Role of Pediatricians, Pediatric Associations, and Academic Departments in Ensuring Optimal Early Childhood Development Globally: Position Paper of the International Pediatric Association

Socioeconomic determinants of early childhood development: evidence from Pakistan

This study investigates the socioeconomic determinants of early childhood development (ECD) in Pakistan by utilizing the data of sixth wave of the Multiple Indicator Cluster Survey (MICS) conducted in the four provinces of the country. The findings of the study reveal that mother's education, father's education, economic status of the household as measured by household's wealth index quintile, region of residence (province), child's gender, disability, nutrition and the practices used by the adult members of the household to discipline child are important determinants of ECD. The study highlights the crucial role of family background and importance of addressing the issue of malnutrition to foster child development.

Disabilities in Early Childhood: A Global Health Perspective

Prior to the launch of the United Nations' Sustainable Development Goals (SDGs) in 2015, childhood disability was rarely considered an important subject in global health. The SDGs till 2030 now require that children under 5 years who are at risk of not benefitting from inclusive quality education are identified, monitored, and promptly supported. A new tool for identifying children who are not developmentally on track has been developed by UNICEF but has limited sensitivity for detecting children with disabilities due to reliance on parental assessment of child behavior in certain everyday situations. In this paper, we identified conditions that are commonly associated with developmental disabilities based on the International Classification of Diseases (ICD) codes and clarified the concept of "developmentally on track" as it relates to children with developmental disabilities and developmental delays. We summarized the latest evidence on the global burden of developmental disabilities in children under 5 years based on the diagnostic and functional approaches for measuring disabilities at the population level. We highlighted the global health context for addressing the needs of children with developmental disabilities and provided an overview of the opportunities and the role of pediatric caregivers in supporting children with developmental disabilities.

Promoting school readiness in children with developmental disabilities in LMICs

The United Nations' Sustainable Development Goals (SDGs) explicitly acknowledge inclusive and equitable quality education as the primary goal of any global initiatives for early childhood development for children under 5 years with developmental delays and disabilities. Primary education provides the foundation for lifelong learning, vocational attainment, and economically independent living. Globally, the majority (over 90%) of children with developmental disabilities reside in low- and middle-income countries (LMICs). These children are significantly less likely to have foundational reading and numeracy skills, more likely to have never attended school and more likely to be out of primary school, compared to children without disabilities. Concerted and well-coordinated efforts to prepare these children in early childhood for inclusive education constitute a moral and ethical priority for all countries. This paper sets out to examine the concept and dimensions of school readiness for children under 5 years from an extensive narrative review of the literature. It identifies the barriers and challenges for school readiness for children with disabilities and the limitations of the available tools for evaluating school readiness. It concludes by emphasizing the critical role of inter-disciplinary engagement among pediatric caregivers in promoting school readiness in partnership with the families and community where the children reside. Overall, the paper highlights the need for appropriate policy initiatives at the global and national levels to promote school readiness specifically for children under 5 years with developmental disabilities in LMICs, if the aspirational goal of inclusive education by 2030 under the SDGs is to be realized.

Fathers' presence and adolescents' interpersonal relationship quality: Moderated mediation model

Introduction

Most previous studies focused on the effects of fathers' presence on adolescent development, but rarely examined the mechanisms underlying the presence of fathers on adolescent development. Moreover, previous studies ignored the impact of fathers' way of being present on adolescent interpersonal relationships. Based on social identity theory, the present study introduced adolescents' social responsibility as a mediating variable to explore the influence of father's presence style on adolescents' interpersonal. This study examined the mechanism of fathers' way of being present on father's presence, adolescents' social responsibility, and their quality of interpersonal relationships; if fathers adopt a democratic approach to be present, the study examines whether teenagers are more likely to enhance their sense of social responsibility and achieve harmonious interpersonal relationships.

Methods

Participants were 1,942 senior high school and college students who responded to the Fatherhood Questionnaire, Social Responsibility Questionnaire, and Interpersonal Relationship Quality Diagnosis Scale. This study used PROCESS macro of SPSS 24.0 and Amos 26.0 to examine the hypotheses.

Results

Empirical results demonstrated that (a) fathers' presence is directly and positively related to adolescents' social responsibility, (b) fathers' presence is indirectly and positively related to the quality of adolescents' interpersonal relationships through social responsibility, and (c) parenting styles played a moderating role in the first half of the fathers' presence on social responsibility and the quality of interpersonal relationships. Results demonstrated that more harmonious interpersonal relationships were present among teenagers when fathers adopted a democratic upbringing, and this interaction effect on interpersonal relationships was mediated by teenagers' sense of social responsibility.

Discussion

The findings of this study enrich the literature by exploring the significance of emphasizing fathers' democratic presence on teenagers' sense of social responsibility and interpersonal relationships. The practical implications of this study are that society should encourage more fathers to be present and guide them to adopt a democratic parenting style that will benefit adolescents' development and family well-being.