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Global emphasis has shifted beyond reducing child survival rates to improving health and developmental trajectories in childhood. Optimum early childhood experience is believed to allow children to benefit fully from educational opportunities resulting in improved human capital. Investment in early childhood initiatives in low-income and middle-income countries (LMICs) is increasing. These initiatives use early childhood developmental assessment tools (CDATs) as outcome measures. CDATs are also key measures in the evaluation of programmatic health initiatives in LMICs, influencing public health policy. Interpretation of CDAT outcomes requires understanding of their structure and psychometric properties. This article reviews the structure and main methods of CDAT development with specific considerations when applied in LMICs.

Original publication

DOI

10.1136/archdischild-2014-308114

Type

Journal article

Journal

Arch Dis Child

Publication Date

05/2015

Volume

100

Pages

482 - 488

Keywords

Neurodevelopment, Neurodisability, Outcomes research, Child, Child Development, Child Health Services, Child Welfare, Child, Preschool, Developing Countries, Developmental Disabilities, Humans, Income, Mass Screening, Poverty, Reproducibility of Results, Socioeconomic Factors