Usefulness of child development assessments for low-resource settings in francophone Africa.

J Dev Behav Pediatr

*IRD UMR216, Mère et enfant face aux infections tropicales, Paris, France; †Faculté de Pharmacie, Université Paris Descartes, Paris, France; ‡Université Pierre Marie Curie, Paris, France; §International Neurologic and Psychiatric Epidemiology Program, Michigan State University, East Lansing, MI; ‖Department of Epidemiology, Mailman School of Public Health and the College of Physicians and Surgeons, Columbia University, New York, NY; ¶Laboratoire de Parasitologie, Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Bénin; **Centre d'Etudes et de Recherche sur le Paludisme Associé à la Grossesse et à l'Enfant, Cotonou, Bénin; ††Département d'épidémiologie et biostatistiques, EHESP Rennes, Sorbonne Paris Cité, France; ‡‡Department of Microbiology, Division of Parasitology, School of Medicine, New York University, New York, NY.

Published: September 2013

AI Article Synopsis

  • The study assessed the cognitive development of 1-year-old children in Benin using the French version of the Mullen Scales of Early Learning and the "Ten Questions" questionnaire.
  • Conducted in 2011, the study involved 357 children and collected data on their development, maternal factors, and environmental conditions through health center assessments and home visits.
  • Results indicated that factors like female gender, maternal education, and home environment positively influenced developmental scores, while the TQ effectively identified delayed development in three-quarters of the infants assessed.

Article Abstract

Objective: Few tools are available to screen or assess infant's cognitive development, especially in French-speaking Africa. This study evaluated the use of the French translation of the Mullen Scales of Early Learning (MSEL), and the "Ten Questions" questionnaire (TQ) in 1-year-old children in Benin, a francophone country.

Methods: A cross-sectional study was conducted in 3 health centers serving a semirural area in Benin. Three hundred fifty-seven children aged 12 months and their mothers were enrolled in 2011. Infant development was assessed at local health centers followed by a home visit to collect information on socioeconomic status, maternal Raven score, maternal depressive symptoms, and mother-child interactions (Home Observation for the Measurement of the Environment [HOME] Inventory), and to administer the TQ.

Results: The infant's gender (female), the HOME, and maternal education were associated with a higher Early Learning Composite score in multivariate analyses (p = .02, p = .004, p = .007, respectively). The HOME and family wealth were also associated with the Gross Motor Scale (p = .03 and p = .03, respectively). Mothers were more likely to report difficulties on the TQ when the child presented lower score on the MSEL. When considering the Gross Motor Scale as the gold standard to define moderate delays, the 2 combined motor-related questions on the TQ showed good sensitivity and specificity (76.5 and 75.7).

Conclusion: In a low-resource rural setting in Africa, the TQ effectively identified 3 quarters of 1-year-old infants with delayed development. After this screening, the MSEL may be useful for further assessment as it showed good feasibility and sensitivity to known risk factors for poor child development.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3821168PMC
http://dx.doi.org/10.1097/DBP.0b013e31829d211cDOI Listing

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