Parental engagement levels remained stable, toward being less actively engaged. In exploring change over the implementation process, at endpoint children were more likely to be observed as more engaged in their play activities ( p < 0.05). Using a rating system which measured both the structure of the tasks, and the emotional engagement of the child and parent, many activities and practices observed were evaluated as providing at least an adequate learning space. A total of 161 Photostories were collected (72 at baseline and 89 at endpoint). Results: We developed a systematic framework to support data capture, analysis, and data utilization using multistep iterative mixed method process. We explored role of Photostory approach in engaging community in process of stimulating positive ECD experiences. This paper utilized collected data to explore utility of rating framework to describe and measure behavior and to track change. We integrated Photostory process into routine visits undertaken during implementation of Stepping-Stones, an ECD intervention program. A standardized rating system was established to monitor levels of, and change in, community practices. A systematic format to capture, archive and evaluate photographic material was developed. Methodology: The Photostory method was built through a cyclical process to describe and explore early-childhood practices in central-India through photographs and stories. Objective: Paper describes development and adaptation of an integrated photostory approach documenting actions and stimulating positive change in Early Child Development (ECD). Photographs and narratives also engage decision makers, inspiring changes in policy and practice. Background: Capturing real-life practices through photographs provides an opportunity to create awareness and focus discussions on relevant issues in community.
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