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On-site child care

Health Factors: Employment
Decision Makers: Employers & Businesses Local Government State Government Federal Government
Evidence Rating: Insufficient Evidence
Population Reach: 50-99% of WI's population
Impact on Disparities: No impact on disparities likely

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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

Increased job satisfaction
Reduced absenteeism
Increased productivity
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 (Gullekson 2014) and a study of on-site child care at research universities suggests possible increases in employee productivity (Feeney 2014). 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) and a North Carolina-based study of manufacturing facilities indicates workers place a high value on on-site child care centers, even if they do not have children (Connelly 2004). 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 (Goff 1990, Kossek 1992, Ezra 1996, Barcenas-Frausto 2009, Gullekson 2014). Additional evidence is needed to confirm effects.

On-site child care may also increase breastfeeding duration (Hilliard 2017). 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 (Ratnasingam 2012).


United States

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

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. Accessed on December 21, 2017
Barcenas-Frausto 2009* - Barcenas-Frausto J. Family-supportive policies: The employer-sponsored child-care approach as an influence of the relationship between work and family outcomes. The Business Review, Cambridge. 2009;14(1):92-98. Accessed on January 2, 2018
Connelly 2004* - Connelly R, Degraff DS, Willis RA. The value of employer-sponsored child care to employees. Industrial Relations. 2004;43(4):759-792. Accessed on January 2, 2018
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. Accessed on December 21, 2017
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. Accessed on December 21, 2017
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. Accessed on December 21, 2017
Gullekson 2014* - Gullekson NL. Vouching for childcare assistance with two quasi-experimental studies. Journal of Managerial Psychology. 2014;29(8):994-1008. Accessed on December 21, 2017
Hilliard 2017* - Hilliard ED. A review of worksite lactation accommodations: Occupational health professionals can assure success. Workplace Health & Safety. 2017;65(1):33-44. Accessed on February 6, 2018
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. Accessed on December 21, 2017
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. Accessed on December 21, 2017

Citations - Implementation

FWI-Matos 2014 - Matos K, Galinsky E. 2014 national study of employers. New York: Families and Work Institute (FWI); 2014. Accessed on December 21, 2017

Page Last Updated

January 3, 2018

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