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Surviving and Thriving: Early Intervention for Neonatal Survivors With Developmental Disability in Uganda
Cally J Tann1, Maya Kohli-Lynch1, Ruth Nalugya1
1Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).
Insights
Early intervention programs are vital for children with developmental disabilities, especially in low-resource settings. The ABAaNA (now Baby Ubuntu) program shows promise in improving outcomes for these children and their families.
Area of Science:
- Global child development research
- Disability studies in low- and middle-income countries
- Neonatal care and outcomes
Background:
- Millions of children with developmental disabilities in low- and middle-income countries require targeted support.
- Neonatal conditions like prematurity and encephalopathy often lead to early child developmental disability.
- The first thousand days of life represent a critical window for neuroplasticity and intervention.
Purpose of the Study:
- To address the need for early intervention programs for young children with developmental disability.
- To improve participation and quality of life for children with developmental disability and their families.
- To pilot and evaluate a group participatory early intervention program.
Main Methods:
- Development and piloting of the ABAaNA (now Baby Ubuntu) early intervention program.
- Focus on group participatory methods for children with developmental disability and their families.
- Ongoing feasibility trial to assess program effectiveness.
Main Results:
- The ABAaNA program demonstrated feasibility and acceptability in its pilot phase.
- Early evidence suggests a positive impact on children with developmental disability and their families.
- A feasibility trial is currently underway to further validate findings.
Conclusions:
- Early, participatory intervention programs are crucial for children with developmental disability.
- The Baby Ubuntu program shows potential for improving outcomes in resource-limited settings.
- Future research will focus on scaling up and evaluating the program's impact broadly.
Abstract:
Global attention on early child development, inclusive of those with disability, has the potential to translate into improved action for the millions of children with developmental disability living in low- and middle-income countries. Nurturing care is crucial for all children, arguably even more so for children with developmental disability. A high proportion of survivors of neonatal conditions such as prematurity and neonatal encephalopathy are affected by early child developmental disability. The first thousand days of life is a critical period for neuroplasticity and an important window of opportunity for interventions, which maximize developmental potential and other outcomes. Since 2010, our group has been examining predictors, outcomes, and experiences of neonatal encephalopathy in Uganda. The need for an early child intervention program to maximize participation and improve the quality of life for children and families became apparent. In response, the "ABAaNA early intervention program," (now re-branding as 'Baby Ubuntu') a group participatory early intervention program for young children with developmental disability and their families, was developed and piloted. Piloting has provided early evidence of feasibility, acceptability, and impact and a feasibility trial is underway. Future research aims to develop programmatic capacity across diverse settings and evaluate its impact at scale.
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