Infant, Child and Adolescent Mental Health Services (ICAMHS), South Western Sydney Local Health District (SWSLHD), NSW, Australia; and Academic Unit of Child Psychiatry South-West Sydney (AUCS), Discipline of Psychiatry and Mental Health, UNSW Sydney, NSW, Australia.
Early Life Determinants of Health, Maridulu Budyari Gumal (Sydney Partnership for Health, Education, Research, and Enterprise), Ingham Institute, Sydney, NSW, Australia.
Aust Health Rev. 2023 Feb;47(1):72-76. doi: 10.1071/AH22228.
The purpose of this perspective article is to emphasise the importance of the 'First 2000 Days' policy of life from conception to age five, and to propose new directions in which the policy's implementation could be extended for the benefit of children and families. The proposed approach highlights principles of responsiveness, integration, sustainability and equity, specifying initiatives that embody the kind of innovation each principle aspires to. The article also proposes innovations in data collection and linkages that would strengthen the implementation of first 2000 days policies and frameworks. This perspective proposes a framework that could improve health systems implementation of services in the first 5 years of life, by proposing a well-coordinated continuum of services with integrated physical and digital solutions. This has the potential to transform how the health system monitors and responds to children and families' needs in the critical early years of life during and beyond the current pandemic.
本文旨在强调从受孕到五岁的“2000 天生命早期”政策的重要性，并为该政策的实施提出新的方向，以造福儿童和家庭。所提出的方法强调了响应性、整体性、可持续性和公平性原则，具体说明了体现每个原则所追求的创新举措。本文还提出了数据收集和联系方面的创新，以加强“2000 天”政策和框架的实施。本文提出了一个框架，通过提出具有物理和数字解决方案的综合服务的良好协调连续体，有可能改善卫生系统在生命的头 5 年提供服务的实施情况。这有可能改变卫生系统在当前大流行期间及之后如何监测和应对儿童和家庭在生命早期的关键需求。
