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Early Childhood Development

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Early Childhood Development

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Early Childhood Development

  1. 1. CGBI Early Childhood Development: The Role of Feeding Miriam Labbok, MD, MPH,IBCLC FACPM, FABM, FILCA Professor of the Practice of Public Health Founder and Director, CGBI labbok@unc.edu
  2. 2. CGBI Why do we Care about Early Childhood Development? UNICEF http://www.unicef.org/earlychildhood/index_40748. html • Child’s Right: to develop as well as to survive. (CRC Articles 6, 27) • High child mortality - 7.6 million children die • >200 million children survive and do not reach full potential • Result: ~20% loss in adult productivity • Early years crucial - Equity issue • Good nutrition/consistent loving care and encouragement -> school achievement, health, higher earnings, reduced NCDs, contribution to society • Why? – Increased brain development – Increased personal sense of security and social skills • Cost Benefit 1:4 or 5 - an investment, not a cost
  3. 3. CGBI Advantages and challenges of integration: Opportunities for integrating early childhood development and nutrition programming Ann M. DiGirolamo, Pablo Stansbery and Mary Lung'aho and Black M, Dewey K. Annals of the NYAS, 2014 • A growing body of evidence supports the notion that integrated programs addressing nutrition and stimulation provide stronger impacts on nutritional and developmental outcomes than either intervention alone. • Combined interventions can also lead to increased access to services. • Deterrents: Workload, communication and coordination
  4. 4. CGBI Raising a secure, productive and well-nourished generation Studies of Reunion behavior – Lifelong outcome dependent on care-taker/child interactions Repair can occur! Type of Parenting Child Later Adult Secure: Consistent responsiveness Touches back, independent Well received, good interactions Avoidance: Consistent lack of responsiveness Ignores Poor social skills and confidence Ambivalent: Nervous, inconsistent Clingy and insecure Not seen as capable and confident Disorganized: Erratic, abusive Looks and backs away Social pariah Mary Ainsworth, Dan Siegel
  5. 5. CGBI Raising a secure, productive and well-nourished generation Studies of Reunion behavior – Lifelong outcome dependent on care-taker/child interactions Repair can occur! Type of Parenting Child Later Adult Secure: Consistent responsiveness Touches back, independent Well received, good interactions Avoidance: Consistent lack of responsiveness Ignores Poor social skills and confidence Ambivalent: Nervous, inconsistent Clingy and insecure Not seen as capable and confident Disorganized: Erratic, abusive Looks and backs away Social pariah Mary Ainsworth, Dan Siegel
  6. 6. CGBI The Act of Feeding may be the majority of adult infant/child interactions Act of Feeding contributes directly to ECD if the adult: • Responds to cues • Talks, Sings • Plays • Interactive • Starts with Exclusive Breastfeeding • Continues with age appropriate complementary Feeding
  7. 7. CGBI What I learned from my friends… • Dr Angel R Colon • Dr Patrice Engle • Parents/Children everywhere • THANK YOU!

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