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Care Beyond Newborn Survival Including Child Health and Early Childhood Development; Mental and Psychological Health

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Abstract

Last couple of decades have witnessed a substantial decline in child mortality. Now, the need of the hour is to ensure the quality survival of children beyond infancy. Adverse events in the first few years of life have a long-lasting effect on child's development, behavior and personality; and effective interventions during this time have maximum impact to prevent these consequences. Nurturing Care for Early Childhood Development (NC-ECD) is a concept adapted worldwide by health agencies to improve the level of optimum care to children in the first 1000 days as promotion of Early Childhood Development (ECD) is integral for overall social and financial progress of the country and its population. The five components of NC-ECD include good health, adequate nutrition, responsive caregiving, safety and security, and opportunities for early learning. This five-pillar approach emphasizes upon providing quality care by catering to needs like responsive caregiving, safe and secure environment and better learning opportunities apart from health and nutrition, which are already addressed by various health programs. Taking care of mental health of child as well as caregiver is another important aspect of providing optimum care to these children. To accomplish these goals, there is a need to integrate ECD with existing public health programmes with additional focus on elements of early learning opportunities, safety and security, and responsive caregiving.

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(Source: World Health Organization, United Nations Children’s Fund, World Bank Group. Nurturing care for early childhood development: A framework for helping children survive and thrive to transform health and human potential. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO)

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References

  1. UNICEF. Under-five mortality. Available at: https://data.unicef.org/topic/child-survival/under-five-mortality. Accessed on 17th Dec 2022.

  2. Bishai D, Cohen R, Alfonso YN, et al. Factors contributing to maternal and child mortality reductions in 146 low- and middle-income countries between 1990 and 2010. PLoS One. 2016;11:e0144908.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Lahariya C, Paul VK. Burden, differentials, and causes of child deaths in India. Indian J Pediatr. 2010;77:1312–21.

    Article  PubMed  Google Scholar 

  4. Lu C, Black MM, Richter LM. Risk of poor development in young children in low-income and middle-income countries: An estimation and analysis at the global, regional and country level. Lancet Glob Health. 2016;4:e916–22.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Tomlinson M, Hunt X, Daelmans B, et al. Optimising child and adolescent health and development through an integrated ecological life course approach. BMJ. 2021;372:m4784.

    Article  PubMed  PubMed Central  Google Scholar 

  6. World Health Organization & United Nations Children's Fund (UNICEF). Protect the progress: Rise, refocus and recover: 2020 Progress report on the every woman every child global strategy for women’s, children’s and adolescents’ health (2016-2030). 2020. Available at: https://apps.who.int/iris/handle/10665/336219. Accessed on 24th Dec 2022.

  7. Summan A, Nandi A, Shet A, Laxminarayan R. The effect of the COVID-19 pandemic on routine childhood immunization coverage and timeliness in India: Retrospective analysis of the National Family Health Survey of 2019–2021 data. Lancet Reg Health. 2023;8:100099.

    Google Scholar 

  8. Venkatesan P. Worrying global decline in measles immunisation. Lancet Microbe. 2022;3:e9.

    Article  PubMed  Google Scholar 

  9. Vaidyanathan G. Massive measles outbreak threatens India's goal to eliminate disease by 2023. Nature. 2022 Dec 22. [Epub ahead of print]. https://doi.org/10.1038/d41586-022-04480-z.

  10. Abbasi J. Amid ohio measles outbreak, new global report warns of decreased vaccination during COVID-19 pandemic. JAMA. 2022 Dec 15. [Epub ahead of print]. https://doi.org/10.1001/jama.2022.23241.

  11. WHO, UNAIDS, UNFPA, UNICEF, UNWomen, The World Bank Group. Survive, Thrive, Transform. Global Strategy for Women’s, Children’s and Adolescents’ Health: 2018 Report on Progress Towards 2030 Targets. Geneva: World Health Organization; 2018 (WHO/FWC/18.20).

  12. Britto PR, Lyes S, Proulx K, et al. Early childhood development interventions review group, for the Lancet early childhood development series steering committee. Nurturing care: Promoting early childhood development. Lancet. 2017;389:91–102.

  13. Ackerman S. The development and shaping of the brain. In Ackerman S, ed. Washington (DC): National Academies Press (US); Discovering the Brain. 1992. P.86-103. Available at: https://www.ncbi.nlm.nih.gov/books/NBK234146. Accessed on 17th Dec 2022.

  14. Walker SP, Wachs TD, Gardner JM, et al. International Child Development Steering Group. Child development: Risk factors for adverse outcomes in developing countries. Lancet. 2007;369:145-57.

  15. Anderson JW, Johnstone BM, Remley DT. Breast-feeding and cognitive development: A meta-analysis. Am J Clin Nutr. 1999;70:525–35.

    Article  CAS  PubMed  Google Scholar 

  16. International Institute for Population Sciences. National Family Health Survey- 5, 2019-21. India Fact Sheets. Available at: http://rchiips.org/nfhs/factsheet_NFHS-5.shtml. Accessed on 25th Dec 2022.

  17. Gee DG, Cohodes EM. Caregiving Influences on development: A sensitive period for biological embedding of predictability and safety cues. Curr Dir Psychol Sci. 2021;30:376–83.

    Article  PubMed  PubMed Central  Google Scholar 

  18. Trude ACB, Richter LM, Behrman JR, et al. Effects of responsive caregiving and learning opportunities during preschool ages on the association of early adversities and adolescent human capital: An analysis of birth cohorts in two middle-income countries. Lancet Child Adolesc Health. 2021;5:37–46.

    Article  PubMed  PubMed Central  Google Scholar 

  19. Fisher J, Cabral de Mello M, Patel V, et al. Prevalence and determinants of common perinatal mental disorders in women in low- and lower-middle-income countries: A systematic review. Bull World Health Organ. 2012;90:139-49G.

  20. Chattopadhyay N, Aneja S. The status of early childhood development in india: will we reach the countdown to 2030 targets? Indian Pediatr. 2021;58:S4-10.

    Article  PubMed  Google Scholar 

  21. Lahariya C. “Ayushman Bharat” program and universal health coverage in India. Indian Pediatr. 2018;55:495–506.

    Article  PubMed  Google Scholar 

  22. Arora NK, Nair MKC, Gulati S, et al. Neurodevelopmental disorders in children aged 2–9 years: Population-based burden estimates across five regions in India. PLoS Med. 2018;15:e1002615.

    Article  PubMed  PubMed Central  Google Scholar 

  23. McCoy DC, Peet ED, Ezzati M, et al. Early childhood developmental status in low- and middle-income countries: National, regional, and global prevalence estimates using predictive modeling. PLoS Med. 2016;13:e1002034.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Transforming our World. The 2030 Agenda for Sustainable Development. New York: United Nations; 2015.

    Google Scholar 

  25. World Health Organization, United Nations Children’s Fund, World Bank Group. Nurturing care for early childhood development: A framework for helping children survive and thrive to transform health and human potential. Geneva: World Health Organization; 2018. Licence: CC BY-NC-SA 3.0 IGO.

  26. Daelmans B, Manji SA, Raina N. Nurturing care for early childhood development: global perspective and guidance. Indian Pediatr. 2021;58:S11–5.

    Article  PubMed  Google Scholar 

  27. Richter LM, Daelmans B, Lombardi J, et al. Investing in the foundation of sustainable development: Pathways to scale up for early childhood development. Lancet. 2017;389:103–18.

    Article  PubMed  Google Scholar 

  28. Rollins NC, Bhandari N, Hajeebhoy N, et al. Why invest, and what it will take to improve breastfeeding practices? Lancet. 2016;387:491–504.

    Article  PubMed  Google Scholar 

  29. Gupta P, Shah D, Bedi N, et al; for the IAP Guideline Committee on Digital Wellness and Screen Time in Infants, Children, and Adolescents. Indian Academy of Pediatrics guidelines on screen time and digital wellness in infants, children and adolescents. Indian Pediatr. 2022;59:235–44.

  30. van Ijzendoorn MH, Bakermans-Kranenburg MJ, Ebstein RP. Methylation matters in child development: Toward developmental behavioral epigenetics. Child Dev Perspect. 2011;5:305–10.

    Article  Google Scholar 

  31. Tomlinson M, Cooper P, Murray L. The mother-infant relationship and infant attachment in a South African peri-urban settlement. Child Dev. 2005;76:1044–54.

    Article  PubMed  Google Scholar 

  32. World Health Organization. Global status report on preventing violence against children. 2020. Available at: https://apps.who.int/iris/rest/bitstreams/1280976/retrieve. Accessed on 17th Dec 2022.

  33. Hillis S, Mercy J, Amobi A, Kress H. Global prevalence of past-year violence against children: A systematic review and minimum estimates. Pediatrics. 2016;137:e20154079.

    Article  PubMed  Google Scholar 

  34. Yousafzai AK, Lynch P, Gladstone M. Moving beyond prevalence studies: Screening and interventions for children with disabilities in low-income and middle income countries. Arch Dis Child. 2014;99:840–8.

    Article  PubMed  Google Scholar 

  35. Reichow B, Servili C, Yasamy MT, Barbui C, Saxena S. Non-specialist psychosocial interventions for children and adolescents with intellectual disability or lower functioning autism spectrum disorders: A systematic review. PLoS Med. 2013;10: e1001572;discussion e. 1001572.

  36. Palamaro Munsell E, Kilmer RP, Cook JR, Reeve CL. The effects of caregiver social connections on caregiver, child, and family well-being. Am J Orthopsychiatry. 2012;82:137–45.

    Article  PubMed  Google Scholar 

  37. Sharma M, Singh T, Juneja M, et al; for Indian Academy of Pediatrics Task Force on NC-ECD in Medical Curriculum. Indian Academy of Pediatrics (IAP) task force recommendations for incorporating nurturing care for early childhood development (NC-ECD) in medical education in India. Indian Pediatr. 2022;59:137–41.

  38. Mukherjee SB, Agrawal D, Mishra D, et al. Indian Academy of Pediatrics position paper on nurturing care for early childhood development. Indian Pediatr. 2021;58:962–9.

    Article  PubMed  Google Scholar 

  39. Evaluation of Usage of Mother and Child Protection Card by ICDS and Health Functionaries. New Delhi. National Institute of Public Cooperation and Child Development; Available at: https://www.nipccd.nic.in/file/reports/mcpc.pdf. Accessed on 26th Dec 2022.

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Authors and Affiliations

  1. Department of Pediatrics, BSA Medical College and Hospital, Delhi, India

    Swati Kalra

  2. Department of Pediatrics, University College of Medical Sciences and GTB Hospital, Delhi, 110095, India

    Dheeraj Shah

  3. National Institute of Health & Family Welfare, New Delhi, 110067, India

    Dheeraj Shah

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  1. Swati Kalra
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SK carried out the literature search, and wrote the first draft of article; DS reviewed the manuscript for important intellectual content, revised it, and finalized it. Both authors approved the final version of the manuscript. DS will act as the guarantor for this paper.

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Correspondence to Dheeraj Shah.

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Kalra, S., Shah, D. Care Beyond Newborn Survival Including Child Health and Early Childhood Development; Mental and Psychological Health. Indian J Pediatr 90 (Suppl 1), 37–46 (2023). https://doi.org/10.1007/s12098-023-04701-x

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