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Environmental influences on Child Health Outcomes (ECHO) Program | National Institutes of Health (NIH)

The ECHO Program has two major components, the ECHO Cohort—for observational research, and the ECHO Institutional Development Award (IDeA) States Pediatric Clinical Trials Network (ISPCTN)—for intervention research.

Skip to main content Official websites use .gov A .gov website belongs to an official government organization in the United States. Secure .gov websites use HTTPS A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites. Breadcrumb Environmental influences on Child Health Outcomes (ECHO) Program Register now for the ECHO Science to Action Symposium on September 15 ECHO helps tests new approaches to treat babies born with Neonatal Opioid Withdrawal Syndrome (NOWS) ECHO Awards More Than $157 Million for Observational Research Into Environmental Influences on Child Health Review the latest research summaries for all ECHO publications Mission To enhance the health of children for generations to come. About ECHO Understanding the effects of environmental exposures on child health and development is a priority for the National Institutes of Health. To advance knowledge in this area, in 2016 NIH launched an extramurally funded program within the Office of the Director called the Environmental influences on Child Health Outcomes (ECHO) Program. ECHO combines observational and intervention research to answer big questions about how influences on early human development—even before conception—affect us throughout our lives and across generations. ECHO focuses on five pediatric health outcome areas: pre-, peri- and postnatal; upper and lower airway; obesity; neurodevelopment; and positive health, such as happiness and a sense of well-being. Because ECHO scientists have many different areas of expertise, research can look at the whole child, not just one disease or outcome area. Learn more » Learn more about ECHO For more details about the ECHO Program, please use the menu on the left to navigate this NIH ECHO website. To learn more about our research and find information for families, stakeholder organizations, and researchers, please visit the ECHO Coordinating Center website. Contact ECHO Email us 301-435-5236 Subscribe to the ECHO Connector Newsletter Stay updated with the latest ECHO news, announcements, and profiles of research and investigators. Subscribe to the monthly ECHO Connector newsletter. Follow ECHO on Twitter This page last reviewed on July 16, 2025 www.nih.gov An official website of the Department of Health and Human Services Looking for U.S. government information and services? Visit USA.gov