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Consensus Statement of Indian Academy of Pediatrics on Early Childhood Development
Ketan Bharadva1, Digant Shastri2, Narayan Gaonkar3
1Infant and Young Child Feeding Chapter of Indian Academy of Pediatrics (2019-2020), India. Correspondence to: Dr. Ketan Bharadva, Masoom Children's Hospital, 1st Floor - Mayuri Apartment, Bhulka Bhavan Crossing, Near Water Tank, Adajan, Surat 395009, Gujarat State, India. doctorketan@gmail.com.
Insights
Promoting early childhood development (ECD) is crucial for lifelong well-being. This consensus statement provides a framework for pediatricians to enhance ECD interventions, focusing on early years and equitable access for all children.
Area of Science:
- Pediatrics
- Developmental Pediatrics
- Public Health
Background:
- Early Childhood Development (ECD) significantly impacts lifelong learning, health, and socio-emotional functioning.
- A consensus statement is essential to guide pediatricians in improving patient care and advancing ECD research.
Purpose of the Study:
- To formulate, endorse, and disseminate a consensus advisory statement on Early Childhood Development (ECD) from an Indian perspective.
- To establish a framework for ECD interventions, considering current resource levels and future development.
Main Methods:
- A National Consultative Meeting was convened by the Indian Academy of Pediatrics.
- Experts from various pediatric subspecialties and organizations participated in the meeting.
Main Results:
- Interventions should span from conception to adolescence, with a priority on the first three years.
- Pediatric clinics are identified as cost-effective points for ECD guidance and interventions.
- Inclusive and equitable approaches are vital, especially for vulnerable populations.
Conclusions:
- ECD interventions require an integrated approach involving caregivers, communities, and policymakers.
- Advocacy and supportive environments are crucial for effective ECD.
- Further research into cost-effective, scalable interventions is recommended.
Justification:
Early Childhood Development (ECD) has lifelong impact on learning, education, productivity, socio-emotional functioning, health and disease. A Consensus Statement for promoting ECD is needed to improve patient care and promote research.
Process:
Indian Academy of Pediatrics convened a National Consultative Meeting on 20 September, 2019 at Surat to discuss the way forward for pediatricians in ECD and form a consensus advisory statement. Experts from Chapters of Infant and Young Child Feeding, Neurodevelopmental Pediatrics, Neonatology, Growth Development and Behavior, Adolescent Health Academy, Parenting for Peace and UNICEF participated.
Objectives:
To formulate, endorse and disseminate a consensus advisory statement of working at current levels of resources and to build future framework for ECD from Indian perspective.
Conclusions:
Interventions for ECD should begin from conception to adolescence, prioritized in first 3 years, inclusive and equitable for all, especially for high risk, vulnerable and marginalized families. Pediatric clinics can play a pivotal role as cost effective delivery points for guidance and interventions. Age appropriate approaches, active care giver's involvement, advocacy and integration with different sectors, community and policy makers should be done to enable supportive environment. Research should be promoted into finding cost effective novel scalable interventions.
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