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A guide for monitoring child development in low- and middle-income countries

Ilgi O Ertem1, Derya G Dogan, Canan G Gok

  • 1Developmental-Behavioral Pediatrics Unit, Department of Pediatrics, Ankara University School of Medicine, Cebeci, Ankara, 06100 Turkey. ertemilgi@yahoo.com

Pediatrics
|March 4, 2008
PubMed

Insights

A new Guide for Monitoring Child Development aids clinicians in low- and middle-income countries. This tool supports early detection and management of developmental difficulties in young children.

Area of Science:

  • Pediatrics
  • Developmental Pediatrics
  • Global Health

Background:

  • Limited resources exist for monitoring early childhood development in low- and middle-income countries.
  • Developmental difficulties in language, social-emotional, cognitive, behavioral, or neuromotor domains require early detection and management.
  • The Guide for Monitoring Child Development (GMD) was developed to address this gap.

Purpose of the Study:

  • To develop and evaluate the psychometric properties of the GMD monitoring component for children aged 0-24 months.
  • To provide clinicians with a practical tool for monitoring child development and identifying potential issues.
  • To facilitate communication between clinicians and caregivers regarding child development.

Main Methods:

  • Cross-sectional study (N=510) to examine milestone attainment and internal consistency (Study 1).
  • Interrater reliability assessment between medical students and a specialist (N=92) (Study 2).
  • Concurrent validity testing against a comprehensive assessment (N=79) (Study 3).

Main Results:

  • Age-dependent milestone attainment patterns were observed.
  • High interrater reliability (kappa=0.83-0.88) was achieved.
  • The GMD demonstrated high sensitivity (0.88) and specificity (0.93).

Conclusions:

  • The GMD is an innovative, practical tool for healthcare providers in resource-limited settings.
  • Preliminary evidence supports the reliability and validity of the GMD monitoring component.
  • The GMD can aid in the early detection and management of developmental difficulties in young children.
Abstract

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