What did the researchers do and find?
We conducted a cluster-randomized controlled trial in rural South Africa. Intervention CHWs were trained on a job aid that included content focused on improving child development, for use during regular home visits with caregivers and young children. Control CHWs provided the local standard of care.We enrolled 607 caregiver–child dyads in 26 intervention clusters and 432 dyads in 25 control clusters at the start of the study. At endline, we assessed 432 intervention dyads (71%) and 332 control dyads (68%) to evaluate impact on child development outcomes.The home visit intervention decreased child SRT by 7 milliseconds, indicating improved neural function, but did not significantly impact linear growth or skills.