Diagnostic Accuracy of the Government of India Mother and Child Protection Card for Developmental Screening of Indian Children Aged 2-36 Months: A Hospital-based Mixed Method Study

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dc.contributor.authorMukherjee, Sharmila Ben_US
dc.contributor.authorMeghana, Sen_US
dc.contributor.authorSingh, Arun Kumaren_US
dc.contributor.authorSharma, Suvasinien_US
dc.contributor.authorKapoor, Diptien_US
dc.date.accessioned2023-08-25T06:39:56Z
dc.date.available2023-08-25T06:39:56Z
dc.date.issued2023-03
dc.description.abstractBackground: Universal developmental screening is recommended at 9, 18, 24 and 36 months. The Government of India Mother and Child Protection (MCP) card is an immunization record that is used to monitor child development, and identify children requiring further evaluation. Objectives: To determine the diagnostic accuracy of the MCP card for developmental screening, and perform its item analysis. Study design: Mixed-method study (prospective study of diagnostic accuracy and qualitative study). Participants: Mother-child dyads of children between 2-36 months of age were recruited from the outpatient department or wards of a tertiary level children’s hospital from November, 2019 to October, 2021. Children with confirmed neurodevelopmental disorders/disability, and mothers with less than 6th standard education were excluded. Intervention: Each mother was given a MCP card, and taught how to mark the items. This was followed by the researcher’s evaluation (index tool). The reference tool was a comprehensive clinical assessment (CCA) by the researcher and an expert. The CCA included clinical examination of hearing, vision, and neurodevelopment; and psychometric assessment of development and adaptive function. Each mother underwent an in-depth interview. Overall and group wise psychometric properties of diagnostic accuracy were computed. The interview transcripts were analyzed thematically. Outcomes: The proportion of children with ‘fail’ and ‘delay’ by the evaluation of the researcher with the MCP card and the expert by the CCA, respectively. Results: The study population included 213 children (40.4% females). Fifty-two (24.4%) children were identified as ‘Fail’ by the MCP card and 43 (20.2%) as ‘delay’ by the expert’s CCA. The overall sensitivity and specificity was 83.7% (95% CI 69.3-93.2) and 90.6% (95% CI 85.2-94.5), respectively. Acceptable diagnostic accuracy was found in the age-group 7-9 months, 13-18 months, and 25-36 months. Conclusions: The MCP card may be used for developmental screening at 9, 18, and 36 months.en_US
dc.identifier.affiliationsDepartment of Pediatrics, Lady Hardinge Medical College and Associated Kalawati Saran Children’s Hospital, New Delhien_US
dc.identifier.affiliationsRashtriya Bal Swasthya Karyakram, Ministry of Health & Family Welfare, Government of India.en_US
dc.identifier.citationMukherjee Sharmila B, Meghana S, Singh Arun Kumar, Sharma Suvasini, Kapoor Dipti. Diagnostic Accuracy of the Government of India Mother and Child Protection Card for Developmental Screening of Indian Children Aged 2-36 Months: A Hospital-based Mixed Method Study. Indian Pediatrics. 2023 Mar; 60(3): 187-192en_US
dc.identifier.issn0079-6061
dc.identifier.issn0974-7559
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/225391
dc.languageenen_US
dc.publisherIndian Academy of Pediatricsen_US
dc.relation.issuenumber3en_US
dc.relation.volume60en_US
dc.source.urihttps://indianpediatrics.net/mar2023/187.pdfen_US
dc.subjectDevelopmental monitoringen_US
dc.subjectDevelopmental surveillanceen_US
dc.subjectImmunization carden_US
dc.subjectNational health mission.en_US
dc.titleDiagnostic Accuracy of the Government of India Mother and Child Protection Card for Developmental Screening of Indian Children Aged 2-36 Months: A Hospital-based Mixed Method Studyen_US
dc.typeJournal Articleen_US
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