Abstract

Early years are critical for the development of neural connections that influence lifelong trajectories of health, learning and behaviour. No universal child development indicators to assess young children at household level are available. This paper describes the development and psychometric properties of “Care for Development, Appraisal Tool for Assessing and Monitoring Child Development: First Three years” (CDA tool) that equips frontline health workers with essential skills to adequately assess child development and educate caregivers about early child development. The tool was developed by multidisciplinary research team after extensive literature review and field trails in three steps. First step was conceptualization of theoretical framework followed by consolidation and development of guide. Second step was field testing and norms development on 1000 children. Finally tool was evaluated by external reviewers. CDA tool has sound psychometric ability in terms of its contents and concurrent validity, is culturally appropriate and easy to administer. It can be used by frontline health workers to identify and track high risk children across the globe thereby helping children from low-resource settings to realize their full potentials.

Highlights

  • Child sexual abuse (CSA) is a serious and persistent global problem that, depending on the definition used and the population studied, affects 2% - 62% of females and 3% - 16% of males [1]

  • The annual reports of the Saudi National Family Safety Registry [12,13,14], which provide a summary of child abuse statistics as recorded by hospital-based child protection centers, give the number of cases of CSA for the years 2010–2012 as 47 (15.4% of all reported abuse cases), 136 (22% of the total), and 56 (21.3% of the total)

  • Between 2000 and 2008 the total number of CSA cases reported to the Suspected Child Abuse and Neglect (SCAN) team, at King Abdul-Aziz Medical City, was 20 (15% of all child abuse cases)

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Summary

Introduction

Child sexual abuse (CSA) is a serious and persistent global problem that, depending on the definition used and the population studied, affects 2% - 62% of females and 3% - 16% of males [1]. Victims of CSA have been reported to display a range of abnormal behaviors that vary depending upon their age. The impact of the abuse is dependent on a number of factors, such as the age of the child, the age at which the abuse began, the time elapsed since the last instance of abuse, and the relationship of the perpetrator to the victim [3]. Those who have suffered CSA often report difficulties in having normal sexual relationships in adult life, frigidity, or promiscuity. Many perpetrators of CSA were victims of this form of abuse during their own childhood [4]

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