China's antenatal care promoting early childhood development: evidence from a cross‐sectional survey

Author(s):  
Tianchen Wu ◽  
Jieqiong Niu ◽  
Xiaohan Yin ◽  
Chunxia Zhao ◽  
Xiaona Huang ◽  
...  
BMJ Open ◽  
2013 ◽  
Vol 3 (5) ◽  
pp. e002387 ◽  
Author(s):  
Margaret Curtin ◽  
Jamie Madden ◽  
Anthony Staines ◽  
Ivan J Perry

2021 ◽  
Author(s):  
Sophiya Dulal ◽  
Audrey Prost ◽  
Surendra Karki ◽  
Dafna Merom ◽  
Bhim Prasad Shrestha ◽  
...  

Abstract Background: While nurturing care, including adequate nutrition and responsive caregiving and early learning, is critical to early childhood development, national surveys in Nepal highlight inequalities in feeding and parental caregiving practices. This study aimed to document and analyse infant and young child feeding (IYCF) and cognitive and socio-emotional caregiving practices among caregivers of children under age five in Dhanusha district, Nepal. Methods: We used a subset of data from the MIRA Dhanusha cluster randomised controlled trial, including mother-child dyads (N=1360) when children were aged 0-12 months and a follow-up survey of the same mother-child dyads (N=1352) when children were 7-59 months. We used World Health Organization IYCF indicators and questions from the Multiple Indicator Cluster Survey-4 tool to obtain information on IYCF and cognitive and socio-emotional caregiving practices, respectively. We collected data on breastfeeding practices in a postpartum 6-week questionnaire and on complementary feeding and caregiving practices in the follow-up survey. Using multivariable logistic regression models, potential explanatory household, parental and child-level variables were tested to determine their independent associations with IYCF and caregiving indicators. Results: The prevalence of feeding indicators varied. Ever breastfed (99%), exclusive breastfeeding in past 24-hours at 0-12 months (89%), and vegetable or fruit consumption (84%) were common, and minimum dietary diversity reached 63%. Problem areas were early initiation of breastfeeding (16%), feeding of colostrum (67%), no pre-lacteal feeding (53%), timely introduction of complementary feeding (56%), and animal-source food consumption (29%). Amongst caregiving indicators, access to books (7%), early stimulation and responsive caregiving (11%), and access to early childhood education (27%) were of particular concern, while 64% had access to toys and 71% received adequate care. Only 38% of children were developmentally on track. Younger children from poor households with young mothers who had not received antenatal visits and delivered at home were at risk of poor IYCF and caregiving practices. Conclusions: Poor IYCF and cognitive and socio-emotional caregiving practices are widely prevalent in lowland Nepal, which highlights the importance of improved integrated nutrition and caregiving interventions in resource-constrained settings.


2020 ◽  
Vol 19 (3) ◽  
pp. 246-256
Author(s):  
Rachma Purwanti ◽  
Ani Margawati ◽  
Bagoes Widjanarko

Early childhood development (ECD) has long-life effects on an individual, that were essential for human capital accumulation and contribute to economic growth. This study aimed to analyzed factor that contributed to cognitive development. This study used cross sectional design by purposive sampling technique. Sample study were 61 early childhood 4-5 years old. Data collected by conducting interviews, observation, and anthropometric measurements. Nutritional status data were collected by using anthropometry, psychosocial stimulation was collected by using EC-HOME inventory instrument, and cognitive development was measured using instrument developed by the Department of National Education of Indonesia. Data analysis includes descriptive test, correlation, and regression. There were 23% of children with underweight, 78.7% children get high risk of psychosocial stimulation, and 57.6% have a good cognitive development. The correlation test showed that there were significant association between the psychosocial stimulation and nutritional status to the cognitive development. Regression model also showed that cognitive development was predicted by maternal status (working mothers/housewife), nutritional status, and psychosocial stimulation.


PLoS Medicine ◽  
2021 ◽  
Vol 18 (4) ◽  
pp. e1003578
Author(s):  
Yaqing Gao ◽  
Long Zhang ◽  
Ashish Kc ◽  
Yinping Wang ◽  
Siyu Zou ◽  
...  

Background The influence of the safety and security of environments on early childhood development (ECD) has been under-explored. Although housing might be linked to ECD by affecting a child’s health and a parent’s ability to provide adequate care, only a few studies have examined this factor. We hypothesized that housing environment is associated with ECD in sub-Saharan Africa (SSA). Methods and findings From 92,433 children aged 36 to 59 months who participated in Multiple Indicator Cluster Survey (MICS) in 20 SSA countries, 88,271 were tested for cognitive and social–emotional development using the Early Childhood Development Index (ECDI) questionnaire and were thus included in this cross-sectional analysis. Children’s mean age was 47.2 months, and 49.8% were girls. Children were considered developmentally on track in a certain domain if they failed no more than 1 ECDI item in that domain. In each country, we used conditional logistic regression models to estimate the association between improved housing (housing with finished building materials, improved drinking water, improved sanitation facilities, and sufficient living area) and children’s cognitive and social–emotional development, accounting for contextual effects and socioeconomic factors. Estimates from each country were pooled using random-effects meta-analyses. Subgroup analyses were conducted by the child’s gender, maternal education, and household wealth quintiles. On-track cognitive development was associated with improved housing (odds ratio [OR] = 1.15, 95% CI 1.06 to 1.24, p < 0.001), improved drinking water (OR = 1.07, 95% CI 1.00 to 1.14, p = 0.046), improved sanitation facilities (OR = 1.15, 95% CI 1.03 to 1.28, p = 0.014), and sufficient living area (OR = 1.06, 95% CI 1.01 to 1.10, p = 0.018). On-track social–emotional development was associated with improved housing only in girls (OR = 1.14, 95% CI 1.04 to 1.25, p = 0.006). The main limitations of this study included the cross-sectional nature of the datasets and the use of the ECDI, which lacks sensitivity to measure ECD outcomes. Conclusions In this study, we observed that improved housing was associated with on-track cognitive development and with on-track social–emotional development in girls. These findings suggest that housing improvement in SSA may be associated not only with benefits for children’s physical health but also with broader aspects of healthy child development.


2021 ◽  
Vol 21 (2) ◽  
pp. 475-481
Author(s):  
Truong Hoang Viet ◽  
Sutham Nanthamongkolchai ◽  
Chokchai Munsawaengsub ◽  
Supachai Pitikultang

Although early childhood development (ECD) is emphasized in regulation and law, Vietnam still refers the term ECD to early childhood education and the role of parents in promoting child development is not frequently mentioned. This study aims to examine the influences of mother’s knowledge of child development and socio-economic factors on child development. We conducted this cross-sectional study in Nha Trang city, Vietnam and collected data from 296 child-mother dyads using multistage sampling. Child development is measured by Ages and Stages Questionnaire, Third Edition (ASQ-3) and completed by mothers. The results show that there were 34.1% of children reported with suspected delayed development. Inappropriate level of maternal knowledge of child development, practice to promote child development, and positive parenting practice took up 80.4%, 75.3%, and 76.0%. Results from the multiple logistic regression reveal that maternal knowledge of child development and several socio-economic factors including children’s age, and children living with both parents were significantly associated with child development. The study recommends that mothers should improve their knowledge of child development to ensure their children’s healthy development.


Author(s):  
Swati Jarole ◽  
Subodh S. Gupta ◽  
Ashok M. Mehendale ◽  
Abhishek Raut

Background: The objective of the study was to study the association between exposure to early childhood development (ECD) interventions and responsive feeding and nutritional status among 6-35 months’ children.Methods: The present analytical cross-sectional study was conducted with 360 children from a primary health centre (PHC) area under the ECD project and 360 children from comparison PHC area. The anthropometric measurement and responsive feeding was assessed and compared among 6-35 months’ children.Results: There was significant difference in mean scores of ECD activity (p=0.001) and responsive feeding (p<0.001) in ECD area as to comparison area. In the ECD program area, the proportion of children who were malnourished (33.3%) were less as compared to control area (53.9%).Conclusions: The present study shows ECD interventions at community level delivered through frontline workers resulted in improved responsive feeding practices better nutritional outcomes for children.


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