Related Experiment Video
Updated: May 8, 2026

Comprehensive & Cost Effective Laboratory Monitoring of HIV/AIDS: an African Role Model
Published on: October 31, 2010
Optimising the use of routine immunisation clinics for early childhood development in sub-Saharan Africa
1Maternal and Child Health Unit, Department of Community Health and Primary Care, College of Medicine, University of Lagos, Nigeria. b.olusanya@ich.ucl.ac.uk
Insights
Integrating developmental disability screening into routine immunisation programs like BCG and DPT can improve child survival and lifelong development in developing regions.
Area of Science:
- Global Health
- Developmental Pediatrics
- Public Health Interventions
Background:
- High infant and child mortality in developing regions are linked to lifelong developmental impairments in survivors.
- Routine immunisation programs are established platforms for delivering child health interventions.
Purpose of the Study:
- To evaluate the integration of developmental disability detection and management into routine immunisation programs.
- To shift focus from child survival alone to include early childhood development.
Main Methods:
- Pilot programs in sub-Saharan Africa demonstrated the feasibility of integrating interventions into BCG and DPT immunisations.
- Utilized existing immunisation infrastructure for early detection and management of developmental disabilities.
Main Results:
- Successful integration of developmental interventions into immunisation schedules was shown in pilot studies.
- Demonstrated a viable model for extending child survival programs to address developmental needs.
Conclusions:
- Routine immunisation programs offer effective platforms for integrated interventions beyond child survival.
- Such integrated programs align with global strategies like GIVS and UN/World Bank early childhood development policies.
- Widespread encouragement and support from developmental partners are recommended for these integrated programs in sub-Saharan Africa.
Abstract:
There is now ample evidence that factors that account for high infant and child mortality in sub-Saharan Africa and other developing regions are also associated with lifelong developmental impairments in the survivors from early childhood. Of all routine immunisation programmes widely administered soon after birth, bacille Calmette-Guérin (BCG) and diphtheria-pertussis-tetanus (DPT) offer effective platforms to implement a package of interventions that extend beyond child survival to include the early detection and prompt management of developmental disabilities as recently demonstrated in some pilot programmes in sub-Saharan Africa. This paradigm shift is consistent with the Global Immunisation Vision and Strategy (GIVS) of UNICEF/WHO for integrated interventions. It also accords with the current early childhood development policies of all major UN organisations and the World Bank. Such integrated programmes should now be widely encouraged throughout the region by its developmental partners.
More Related Videos
Related Concept Videos
Vaccinations
Methods Of Healthcare Delivery System
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Primary Healthcare Services
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
Development of Immunocompetence
The initial cells that migrate from the fetal thymus settle within the skin and epithelial tissues lining the mouth, digestive tract, and in females, the uterus and vagina. These cells, including skin-based dendritic cells, serve as antigen-presenting cells, playing a key role in T cell activation.
Subsequent T...
Drug Dosing: Infants and Children
Pharmacokinetics in Pediatric Patients: Drug Excretion

