Health Care for ECD
The International Guide for Monitoring Child Development: Enabling individualised interventions

An article from Early Childhood Matters describes the international Guide for Monitoring Child Development (GMCD) developed in Turkey. The GMCD is intended to monitor children from birth to 3.5 years of age and assesses seven functional domains: expressive and receptive language, gross and fine motor skills, relating, play, and self-help. 

Who is it for? 

For use by community workers, nurses, family physicians, paediatricians, and early intervention providers. 

Why is it useful? 

The GMCD involves a service provider asking the caregiver open-ended questions about the child’s development; 

The monitoring component is only the first part of the package – it flows seamlessly into the ‘support’ component, using the information on where the child and family are and what should be supported;  

The ‘early intervention’ component simplifies the WHO International Classification of Functioning, Disability and Health framework (2001) to apply family-centred, community-based early intervention for children with special needs; 

The GMCD has been validated in four diverse countries – Argentina, India, South Africa, and Turkey. It is one of the few tools with adequate psychometric and feasibility criteria for use in low- and middle-income settings. 

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