Global perspective on early diagnosis and intervention for children with developmental delays and disabilities

Alfred L Scherzer1, Meera Chhagan, Shuaib Kauchali

  • 1Department of Pediatrics, Stony Brook University School of Medicine, New York, NY, USA. alfred.scherzer@sbumed.org

Insights

Child survival is improving in low- and middle-income countries, but many children face developmental delays. Early evaluation and intervention are crucial to enhance their quality of life and address unmet needs.

Area of Science:

  • Global child health
  • Developmental pediatrics
  • Public health policy

Background:

  • Child mortality rates are declining in low- and middle-income countries (LMICs).
  • This success results in a growing population of children with developmental delays and disabilities.
  • These children often lack adequate support and attention, highlighting a critical gap in care.

Purpose of the Study:

  • To emphasize the importance of addressing developmental delays and disabilities in surviving children.
  • To advocate for the integration of early evaluation and intervention into routine pediatric care.
  • To call for a shift in focus from solely reducing mortality to improving the quality of life for all children.

Main Methods:

  • The study is a review and advocacy piece, synthesizing existing knowledge on child development and disability in LMICs.
  • It highlights the need for policy changes and program integration.
  • It calls for action from healthcare practitioners, governments, and international organizations.

Main Results:

  • A significant number of children surviving under-five in LMICs have developmental delays or disabilities.
  • Current healthcare practices and programs inadequately address the needs of these children.
  • Early evaluation and intervention are identified as key strategies to improve outcomes.

Conclusions:

  • Improving the quality of life for children with developmental delays and disabilities must be a priority alongside mortality reduction.
  • Integrating developmental surveillance and early intervention into routine pediatric care is essential.
  • Leadership and collaboration are needed to implement these changes effectively.

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