The project seeks to introduce and incorporate routine surveillance and screening for childhood NDD into the National Programme on Immunization (NPI), an already well established program at primary health care (PHC) levels in Nigeria and other Sub-Saharan African countries. Through this, the project will:
Integrate Screening and Core Packages of Services into Routine PHC
The project will introduce the surveillance and screening for childhood NDD into already existing NPI at PHC level in selected Local Government Areas (LGAs) of Lagos State and will produce interventions for the affected parents about NDDs.
Improve Children’s Access to Evidence-Based Care by Trained Health Providers
The project proposes training for PHC workers and multi-disciplinary professionals at tertiary care centre with the objectives of improving their knowledge and skills on early recognition of NDD before the age of 3 years and providing Individualized family service plan (IFSP) and process of care coordination for affected parents and children with NDD.
Incorporate Functional Impairment and Disability into Assessment
During surveillance/screening and evaluation/Individual tailored interventions, disability assessment tools will be used to assess functional impairment and disability both at baseline and at various stages of interventions.
Nature of the Target Population and Rationale for the Region Selected
The primary target population for this project is the subset of children undergoing Immunization Schedules under NPI at PHC level in two selected Local Government Areas (LGA) in Lagos State, Nigeria. Lagos State is the second most populous state in Nigeria out the 36 States and Federal Capital Territory in Nigeria. The location of the project in Lagos State will benefit from the already existing infrastructure and human resources both at the primary and tertiary care levels, subsequently leading to an improvement in accessibility to services.
Screening for childhood NDD at PHC Level (NPI Clinics) will occur at particular stages of screening (four stages based on children’s age-related visits): 3 to 6 Months, 6 to 12 Months, 18 to 24 Months, 24 to 36 Months.
Clinicians will evaluate the following components when children are brought in for their assessments:
- Developmental Trajectory/Developmental Milestone
- Cognitive Trajectory/ Education Needs Assessment
- Adaptive Functioning
- Biomedical Profile
- Physical Health Problems
- Nutritional Components
Interventions for each child and family will be individualized based on available facilities. Facilities will provide an Individualized Family Service Plan (IFSP) developed through the results of the Definitive Evaluation of the child. Interventions may include educating affected parents about NDD, counselling and support for the family by establishment of Family Support Groups where parents can share their apprehension and concerns before referral to tertiary care centre for further evaluation and specific interventions.