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      Developmental potential in the first 5 years for children in developing countries

      review-article
      a , , * , b , , c , d , e , f , the International Child Development Steering Group
      Lancet
      Lancet Publishing Group

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          Summary

          Many children younger than 5 years in developing countries are exposed to multiple risks, including poverty, malnutrition, poor health, and unstimulating home environments, which detrimentally affect their cognitive, motor, and social-emotional development. There are few national statistics on the development of young children in developing countries. We therefore identified two factors with available worldwide data—the prevalence of early childhood stunting and the number of people living in absolute poverty—to use as indicators of poor development. We show that both indicators are closely associated with poor cognitive and educational performance in children and use them to estimate that over 200 million children under 5 years are not fulfilling their developmental potential. Most of these children live in south Asia and sub-Saharan Africa. These disadvantaged children are likely to do poorly in school and subsequently have low incomes, high fertility, and provide poor care for their children, thus contributing to the intergenerational transmission of poverty.

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          Most cited references131

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          Estimating wealth effects without expenditure data--or tears: an application to educational enrollments in states of India.

          Using data from India, we estimate the relationship between household wealth and children's school enrollment. We proxy wealth by constructing a linear index from asset ownership indicators, using principal-components analysis to derive weights. In Indian data this index is robust to the assets included, and produces internally coherent results. State-level results correspond well to independent data on per capita output and poverty. To validate the method and to show that the asset index predicts enrollments as accurately as expenditures, or more so, we use data sets from Indonesia, Pakistan, and Nepal that contain information on both expenditures and assets. The results show large, variable wealth gaps in children's enrollment across Indian states. On average a "rich" child is 31 percentage points more likely to be enrolled than a "poor" child, but this gap varies from only 4.6 percentage points in Kerala to 38.2 in Uttar Pradesh and 42.6 in Bihar.
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            Maternal care, hippocampal synaptogenesis and cognitive development in rats.

            We report that variations in maternal care in the rat promote hippocampal synaptogenesis and spatial learning and memory through systems known to mediate experience-dependent neural development. Thus, the offspring of mothers that show high levels of pup licking and grooming and arched-back nursing showed increased expression of NMDA receptor subunit and brain-derived neurotrophic factor (BDNF) mRNA, increased cholinergic innervation of the hippocampus and enhanced spatial learning and memory. A cross-fostering study provided evidence for a direct relationship between maternal behavior and hippocampal development, although not all neonates were equally sensitive to variations in maternal care.
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              Returns to investment in education: a further update

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                Author and article information

                Contributors
                Journal
                Lancet
                Lancet
                Lancet
                Lancet Publishing Group
                0140-6736
                1474-547X
                6 January 2007
                6 January 2007
                : 369
                : 9555
                : 60-70
                Affiliations
                [a ]Centre for International Child Health, Institute of Child Health, University College London, UK
                [b ]London School of Tropical Medicine and Hygiene, UK
                [c ]Group for the Analyses of Development, Lima, Peru
                [d ]Department of Applied Economics, University of Minnesota, USA
                [e ]Human Sciences Research Council, South Africa
                [f ]Division of Nutritional Sciences and Department of Psychology, Cornell University, USA
                Author notes
                [* ]Correspondence to: Prof Sally Grantham-McGregor, Centre for International Child Health, Institute of Child Health, University College, London WC1N 1EH, UK s.mcgregor@ 123456ich.ucl.ac.uk
                [†]

                Lead authors

                [‡]

                Steering group listed at end of the paper

                Article
                LANCET60032
                10.1016/S0140-6736(07)60032-4
                2270351
                17208643
                ecfec615-3f40-4e8c-9c65-f54c8462a4ce
                © 2007 Elsevier Ltd. All rights reserved.

                This document may be redistributed and reused, subject to certain conditions.

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                Medicine
                Medicine

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