Addressing Early Childhood Development in Primary Health Care: Experience from a Middle-Income Country

Ertem, İlgi Öztürk; Pekcici, E. Bahar Bingöler; Gok, C. G.; Özbaş, Sema; Özcebe, Hilal; Beyazova, Ufuk

doi:10.1097/dbp.0b013e3181b0f035

Cited by 30 publications

(25 citation statements)

References 38 publications

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“…22,23 In an improvement in the knowledge and practices of these professionals in an immediate assessment and in one conducted a year after the training. 25 Other studies have also demonstrated the effectiveness of child development training processes that are aimed at medical students and primary healthcare professionals, in institutional programs that ensure not only health promotion and disability prevention but also care for children who have been identified as presenting a problem in their development. 26,27 Parents' opinions regarding their children's development have been recognized by many researchers as having high sensitivity and specificity for detecting possible disorders.…”

Section: Discussionmentioning

confidence: 99%

Continuing education on child development for primary healthcare professionals: a prospective before-and-after study

2014

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CONTEXT AND OBJECTIVE: Children's developmental disorders are often identified late by healthcare professionals working in primary care. The aim of this study was to assess the impact of a continuing education program on child development, on the knowledge and practices of these professionals. DESIGN AND SETTING: Prospective single-cohort study (before-and-after study), conducted in the city of Belém, Pará, Brazil. METHODS: Two hundred and twenty-one professionals working in primary healthcare (82.2%) participated in a continuing education program on child development and were assessed before and after implementation of the program through tests on their knowledge of child development, consisting of 19 questions for physicians and 14 for nurses, and questionnaires on their professional practices. RESULTS: One to three years after the program, the mean number of correct answers in the tests had increased from 11.5 to 14.

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Section: Discussionmentioning

confidence: 99%

Continuing education on child development for primary healthcare professionals: a prospective before-and-after study

2014

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“…It is likely that there are multiple factors that influence the acceptance and practice of early detection and intervention, although data are limited. These include physician attitudes, awareness, or interest; 43 insufficient training; 44 doubt about the value of early detection or non‐acceptance of early treatment; 45 uncertainty about how or where to refer; 46 time limitations of the clinic visit and inadequate reimbursement; 47 and cost factors 48 . In some cases practitioners might be legitimately concerned about unnecessarily alerting a family and would prefer to wait until the problem is too obvious to ignore 49 .…”

Section: Current Practice Of Early Detection and Interventionmentioning

confidence: 99%

Global perspective on early diagnosis and intervention for children with developmental delays and disabilities

Scherzer

Chhagan

Kauchali

et al. 2012

Develop Med Child Neuro

134

102

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Low- and middle-income countries are experiencing a significant reduction in mortality of children under 5 years of age. This reduction is bringing in its wake large numbers of surviving children with developmental delays and disabilities. Very little attention has been paid to these children, most of whom receive minimal or no support. Thus, there is an urgent need to recognize that improving the quality of life of the survivors must complement mortality reduction in healthcare practice and programs. The incorporation of early evaluation and intervention programs into routine pediatric care is likely to have the most impact on the quality of life of these children. We therefore call for leadership from practitioners, governments, and international organizations to prioritize regular childhood developmental surveillance for possible delays and disabilities, and to pursue early referral for intervention.

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“…, is a comprehensive package that comprises three components: monitoring, supporting early childhood development and early intervention . The theoretical conceptualisation of the GMCD, research on its standardisation, reliability, validity and applicability in Turkey and its international use has previously been reported . The GMCD is based on a family‐centred, strengths‐based philosophy and it differs from screening tools in a number of ways.…”

Section: Introductionmentioning

confidence: 99%

Validation of the International Guide for Monitoring Child Development demonstrates good sensitivity and specificity in four diverse countries

Ertem

Krishnamurthy²,

Mulaudzi

et al. 2018

Acta Paediatrica

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Aim: It is of critical importance to have internationally constructed tools to address early childhood development. The aim of this second phase of a two-phase study was to examine the sensitivity and specificity of the Guide for Monitoring Child Development (GMCD) in identifying developmental delay in four diverse countries.Methods: The first phase of this 2011-2015 back-to-back study included 4949 children up to 42 months of age from primary healthcare centres in Argentina, India, South Africa and Turkey. Distribution curves were generated to show the ages when the children attained GMCD milestones and those that could be used across sexes and countries were placed in age ranges corresponding to the 85th and 97th percentile point estimates. Phase two examined a separately recruited sample of children in those countries to determine sensitivity and specificity of the GMCD. Results:The validation phase of the 85 milestones in the GMCD identified delayed development in 30% of the 1731 children in the four countries. The sensitivity and specificity ranged from 0.71-0.94 and 0.69-0.82, respectively, for the total sample and the different age groups.

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Addressing Early Childhood Development in Primary Health Care: Experience from a Middle-Income Country

Cited by 30 publications

References 38 publications

Continuing education on child development for primary healthcare professionals: a prospective before-and-after study

Continuing education on child development for primary healthcare professionals: a prospective before-and-after study

Global perspective on early diagnosis and intervention for children with developmental delays and disabilities

Validation of the International Guide for Monitoring Child Development demonstrates good sensitivity and specificity in four diverse countries

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