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1.
Lancet ; 389(10064): 77-90, 2017 01 07.
Artigo em Inglês | MEDLINE | ID: mdl-27717614

RESUMO

Early childhood development programmes vary in coordination and quality, with inadequate and inequitable access, especially for children younger than 3 years. New estimates, based on proxy measures of stunting and poverty, indicate that 250 million children (43%) younger than 5 years in low-income and middle-income countries are at risk of not reaching their developmental potential. There is therefore an urgent need to increase multisectoral coverage of quality programming that incorporates health, nutrition, security and safety, responsive caregiving, and early learning. Equitable early childhood policies and programmes are crucial for meeting Sustainable Development Goals, and for children to develop the intellectual skills, creativity, and wellbeing required to become healthy and productive adults. In this paper, the first in a three part Series on early childhood development, we examine recent scientific progress and global commitments to early childhood development. Research, programmes, and policies have advanced substantially since 2000, with new neuroscientific evidence linking early adversity and nurturing care with brain development and function throughout the life course.


Assuntos
Desenvolvimento Infantil , Deficiências do Desenvolvimento/prevenção & controle , Encéfalo/crescimento & desenvolvimento , Criança , Fenômenos Fisiológicos da Nutrição Infantil/fisiologia , Proteção da Criança , Pré-Escolar , Atenção à Saúde/organização & administração , Países em Desenvolvimento , Deficiências do Desenvolvimento/etiologia , Transtornos do Crescimento , Humanos , Pobreza , Serviços Preventivos de Saúde/organização & administração , Fatores de Risco
3.
NPJ Sci Learn ; 6(1): 27, 2021 Sep 10.
Artigo em Inglês | MEDLINE | ID: mdl-34508088

RESUMO

A recent Nature article modelled within-country inequalities in primary, secondary, and tertiary education and forecast progress towards Sustainable Development Goal (SDG) targets related to education (SDG 4). However, their paper entirely overlooks inequalities in achieving Target 4.2, which aims to achieve universal access to quality early childhood development, care and preschool education by 2030. This is an important omission because of the substantial brain, cognitive and socioemotional developments that occur in early life and because of increasing evidence of early-life learning's large impacts on subsequent education and lifetime wellbeing. We provide an overview of this evidence and use new analyses to illustrate medium- and long-term implications of early learning, first by presenting associations between pre-primary programme participation and adolescent mathematics and science test scores in 73 countries and secondly, by estimating the costs of inaction (not making pre-primary programmes universal) in terms of forgone lifetime earnings in 134 countries. We find considerable losses, comparable to or greater than current governmental expenditures on all education (as percentages of GDP), particularly in low- and lower-middle-income countries. In addition to improving primary, secondary and tertiary schooling, we conclude that to attain SDG 4 and reduce inequalities in a post-COVID era, it is essential to prioritize quality early childhood care and education, including adopting policies that support families to promote early learning and their children's education.

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