• Users Online: 85
  • Print this page
  • Email this page
CASE SERIES
Year : 2022  |  Volume : 2  |  Issue : 2  |  Page : 73-78

Last-mile delivery of early childhood development services: The role of community health workers in dadra nagar-haveli district


1 Developmental Pediatrics Unit, Ummeed Child Development Center, Mumbai, Maharashtra, India
2 Early Childhood Development and Disabilities Unit, Ummeed Child Development Center, Mumbai, Maharashtra, India

Correspondence Address:
Dr. Fernaz Dotivala
Ummeed Child Development Center, 1-B, Mantri Pride Building, NM Joshi Marg, Near Aurthur Road Junction, Subhash Nagar, Lower Parel, East, Mumbai - 400 011, Maharashtra
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ipcares.ipcares_52_22

Rights and Permissions

Background: India has the dual challenge of a high prevalence of developmental delay and disabilities in early childhood and a paradoxical underutilization of available intervention services due to limited accessibility and acceptability by their families. Early Childhood Development (ECD) services delivered by community health workers (CHWs) ensure its last-mile delivery to every household. IIts acceptability is improved by including evidence-based, culturally, and contextually sensitive approaches as is done in the International Guide for Monitoring Child Development (IGMCD). The IGMCD is a tool that monitors and supports the development of children under 3 years of age and also enables provision of early intervention services when required. The IGMCD, recognizes caregiver strengths and priorities and helps to build a rapport between caregivers and providers. Clinical Description: We describe six children and their families from Velugam, Dadra-Nagar Haveli district, who received ECD services from CHWs who used the IGMCD package. These cases highlight how the CHWs used the IGMCD package to identify developmental delays, health and psychosocial risk factors to development and provide strategies to caregivers to support their children's development. Management: The CHW used individualized strategies to promote responsive caregiving and enhance opportunities for early learning. In addition, the IGMCD package reinforces health, nutrition, and ECD-directed messages that are provided at the Anganwadi centers. Conclusion: Children and families in underserved communities can receive comprehensive ECD services through CHWs who are trained to deliver the IGMCD.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed338    
    Printed20    
    Emailed0    
    PDF Downloaded40    
    Comments [Add]    

Recommend this journal