Developmental assessments during injury research: Is enrollment of very young children in crèches associated with better scores?

Divya Nair, Olakunle Alonge, Jena Derakhshani Hamadani, Shumona Sharmin Salam, Irteja Islam, Adnan Ali Hyder

Research output: Contribution to journalArticle


The Developmental Study is part of a larger intervention on “saving of lives from drowning (SoLiD)" where children were enrolled either into crèches (daycare centers) or playpens to prevent drowning in rural Bangladesh. Sampling ~1000 children between the ages of 9-17 months, we compared problem-solving, communication, motor and personal-social outcomes assessed by the Ages and Stages Questionnaire in the two interventions. After controlling for variables such as home stimulation in multivariate regressions, children in crèches performed about a quarter of a standard deviation better in total scores (p < 0.10) and 0.45 standard deviations higher in fine motor skills (p < 0.05). Moreover, once the sample was stratified by length of exposure to the intervention, then children in crèches performed significantly better in a number of domains: those enrolled the longest (about 5 months) have higher fine motor (1.47, p < 0.01), gross motor (0.40, p < 0.05) and personal-social skills (0.95, p < 0.01) than children in playpens. In addition, children in crèches with the longer exposure (about 5 months) have significantly higher personal-social and problem-solving scores than those in crèches with minimum exposure. Enrollment in crèches of very young children may be positively associated with psychosocial scores after accounting for important confounding variables.

Original languageEnglish (US)
Article number1130
JournalInternational journal of environmental research and public health
Issue number10
StatePublished - Sep 26 2017


  • Ages and stages questionnaire (ASQ)
  • Bangladesh
  • Child development
  • Cognitive
  • Crèche
  • Daycare
  • Early childhood care (ECC)
  • Early childhood development (ECD)
  • Psychosocial

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis

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