Extending the Developmental Milestones Checklist for use in a different context in Sub-Saharan Africa

Acta Paediatrica
Elizabeth L PradoJean-Bosco Ouédraogo

Abstract

Sub-Saharan Africa bears a disproportionate amount of global diseases related to neurodevelopmental delays in infancy, including malnutrition, malaria and HIV. Evaluating interventions to prevent such delays requires developmental assessment tools appropriate for Sub-Saharan Africa. This study aimed to develop and evaluate such a tool. The Developmental Milestones Checklist (DMC) was developed in Kenya to provide motor, language and personal-social scores for children aged from 3 to 24 months. We developed an extended version (DMC-II) in Burkina Faso, West Africa, and then evaluated the reliability and sensitivity of the scores to age and nutritional and environmental measures. The internal, interinterviewer and test-retest reliability of the DMC-II scores were >0.7. In 214 children aged 11.6-25.4 months, each score correlated with age (rs > 0.7). In 1123 children aged 16.8-19.9 months, the scores were sensitive to stunting, wasting and underweight (effect sizes 0.31-0.87 SD). The scores also showed expected correlations with measures of play materials in the home and activities with caregivers (rs = 0.13-0.41). The DMC-II is easily used by trained fieldworkers with no previous experience in developmental assessment. It is a pr...Continue Reading

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Citations

May 6, 2016·Maternal & Child Nutrition·Elizabeth L PradoSonja Y Hess
Sep 10, 2016·Child Neuropsychology : a Journal on Normal and Abnormal Development in Childhood and Adolescence·Margaret Semrud-ClikemanChandy C John
Mar 26, 2014·American Journal of Human Biology : the Official Journal of the Human Biology Council·Cynthia M Beall, Paul W Leslie
Jul 18, 2018·Journal of Acquired Immune Deficiency Syndromes : JAIDS·Deborah KacanekBetsy Kammerer
Jan 23, 2018·Canadian Journal of Public Health = Revue Canadienne De Santé Publique·Marilyn N AhunGrace S Marquis
May 13, 2018·Journal of Health, Population, and Nutrition·Elizabeth L PradoKathryn G Dewey
May 26, 2017·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Elizabeth L PradoKathryn G Dewey
Jul 28, 2018·Children·Mollika A SajadySarah E Cusick
Jul 26, 2018·BMC Pregnancy and Childbirth·Elizabeth A SymingtonCornelius M Smuts
Oct 20, 2020·Open Forum Infectious Diseases·Natasha O MorakaShahin Lockman

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