Building Blocks to Excellence in Child Development Indicators: An Inclusive Perspective

PsycCRITIQUES ◽  
2008 ◽  
Vol 53 (50) ◽  
Author(s):  
Veda E. Brown
F1000Research ◽  
2020 ◽  
Vol 9 ◽  
pp. 677
Author(s):  
Eugena Stamuli ◽  
Gerry Richardson ◽  
Michael Robling ◽  
Michelle Edwards ◽  
David Torgerson ◽  
...  

Background: Complex health and social care interventions impact on a multitude of outcomes. One such intervention is the Family Nurse Partnership (FNP) programme, which was introduced to support young, first-time mothers. Our study quantified the relative values that the general public place on the outcomes of FNP, as they were identified and measured in the relevant randomized trial, Building Blocks trial (BBs). Methods: A discrete choice experiment (DCE) was employed. Respondents chose between two scenarios describing hypothetical sets of trial outcomes. BBs compared FNP care for teenagers expecting their first child with standard NHS care. 14 attributes covered three areas: pregnancy and birth, child development and maternal life course. Due to large number of attributes, a “blocked attributes” approach was adopted: the attributes were split across four designs which contained two common attributes. Data were analysed separately for each design as well as pooled across four designs. Random effects probit model was employed for the analysis. Results: Over 1000 participants completed four designs. The analyses on the separate designs and those on pooled data yielded broadly similar results. Respondents valued higher the outcomes related to child development and their needs, followed by the outcomes related to maternal life course. Preferences varied by the age of the respondents but not by their guardianship/parentship status.  Conclusions: Individual preferences were consistent with a priori expectations and were intuitive.  The DCE results can be used to incorporate the general public preferences into the decision making process for which public health and social care policies should be adopted.


BMJ Open ◽  
2019 ◽  
Vol 9 (11) ◽  
pp. e028361 ◽  
Author(s):  
Christopher Michael Westgard ◽  
Natalia Rivadeneyra ◽  
Patricia Mechael

IntroductionCultivating child health and development creates long-term impact on the well-being of the individual and society. The Amazon of Peru has high levels of many risk factors that are associated with poor child development. The use of ‘community health agents’ (CHAs) has been shown to be a potential solution to improve child development outcomes. Additionally, mobile information and communication technology (ICT) can potentially increase the performance and impact of CHAs. However, there is a knowledge gap in how mobile ICT can be deployed to improve child development in low resource settings.Methods and analysisThe current study will evaluate the implementation and impact of a tablet-based application that intends to improve the performance of CHAs, thus improving the child-rearing practices of caregivers and ultimately child health and development indicators. The CHAs will use the app during their home visits to record child health indicators and present information, images and videos to teach key health messages. The impact will be evaluated through an experimental cluster randomised controlled trial. The clusters will be assigned to the intervention or control group based on a covariate-constrained randomisation method. The impact on child development scores, anaemia and chronic malnutrition will be assessed with an analysis of covariance. The secondary outcomes include knowledge of healthy child-rearing practices by caregivers, performance of CHAs and use of health services. The process evaluation will report on implementation outcomes. The study will be implemented in the Amazon region of Peru with children under 4. The results of the study will provide evidence on the potential of a mHealth tool to improve child health and development indicators in the region.Ethics and disseminationThe study received approval from National Hospital ‘San Bartolome’ Institutional Ethics Committee on 8 November 2018 (IRB Approval #15463–18) and will be disseminated via peer-reviewed publications.Trial registration numberISRCTN43591826.


2020 ◽  
Vol 96 (6) ◽  
pp. 778-789
Author(s):  
Sonia I. Venancio ◽  
Maritsa C. Bortoli ◽  
Paulo G. Frias ◽  
Elsa R.J. Giugliani ◽  
Cláudia R.L. Alves ◽  
...  

2020 ◽  
Vol 96 (6) ◽  
pp. 778-789
Author(s):  
Sonia I. Venancio ◽  
Maritsa C. Bortoli ◽  
Paulo G. Frias ◽  
Elsa R.J. Giugliani ◽  
Cláudia R.L. Alves ◽  
...  

Author(s):  
Emma L Fuller ◽  
Megan Bell ◽  
Sims Sims ◽  
Rebecca Glauert ◽  
David Ansell

IntroductionThe WA Child Development Atlas (CDA) is a unique resource that generates geographic profiles of the development, health and well-being of WA children. The CDA has been developed at the Telethon Kids Institute with funding from the Ian Potter and Minderoo Foundations and in partnership with government agencies and service providers. Objectives and ApproachVisualisation of data within geographic boundaries helps to build a picture of ‘place’. This informs better decision making and underpins the development of evidence-based policy and service planning that acknowledges the differing needs of communities. The CDA is an online, interactive mapping tool that utilises geographic information system (GIS) technologies to identify spatial patterns in population-level child and youth development indicators. Data are sourced from core health, social, and linked administrative datasets, from 1990 onwards. Aggregated, de-identified data on children and young people (0-24 years) and their parents are mapped within geographic boundaries across WA. The CDA was piloted to ensure it is useful and relevant to a diversity of stakeholders. Extensive community consultation has been undertaken at all stages of the project. The CDA has been received favourably by consumers, government organisations, communities and researchers, with significant support for public launch. ResultsThe CDA is a freely available, confidential and secure resource. Features of the CDA include: it is online and interactive (no software is required), area profiles, downloadable charts, tables and summary statistics, map panning and zooming. The Atlas has been used to generate community profiles and empowers all the people of WA with enhanced knowledge and understanding of the development of children. Conclusion / ImplicationsThe CDA has built capacity to use spatial information, assisting agencies who make decisions relevant to child development and to facilitate cross-agency collaboration. It is an important and valuable resource utilising disparate data sources with significant public benefit.


2022 ◽  
Author(s):  
Alejandra Abufhele ◽  
David Bravo ◽  
Florencia Lopez-Boo ◽  
Pamela Soto-Ramirez

The learning and developmental losses from pre-primary program closures due to COVID-19 may be unprecedented. These disruptions early in life, when the brain is more sensitive to environmental changes, can be long-lasting. Although there is evidence about the effects of school closures on older children, there is currently no evidence on such losses for children in their early years. This paper is among the first to quantify the actual impact of pandemic-related closures on child development, in this case for a sample of young children in Chile, where school and childcare closures lasted for about a year. We use a unique dataset collected face-to-face in December 2020, which includes child development indicators for general development, language development, social-emotional development, and executive function. We are able to use a first difference strategy because Chile has a history of collecting longitudinal data on children as part of their national social policies monitoring strategy. This allows us to construct a valid comparison group from the 2017 longitudinal data. We find adverse impacts on children in 2020 compared to children interviewed in 2017 in most development areas. In particular, nine months after the start of the pandemic, we find a loss in language development of 0.25 SDs. This is equivalent to the impact on a childs language development of having a mother with approximately five years less education. Timely policies are needed to mitigate these enormous losses.


1997 ◽  
Vol 161 ◽  
pp. 23-47 ◽  
Author(s):  
Louis J. Allamandola ◽  
Max P. Bernstein ◽  
Scott A. Sandford

AbstractInfrared observations, combined with realistic laboratory simulations, have revolutionized our understanding of interstellar ice and dust, the building blocks of comets. Since comets are thought to be a major source of the volatiles on the primative earth, their organic inventory is of central importance to questions concerning the origin of life. Ices in molecular clouds contain the very simple molecules H2O, CH3OH, CO, CO2, CH4, H2, and probably some NH3and H2CO, as well as more complex species including nitriles, ketones, and esters. The evidence for these, as well as carbonrich materials such as polycyclic aromatic hydrocarbons (PAHs), microdiamonds, and amorphous carbon is briefly reviewed. This is followed by a detailed summary of interstellar/precometary ice photochemical evolution based on laboratory studies of realistic polar ice analogs. Ultraviolet photolysis of these ices produces H2, H2CO, CO2, CO, CH4, HCO, and the moderately complex organic molecules: CH3CH2OH (ethanol), HC(= O)NH2(formamide), CH3C(= O)NH2(acetamide), R-CN (nitriles), and hexamethylenetetramine (HMT, C6H12N4), as well as more complex species including polyoxymethylene and related species (POMs), amides, and ketones. The ready formation of these organic species from simple starting mixtures, the ice chemistry that ensues when these ices are mildly warmed, plus the observation that the more complex refractory photoproducts show lipid-like behavior and readily self organize into droplets upon exposure to liquid water suggest that comets may have played an important role in the origin of life.


Author(s):  
D.E. Brownlee ◽  
A.L. Albee

Comets are primitive, kilometer-sized bodies that formed in the outer regions of the solar system. Composed of ice and dust, comets are generally believed to be relic building blocks of the outer solar system that have been preserved at cryogenic temperatures since the formation of the Sun and planets. The analysis of cometary material is particularly important because the properties of cometary material provide direct information on the processes and environments that formed and influenced solid matter both in the early solar system and in the interstellar environments that preceded it.The first direct analyses of proven comet dust were made during the Soviet and European spacecraft encounters with Comet Halley in 1986. These missions carried time-of-flight mass spectrometers that measured mass spectra of individual micron and smaller particles. The Halley measurements were semi-quantitative but they showed that comet dust is a complex fine-grained mixture of silicates and organic material. A full understanding of comet dust will require detailed morphological, mineralogical, elemental and isotopic analysis at the finest possible scale. Electron microscopy and related microbeam techniques will play key roles in the analysis. The present and future of electron microscopy of comet samples involves laboratory study of micrometeorites collected in the stratosphere, in-situ SEM analysis of particles collected at a comet and laboratory study of samples collected from a comet and returned to the Earth for detailed study.


Author(s):  
Yeshayahu Talmon

To achieve complete microstructural characterization of self-aggregating systems, one needs direct images in addition to quantitative information from non-imaging, e.g., scattering or Theological measurements, techniques. Cryo-TEM enables us to image fluid microstructures at better than one nanometer resolution, with minimal specimen preparation artifacts. Direct images are used to determine the “building blocks” of the fluid microstructure; these are used to build reliable physical models with which quantitative information from techniques such as small-angle x-ray or neutron scattering can be analyzed.To prepare vitrified specimens of microstructured fluids, we have developed the Controlled Environment Vitrification System (CEVS), that enables us to prepare samples under controlled temperature and humidity conditions, thus minimizing microstructural rearrangement due to volatile evaporation or temperature changes. The CEVS may be used to trigger on-the-grid processes to induce formation of new phases, or to study intermediate, transient structures during change of phase (“time-resolved cryo-TEM”). Recently we have developed a new CEVS, where temperature and humidity are controlled by continuous flow of a mixture of humidified and dry air streams.


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