Global research priorities to accelerate early child development in the sustainable development era

Dua, Tarun; Tomlinson, Mark; Tablante, Elizabeth Centeno; Britto, Pia Rebello; Yousfzai, Aisha; Daelmans, Bernadette; Darmstadt, Gary L.

doi:10.1016/s2214-109x(16)30218-2

Cited by 53 publications

(48 citation statements)

References 11 publications

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“…113 Key themes emerging from the exercise include awareness and promotion, identification of risk factors, indicators, impact of interventions, implementation science for interventions, integration and coordination, and use of health economics and social protection strategies. 114 …”

Section: Strengthen Multisectoral Coordination In Support Of Early Chmentioning

confidence: 99%

Investing in the foundation of sustainable development: pathways to scale up for early childhood development

Richter

Daelmans

Lombardi³

et al. 2017

The Lancet

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708

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Building on long-term benefits of early intervention (Paper 2 of this Series) and increasing commitment to early childhood development (Paper 1 of this Series), scaled up support for the youngest children is essential to improving health, human capital, and wellbeing across the life course. In this third paper, new analyses show that the burden of poor development is higher than estimated, taking into account additional risk factors. National programmes are needed. Greater political prioritisation is core to scale-up, as are policies that afford families time and financial resources to provide nurturing care for young children. Effective and feasible programmes to support early child development are now available. All sectors, particularly education, and social and child protection, must play a role to meet the holistic needs of young children. However, health provides a critical starting point for scaling up, given its reach to pregnant women, families, and young children. Starting at conception, interventions to promote nurturing care can feasibly build on existing health and nutrition services at limited additional cost. Failure to scale up has severe personal and social consequences. Children at elevated risk for compromised development due to stunting and poverty are likely to forgo about a quarter of average adult income per year, and the cost of inaction to gross domestic product can be double what some countries currently spend on health. Services and interventions to support early childhood development are essential to realising the vision of the Sustainable Development Goals.

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Section: Strengthen Multisectoral Coordination In Support Of Early Chmentioning

confidence: 99%

Investing in the foundation of sustainable development: pathways to scale up for early childhood development

Richter

Daelmans

Lombardi³

et al. 2017

The Lancet

Self Cite

708

645

View full text Add to dashboard Cite

show abstract

“…Yet more than 200 million children less than age 5 years in low‐ and middle‐income countries are at risk of not achieving their full developmental potential (Black et al, ; Grantham‐McGregor et al, ; Walker et al, ; Walker et al, ). Recognition of the breadth and severity of this problem is reflected by the inclusion of early child development as part of the Sustainable Development Goals (Dua et al, ).…”

Section: Introductionmentioning

confidence: 99%

Diet quality over time is associated with better development in rural Nepali children

Miller

Neupane

Joshi

et al. 2020

Maternal & Child Nutrition

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Developmental delays affect between 150 and 200 million children <5 years of age worldwide. Outside of diet supplement studies, relatively little is known about the relationships between diet quality and developmental status in resource‐poor settings. We examined associations between different aspects of dietary quality (dietary diversity score [DDS] and animal‐source food [ASF] consumption) and child development (assessed using the Ages and Stages Questionnaire‐3 [ASQ‐3]) among children whose families were enrolled in a community development intervention trial (implemented by Heifer Nepal) in western Nepal. Two sets of analyses were performed: (a) cross‐sectional Sample (N = 629) seen at the endline survey and (b) longitudinal sample (N = 269) with complete dietary records (six surveys over 48 months). In both samples, child development was significantly related to household wealth, maternal education, and especially home environmental quality. In the cross‐sectional sample, greater consumption of eggs (adjusted odds ratio [aOR] 0.80, p = .04) or dairy products (aOR 0.95, p = .05) over the previous 7 days significantly reduced odds of low total ASQ score, by logistic regression analysis. In the longitudinal sample, only egg consumption and cumulative DDS and ASF scores were associated with significantly reduced odds of low total ASQ score (aORs 0.59–0.89). In adjusted linear regression analysis, both cumulative DDS (β [CI]: 1.92 [0.4, 3.5]) and ASF scores (2.46 [0.3, 4.7]) were significantly associated with greater continuous total child development. Programmes targeting child development must address home environmental quality as well as long‐term diet quality.

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“…Considering stunting, in particular, as a direct indicator of poor neurodevelopment is an oversimplification and may lead to overestimation of the number of children unable to attain their full developmental potential. In a recent article on global research priorities in accelerating early child development, the need to ascertain and establish the strength of association between stunting and cognitive development was identified as a key issue . Stunting was originally intended as a population level anthropometric indicator of children's social and economic deprivation .…”

Section: Discussionmentioning

confidence: 99%

“…Each unit increase in height‐for‐age z ‐scores (HAZ) for young children was associated with 0.24 SD increase in their cognitive ability and 0.38 SD increase in motor scores . Substantial global public health efforts have been directed to improve linear growth in early childhood with one of the intentions to enhance child development . This is particularly important in early life until two to three years after birth since brain development is at its acme and sensitive to environmental factors such as nutritional deficiencies, infections and stress .…”

Section: Introductionmentioning

confidence: 99%

Parental height modifies the association between linear growth and neurodevelopment in infancy

et al. 2019

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Aim: To estimate the extent to which maternal and paternal height modify the association between length-for-age Z-score (LAZ) and neurodevelopmental outcomes assessed by the Bayley Scales of Infant and Toddler Development, 3rd Edition (Bayley-III).Methods: Baseline data from a clinical trial in 600 Nepalese infants aged six to 11 months with LAZ less than À1 were utilised. The primary exposure was the LAZ score, interaction variables were maternal and paternal height, and the outcomes were Bayley-III cognitive, language and motor scaled scores. Linear regression and generalised additive model (GAM) were used to identify potential interactions.Results: Linear regression analysis stratified by parental height categories showed that association between unit increase in LAZ and cognitive scaled score differed across maternal (normal height: ß 1.16, 95% CI; 0.75, 1.57 and short height: ß 0.67, 95% CI; 0.28, 1.05) and paternal (normal height: ß 1.32, 95% CI; 0.91, 1.72 and short height: ß 0.61, 95% CI; 0.03, 1.18) height categories. Maternal height also modified the association between LAZ and fine motor scaled score. Conclusion:The association between LAZ and neurodevelopmental outcomes was attenuated when maternal and paternal height was taken into account. Parental stature should be considered when using LAZ as a proxy for neurodevelopment among infants.

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Global research priorities to accelerate early child development in the sustainable development era

Cited by 53 publications

References 11 publications

Investing in the foundation of sustainable development: pathways to scale up for early childhood development

Investing in the foundation of sustainable development: pathways to scale up for early childhood development

Diet quality over time is associated with better development in rural Nepali children

Parental height modifies the association between linear growth and neurodevelopment in infancy

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