Meeting Cultural and Lifestyle Needs of Clients and Children
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The assignment content highlights the importance of diversity and inclusion in childcare settings. It emphasizes the need to respect and cater to the diverse cultural needs of children and parents, including celebrating key festivals and continuing practices such as vegetarianism. The content also focuses on the daily routines of nappy changing, toileting, nutrition, and hygiene, with a strong emphasis on creating a healthy, safe, and supportive environment for children to thrive. Finally, it underscores the importance of educators developing relationships and interacting with babies and toddlers in a way that promotes their sense of safety and encourages exploration.
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Formative assessment
Activity 1
Question 1
The day time nap is needed by children to promote their physical and mental development. The day
time nap is also required for maintaining the energy level among children.
Activity 3
Question 2
The children sleep comfortably when the temperature is maintained at proper level. In a very hot day,
the child should wear light clothes and temperature of the sleeping area will be controlled at the
comfortable level.
Activity 5
Question 2
The toilet training is a complex task and it has different social implications. Therefore,
developing the right toileting habits is necessary to make the child able to adjust with the
social life. The toilet training is important to grow the right toileting habits among children.
The toilet training among children is important due to the following reasons—
Making the child able to develop social skills associated with toilet
Making them able to identify the signs related to toileting needs
Making the child able to adjust in school and other social situations
Developing healthy and hygienic practices among children
Summative assessment 1
Question 4
The reasons for involving one or two educators when a child is first transitioning from home to
childcare center –
Activity 1
Question 1
The day time nap is needed by children to promote their physical and mental development. The day
time nap is also required for maintaining the energy level among children.
Activity 3
Question 2
The children sleep comfortably when the temperature is maintained at proper level. In a very hot day,
the child should wear light clothes and temperature of the sleeping area will be controlled at the
comfortable level.
Activity 5
Question 2
The toilet training is a complex task and it has different social implications. Therefore,
developing the right toileting habits is necessary to make the child able to adjust with the
social life. The toilet training is important to grow the right toileting habits among children.
The toilet training among children is important due to the following reasons—
Making the child able to develop social skills associated with toilet
Making them able to identify the signs related to toileting needs
Making the child able to adjust in school and other social situations
Developing healthy and hygienic practices among children
Summative assessment 1
Question 4
The reasons for involving one or two educators when a child is first transitioning from home to
childcare center –
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1. Making the adjustments easier for children-- The transitioning from the home to the care centre is a
crucial phase for the children. While visiting the care centres, they need to stay in an unfamiliar
environment for long hours. For the children, coping with such changes can be emotionally stressful. In
such situations, involving one or two educators to take care of the children can be effective. In the initial
days, meeting too many new people at once can be overwhelming for the children. On the contrary,
dealing with one or two educators makes the situation easier for the children and helps them to get
familiar with the new place gradually.
2. Developing Trust among children-- During the first transition period, gaining trust of the children is
necessary. In the first days of transition, if children find the first one or two educators empathetic,
developing close relationship with others in the care center becomes easier for them.
Factors affecting sleep among babies--
. About four months on babies sleep less during the day and babies will start to take a nap through the
night from 6–8 months. However, the following factors can affect the sleep of a child—
• Temperature
• Exposure to light-- Excessive light at the sleeping area can affect sleep of a child (Meltzer &
Mindell, 2007).
• Health status—The sleep pattern of a child changes with the developmental stages. For
instance, the children can have interrupted sleeping during teething.
References:
Meltzer, L. J., & Mindell, J. A. (2007). relationship between child sleep disturbances and maternal sleep,
mood, and parenting stress: a pilot study. Journal of Family Psychology, 21(1), 67.
Question 10
Role of physical interactions in emotional and language development--The physical interactions help
the children to create emotional bonding with the adults. When the children are hold or patted, they
feel cared, safe and secured. It, in turn, creates strong attachment with the adults. When the children
develop close attachment with the adults, they get to know new emotions such as affection, empathy
and it helps them in emotional development. The language skill of a child is developed through social
interaction. The physical interaction with adults can be considered as a form of social interaction and so,
it can lead to language development.
Role of exploratory experiences in emotional and language development--The exploratory experiences
make the children familiar with the world and provide them new knowledge. As the children know new
items, they try to express it through verbal communication. It helps them in language development. The
exploratory experiences also create new emotions among the children such as curiosity, satisfaction and
independence. It, in turn, leads to emotional development. For instance, the 7 month old children can
move through crawling. Putting them on floor with a mat and a number of toys can encourage them to
crucial phase for the children. While visiting the care centres, they need to stay in an unfamiliar
environment for long hours. For the children, coping with such changes can be emotionally stressful. In
such situations, involving one or two educators to take care of the children can be effective. In the initial
days, meeting too many new people at once can be overwhelming for the children. On the contrary,
dealing with one or two educators makes the situation easier for the children and helps them to get
familiar with the new place gradually.
2. Developing Trust among children-- During the first transition period, gaining trust of the children is
necessary. In the first days of transition, if children find the first one or two educators empathetic,
developing close relationship with others in the care center becomes easier for them.
Factors affecting sleep among babies--
. About four months on babies sleep less during the day and babies will start to take a nap through the
night from 6–8 months. However, the following factors can affect the sleep of a child—
• Temperature
• Exposure to light-- Excessive light at the sleeping area can affect sleep of a child (Meltzer &
Mindell, 2007).
• Health status—The sleep pattern of a child changes with the developmental stages. For
instance, the children can have interrupted sleeping during teething.
References:
Meltzer, L. J., & Mindell, J. A. (2007). relationship between child sleep disturbances and maternal sleep,
mood, and parenting stress: a pilot study. Journal of Family Psychology, 21(1), 67.
Question 10
Role of physical interactions in emotional and language development--The physical interactions help
the children to create emotional bonding with the adults. When the children are hold or patted, they
feel cared, safe and secured. It, in turn, creates strong attachment with the adults. When the children
develop close attachment with the adults, they get to know new emotions such as affection, empathy
and it helps them in emotional development. The language skill of a child is developed through social
interaction. The physical interaction with adults can be considered as a form of social interaction and so,
it can lead to language development.
Role of exploratory experiences in emotional and language development--The exploratory experiences
make the children familiar with the world and provide them new knowledge. As the children know new
items, they try to express it through verbal communication. It helps them in language development. The
exploratory experiences also create new emotions among the children such as curiosity, satisfaction and
independence. It, in turn, leads to emotional development. For instance, the 7 month old children can
move through crawling. Putting them on floor with a mat and a number of toys can encourage them to
reach the toys. It will be a completely new experience for them and will help them to learn more
movements.
Question 12
SIDS or the Sudden Infant Death Syndrome is the incident of death of an infant within sleep. The SIDS is
also referred as the crib death (WebMD, 2019). The SIDS can occur among the children who are below 1
year. Different factors can cause SIDS including—
Health issues such as any defect in the brain
Age of the children-- the risk of SIDS remains high for the children below 6 months.
Positioning of children during sleep
Presence of respiratory issues-- The respiratory issues can obstruct breathing, cause oxygen
deficiency and death.
Secondhand smoking can also cause breathing issues among children and can cause death
during sleep.
Use of safe sleep practices can reduce the risk of SIDS. The Safe Sleep Practices can include—
Using secured and well-fitting cushions during sleep can reduce the risk of chocking as well as
the risk of death. It should be ensured that the children are sleeping on a firm surface.
Use of small wearable blankets also reduces the risk of respiratory obstructions. As an effect,
the risk of SIDS also reduces.
The risk of breathing issues and death can reduce when the baby sleeps on back.
Reference:
WebMD. (2019). 10 Steps to Help Prevent SIDS (Sudden Infant Death Syndrome). Retrieved from
https://www.webmd.com/parenting/sids-prevention
Question 13
As per the UN Conventions on the Rights of Child (UNCRC) , the rights of children across the world
require being protected. The UN conventions also give importance on enforcing the rights of children
legally across the world. The UN Convention has mentioned five types of rights which include the
economic, cultural, health, social and civil rights (Gillett-Swan & Coppock, 2016). There are 54 articles in
the Convention which demonstrate rights of the children. According to the convention, a human being
can be considered as a child until he/she becomes 18 years old or attains the age of majority as per the
national legislation. The UN mentioned the following five fundamental rights for children—
The right to life
Right to existence
Right to development
Right of protection from any sort of violence
Right to be protected from abuse, violence and negligence
movements.
Question 12
SIDS or the Sudden Infant Death Syndrome is the incident of death of an infant within sleep. The SIDS is
also referred as the crib death (WebMD, 2019). The SIDS can occur among the children who are below 1
year. Different factors can cause SIDS including—
Health issues such as any defect in the brain
Age of the children-- the risk of SIDS remains high for the children below 6 months.
Positioning of children during sleep
Presence of respiratory issues-- The respiratory issues can obstruct breathing, cause oxygen
deficiency and death.
Secondhand smoking can also cause breathing issues among children and can cause death
during sleep.
Use of safe sleep practices can reduce the risk of SIDS. The Safe Sleep Practices can include—
Using secured and well-fitting cushions during sleep can reduce the risk of chocking as well as
the risk of death. It should be ensured that the children are sleeping on a firm surface.
Use of small wearable blankets also reduces the risk of respiratory obstructions. As an effect,
the risk of SIDS also reduces.
The risk of breathing issues and death can reduce when the baby sleeps on back.
Reference:
WebMD. (2019). 10 Steps to Help Prevent SIDS (Sudden Infant Death Syndrome). Retrieved from
https://www.webmd.com/parenting/sids-prevention
Question 13
As per the UN Conventions on the Rights of Child (UNCRC) , the rights of children across the world
require being protected. The UN conventions also give importance on enforcing the rights of children
legally across the world. The UN Convention has mentioned five types of rights which include the
economic, cultural, health, social and civil rights (Gillett-Swan & Coppock, 2016). There are 54 articles in
the Convention which demonstrate rights of the children. According to the convention, a human being
can be considered as a child until he/she becomes 18 years old or attains the age of majority as per the
national legislation. The UN mentioned the following five fundamental rights for children—
The right to life
Right to existence
Right to development
Right of protection from any sort of violence
Right to be protected from abuse, violence and negligence
The convention also mentions the need of special care for children from the adults along with other
rights.
Summative Assessment 2
The transition from home to care and ways to manage children and parents:
The transition from home to the care centre for the first time can be difficult. During the initial phase,
the child might face problems to adjust with a completely new environment and also with the unknown
people. In such situations, the children can start behaving in a different way. Managing the children and
parents is crucial during this phase and it can be done in the following ways--
• The parents should be encouraged to visit the care facility with children for a short duration
(Gialamas et al., 2015). It can help the child to get familiar with the environment and so, the transition
becomes smoother.
• The children along with the parents can meet the primary caregivers before. It also helps the
children to develop a strong relationship with them and make the transition smoother.
• During the initial days, the children can be dealt with by one or two caregivers. Meeting many
new people at a time can make the adjustment difficult for the children.
Sleep routines, safe sleeping procedure and infection control:
• Need for daytime sleep— Sleep is considered as one of the major requirements for the good
health and so, the young kids require taking adequate amount of nap. During sleep, the important
physical and mental development happens. The day-time sleep provides children with the opportunity
for growth and rejuvenation. The daytime-sleep also prevents the children from getting tired. The
tiredness can impact the mood of the children adversely and it also enhances the difficulty to sleep at
night. Therefore, daytime sleep is crucial for development.
Infection control:
The infection control is needed in childcare centers to prevent spreading of diseases among the children.
The infection control in the current childcare center would be done in the following manner—
Promoting immunization among children—The risk of infection and spreading of diseases
reduces if the children get vaccines on time.
Promoting immunization among the caregivers-- The caregivers should also be encouraged to
follow the immunization rules. It will reduce the risk of diseases.
Separating the infants from older children-- The infants should be separated from the older
children (Adamson & Brennan, 2017). The risk of getting infected is high among the infants.
Keeping them isolated is effective for reducing the risk of infection.
Accommodating cultural and lifestyle needs of clients and children:
rights.
Summative Assessment 2
The transition from home to care and ways to manage children and parents:
The transition from home to the care centre for the first time can be difficult. During the initial phase,
the child might face problems to adjust with a completely new environment and also with the unknown
people. In such situations, the children can start behaving in a different way. Managing the children and
parents is crucial during this phase and it can be done in the following ways--
• The parents should be encouraged to visit the care facility with children for a short duration
(Gialamas et al., 2015). It can help the child to get familiar with the environment and so, the transition
becomes smoother.
• The children along with the parents can meet the primary caregivers before. It also helps the
children to develop a strong relationship with them and make the transition smoother.
• During the initial days, the children can be dealt with by one or two caregivers. Meeting many
new people at a time can make the adjustment difficult for the children.
Sleep routines, safe sleeping procedure and infection control:
• Need for daytime sleep— Sleep is considered as one of the major requirements for the good
health and so, the young kids require taking adequate amount of nap. During sleep, the important
physical and mental development happens. The day-time sleep provides children with the opportunity
for growth and rejuvenation. The daytime-sleep also prevents the children from getting tired. The
tiredness can impact the mood of the children adversely and it also enhances the difficulty to sleep at
night. Therefore, daytime sleep is crucial for development.
Infection control:
The infection control is needed in childcare centers to prevent spreading of diseases among the children.
The infection control in the current childcare center would be done in the following manner—
Promoting immunization among children—The risk of infection and spreading of diseases
reduces if the children get vaccines on time.
Promoting immunization among the caregivers-- The caregivers should also be encouraged to
follow the immunization rules. It will reduce the risk of diseases.
Separating the infants from older children-- The infants should be separated from the older
children (Adamson & Brennan, 2017). The risk of getting infected is high among the infants.
Keeping them isolated is effective for reducing the risk of infection.
Accommodating cultural and lifestyle needs of clients and children:
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The childcare centre focuses on addressing the diverse cultural needs of the children and parents
(Azpitarte et al., 2016). The clients and the children are dealt with equal respect irrespective of their
cultural background. At the care centre, it is ensured that all the children get to celebrate the key
festivals of their culture. The diverse lifestyle needs are also assessed at the care centres by providing
the parents and the children with the opportunity to continue their practices. For instance, the care
centre deals with several children which come from vegetarian families. Such children are provided with
vegetarian a food only keeping the nutrition need in mind.
Nappy changing and toileting experience:
Need for Nappy changing Routine—
The nappy changing is one of the important parts of the daily routine for the children. Development of a
positive toileting routine is effective to meet physical needs, learn hygiene and create a strong and
trusted relationship with the children
Nappy Changing Practices--At the childcare centre, the nappy changing is done in the following manner
—
• Firstly the child is prepared. At first, the diaper changing surface is wrapped with a disposable
liner. If any cream is used, it is wiped during nappy changing and then, the diaper and wipe are disposed
of.
Toileting routine—
Need for toileting routine—Toileting is included as part of the daily routine for the children. The
toileting is an important skill that the children need in daily life. The toileting is a task which has different
social implications. Learning the toileting skill is important to help the children to adjust with the school
and other social settings.
Practices--The children are encouraged to visit the toilet after a certain interval. The children are also
taught to use signs and express that they need to go to the toilet. The caregivers help children to
remove their clothes and sit on the toilet. Finally, the families are also encouraged to support toileting
practices among the children.
At the childcare center, the children should learn to identify the bodily signals to determine when to go
to the toilet. However, the children will also be encouraged to go to the toilet in the following time—
Before and after taking a nap
Before and after getting involved into a play or any other activity
Before mealtime
Before leaving the childcare center for an event
(Azpitarte et al., 2016). The clients and the children are dealt with equal respect irrespective of their
cultural background. At the care centre, it is ensured that all the children get to celebrate the key
festivals of their culture. The diverse lifestyle needs are also assessed at the care centres by providing
the parents and the children with the opportunity to continue their practices. For instance, the care
centre deals with several children which come from vegetarian families. Such children are provided with
vegetarian a food only keeping the nutrition need in mind.
Nappy changing and toileting experience:
Need for Nappy changing Routine—
The nappy changing is one of the important parts of the daily routine for the children. Development of a
positive toileting routine is effective to meet physical needs, learn hygiene and create a strong and
trusted relationship with the children
Nappy Changing Practices--At the childcare centre, the nappy changing is done in the following manner
—
• Firstly the child is prepared. At first, the diaper changing surface is wrapped with a disposable
liner. If any cream is used, it is wiped during nappy changing and then, the diaper and wipe are disposed
of.
Toileting routine—
Need for toileting routine—Toileting is included as part of the daily routine for the children. The
toileting is an important skill that the children need in daily life. The toileting is a task which has different
social implications. Learning the toileting skill is important to help the children to adjust with the school
and other social settings.
Practices--The children are encouraged to visit the toilet after a certain interval. The children are also
taught to use signs and express that they need to go to the toilet. The caregivers help children to
remove their clothes and sit on the toilet. Finally, the families are also encouraged to support toileting
practices among the children.
At the childcare center, the children should learn to identify the bodily signals to determine when to go
to the toilet. However, the children will also be encouraged to go to the toilet in the following time—
Before and after taking a nap
Before and after getting involved into a play or any other activity
Before mealtime
Before leaving the childcare center for an event
Hygiene requirements -- Once the diaper is changed; the child’s hands are cleaned. The diaper changing
surface is also cleaned and finally, the caregiver, who is changing the diaper, washes the hands. Not
cleaning the child, lack of personal hygiene for the caregivers and improper disposal of the diapers can
cause a severe health hazard for the children (King & Leask, 2018). At the care centre, the washing and
cleaning tasks can be done to mitigate the risk of health hazards. In the case of toileting also, the toilet
area is kept clean and disinfected. The children and the caregivers are encouraged to wash hands with
water and soap to maintain the hygiene.
Nutrition and Healthy Eating
The children are provided three meals at the care centre. The meals include breakfast, lunch and the
afternoon snacks.
Mealtime routines: The breakfast is usually provided at 8:30 am, the lunchtime starts at 11:30 am and
the afternoon snacks are provided at 3:30 pm. The nutritious value of each meal is considered. Each
meal contains the balance of carbohydrate, protein and fat. Fruits are provided once or twice as they are
rich sources of vitamins and different minerals.
Mealtime Practices: The children take their meals at tables. They are encouraged to eat on their own.
However, the children are assisted by the caregivers during the mealtime to avoid the risk of choking.
The children are also encouraged to wash their hands to maintain hygiene before and after the meal.
Time for bottle-feeding: The babies below 6 months should be fed using bottles.The bottle feeding is
done by the experienced professionals only. The bottles are cleaned and sterilized immediately after
each feed. The bottles are stored in clean and hygienic storage at the lower temperature. While feeding
the children, it is ensured that the food is neither too cold nor too hot.
A healthy, safe and supportive environment
Kids’ health and safety are about additional discuss to their whole wellbeing. This means that early
childhood teachers think about more than real-world health and safety issues in their everyday work.
They also identify that children will have opposing expressive support needs and therefore compact with
each child inversely, respecting their separate life settings. The quality area 2 of the national quality
standard emphasizes ensuring the health and safety of the children (Andrews et al., 2014). As per the
quality area 2, it is ensured that the care facility is able to meet the rest, sleep and relaxation needs of
the children. The care facility also possesses illness and injury management system such as the first aid,
in-house health experts for emergency issues and ambulance. Finally, healthy eating and habits are
promoted in the care centre.
Contributing to development of children: The environment of the childcare center should contribute to
the development of children. The current childcare center should have space for indoor and outdoor
activities. The physical development of children is fostered by regular physical activities. The childcare
center should have infrastructure so that the children can get involved into the physical activities. Taking
part into the art and craft activities enhances the imagination and creativity of children. The care center
surface is also cleaned and finally, the caregiver, who is changing the diaper, washes the hands. Not
cleaning the child, lack of personal hygiene for the caregivers and improper disposal of the diapers can
cause a severe health hazard for the children (King & Leask, 2018). At the care centre, the washing and
cleaning tasks can be done to mitigate the risk of health hazards. In the case of toileting also, the toilet
area is kept clean and disinfected. The children and the caregivers are encouraged to wash hands with
water and soap to maintain the hygiene.
Nutrition and Healthy Eating
The children are provided three meals at the care centre. The meals include breakfast, lunch and the
afternoon snacks.
Mealtime routines: The breakfast is usually provided at 8:30 am, the lunchtime starts at 11:30 am and
the afternoon snacks are provided at 3:30 pm. The nutritious value of each meal is considered. Each
meal contains the balance of carbohydrate, protein and fat. Fruits are provided once or twice as they are
rich sources of vitamins and different minerals.
Mealtime Practices: The children take their meals at tables. They are encouraged to eat on their own.
However, the children are assisted by the caregivers during the mealtime to avoid the risk of choking.
The children are also encouraged to wash their hands to maintain hygiene before and after the meal.
Time for bottle-feeding: The babies below 6 months should be fed using bottles.The bottle feeding is
done by the experienced professionals only. The bottles are cleaned and sterilized immediately after
each feed. The bottles are stored in clean and hygienic storage at the lower temperature. While feeding
the children, it is ensured that the food is neither too cold nor too hot.
A healthy, safe and supportive environment
Kids’ health and safety are about additional discuss to their whole wellbeing. This means that early
childhood teachers think about more than real-world health and safety issues in their everyday work.
They also identify that children will have opposing expressive support needs and therefore compact with
each child inversely, respecting their separate life settings. The quality area 2 of the national quality
standard emphasizes ensuring the health and safety of the children (Andrews et al., 2014). As per the
quality area 2, it is ensured that the care facility is able to meet the rest, sleep and relaxation needs of
the children. The care facility also possesses illness and injury management system such as the first aid,
in-house health experts for emergency issues and ambulance. Finally, healthy eating and habits are
promoted in the care centre.
Contributing to development of children: The environment of the childcare center should contribute to
the development of children. The current childcare center should have space for indoor and outdoor
activities. The physical development of children is fostered by regular physical activities. The childcare
center should have infrastructure so that the children can get involved into the physical activities. Taking
part into the art and craft activities enhances the imagination and creativity of children. The care center
should have place where the children can get involved into art and craft related activities such as
drawing or making things.
Need for educators to develop a relationship and interacting with babies and toddlers
The goal of Quality Area 5 under the National Quality Standard is to endorse relationships with children
that are receptive, respectful and encourage children’s sense of safety and be appropriate (Adamson &
Brennan, 2017). Relations of this kind free broods to explore the environment and involve in play and
education.
References:
Adamson, E., & Brennan, D. (2017). Return of the Nanny: Public Policy towards In home Childcare in the‐
UK, Canada and Australia. Social Policy & Administration, 51(7), 1386-1405.
Andrews, L., Neopanay, B. P., Yaddehige, K., & Jorgensen, J. (2014). Do child care subsidies increase the
labour force participation of women in Australia?. Deakin Papers on International Business Economics,
7(1).
King, C. L., & Leask, J. (2018). Parental disease prevention health beliefs and triggers for keeping children
home from childcare—a qualitative study in Sydney, Australia. Child: care, health and development,
44(2), 326-331.
Azpitarte, F., Chigavazira, A., Kalb, G. R., Farrant, B., Perales, F., & Zubrick, S. R. (2016). Childcare use and
its role in Indigenous child development: Evidence from the Longitudinal Study of Indigenous Children in
Australia.
Gialamas, A., Mittinty, M. N., Sawyer, M. G., Zubrick, S. R., & Lynch, J. (2015). Social inequalities in
childcare quality and their effects on children's development at school entry: findings from the
Longitudinal Study of Australian Children. J Epidemiol Community Health, jech-2014.
drawing or making things.
Need for educators to develop a relationship and interacting with babies and toddlers
The goal of Quality Area 5 under the National Quality Standard is to endorse relationships with children
that are receptive, respectful and encourage children’s sense of safety and be appropriate (Adamson &
Brennan, 2017). Relations of this kind free broods to explore the environment and involve in play and
education.
References:
Adamson, E., & Brennan, D. (2017). Return of the Nanny: Public Policy towards In home Childcare in the‐
UK, Canada and Australia. Social Policy & Administration, 51(7), 1386-1405.
Andrews, L., Neopanay, B. P., Yaddehige, K., & Jorgensen, J. (2014). Do child care subsidies increase the
labour force participation of women in Australia?. Deakin Papers on International Business Economics,
7(1).
King, C. L., & Leask, J. (2018). Parental disease prevention health beliefs and triggers for keeping children
home from childcare—a qualitative study in Sydney, Australia. Child: care, health and development,
44(2), 326-331.
Azpitarte, F., Chigavazira, A., Kalb, G. R., Farrant, B., Perales, F., & Zubrick, S. R. (2016). Childcare use and
its role in Indigenous child development: Evidence from the Longitudinal Study of Indigenous Children in
Australia.
Gialamas, A., Mittinty, M. N., Sawyer, M. G., Zubrick, S. R., & Lynch, J. (2015). Social inequalities in
childcare quality and their effects on children's development at school entry: findings from the
Longitudinal Study of Australian Children. J Epidemiol Community Health, jech-2014.
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