Int. J. Environ. Res. Public Health 2017, 14(10), 1130; https://doi.org/10.3390/ijerph14101130
Developmental Assessments during Injury Research: Is Enrollment of Very Young Children in Crèches Associated with Better Scores?
Divya Nair 1,2,*
, Olakunle Alonge 1, Jena Derakhshani Hamadani 3
, Shumona Sharmin Salam 3, Irteja Islam 3 and Adnan A. Hyder 1
, Shumona Sharmin Salam 3, Irteja Islam 3 and Adnan A. Hyder 11
Department of International Health, International Injury Research Unit, Johns Hopkins University Bloomberg School of Public Health, Baltimore, MD 21205, USA
2
IDinsight, 24/1 Hauz Khas Village, New Delhi 110021, India
3
International Centre for Diarrhoeal Disease Research, GPO Box 128, Dhaka 1000, Bangladesh
*
Author to whom correspondence should be addressed.
Received: 11 July 2017 / Revised: 18 September 2017 / Accepted: 18 September 2017 / Published: 26 September 2017
(This article belongs to the Collection A Million Person Household Survey: Understanding the Burden of Injuries in Bangladesh)
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Abstract
The Developmental Study is part of a larger intervention on “saving of lives from drowning (SoLiD)” where children were enrolled either into crèches (daycare centers) or playpens to prevent drowning in rural Bangladesh. Sampling ~1000 children between the ages of 9–17 months, we compared problem-solving, communication, motor and personal-social outcomes assessed by the Ages and Stages Questionnaire in the two interventions. After controlling for variables such as home stimulation in multivariate regressions, children in crèches performed about a quarter of a standard deviation better in total scores (p < 0.10) and 0.45 standard deviations higher in fine motor skills (p < 0.05). Moreover, once the sample was stratified by length of exposure to the intervention, then children in crèches performed significantly better in a number of domains: those enrolled the longest (about 5 months) have higher fine motor (1.47, p < 0.01), gross motor (0.40, p < 0.05) and personal-social skills (0.95, p < 0.01) than children in playpens. In addition, children in crèches with the longer exposure (about 5 months) have significantly higher personal-social and problem-solving scores than those in crèches with minimum exposure. Enrollment in crèches of very young children may be positively associated with psychosocial scores after accounting for important confounding variables. View Full-TextKeywords:
cognitive; psychosocial; crèche; daycare; child development; Bangladesh; Ages and Stages Questionnaire (ASQ); early childhood development (ECD); early childhood care (ECC)
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Nair, D.; Alonge, O.; Derakhshani Hamadani, J.; Sharmin Salam, S.; Islam, I.; Hyder, A.A. Developmental Assessments during Injury Research: Is Enrollment of Very Young Children in Crèches Associated with Better Scores? Int. J. Environ. Res. Public Health 2017, 14, 1130.
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