1. Early Childhood Development:
Antony Duttine, Handicap International
Coregroup Spring meeting. 25th April 2013
are we failing when it doesn’t happen?
©ErikaPineros/HandicapInternational

2. Conclusion
NO!
(but we are if we don’t support children with developmental issues)

3. Globally, child mortality is decreasing…
1990: 12 million
2011: 6.9 million
SOURCE: UNICEF
QUESTION:
Are we seeing a changing prevalence in morbidity and
disability as a result?
UNCLEAR
SOURCE: UNICEF

4. What is disability?
Personal Factors
(impairments)
+ Life Habits
(disability)
Environmental Factors
(barriers)
Interaction
Source: Disability Creation Process (modified) RIPPH 2011

5. To the main lesson:
3 take home messages

6. EARLY DETECTION AND ACCESS TO
APPROPRIATE SERVICES IS KEY:
Point 1

7. Shifting from children being identified
at 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 HEALTH
ACTORS IN SUPPORTING ECD
Point 2

11. Point 2
Know, understand and educate on key
development 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
• Stunting
etc
and monitor their development

15. © Antony Duttine/Handicap International

16. Point 2
(Point 3)
Integrate ECD into existing child health
monitoring
(its not as technical as you might think)

18. © Erika Pineros/Handicap International

19. Point 2
(Point 4)
Advocate for/develop appropriate health
services to support children with developmental
disabilities
Community based
+
Specific/specialised

20. © Erika Pineros/Handicap International

21. ECD IS MULTI-SECTORAL – IT IS NOT ALL
ON YOUR SHOULDERS (BUT WE NEED
COLLABORATION)
Point 3

23. Resources
• Disabled village children (Hesperian):
– http://hesperian.org/books-and-resources/
• Early childhood development and disability – a
discussion 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/2012/97892415035
49_eng.pdf
• Monitoring Child Disability in Developing Countries
(UNICEF)
– http://www.childinfo.org/files/Monitoring_Child_Disability
_in_Developing_Countries.pdf