CHILD DEVELOPMENT

CHILD DEVELEOPMENT
Growth = Physical Development
Increase of size & number of cells Different parts in different times Measured by anthropometry Evaluated by growth reference lines

CHILD DEVELEOPMENT
Development = Change in function
Difficult to separate from growth Abnormal growth = Abnormal Development Individual variation in development

CHILD DEVELEOPMENT
In All Children:
Development is a continuous process Stepwise eg. child cant walk before standing 4 abilities: fine motor, gross motor, language, personal / social The 4 abilities are coordinate & integrate eg. Walking is gross motor but curiosity, learning

DEVELOPMENT NEEDS
MATERIAL:
1. Housing 3. Protection 5. Clothing 7. Rest 9. Sunlight 2. Care 4. Food / nutrition 6. Warmth 8. Clean air 10. Activity

DEVELOPMENT NEEDS
PSYCHOLOGICAL / EMOTIONAL: 1. Love / Affection 2. Continuous care 3. Security 4. Self-respect 5. Education 6. Learning life skills 7. Opportunity to learn from personal experience 8. Opportunity to achieve success even if little 9. Opportunity to shoulder responsibilities

FACTORS AFFECTING DEVELOPMENT

Various factors before, during or after birth

I- Parents Related: 1. Intelligence 3. Culture 2. Character 4. Maternal age at birth

FACTORS AFFECTING DEVELOPMENT

II- Genetic Factors: Genetic disorders eg. cong. anomalies III- Metabolic Diseases eg. cong. hypothyroid IV- Chromosomal abnormalities eg. Down syndrome

FACTORS AFFECTING DEVELOPMENT

V- Pregnancy Related:

1. Diseases of pregnancy 2. Multiple preg. 3. Drugs 4. Infertility 5. Maternal exhaustion 6. Prematurity 7. Abnormal presentation 8. Postmaturity 9. Neonatal hypoxia 10. Birth injuries 11. Neonatal convulsions 12. Uterine & placental problems

ENVIRONMENTAL FACTORS AFFECTING DEVELOPMENT

1. 2. 3. 4. Nutrition Family size Early illness Emotional deprivation Children development abilities in D.C.s are measured using the same norms of western standards !!

DEVELOPMENT SCREENING
Is a secondary prevention tool aims at early detection of abnormalities
Is the organized procedure for early discovery of diseases or risk factors in people who are apparently healthy

DEVELOPMENT SCREENING
A screening tool is not necessarily a diagnostic tool but those at risk screened must be referred for diagnosis & treatment

Best eg. of a screening test is that for PKU. Age at which PKU was diagnosed was reduced from 4 years to 4 weeks after using screening with positive effects.

CRITERIA FOR A SCREENING TOOL

1. Validity sensitivity & specificity 2. Reliability should give same results as reuse 3. Fast to screen largest numbers 4. Simplicity doesnt need great expertise 5. Cost effective of low cost 6. Culturally acceptable to the community