Meeting the World Health Organization Maternal Antenatal Care Guidelines Is Associated with Improved Early and Middle Childhood Cognition in Ethiopia

Douglas, David; Waziry, Reem; McCarthy, Ellen P.; Tadesse, Amare Worku; Feyssa, Mekdes Daba; Kawooya, Michael; Sudfeld, Christopher R.

doi:10.1016/j.jpeds.2019.02.032

Cited by 1 publication

(1 citation statement)

References 34 publications

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“…Studies included in the present review also considered the relationships between child development and malaria or HIV (five studies on malaria and 11 studies on HIV). Malaria studies focused primarily on cognitive development ( 44‐47 ) , whereas HIV studies incorporated both cognitive and motor development ( 29,42‐52 ) .…”

Section: Resultsmentioning

confidence: 99%

Nutrition, growth, and other factors associated with early cognitive and motor development in Sub‐Saharan Africa: a scoping review

French

Outhwaite

Langley‐Evans

et al. 2020

J Human Nutrition Diet

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Background: Food insecurity, poverty and exposure to infectious disease are well-established drivers of malnutrition in children in Sub-Saharan Africa. Early development of cognitive and motor skillsthe foundations for learningmay also be compromised by the same or additional factors that restrict physical growth. However, little is known about factors associated with early child development in this region, which limits the scope to intervene effectively. To address this knowledge gap, we compared studies that have examined factors associated with early cognitive and/or motor development within this population. Methods: Predetermined criteria were used to examine four publication databases (PsycInfo, Embase, Web of Science and Medline) and identify studies considering the determinants of cognitive and motor development in children aged 0-8 years in Sub-Saharan Africa. Results: In total, 51 quantitative studies met the inclusion criteria, reporting on 30% of countries across the region. Within these papers, factors associated with early child development were grouped into five themes: Nutrition, Growth and Anthropometry, Maternal Health, Malaria and HIV, and Household. Food security and dietary diversity were associated with positive developmental outcomes, whereas exposure to HIV, malaria, poor maternal mental health, poor sanitation, maternal alcohol abuse and stunting were indicators of poor cognitive and motor development. Discussion: In this synthesis of research findings obtained across Sub-Saharan Africa, factors that restrict physical growth are also shown to hinder the development of early cognitive and motor skills, although additional factors also influence early developmental outcomes. The study also reviews the methodological limitations of conducting research using Western methods in sub-Saharan Africa.

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Section: Resultsmentioning

confidence: 99%