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This paper investigates how preschool attendance is shaped by individual and community factors for 71,806 children from 14,303 communities in 21 low-to middle-income countries using a multilevel analysis. We assess how these mechanisms vary by community and country wealth and the extent to which the variation of preschool uptake can be explained by the characteristics of children living in these communities. We find that of the total variation, 36% was attributable to communities and 12% to countries, with childrens demographic and socioeconomics characteristics explaining 23% of the between community variation. Community wealth and health are crucial determinants; in poor communities with high stunting rates, the chances of preschool attendance are at least halved. Our results suggest that the effect of community on preschool attendance is stronger in poorer countries with greater inequality between communities.

Preschool attendance: a multilevel analysis of individual and community factors in 21 low and middle-income countries