TAILIEUCHUNG - Determinants of early child development in rural Tanzania

It has been estimated that more than 200 million children under the age of five do not reach their full potential in cognitive development. Much of what we know about brain development is based on research from high-income countries. There is limited evidence on the determinants of early child development in low-income countries, especially rural sub-Saharan Africa. | Ribe etal. ChildAdolesc Psychiatry Ment Health 2018 12 18 https s13034-018-0224-5 Child and Adolescent Psychiatry and Mental Health RESEARCH ARTICLE Determinants of early child development in rural Tanzania Open Access CrossMark Ingeborg G. Ribe 1 Erling Svensen1 2 Britt A. Lyngmo1 Estomih Mduma2 and Sven G. Hinderaker1 Abstract Background It has been estimated that more than 200 million children under the age of five do not reach their full potential in cognitive development. Much of what we know about brain development is based on research from high-income countries. There is limited evidence on the determinants of early child development in low-income countries especially rural sub-Saharan Africa. The present study aimed to identify the determinants of cognitive development in children living in villages surrounding Haydom a rural area in north-central Tanzania. Methods This cohort study is part of the MAL-ED The Interactions of Malnutrition Enteric Infections Consequences for Child Health and Development multi-country consortium studying risk factors for ill health and poor development in children. Descriptive analysis and linear regression analyses were performed. Associations between nutritional status socio-economic status and home environment at 6 months of age and cognitive outcomes at 15 months of age were studied. The third edition of the Bayley Scales for Infant and Toddler Development was used to assess cognitive language and motor development. Results There were 262 children enrolled into the study and this present analysis included the 137 children with data for 15-month Bayley scores. Univariate regression analysis weight-for-age and weight-for-length z-scores at 6 months were significantly associated with 15-month Bayley gross motor score but not with other 15-month Bayley scores. Length-for-age z-scores at 6 months were not significantly associated with 15-month Bayley scores. The socioeconomic status measured by a set of assets .

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