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tion. Chamas may help protect children from developmental delay in rural Kenya and other resource-limited settings. Maternal participation in a community-based women's health education program was associated with lower rates of at-risk development compared to the standard of care. Overall, rates of at-risk development were lower than expected for this population, warranting further investigation. Chamas may help protect children from developmental delay in rural Kenya and other resource-limited settings.Recent increases in fertility rates