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• W4309341656 abstract "An estimated 250 million children under 5 years in low-income and middle-income countries (LMICs) are considered to be at risk of not achieving their full developmental potential because of inadequate care. 1 Black MM Walker SP Fernald LCH et al. Early childhood development coming of age: science through the life course. Lancet. 2017; 389: 77-90 Summary Full Text Full Text PDF PubMed Scopus (1064) Google Scholar This assessment was crucial for establishing the Nurturing Care Framework, a roadmap for improving early childhood development globally. Although the number is still based on proxy measures (stunting and poverty rates), newer research draws directly on indicators of nurturing care, provided by UNICEF's Multiple Indicator Cluster Surveys. On the basis of these data, in The Lancet Child & Adolescent Health Dana McCoy and colleagues 2 McCoy DC Seiden J Cuartas J Pisani L Waldman M Estimates of a multidimensional index of nurturing care in the next 1000 days of life for children in low-income and middle-income countries: a modelling study. Lancet Child Adolesc Health. 2022; 6: 324-334 Summary Full Text Full Text PDF Scopus (5) Google Scholar claimed that the problem is even bigger: they calculated that 74·6% of children in LMICs aged 3–4 years do not even receive minimally adequate nurturing care. This figure increases to 92·1% for sub-Saharan Africa and to 99·5% in Chad. 2 McCoy DC Seiden J Cuartas J Pisani L Waldman M Estimates of a multidimensional index of nurturing care in the next 1000 days of life for children in low-income and middle-income countries: a modelling study. Lancet Child Adolesc Health. 2022; 6: 324-334 Summary Full Text Full Text PDF Scopus (5) Google Scholar Estimates of a multidimensional index of nurturing care in the next 1000 days of life for children in low-income and middle-income countries: a modelling studyMost children in LMICs are not receiving minimally adequate nurturing care during the next 1000-day period. Further investments in indicator measurement and resources for preschool-age children are needed, particularly for low-income populations and in the domains of responsive caregiving, early learning, and safety and security. Full-Text PDF Different is not deficient: respecting diversity in early childhood developmentThroughout the world, early childhood development lays the groundwork for adult health and wellbeing. With support and guidance from families, communities, and beyond, children acquire the skills needed to thrive, which vary across cultures and countries. Population-based estimates of children's development enable countries to track children's progress and provide additional support and guidance as needed. We agree with Scheidecker that measures of development that are based on limited sampling (ie, WEIRD [western, educated, industrialised, rich, and democratic]) are inappropriate. Full-Text PDF Different is not deficient: respecting diversity in early childhood development – Authors' replyWe were enthusiastic to read Gabriel Scheidecker and colleagues’ response to our Article estimating young children's access to nurturing care in low-income and middle-income countries (LMICs).1 We agree with their key message that “different is not deficient” and that many caregiving differences reflect beneficial culturally defined opportunities for growth. However, we also believe that other differences our study reveals have deep roots in colonialism, structural racism, and economic inequality, and are worth examining and challenging. Full-Text PDF" @default.
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• W4309341656 date "2022-12-01" @default.
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• W4309341656 title "Different is not deficient: respecting diversity in early childhood development" @default.
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