Koura K. G., Boivin M. J., Davidson L. L., Ouedraogo S., Zoumenou R., Alao M. J., Garcia André, Massougbodji A., Cot Michel, Bodeau-Livinec F. (2013). Usefulness of child development assessments for low-resource settings in francophone Africa. Journal of Developmental and Behavioral Pediatrics, 34 (7), p. 486-493. ISSN 0196-206X.
Titre du document
Usefulness of child development assessments for low-resource settings in francophone Africa
Année de publication
2013
Auteurs
Koura K. G., Boivin M. J., Davidson L. L., Ouedraogo S., Zoumenou R., Alao M. J., Garcia André, Massougbodji A., Cot Michel, Bodeau-Livinec F.
Source
Journal of Developmental and Behavioral Pediatrics, 2013,
34 (7), p. 486-493 ISSN 0196-206X
Objective: Few tools are available to screen or assess infant's cognitive development, especially in French-speaking Africa. This study evaluated the use of the French translation of the Mullen Scales of Early Learning (MSEL), and the "Ten Questions" questionnaire (TQ) in 1-year-old children in Benin, a francophone country. Methods: A cross-sectional study was conducted in 3 health centers serving a semirural area in Benin. Three hundred fifty-seven children aged 12 months and their mothers were enrolled in 2011. Infant development was assessed at local health centers followed by a home visit to collect information on socioeconomic status, maternal Raven score, maternal depressive symptoms, and mother-child interactions (Home Observation for the Measurement of the Environment [HOME] Inventory), and to administer the TQ. Results: The infant's gender (female), the HOME, and maternal education were associated with a higher Early Learning Composite score in multivariate analyses (p = .02, p = .004, p = .007, respectively). The HOME and family wealth were also associated with the Gross Motor Scale (p = .03 and p = .03, respectively). Mothers were more likely to report difficulties on the TQ when the child presented lower score on the MSEL. When considering the Gross Motor Scale as the gold standard to define moderate delays, the 2 combined motor-related questions on the TQ showed good sensitivity and specificity (76.5 and 75.7). Conclusion: In a low-resource rural setting in Africa, the TQ effectively identified 3 quarters of 1-year-old infants with delayed development. After this screening, the MSEL may be useful for further assessment as it showed good feasibility and sensitivity to known risk factors for poor child development.
Plan de classement
Santé : généralités [050]
Description Géographique
BENIN
Localisation
Fonds IRD [F B010061768]
Identifiant IRD
fdi:010061768
