvements in service quality, staff retention, and family outcomes.

Early childhood home visiting programs support pregnant women and families with young children so they can be healthy, safe, and better prepared to reach their goals. The success of these programs is dependent upon recruiting and retaining a skilled, committed, and satisfied workforce. This brief summarizes findings from the Home Visiting Career Trajectories study—a national study of the home visiting workforce—on workplace factors in recruiting and retaining qualified staff.

The ICM Standards for Midwifery Education (2021) are an essential pillar of ICM’s efforts to strengthen midwifery worldwide by promoting high quality education programs that prepare midwives who meet the ICM definition of a midwife. The ICM Standards for Midwifery Education are based on foundational ICM Core Documents and Position Statements. Importantly, the Standards address inclusion of the Essential Competencies for Midwifery Practice (2019) as the basis of the midwifery curriculum.

The success of a child’s healthy development is largely dependent on their primary caregiver’s capacity. The 2016 Lancet Early Childhood Development Series1 highlights that efforts to support children are not likely to bear success unless they concurrently provide support for the caregivers upon whom children depend for care.

Many barriers exist to caregiving including that:

The goal of the research ‘Bulgaria grows with its children: Building professional competences for early childhood development’ (hereinafter referred to as ‘research on the early years workforce’ and ‘the research’) is to outline the main directions for improvement of the professionalization of the early years workforce on the basis of data – quantitative and qualitative – as well as to formulate recommendations for policy development in this area.



This summary shares the main results and recommendations derived from this research.

The Coronavirus disease 2019 (COVID-19) pandemic has upended families’ lives, with school closures, social distancing, and stay-at-home measures limiting their access to support systems, while adding to health concerns and economic uncertainties. As families face these varied stressors, it is even more important that parenting programs, which seek to promote positive and responsive caregiving, improve health and nutrition, and enhance social and child protection, continue to operate.

Early childhood development (ECD) services have a strong, positive impact on children’s development. Research from diverse contexts shows that interventions that promote nurturing care in early learning environments significantly improve childhood development and later adult outcomes.

Early childhood development (ECD) services have a strong, positive impact on children’s development. Research from diverse contexts shows that interventions that promote nurturing care in early learning environments significantly improve childhood development and later adult outcomes.

This Guide accompanies the Home Visiting Workforce Needs Assessment Tool, which aims to help Ministries and government agencies reflect on the ways in which they can support personnel delivering home visiting programs across sectors for pregnant mothers and caregivers with children under 3. 



The Home Visiting Workforce Needs Assessment Tool aims to help Ministries and government agencies reflect on the ways in which they can support personnel delivering home visiting programs across sectors for pregnant mothers and caregivers with children under 3. Drawing inspiration from the UNICEF Pre-Primary Diagnostic and Planning Tool, this tool is intended for countries with home visiting programs at either the sub-national or national levels.