Director, Society for Education, Action and Research in Community Health (SEARCH)Shodhgram, Chatgaon, Dhanora, Gadchiroli, Maharashtra 442605, India.
Indian Pediatr. 2021 Jan 15;58(1):11-12. doi: 10.1007/s13312-021-2349-5.
To develop to their full potential, all children need to receive nurturing care. This means that, starting in pregnancy, they are raised in a stable environment that is sensitive to their health and nutritional needs, with protection from threats, opportunities for early learning, and interactions that are responsive, emotionally supportive, and developmentally stimulating. Nurturing care ensures the foundations are laid early in life for an individual to survive and thrive. Yet, at least 250 million children younger than 5 years worldwide are at risk of not reaching their developmental potential, having major implications for their health, education, productivity and well-being along the life course. Primary health care services provide a platform for universal support to all families and children, and an entry point for early identification and interventions for families and children with additional needs. Healthcare providers, including pediatricians, are uniquely well placed to watch and learn about the strengths and vulnerabilities of a family and a child, open the dialogue about the child’s development, and support caregivers in providing their children nurturing care. Evidence shows that when caregivers are supported to provide all components of nurturing care, starting from pregnancy, children have a better chance to unlock their developmental potential, even when faced with adversities. This paper outlines how the Nurturing Care Framework and its five strategic actions guide multi-sectoral policies, interventions and services. It articulates the important role the health sector can play in supporting young children’s development in the early years.
为了充分发挥潜力，所有儿童都需要接受培育性关怀。这意味着，从怀孕开始，他们就在一个稳定的环境中成长，这个环境对他们的健康和营养需求敏感，免受威胁，有早期学习的机会，以及能够做出回应、给予情感支持和促进发展的互动。培育性关怀确保了个体在生命早期为生存和茁壮成长奠定基础。然而，全球至少有 2.5 亿 5 岁以下儿童面临无法发挥其发展潜力的风险，这对他们的健康、教育、生产力和整个生命周期的福祉都有重大影响。初级卫生保健服务为所有家庭和儿童提供了普遍支持的平台，也是识别和干预有额外需求的家庭和儿童的切入点。医疗保健提供者，包括儿科医生，处于独特的有利位置，可以观察和了解家庭和儿童的优势和脆弱性，开启关于儿童发展的对话，并支持照顾者为其子女提供培育性关怀。有证据表明，当照顾者得到支持，从怀孕开始就提供培育性关怀的所有组成部分时，儿童有更好的机会发挥其发展潜力，即使面临逆境。本文概述了培育关怀框架及其五项战略行动如何指导多部门政策、干预措施和服务。它阐述了卫生部门在支持幼儿在早期发展方面可以发挥的重要作用。
