Priorities for Early Childhood Development in Low-Income Countries
Priorities for Early Childhood Development in Low-Income Countries
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DOI：
10.1097/dbp.0b013e318221b8c5
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发表时间：
2011-07-01
影响因子：
2.4
通讯作者：
Olusanya, Bolajoko O.
中科院分区：
文献类型：
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作者：
Olusanya, Bolajoko O.
低收入国家在降低儿童死亡率方面取得显着进展的同时，儿童幸存者人口迅速增加，预期寿命增加。然而，许多人在基础的最初几年有特殊的保健需求，以获得最佳的健康、教育和职业地位。因此，对幼儿发展(幼儿发展)的投资至关重要，但可能会因缺乏足够的资源而受到限制，从而不可避免地确定优先事项。对撒哈拉以南非洲和南亚现行幼儿发展方法的审查表明，迫切需要针对所有关键的幼儿发展领域的发展残疾儿童采取协调一致的多学科和跨部门举措，并以现有证据为指导，确定干预的最佳时机。这一重点将需要适当的国家幼儿发展政策，修改发展中国家当前的全球幼儿发展计划，以及儿科医生和其他相关服务提供者之间更积极的合作。
The remarkable progress in reducing child mortality in low-income countries is now accompanied with a rapidly expanding population of child survivors and increased life expectancy. However, many have special health care needs in the early foundational years for optimal health and educational and vocational status. Investment in early childhood development (ECD) is therefore crucial but likely to be constrained by lack of adequate resources making priority-setting inevitable. A review of current ECD approaches in sub-Saharan Africa and South Asia shows that concerted multidisciplinary and cross-sectoral initiatives targeted at children with developmental disabilities across all crucial domains of ECD and guided by available evidence on optimal timing for interventions are urgently required. This focus would necessitate appropriate national ECD policies, modifications to the current global ECD programs in the developing world, and a more active collaboration between pediatricians and other related service providers.