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Against the Odds: Psychomotor Development of Children Under 2 years in a Sudanese Orphanage | Journal Article / Research | MSF Science Portal
Journal Article
|Research

Against the Odds: Psychomotor Development of Children Under 2 years in a Sudanese Orphanage

Espie E, Ouss L, Gaboulaud V, Candilis D, Ahmed KA, Cohuet S, Baubet T, Grais RF, Moro MR
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Abstract
Providing abandoned children the necessary medical and psychological care as possible after their institutionalization may minimize developmental delays. We describe psychomotor development in infants admitted to an orphanage in Khartoum, Sudan, assessed at admission and over an 18-month follow-up. Psychological state and psychomotor quotients were determined using a simplified Neonatal Behavior Assessment Scale (NBAS), the Brunet-Lezine and Alarm distress baby (ADBB) scale. From May-September 2005, 151 children were evaluated 2, 4, 9, 12 and 18 months after inclusion. At admission, ∼15% of children ≤1 month had a regulation impairment according to the NBAS, and 33.8% presented a distress state (ADBB score >5). More than 85% (129/151) recovered normal psychomotor development. The results of the program reinforce the importance of early detection of psychological disorders followed by rapid implementation of psychological case management to improve the development of young children in similar institutions and circumstances.

Countries

Sudan

Subject Area

pediatricsmental health

Languages

English
DOI
10.1093/tropej/fmq117
Published Date
06 Jan 2011
PubMed ID
21212129
Journal
Journal of Tropical Pediatrics
Volume | Issue | Pages
Volume 57, Issue 6
Issue Date
2011-01-06
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