Abstract
BackgroundChild poverty rates are rising in Norway with potential negative consequences for children. Services for families with low income are often fragmented and poorly integrated, and few coordinated initiatives have been implemented and evaluated in Norway.Aims:The aim of the current study is to evaluate how integrated and coordinated services provided over a prolonged period by a family coordinator are related to changes across a wide range of health, wellbeing and home environment indicators for the participants.Methods:The study uses a mixed methods approach utilising survey and register data, as well as information from interviews and shadowing, to document and evaluate outcomes associated with the intervention and the process of implementation. Data are gathered at baseline and annually throughout the duration of the study. Participants are identified to facilitate longer-term follow-up using register data.Conclusions:This project will develop important knowledge about the implementation of coordinated services to families with a low income, and how this way of organizing services influences important outcomes for the family members in the short and long term.
Highlights
Child poverty rates are rising in Norway with potential negative consequences for children
Childhood poverty is associated with distal negative consequences, independent of adult socioeconomic status and financial wellbeing [11, 12], and may carry across generations [13, 14]
In addition to a low income, have a complex life situation and long-standing need for coordinated services so the project targets a vulnerable group
Summary
Child poverty rates are rising in Norway with potential negative consequences for children. Services for families with low income are often fragmented and poorly integrated, and few coordinated initiatives have been implemented and evaluated in Norway. Growing up poor is associated with poorer physical and mental health, more developmental delay and lower school achievement [2, 3]. These adverse associations with low income have been documented in studies of Norwegian youth [4,5,6], even though absolute deprivation to the extent of lacking basic amenities such as food and housing is uncommon [7]. Intergenerational transfer has been observed for income and education level, use of social support schemes [15,16,17], and it appears that those in the lowest ranks of parental earning are most negatively affected [14]
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