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On-site child care

Evidence Rating

Insufficient Evidence

Health Factors

Decision Makers

Employers who offer on-site child care provide employees with child care options at work.  Care may be provided free of charge, partially subsidized as part of an employee benefit package, or provided at market rates.

Expected Beneficial Outcomes (Rated)

  • Increased job satisfaction

  • Reduced absenteeism

  • Increased productivity

Other Potential Beneficial Outcomes

  • Increased breastfeeding rates

Evidence of Effectiveness

There is insufficient evidence to determine whether on-site child care increases job satisfaction and employee productivity, or decreases employee absenteeism. Available evidence suggests that on-site child care may have positive effects; a study of a hospital-based on-site child care suggests possible reductions in absenteeism (), a study of on-site child care at research universities suggests possible increases in employee productivity (), and  a study of internal medicine residency programs suggests that programs that offer on-site child care may have higher board exam pass rates than programs that do not (Atsawarungruangkit 2015). However, early studies of on-site child care find both positive effects and lack of effects, positive or negative, on employee absenteeism, performance, and job satisfaction (, , , ). On-site child care may also increase breastfeeding duration (). Additional evidence is needed to confirm effects.

One study at a large public university indicates that on-site child care could have negative effects on employee productivity and satisfaction when it does not provide high quality care and is not paired with organizational support for family life ().

Impact on Disparities

No impact on disparities likely

Implementation Examples

Nationwide, an estimated 7% of companies provide child care at or near worksites, with large companies more likely to offer it than small employers (FWI-Matos 2014).

Citations - Evidence

* Journal subscription may be required for access.

Ezra 1996* - Ezra M, Deckman M. Balancing work and family responsibilities: Flextime and child care in the federal government. Public Administration Review. 1996;56(2):174-179.

Feeney 2014* - Feeney MK, Bernal M, Bowman L. Enabling work? Family-friendly policies and academic productivity for men and women scientists. Science and Public Policy. 2014;41:750-764.

Gullekson 2014* - Gullekson NL. Vouching for childcare assistance with two quasi-experimental studies. Journal of Managerial Psychology. 2014;29(8):994-1008.

Ratnasingam 2012* - Ratnasingam P, Spitzmueller C, King WR, et al. Can on-site childcare have detrimental work outcomes? Examining the moderating roles of family supportive organization perceptions and childcare satisfaction. Journal of Occupational Health Psychology. 2012;17(4):435-444.

Goff 1990* - Goff SJ, Mount MK, Jamison R. Employer supported child care, work/family conflict, and absenteeism: A field study. Personnel Psychology. 1990;43(4):793-809.

Kossek 1992* - Kossek EE, Nichol V. The effects of on-site child care on employee attitudes and performance. Personnel Psychology. 1992;43(3):485-509.

Atsawarungruangkit 2015 - Atsawarungruangkit A. Relationship of residency program characteristics with pass rate of the American Board of Internal Medicine certifying exam. Medical Education Online. 2015;20(1):28631.

Hilliard 2017* - Hilliard ED. A review of worksite lactation accommodations: Occupational health professionals can assure success. Workplace Health & Safety. 2017;65(1):33-44.

Citations - Implementation Examples

* Journal subscription may be required for access.

FWI-Matos 2014 - Matos K, Galinsky E. 2014 national study of employers. New York: Families and Work Institute (FWI); 2014.

Date Last Updated

Jun 5, 2017