Nurturing care: promoting early childhood development

被引：992

作者：

Britto, Pia R. ^{[1
]}

Lye, Stephen J. ^{[2
,3
,4
,5
]}

Proulx, Kerrie ^{[2
]}

Yousafzai, Aisha K. ^{[6
]}

Matthews, Stephen G. ^{[2
,3
,4
,5
]}

Vaivada, Tyler ^{[8
]}

Perez-Escamilla, Rafael ^{[9
]}

Rao, Nirmala ^{[11
]}

Ip, Patrick ^{[12
]}

Fernald, Lia C. H. ^{[13
]}

MacMillan, Harriet ^{[14
,15
]}

Hanson, Mark ^{[16
,17
,18
]}

Wachs, Theodore D. ^{[19
]}

Yao, Haogen ^{[20
]}

Yoshikawa, Hirokazu ^{[21
]}

Cerezo, Adrian ^{[22
]}

Leckman, James F. ^{[10
]}

Bhutta, Zulfiqar A. ^{[7
,8
]}

机构：

[1] UNICEF, 3 UN Plaza, New York, NY 10017 USA

[2] Univ Toronto, Fraser Mustard Inst Human Dev, Toronto, ON M5S 1A1, Canada

[3] Univ Toronto, Dept Physiol, Toronto, ON M5S 1A1, Canada

[4] Univ Toronto, Dept Obstet & Gynecol, Toronto, ON M5S 1A1, Canada

[5] Univ Toronto, Dept Med, Toronto, ON M5S 1A1, Canada

[6] Harvard TH Chan Sch Publ Hlth, Dept Global Hlth & Populat, Boston, MA USA

[7] Aga Khan Univ, Ctr Excellence Women & Child Hlth, Karachi, Pakistan

[8] Hosp Sick Children, Ctr Global Child Hlth, Toronto, ON, Canada

[9] Yale Sch Publ Hlth, Dept Chron Dis Epidemiol, New Haven, CT USA

[10] Yale Univ, Yale Child Study Ctr, Yale Sch Med, New Haven, CT 06520 USA

[11] Univ Hong Kong, Li Ka Shing Fac Med, Fac Educ, Hong Kong, Hong Kong, Peoples R China

[12] Univ Hong Kong, Li Ka Shing Fac Med, Dept Paediat & Adolescent Med, Hong Kong, Hong Kong, Peoples R China

[13] Univ Calif Berkeley, Sch Publ Hlth, Berkeley, CA 94720 USA

[14] McMaster Univ, Offord Ctr Child Studies, Dept Psychiat & Behav Neurosci, Hamilton, ON, Canada

[15] McMaster Univ, Offord Ctr Child Studies, Dept Pediat, Hamilton, ON, Canada

[16] Univ Southampton, Inst Dev Sci, Southampton SO9 5NH, Hants, England

[17] Univ Southampton, NIHR Biomed Res Ctr, Southampton SO9 5NH, Hants, England

[18] Southampton Univ Hosp, Southampton, Hants, England

[19] Purdue Univ, Dept Psychol Sci, W Lafayette, IN 47907 USA

[20] Columbia Univ, Teachers Coll, New York, NY 10027 USA

[21] New York Univ Steinhardt, New York, NY USA

[22] Univ Missouri, Dept Biol, 8001 Nat Bridge Rd, St Louis, MO 63121 USA

来源：

LANCET | 2017年 / 389卷 / 10064期

基金：

比尔及梅琳达.盖茨基金会;

关键词：

PERINATAL MENTAL-DISORDERS; MIDDLE-INCOME COUNTRIES; HOME-VISITING PROGRAMS; PSYCHOSOCIAL STIMULATION; MALTREATMENT PREVENTION; COGNITIVE-DEVELOPMENT; MOTOR DEVELOPMENT; PHYSICAL ABUSE; PROTEIN-ENERGY; INTERVENTIONS;

D O I：

10.1016/S0140-6736(16)31390-3

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The UN Sustainable Development Goals provide a historic opportunity to implement interventions, at scale, to promote early childhood development. Although the evidence base for the importance of early childhood development has grown, the research is distributed across sectors, populations, and settings, with diversity noted in both scope and focus. We provide a comprehensive updated analysis of early childhood development interventions across the fi ve sectors of health, nutrition, education, child protection, and social protection. Our review concludes that to make interventions successful, smart, and sustainable, they need to be implemented as multi- sectoral intervention packages anchored in nurturing care. The recommendations emphasise that intervention packages should be applied at developmentally appropriate times during the life course, target multiple risks, and build on existing delivery platforms for feasibility of scale- up. While interventions will continue to improve with the growth of developmental science, the evidence now strongly suggests that parents, caregivers, and families need to be supported in providing nurturing care and protection in order for young children to achieve their developmental potential.

引用

页码：91 / 102

页数：12

共 110 条

[1] Effectiveness of a community-based responsive feeding programme in rural Bangladesh: a cluster randomized field trial [J].