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Escrutinio poblacional del nivel de desarrollo infantil en menores de 5 años beneficiarios de PROSPERA en México

Overview of attention for article published in Boletín Médico del Hospital Infantil de México, December 2015
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Title
Escrutinio poblacional del nivel de desarrollo infantil en menores de 5 años beneficiarios de PROSPERA en México
Published in
Boletín Médico del Hospital Infantil de México, December 2015
DOI 10.1016/j.bmhimx.2015.10.003
Pubmed ID
Authors

Antonio Rizzoli-Córdoba, Liliana Martell-Valdez, Ismael Delgado-Ginebra, Miguel Ángel Villasís-Keever, Hortensia Reyes-Morales, Gabriel O'Shea-Cuevas, Daniel Aceves-Villagrán, Joaquín Carrasco-Mendoza, Víctor Manuel Villagrán-Muñoz, Elizabeth Halley-Castillo, Guillermo Vargas-López, Onofre Muñoz-Hernández

Abstract

Evaluación del Desarrollo Infantil or Child Development Evaluation (CDE) test, a screening tool designed and validated in Mexico, classifies child development as normal (green) or abnormal (developmental lag or yellow and risk of delay or red). Population-based results of child development level with this tool are not known. The objective of this work was to evaluate the developmental level of children aged 1-59 months living in poverty (PROSPERA program beneficiaries) through application of the CDE test. CDE tests were applied by specifically trained and standardized personnel to children <5 years old who attended primary care facilities for a scheduled appointment for nutrition, growth and development evaluation from November 2013 to May 2014. There were 5,527 children aged 1-59 months who were evaluated; 83.8% (n=4,632) were classified with normal development (green) and 16.2% (n=895) as abnormal: 11.9% (n=655) as yellow and 4.3% (n=240) as red. The proportion of abnormal results was 9.9% in children <1 year of age compared with 20.8% at 4 years old. The most affected areas according to age were language at 2 years (9.35%) and knowledge at 4 years old (11.1%). Gross motor and social areas were more affected in children from rural areas; fine motor skills, language and knowledge were more affected in males. The proportion of children with abnormal results is similar to other population-based studies. The highest rate in older children reinforces the need for an early-based intervention. The different pattern of areas affected between urban and rural areas suggests the need for a differentiated intervention.

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Geographical breakdown

Country Count As %
Unknown 98 100%

Demographic breakdown

Readers by professional status Count As %
Student > Postgraduate 18 18%
Researcher 12 12%
Student > Master 12 12%
Student > Bachelor 11 11%
Student > Ph. D. Student 7 7%
Other 17 17%
Unknown 21 21%
Readers by discipline Count As %
Medicine and Dentistry 29 30%
Nursing and Health Professions 12 12%
Social Sciences 10 10%
Psychology 6 6%
Neuroscience 5 5%
Other 12 12%
Unknown 24 24%