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A Modified Trier Social Stress Test for Vulnerable Mexican American Adolescents
Published on: July 10, 2017
[Child wellbeing and development indicators in Mexico]
Filipa de Castro1, Betania Allen-Leigh1, Gregorio Katz2
1Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública, Cuernavaca, Morelos, México.
Insights
Mexico shows progress in child wellbeing services, yet challenges remain. National monitoring and care systems are crucial for child development and early intervention, especially for children at risk of disability.
Area of Science:
- Child Health
- Developmental Pediatrics
- Public Health
Context:
- Child welfare monitoring in Mexico using ENSANUT 2012 data.
- Comparison with national and international child development benchmarks.
Purpose:
- To present evidence for monitoring child welfare and wellbeing in Mexico.
- To identify persistent challenges in child development services.
Summary:
- 8.37% of infants born with low birth weight; 9.4% of newborns lacked neonatal screening.
- 78.03% of children under 5 were breastfed for at least four months.
- 28% of children received recommended developmental monitoring consultations; 29% had disabilities or were at risk.
Impact:
- Highlights the need for standardized national protocols for child development monitoring and care.
- Informs policy and practice to improve early child development services and outcomes in Mexico.
Objective:
To provide evidence and input for monitoring child welfare and wellbeing in Mexico.
Materials And Methods:
Adjusting for sampling design, information from ENSANUT 2012 for children <10 years was compared with national and international parameters and goals.
Results:
While 8.37% of infants were born with low birth weight (<2,500 g), neonatal screening was not performed on 9.4% of newborns. Of children <5 years, 78.03% were breastfed until at least four months. Among mothers of newborns, 69.5% received training in early stimulation. At the national level, 28% of children (23% in rural areas) received five medical consultations to monitor their early development. 29% of children either had a disability or were at risk of developing one.
Conclusions:
Progress has been made in Mexico in terms of services promoting early child development and wellbeing but important challenges persist. National standards and a system for monitoring, screening, referring and providing care for child development and wellbeing are necessary.
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