Practitioners in ECE consider picture books an effective instructional tool in early childhood programming in the developed regions of the world. However, many young children from marginalized populations in the developing world have little to no access to them and thus, the effect that picture books could have upon their emergent literacy development is not yet fully known. A qualitative multiple case study was used here to explore whether or not and how the imported picture book could be used to enable young Quechua children in Ayacucho, Peru increase emergent reading comprehension skills. Participants include eleven Quechua children ages three to five years from two separate school sites and two native Quechua teachers. Children were asked to draw a picture of a house and a bug one day prior to imported picture book exposure and each of five days post exposure. Data were analyzed using a combined social constructionist and picture book theory lens. Resulting from the study analysis, I found how the imported picture books appeared to be effective for the Quechua children. As evidenced by the children's drawings, their understanding of "house" appeared to change from their initial drawings. By day three, the children began to use the imported picture books as resources for independent learning. The teachers used the imported picture books in a culturally relevant manner for the purpose of storytelling and conversation prompting. I found that an imported tool can be effective when the native practitioner is given freedom to use the tool in a manner suited for the culture of the children being served. This information is useful for organizations seeking to provide quality early childhood education among marginalized populations and provides indications for the effective adaptation of instructional tools from one culture to another culture. I recommend additional similar studies among other cultural populations for further clarity. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://bibliotheek.ehb.be:2222/en-US/products/dissertations/individuals.shtml.]