Early Childhood Development: Are We Failing When It Doesn’t Happen?_Antony Duttine_4.25.13
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  • 1. Early Childhood Development:Antony Duttine, Handicap InternationalCoregroup Spring meeting. 25th April 2013are we failing when it doesn’t happen?©ErikaPineros/HandicapInternational
  • 2. ConclusionNO!(but we are if we don’t support children with developmental issues)
  • 3. Globally, child mortality is decreasing…1990: 12 million2011: 6.9 millionSOURCE: UNICEFQUESTION:Are we seeing a changing prevalence in morbidity anddisability as a result?UNCLEARSOURCE: UNICEF
  • 4. What is disability?Personal Factors(impairments)+ Life Habits(disability)Environmental Factors(barriers)InteractionSource: Disability Creation Process (modified) RIPPH 2011
  • 5. To the main lesson:3 take home messages
  • 6. EARLY DETECTION AND ACCESS TOAPPROPRIATE SERVICES IS KEY:Point 1
  • 7. Shifting from children being identifiedat this age:© Sebastian Bozada / Handicap International
  • 8. To this age:© Erika Pineros/Handicap International
  • 9. To better achieve this:© J Clark/ Handicap International
  • 10. YOU ARE KEY AS COMMUNITY HEALTHACTORS IN SUPPORTING ECDPoint 2
  • 11. Point 2Know, understand and educate on keydevelopment milestones(Point 1)
  • 12. Source: Disabled Village Children, Hesperian
  • 13. Source: Disabled Village Children, Hesperian
  • 14. Point 2(Point 2)know the key risk factors…• Premature birth• Traumatic birth/low APGAR/resuscitation• Jaundice/infection/serious illness – neonatal• Stuntingetcand monitor their development
  • 15. © Antony Duttine/Handicap International
  • 16. Point 2(Point 3)Integrate ECD into existing child healthmonitoring(its not as technical as you might think)
  • 17. © Erika Pineros/Handicap International
  • 18. Point 2(Point 4)Advocate for/develop appropriate healthservices to support children with developmentaldisabilitiesCommunity based+Specific/specialised
  • 19. © Erika Pineros/Handicap International
  • 20. ECD IS MULTI-SECTORAL – IT IS NOT ALLON YOUR SHOULDERS (BUT WE NEEDCOLLABORATION)Point 3
  • 21. Resources• Disabled village children (Hesperian):– http://hesperian.org/books-and-resources/• Early childhood development and disability – adiscussion paper (WHO and UNICEF)– http://www.ecdgroup.com/pdfs/ECD-Disability-UNICEF-WHO-2012.pdf• Development Difficulties in Early Childhood (WHO)– http://whqlibdoc.who.int/publications/2012/9789241503549_eng.pdf• Monitoring Child Disability in Developing Countries(UNICEF)– http://www.childinfo.org/files/Monitoring_Child_Disability_in_Developing_Countries.pdf