1392 -1 5 ( ) 5 1369 50

1392

-1 5 ( ) 5 1369

50 140 68 110 52 1390 ()22.6 ()17.3 20 18

-2 5 1390-86 : 1389

4.08 5.57 0.82 1.74 6.83 5.8

1.92 1.81 4 5.62 1.39 2.36

: MDHS1389 :ECD 3 -1 (1389 5 89 ) -2 : ( ) - (1000) - -3 3 4

2-3 ( : ) -4 3( ) -5 3 -6 ECD -7 -( 3 )

: BRAIN WEIGHT: 20 W NEWBORN 18 M 36M ADULT 100g 400g 800g 1100g 1400g

Nature vs. Nurture During the first 10 years of life the brain is twice as active as that of an adults 60% of nutrition is used by the brain during the first year of life. This decreases to 30% by age 3 Genetic and environmental factors have a more dynamic, qualitative interplay that can not be reduced to a simple equation

: 100 : 1000 1000 : 10000 20 500 : 5000 Photo of neurons Cumulative Public Investment

( ) Rate of return to investment in human capita What is MAGICAL

about Age ?6 Optimal Investment Levels 0 Age Source: Carneiro & Heckman, Human Social Policy :2003

/ .. .

3 : : : . : : .

: : . ( ) ECD . Incidence of children identified as having a disability by age )2004(

2.3% http://www.ideadata.org. 5.9% 11.6 % Detection of Disabilities by Physicians Speech Hyperactivity Emotional Problems Other Developmental Learning Disability

0 2 4 6 8 10 Age of First Diagnosis (years) Legend 10th 25th

50th 75th 100th percentile .... 7 Survey on Physician Use of Screening Tools 70% of pediatricians never use a

screening tool 15% use one only sometimes 23 . 5

.DQ((Developmental Quotient Detection Rates 25

7 6 5

4 3 2 1 0 ;Graph developed by Council for Early Child Development (ref: Nash, 1997; Early Years Study, 1999 )Shonkoff, 2000.

ASQ Screens 5 Domains Communication Gross Motor Fine Motor Problem solving

Personal-social ASQ:SE Social-Emotional development

.....

( : ) 1 12 ASQ ASQ

ASQ ( )

ASQ +++

( ) -

ASQ

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