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Updated: Jul 23, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
Care Beyond Newborn Survival Including Child Health and Early Childhood Development; Mental and Psychological Health
Swati Kalra1, Dheeraj Shah2,3
1Department of Pediatrics, BSA Medical College and Hospital, Delhi, India.
Insights
Ensuring quality child survival beyond infancy is crucial. Nurturing Care for Early Childhood Development (NC-ECD) integrates health, nutrition, responsive caregiving, safety, and learning for optimal child development.
Area of Science:
- Child Development
- Public Health
- Pediatrics
Background:
- Child mortality has significantly declined, shifting focus to quality survival and long-term development.
- Early life interventions are critical for preventing lasting negative effects on child development, behavior, and personality.
- Early Childhood Development (ECD) is vital for national social and financial progress.
Purpose of the Study:
- To highlight the importance of Nurturing Care for Early Childhood Development (NC-ECD) for children in the first 1000 days.
- To emphasize the five pillars of NC-ECD: health, nutrition, responsive caregiving, safety, security, and early learning opportunities.
- To advocate for the integration of ECD principles into existing public health programs.
Main Methods:
- The study reviews the concept of Nurturing Care for Early Childhood Development (NC-ECD).
- It analyzes the five core components of NC-ECD and their significance.
- It discusses the integration of ECD with current public health initiatives.
Main Results:
- NC-ECD provides a comprehensive framework for optimal child care beyond basic health and nutrition.
- The framework addresses critical areas such as responsive caregiving, safety, security, and early learning.
- Integration of these elements is essential for holistic child development.
Conclusions:
- Effective interventions in early childhood are paramount for lifelong well-being.
- Nurturing Care for Early Childhood Development (NC-ECD) offers a vital framework for quality child survival.
- Integrating ECD, particularly early learning, safety, security, and responsive caregiving, into public health programs is necessary.
Abstract:
Last couple of decades have witnessed a substantial decline in child mortality. Now, the need of the hour is to ensure the quality survival of children beyond infancy. Adverse events in the first few years of life have a long-lasting effect on child's development, behavior and personality; and effective interventions during this time have maximum impact to prevent these consequences. Nurturing Care for Early Childhood Development (NC-ECD) is a concept adapted worldwide by health agencies to improve the level of optimum care to children in the first 1000 days as promotion of Early Childhood Development (ECD) is integral for overall social and financial progress of the country and its population. The five components of NC-ECD include good health, adequate nutrition, responsive caregiving, safety and security, and opportunities for early learning. This five-pillar approach emphasizes upon providing quality care by catering to needs like responsive caregiving, safe and secure environment and better learning opportunities apart from health and nutrition, which are already addressed by various health programs. Taking care of mental health of child as well as caregiver is another important aspect of providing optimum care to these children. To accomplish these goals, there is a need to integrate ECD with existing public health programmes with additional focus on elements of early learning opportunities, safety and security, and responsive caregiving.
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