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Related Experiment Video

Updated: Jul 19, 2025

Experimental Paradigm for Measuring the Effects of Self-distancing in Young Children

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Published on: March 1, 2019

The missing middle of childhood.

Maj-Lis Voss¹, Mariam Claeson², Sven Bremberg³

¹NorthSouth Group for Poverty Reduction, Moss Beach, CA, USA.

Global Health Action

|August 7, 2023

Summary

Middle childhood (ages 6-12) is a vulnerable period often overlooked in global health strategies. Developing standardized indicators is crucial for targeted policies and interventions to ensure children thrive.

Keywords:

Missing middle childhood indicators outcomes risk standardization

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Area of Science:

Global Health
Developmental Psychology
Pediatrics

Background:

Middle childhood (ages 6-12) represents a critical developmental stage with significant physical and psychological transitions.
A large proportion of children globally reside in low- and middle-income countries, facing elevated risks for mental ill-health, injuries, and non-communicable diseases.
This age group is often termed the 'missing middle' due to its neglect in global health information systems, policies, and strategies.

Purpose of the Study:

To highlight the critical need for focused attention on middle childhood within global health initiatives.
To emphasize the detrimental impact of the lack of standardized indicators on policy and program development for this age group.
To advocate for the inclusion of middle childhood as an explicit focus in research, interventions, monitoring, and evaluation.

Main Methods:

This study is a review and synthesis of existing literature and global health data concerning middle childhood.
Analysis of the current gaps in global health information systems and policy frameworks related to this age group.
Identification of the need for standardized, comprehensive, and relevant indicators for middle childhood.

Main Results:

Middle childhood is significantly underrepresented in global health data and targeted interventions.
The absence of standardized indicators hinders the development of age-appropriate policies and programs.
Children in middle childhood are at high risk for adverse health outcomes, including mental ill-health and non-communicable diseases.

Conclusions:

Middle childhood requires explicit attention within child-focused research and global health strategies.
The development and implementation of standardized indicators are essential for addressing the health needs of middle childhood.
Prioritizing this age group is crucial for ensuring all children can flourish and thrive, reducing the future burden of disease.