Successful implementation of the Child Health program requires a blend of universal and targeted public health strategies. In The Early Years Study: Reversing the Real Brain Drain (60), McCain and Mustard acknowledge that “targeting measures to support children and families who are at risk or having diffi culties is necessary, but it works within a system available to everyone.” They also emphasized that “since all families and children in all socio-economic circumstances can benefi t from early child development and parenting programs, it is important that programs evolve to be available and accessible to all families in all.