A Novel 3-Part Approach to Tackle the Problem of Health Inequities in Early Childhood

The first 5 years of a child's life are crucial in laying the foundation for their health and developmental trajectory into adulthood. These early years are especially influenced by the surrounding environments in which children live and grow. A large international body of evidence demonstrates that children who experience disadvantage tend to fall increasingly behind over time. At the societal level, these inequities can cause substantial social burdens and significant costs across health, education, and welfare budgets. A contributing factor is that children experiencing adversity are less likely to have access to the environmental conditions that support them to thrive. Many of these factors are modifiable at the community or place level. We argue for three key—though not exhaustive—ideas that collectively could achieve more equitable outcomes for children facing disadvantage and experiencing adversity: 1. Adopt a social determinants approach to conceptualizing disadvantage; 2. Stack existing, evidence-based government and nongovernment service interventions/programs that operate at the local or community level; and 3. Use data and evidence to focus improvements for more equitable and adaptive systems.We conclude that if adopted, these 3 ideas could contribute to the ability of local communities and networks to identify and respond to factors that address early childhood inequalities.