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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.
Abstract:
Low- and middle-income countries are experiencing a significant reduction in mortality of children under 5 years of age. This reduction is bringing in its wake large numbers of surviving children with developmental delays and disabilities. Very little attention has been paid to these children, most of whom receive minimal or no support. Thus, there is an urgent need to recognize that improving the quality of life of the survivors must complement mortality reduction in healthcare practice and programs. The incorporation of early evaluation and intervention programs into routine pediatric care is likely to have the most impact on the quality of life of these children. We therefore call for leadership from practitioners, governments, and international organizations to prioritize regular childhood developmental surveillance for possible delays and disabilities, and to pursue early referral for intervention.
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