Investment in child and adolescent health and development: key messages from Disease Control Priorities, 3rd Edition

被引:155
作者
Bundy, Donald A. P. [1 ]
de Silva, Nilanthi [2 ]
Horton, Susan [3 ]
Patton, George C. [4 ]
Schultz, Linda [5 ]
Jamison, Dean T. [6 ]
机构
[1] Bill & Melinda Gates Fdn, London SW1E 6AJ, England
[2] Univ Kelaniya, Ragama, Sri Lanka
[3] Univ Waterloo, Waterloo, ON, Canada
[4] Univ Melbourne, Murdoch Childrens Res Inst, Melbourne, Vic, Australia
[5] World Bank, Hlth Nutr & Populat, 1818 H St NW, Washington, DC 20433 USA
[6] Univ Calif San Francisco, San Francisco, CA 94143 USA
关键词
ACADEMIC-ACHIEVEMENT; INTERVENTIONS; TRANSMISSION; MORBIDITY; PROGRAMS; RISK;
D O I
10.1016/S0140-6736(17)32417-0
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The realisation of human potential for development requires age-specific investment throughout the 8000 days of childhood and adolescence. Focus on the first 1000 days is an essential but insufficient investment. Intervention is also required in three later phases: the middle childhood growth and consolidation phase (5-9 years), when infection and malnutrition constrain growth, and mortality is higher than previously recognised; the adolescent growth spurt (10-14 years), when substantial changes place commensurate demands on good diet and health; and the adolescent phase of growth and consolidation (15-19 years), when new responses are needed to support brain maturation, intense social engagement, and emotional control. Two cost-efficient packages, one delivered through schools and one focusing on later adolescence, would provide phase-specific support across the life cycle, securing the gains of investment in the first 1000 days, enabling substantial catch-up from early growth failure, and leveraging improved learning from concomitant education investments.
引用
收藏
页码:687 / 699
页数:13
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