NC Early Childhood Action Plan: Achieving Goals with Innovative, Evidence-based Policy Solutions (2019-2020)


Early childhood is a crucial developmental period that sets the foundation for success later in life. The North Carolina Department of Health and Human Services released a draft Early Childhood Action Plan that documents goals related to improving outcomes for young children. It reflects efforts by the state to establish a comprehensive approach to improving health and well-being of young children by addressing their physical health, social and emotional well-being, cognitive development, learning competencies and social environments.

Established by the North Carolina Early Childhood Advisory Council, the plan aims to bridge the child service areas historically defined for early childhood and those for the school-age years. To meet its objectives, the state will implement strategies coordinated across a broad array of service sectors and professionals.

The Early Childhood Action Plan outlines 10 goals with specific targets, but what is lacking from the plan is a clear strategy and the evidence behind potential interventions.

Project Description

The research and evidence base available to policymakers for young children is substantial, yet translation of research into practice has been limited. Innovative, practical and evidence-based policy solutions targeting these identified goals are needed. This Bass Connections project will compile scientific and practical knowledge to inform North Carolina’s Early Childhood Councils on how the state can achieve and track the goals in the Early Childhood Action Plan.

The project team will conduct a systematic review of the empirical literature, compile a review of policies and practices within the counties and regions in North Carolina and other states and conduct interviews with key stakeholders. The team will then write policy briefs and comparative reviews of identified strategies and explore potential implementation plans to offer suggestions on how North Carolina can meet its 2025 targets.

Team members will develop implementation strategies considering such factors as costs, what potential savings there might be and how the strategies would be implemented by providers. The team will work with members of the North Carolina Early Childhood Administration Credential to prioritize identified goals and metrics and review intervention strategies for specific targets. Team members will identify and solicit feedback from the stakeholders through focus groups and semistructured interviews.

Anticipated Outputs

Literature review paper; policy brief; peer-reviewed article; manuscript describing potential strategies on childhood development; presentations within Duke and at state conferences


Fall 2019 – Summer 2020

  • Fall 2019: Conduct background literature review; identify and recruit key stakeholders; design and conduct interviews; summarize and discuss interview findings; develop targets for systematic review
  • Spring 2020: Draft systematic review; develop policy brief; present findings to council and find other dissemination opportunities
  • Summer 2020 (Optional): Revise research and policy memo addendum; work with stakeholders to develop specific intervention proposals

Team Outputs to Date

Social-Emotional Health in Early Childhood (Fortin Foundation Bass Connections Virtual Showcase 2020)

Measuring and Addressing Social-Emotional Well-Being in Early Childhood (poster by Nathaniel Neptune, Rasheca Logendran, Ellie Winslow, Emma Garman, Ainsley Buck, Sophie Hurewitz, Reed Kenny, Rushina Cholera, Michelle Franklin, Beth Gifford, KK Lam, Gillian Schmidler; runner up, Bass Connections 2020 poster competition; winner, EHDx 2020 poster competition)

Measuring and Addressing Social-Emotional Well-Being in Early Childhood (presentation by Ainsley Buck, Emma Garman, Sophie Hurewitz, Reed Kenny, Rasheca Logendran, Ellie Winslow, Nathaniel Neptune, Duke-Margolis Seminar in Health Policy & Management, Duke University, April 17, 2020)

This Team in the News

Bass Connections Teams Share Research Highlights in a Virtual Showcase

Doctoral Students Honored for Commitment to Outstanding Mentorship

See related team, North Carolina Early Childhood Action Plan: Evidence-based Policy Solutions (2020-2021).


Image: Toddlers at Black Mountain College, Summer 1948, shared by David Silver (Black Mountain College Collection, Western Regional Archive, Asheville, North Carolina), licensed under CC BY-NC-SA 2.0

Toddlers at Black Mountain College, Summer 1948.

Team Leaders

  • Rushina Cholera, School of Medicine-Pediatrics: Primary Care Pediatrics
  • Elizabeth Gifford, Sanford School of Public Policy-Center for Child and Family Policy
  • Wendy Lam, Clinical and Translational Science Institute
  • Gillian Sanders Schmidler, School of Medicine-Population Health Sciences|Margolis Center for Health Policy

/graduate Team Members

  • Michelle Franklin, Nursing-PHD
  • Nathaniel Neptune, Business Administration-MBA, Medicine MD Third Year

/undergraduate Team Members

  • Ainsley Buck
  • Emma Garman, Public Policy Studies (AB)
  • Sophie Hurewitz
  • Reed Kenny, Public Policy Studies (AB), Global Health (AB2)
  • Rasheca Logendran, Public Policy Studies (AB)
  • Erin Winslow, Public Policy Studies (AB)

/yfaculty/staff Team Members

  • Deborah Best, School of Medicine-Pediatrics
  • Anna Gassman-Pines, Sanford School of Public Policy
  • Kathryn Lallinger, Margolis Center for Health Policy
  • Corinna Sorenson, School of Medicine-Population Health Sciences|Margolis Center for Health Policy
  • Charlene Wong, School of Medicine-Pediatrics: Primary Care Pediatrics
  • Charles Wood, School of Medicine-Pediatrics: Primary Care Pediatrics

/zcommunity Team Members

  • Laura Benson, Partnership for Children
  • North Carolina Department of Health and Human Services
  • Ben Rose, Durham County Department of Social Services