South Africa does not lack early childhood development (ECD) programmes. Across the country, nonprofit organisations, community groups and practitioners are working to support young children and their caregivers.
Many of these programmes are well designed and deeply committed to improving children’s lives. However, poverty, inequality and poor early outcomes remain widespread. The question is not whether ECD works, but why so many children are still being missed.
A 2017 research report titled ‘Effective early childhood development programme options meeting the needs of young South African Children’, sets out to answer this question by examining how ECD programmes operate in practice. Rather than focusing solely on policy intent, the study examined what actually happens on the ground, drawing on 12 detailed case studies of both centre-based and non-centre-based ECD programmes.
The programmes reviewed included:
- Family in Focus Programme (Foundation for Community Work), a home-visiting programme focusing on family outreach and early learning in the Western Cape.
- Parent-Infant Intervention Home Visiting Programme (The Parent Centre), which promotes parent-infant attachment and provides support to vulnerable mothers.
- Integrated ECD Community Development Programme (Khululeka), which focuses on family health, hygiene, safety and nutrition through home visits, food gardens and workshops.
- Cotlands Early Learning Playgroups Programme (Cotlands), non-centre-based playgroups for children aged 0-4 years, supported by toy libraries.
- Cotlands Toy Libraries Programme (Cotlands), which provides access to educational toys and resources for children, families and ECD practitioners.
- The Unlimited Child ECD Programme (The Unlimited Child), which offers structured training and resources for ECD practitioners to improve early learning outcomes.
- Fonix Literacy and Numicon Mathematics Programmes (Knysna Education Trust), which focus on literacy and numeracy development through practical, easy-to-use programmes.
- Principals Training Programme (Ikamva Labantu), which enhances leadership and governance skills for ECD centre principals.
- ECD Learnership Programme (College of Cape Town), which provides accredited Level 4 and Level 5 qualifications for ECD practitioners.
A system that leaves many children behind
Nearly half of South Africa’s population is under 25, and about 6.4 million children are under the age of six. Every year, more than a million children are born into a society shaped by deep inequality, including poverty, malnutrition, limited access to healthcare and poor learning opportunities.
Despite the importance of ECD, access to services remains deeply uneven. Around 60% of children live in households earning less than R544 a month, and many rely on social grants for survival. Rural children face particularly high barriers to early learning and care.
The government has made progress, including expanding access to basic services such as safe drinking water and introducing a comprehensive National Integrated Early Childhood Development Policy. However, large numbers of young children still fall outside formal systems of support, especially those who are not attending ECD centres.
Looking beyond policy to practice
The research reviewed 57 ECD programme submissions and assessed them against national standards using a structured rating framework. The aim was not to identify a single “best” model, but to understand what works, where gaps exist, and how different approaches compare in terms of reach, depth and cost.
One of the clearest findings is that South Africa has many high-quality ECD programmes that significantly improve children’s lives. However, these programmes often operate in isolation, with minimal coordination across the sector. There is wide variation in programme quality, target numbers and costs, limiting the overall impact of ECD provision.
Reaching children beyond ECD centres
The study highlights the critical importance of non-centre-based programmes. Around 63% of children in South Africa are not in centre-based ECD provision, due to affordability constraints, limited availability, parental circumstances and low awareness of the importance of ECD.
For many of these children, home-visiting programmes, playgroups and toy libraries are the only forms of early learning and support available. Yet the research found that government expenditure is still heavily skewed towards centre-based programmes, leaving the majority of young children effectively excluded.
Deep geographic inequality in ECD provision
Another major concern is the uneven geographic spread of ECD services. The research found a concentration of high-quality ECD nonprofits in the Western Cape, alongside a lack of provision in many other provinces.
Rural areas are particularly underserved, even though 44% of South African children live in rural households. Only a small number of ECD programmes explicitly target rural communities, and current funding patterns do little to address this imbalance.
When policy is at odds with reality
The research identifies a clear mismatch between policy frameworks and the delivery of ECD services in practice. Non-centre-based programmes play a vital role in reaching excluded children, yet there is no provision for these models in the Children’s Act.
As a result, toy libraries and other outreach programmes are often required to comply with centre-based registration and infrastructure standards that are ill-suited to their delivery model. This creates unnecessary barriers and undermines the sustainability and scalability of effective programmes.
Different models, different strengths
The research confirms that no single ECD model can meet all needs. By analysing cost, reach and depth across the 12 case study programmes, clear trade-offs emerge:
- Large-scale ECD practitioner training programmes are the most cost-effective and reach the highest number of children indirectly, but offer lower frequency and depth of intervention.
- Centre-based programmes provide the highest intensity and duration of support, but reach fewer children and are the most expensive per child.
- Home-visiting and out-of-centre outreach programmes fall between these extremes, offering moderate reach and depth, and proving particularly effective in vulnerable and hard-to-reach communities.
The analysis showed a positive correlation between cost-effectiveness and reach, with programmes that reached the most children generally offering lower-frequency interventions. This underscores the need for a balanced portfolio of ECD investments, rather than a one-size-fits-all approach.
Systemic barriers to scaling what works
Beyond individual programmes, the research identifies significant system-level constraints. Political commitment to ECD remains weak, funding is limited and unevenly distributed, and both the government and the nonprofit sector face serious capacity challenges.
Impact evaluations that measure child outcomes are rare, monitoring systems vary widely, and many programmes lack formal theories of change. Without stronger systems for learning, coordination and accountability, even effective programmes struggle to reach scale.
Crucially, over 80% of children aged 0-4 in the poorest 40% of households are excluded from registered ECD programmes and therefore from national budget calculations. This means public funding is not reaching the youngest and most vulnerable children, particularly those in the first 1 000 days of life.
What this means for corporates and CSI practitioners
The research makes one thing clear: South Africa does not need more isolated pilot projects. It needs smarter, system-aware investment.
For corporates and CSI practitioners, this means:
- Investing in non-centre-based programmes that are proven to reach excluded children.
- Supporting large-scale training and capacity-building initiatives that offer high reach and cost-effectiveness.
- Funding partnerships and collaboration across provinces to address geographic inequality.
- Backing monitoring, evaluation and learning systems, rather than delivery alone.
- Prioritising programmes that support children from conception to age two, where returns are highest and access is lowest.
ECD works. The challenge is not proving its value, but building the conditions that allow effective programmes to reach every child who needs them. Smarter CSI investment – aligned with evidence, equity and scale – can play a decisive role in closing South Africa’s early childhood development gap.

