Investment in child and adolescent health and development: key messages from Disease Control Priorities, 3rd Edition

Disease Control Priorities-3 Child and Adolescent Health and Development Authors Group

Research output: Contribution to journalReview articlepeer-review

65 Scopus citations

Abstract

The realisation of human potential for development requires age-specific investment throughout the 8000 days of childhood and adolescence. Focus on the first 1000 days is an essential but insufficient investment. Intervention is also required in three later phases: the middle childhood growth and consolidation phase (5–9 years), when infection and malnutrition constrain growth, and mortality is higher than previously recognised; the adolescent growth spurt (10–14 years), when substantial changes place commensurate demands on good diet and health; and the adolescent phase of growth and consolidation (15–19 years), when new responses are needed to support brain maturation, intense social engagement, and emotional control. Two cost-efficient packages, one delivered through schools and one focusing on later adolescence, would provide phase-specific support across the life cycle, securing the gains of investment in the first 1000 days, enabling substantial catch-up from early growth failure, and leveraging improved learning from concomitant education investments.

Original languageEnglish (US)
Pages (from-to)687-699
Number of pages13
JournalThe Lancet
Volume391
Issue number10121
DOIs
StatePublished - Feb 17 2018

Bibliographical note

Funding Information:
SH reports a grant from the University of Washington for research assistance. DAPB reports being employed by the Bill & Melinda Gates Foundation, which funds DCP3. All other authors declare no competing interests.

Publisher Copyright:
© 2018 Elsevier Ltd

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