Surviving and Thriving: Early Intervention for Neonatal Survivors With Developmental Disability in Uganda.

Uganda cerebral palsy developmental disability early intervention neonatal encephalopathy neurodevelopment

Journal

Infants and young children
ISSN: 0896-3746
Titre abrégé: Infants Young Child
Pays: United States
ID NLM: 8915767

Informations de publication

Date de publication:
Jan 2021
Historique:
entrez: 1 4 2021
pubmed: 2 4 2021
medline: 2 4 2021
Statut: ppublish

Résumé

Global attention on early child development, inclusive of those with disability, has the potential to translate into improved action for the millions of children with developmental disability living in low- and middle-income countries. Nurturing care is crucial for all children, arguably even more so for children with developmental disability. A high proportion of survivors of neonatal conditions such as prematurity and neonatal encephalopathy are affected by early child developmental disability. The first thousand days of life is a critical period for neuroplasticity and an important window of opportunity for interventions, which maximize developmental potential and other outcomes. Since 2010, our group has been examining predictors, outcomes, and experiences of neonatal encephalopathy in Uganda. The need for an early child intervention program to maximize participation and improve the quality of life for children and families became apparent. In response, the "ABAaNA early intervention program," (now re-branding as 'Baby Ubuntu') a group participatory early intervention program for young children with developmental disability and their families, was developed and piloted. Piloting has provided early evidence of feasibility, acceptability, and impact and a feasibility trial is underway. Future research aims to develop programmatic capacity across diverse settings and evaluate its impact at scale.

Identifiants

pubmed: 33790497
doi: 10.1097/IYC.0000000000000182
pmc: PMC7983078
doi:

Types de publication

Journal Article

Langues

eng

Pagination

17-32

Subventions

Organisme : Wellcome Trust
Pays : United Kingdom
Organisme : Medical Research Council
ID : MC_UP_1204/9
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/R010161/1
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/S004971/1
Pays : United Kingdom

Informations de copyright

© 2021 The Authors. Published by Wolters Kluwer Health, Inc.

Déclaration de conflit d'intérêts

The authors declare no conflict of interest.

Références

Arch Dis Child. 2011 Dec;96(12):1129-34
pubmed: 21868404
BMJ. 1998 Dec 5;317(7172):1549-53
pubmed: 9836652
BMJ. 2000 May 6;320(7244):1229-36
pubmed: 10797030
Lancet. 2012 Jun 9;379(9832):2162-72
pubmed: 22682464
PLoS One. 2018 Sep 4;13(9):e0202096
pubmed: 30180171
Arch Dis Child. 2019 Apr;104(Suppl 1):S22-S33
pubmed: 30885963
BMJ. 2013 Jan 15;346:e8687
pubmed: 23321410
J Trop Pediatr. 2013 Dec;59(6):434-40
pubmed: 23783583
Arch Dis Child. 2012 Jul;97(7):654-9
pubmed: 22611062
Lancet. 2014 Jul 12;384(9938):189-205
pubmed: 24853593
Lancet Glob Health. 2018 Oct;6(10):e1100-e1121
pubmed: 30172774
Arch Dis Child Fetal Neonatal Ed. 1995 Sep;73(2):F75-80
pubmed: 7583610
BMJ Open. 2019 Oct 9;9(10):e032705
pubmed: 31601606
Lancet Glob Health. 2018 Mar;6(3):e248-e249
pubmed: 29433660
Arch Dis Child. 2019 Apr;104(Suppl 1):S3-S12
pubmed: 30885961
Arch Dis Child Fetal Neonatal Ed. 2018 May;103(3):F250-F256
pubmed: 28780500
Pediatr Res. 2013 Dec;74 Suppl 1:73-85
pubmed: 24366464
Lancet Glob Health. 2019 Feb;7(2):e188
pubmed: 30683236
Nat Rev Neurol. 2015 Apr;11(4):192-208
pubmed: 25686754
PLoS One. 2017 Dec 21;12(12):e0189996
pubmed: 29267388
Arch Dis Child. 2019 Apr;104(Suppl 1):S43-S50
pubmed: 30885965
J Pediatr. 2013 Oct;163(4):968-95.e2
pubmed: 23891350
Pediatrics. 2002 Jan;109(1):26-33
pubmed: 11773538
Acta Paediatr. 2016 Jun;105(6):655-64
pubmed: 26836434
BMC Pediatr. 2010 Apr 30;10:27
pubmed: 20433740
Arch Dis Child. 2019 Apr;104(Suppl 1):S34-S42
pubmed: 30885964
Disabil Rehabil. 2013 Jun;35(13):1065-9
pubmed: 23725494
Int J Environ Res Public Health. 2019 Nov 13;16(22):
pubmed: 31766126
Niger J Med. 2009 Apr-Jun;18(2):186-9
pubmed: 19630327
Eur J Paediatr Neurol. 2013 Mar;17(2):192-8
pubmed: 23062755
BMJ. 1998 Dec 5;317(7172):1554-8
pubmed: 9836653
Ment Retard Dev Disabil Res Rev. 2002;8(3):206-11
pubmed: 12216065
J Trop Pediatr. 2002 Jun;48(3):162-6
pubmed: 12164600
Lancet. 2017 Dec 17;388(10063):3027-3035
pubmed: 27839855
Child Care Health Dev. 2006 Jan;32(1):63-72
pubmed: 16398792
J Child Psychol Psychiatry. 2014 Nov;55(11):1251-9
pubmed: 24811237
J Child Adolesc Ment Health. 2007 Oct;19(2):123-30
pubmed: 25865444
Lancet. 2012 Feb 4;379(9814):445-52
pubmed: 22244654
Lancet Glob Health. 2019 Feb;7(2):e189
pubmed: 30683237
Clin Infect Dis. 2017 Nov 6;65(suppl_2):S190-S199
pubmed: 29117331
EClinicalMedicine. 2018 Dec;6:26-35
pubmed: 30740596
JAMA Pediatr. 2017 Sep 1;171(9):897-907
pubmed: 28715518
Arch Dis Child Fetal Neonatal Ed. 2013 May;98(3):F233-9
pubmed: 22791468
Arch Dis Child. 2019 Apr;104(Suppl 1):S13-S21
pubmed: 30885962
Pediatr Res. 2016 Aug;80(2):190-6
pubmed: 27064242
Ambul Pediatr. 2003 Nov-Dec;3(6):329-41
pubmed: 14616041
Dev Med Child Neurol. 2015 Apr;57 Suppl 3:17-28
pubmed: 25800488
Disabil Rehabil. 2015;37(16):1470-6
pubmed: 25323396
Acta Paediatr. 1997 Jul;86(7):757-61
pubmed: 9240886
Arch Dis Child. 2019 Apr;104(Suppl 1):S1-S2
pubmed: 30885960
Disabil Health J. 2011 Jan;4(1):1-5
pubmed: 21168800
Pediatrics. 2013 Sep;132(3):e735-46
pubmed: 23958771
Lancet Glob Health. 2017 Dec;5(12):e1275-e1282
pubmed: 29102350
BMJ. 2000 Sep 16;321(7262):694-6
pubmed: 10987780
PLoS One. 2014 May 16;9(5):e97259
pubmed: 24836781
Chin Med J (Engl). 1997 Nov;110(11):875-8
pubmed: 9772422
Pediatrics. 2013 Oct;132(4):e952-9
pubmed: 24019409
Pediatr Res. 2013 Dec;74 Suppl 1:50-72
pubmed: 24366463

Auteurs

Cally J Tann (CJ)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Maya Kohli-Lynch (M)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Ruth Nalugya (R)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Samantha Sadoo (S)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Karen Martin (K)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Rachel Lassman (R)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Carol Nanyunja (C)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Margaret Musoke (M)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Margaret Sewagaba (M)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Margaret Nampijja (M)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Janet Seeley (J)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Emily L Webb (EL)

Department of Infectious Disease Epidemiology, School of Hygiene and Tropical Medicine, London, England (Dr Tann and Dr Sadoo); Medical Research Council/Uganda Virus Research Institute and London School of Hygiene and Tropical Medicine Uganda Research Unit, Entebbe, Uganda (Drs Tann, Nampijja, and Professor Seeley and Mss Nalugya, Nanyunja, Musoke, and Sewagaba); Institute for Women's Health, University College London, London, England (Dr Tann and Dr Martin); Centre for Academic Child Health, University of Bristol, Bristol, England (Dr Kohli-Lynch); Alder Hey Children's NHS Foundation Trust, Liverpool, England (Dr Martin); Kyaninga Child Development Centre, Fort Portal, Uganda (Ms Lassman); African Population and Health Research Center, Nairobi, Kenya (Dr Nampijja); Department of Global Health & Development, London School of Hygiene & Tropical Medicine, London, England (Dr Seeley); and MRC Tropical Epidemiology Group, London School of Hygiene & Tropical Medicine, London, England (Dr Webb).

Classifications MeSH