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ECD Program Report IPA-SC Meeting 12/18/2011 Mohamad Mikati MD SC Committee Member, Representative of The International Child Neurology Foundation.

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Presentation on theme: "ECD Program Report IPA-SC Meeting 12/18/2011 Mohamad Mikati MD SC Committee Member, Representative of The International Child Neurology Foundation."— Presentation transcript:

1 ECD Program Report IPA-SC Meeting 12/18/2011 Mohamad Mikati MD SC Committee Member, Representative of The International Child Neurology Foundation

2 Activities in April 19-21, 2010: The UNICEF New York City Head Quarters Global Consultation on ECD research agenda April This meeting was convened by the UNICEF in New York City and included several partner international organizations (UNICEF, WHO, World Bank), academicians, NGOs, donors, and other stake holders to make recommendations regarding the research agenda in ECD. Dr. M. Mikati contributed as IPA representative May 1-7, 2010: The International Congress of Child Neurology, Cairo, Egypt: Symposium on developmental interventions and another on impact of war on childhood development. Dr. M. Mikati and Dr. Hussein Bahaeddine were organizers and contributers August 3-7, 2010: Activities during the IPA Congress, IPA-UNICEF- WHO Workshop on Childhood Development in Johannesburg: This workshop and the activities around it highlighted a major interest of pediatrician in the New IPA Program on Early Childhood Development (ECD) and plans for the future were discussed.

3 Activities in Beirut Activities (Sante Sud Seminair Beirut) Drs. Lama Charafeddine and Durriyah Sinno organized a workshop ECD in the IXth Makassed Medical Congress in October 2010 and Dr. Charafeddine also gave a presentation on Developmental screen and early intervention in the Sante Sud Conference held in Beirut October 29, The Consultative Group on Early Childhood Care and Development (CGECCD) Zanzibar Tanzania: Dr. Mikati represented IPA and gave two talks, plans for ECDI partnership were consolidated Contacts for Potential Partners for ECD program: This is in preparation for subsequent steps

4 Rio Political Declaration on Social Determinants of Health, Rio De Janeiro, 21 October 2011 Officials and other Stake Holders: Heads of Government, Ministers and government representatives came together Declaration: Expressed determination to achieve social and health equity through action on social determinants of health and well-being by a comprehensive intersectoral approach. ECD emphasized in the declaration on page 3 paragraph 11.2 item (xi) "Give special attention to gender-related aspects as well as early child development in public policies and social and health services;"

5 Activities in 2011 Care for child development: Basic science rationale and effects of interventions. Review of basic science literature supporting ECD: Holt RL, Mikati MA. Pediatr Neurol 2011;44: Care for Childhood Development: Clinical Economic and Ethical Rationale. Aravindhan Veerapandiyan MBBS, Rebecca Holt MD, Mohamad A. Mikati MD, in press. Impact of Early Childhood Development programs: A Cost-Benefit Analysis Study Aravindhan Veerapandiyan, MBBS, Harold Alderman, PhD, Mohamad A. Mikati, MD, in preparation.

6 CountryIntervention Difference in IQ Guinea Preschool program 4.41 Cape Verde Preschool program 7.27 Kenya, Zanzibar, Uganda Madrasa Resource Center Study SD/year Bangladesh Early childhood preschool program (5 years) ~ 5% India Anganwadi Center 10.2 West Indies Weekly or 2 weekly home visits with toys demonstration for 3 years after hospitalization 8.6 Philippines Philippine early childhood development program SD USA Home visiting by paraprofessionals and nurses program USA Project Care – 18 months child development center and family education 5.8 USA Duration 6 yrs. Fulltime child care and job counseling and training for parents. 10 USA Duration 3 yrs. Home visits monthly. Nurse provided toys and books, parental training in cognitive stimulation of child 8 USA Toddler-parent psychotherapy. Duration: 14.5 months 4.95 USA Home visits (first 3 yrs), child development centers (second 2 yrs) and parent support groups (second 2 yrs) Norway Modified version of Mother-Infant Transaction program Duration: one week 7.2 Effect of ECD Programs: Summary

7  Tracked a large group of young U.S. baby boomers using national longitudinal survey (NLSY79). IQ correlated with annual income (0.3)  Also correlated with net worth (0.16).  Showed each point increase in IQ test scores raises income by between $234 and $616/year or % of PCGNP (mean 1.7%). Zagorsky J Do you have to be smart to be rich? The impact of IQ on wealth, income and financial distress. Intelligence. Background Study: Effect of IQ on income

8 Background: Expenditure on Pre-Primary Education: Percentage of PCGNP (2004)

9 years Age in years Cost % 2010 PCGNP Cost-Benefit Study: Projections 1200x 1000x 800x 600x Impact of Early Childhood Development programs: A Cost-Benefit Analysis Study. Aravind Veerapandiyan, MBBS, Harold Alderman, PhD, Mohamad A. Mikati, MD, in preparation.

10 $5,377 $180,504 $124,465 $68,564 $33, years 24 years 26 years 31 years Cost-benefit Analysis Age in years Cost US $ Impact of Early Childhood Development programs: A Cost-Benefit Analysis Study. Aravind Veerapandiyan, MBBS, Harold Alderman, PhD, Mohamad A. Mikati, MD, in preparation.

11 Lebanon Collaborators Dr. Lama Charaffedine: American University of Beirut, Neontatology, Dev. Pediatrics (research, speaker, book) Dr. Durriyah Sinno: American University of Beirut, Developmental Pediatrics (research, speaker, book)

12 Lebanon Program: Identified Centers 1.UNRWA Clinic-Beirut Suburb 2.RHUH Government Hospital-Beirut Suburb 3.The Karagheusian Clinic- Mount Lebanon 4.Markaz-Al-Khadamat Alinmaia North Lebanon 5.The Makassed Out Patient Clinic-Beirut

13 Current Potential Global Partners Dr. L. Selim, Egypt Dr. T. Cunningham, Tanzania Dr. F. Tall, Burkina Faso Drs. Sinno/Charafeddin Leb Dr. N. Khoury, Jordan Dr. S. Sitaraman, Jaipur India

14 Planned Activities Complete and publish the Economic study with the World Bank Participate in the UNICEF Global Consultation Beirut workshop to Launch the Lebanon ECD program there-Thanks to IPA budgeted $ 5,000 for the ECD program. ECD Workshop in Melbourne Congress-Thanks to Dr. Wigg and to ICP Scientific Committee. Pediatric Neurology Session in collaboration with ICNA in Melbourne Congress-Thanks Neil !!

15 Thank you for your attention!!


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