Journal Article

Against the Odds: Psychomotor Development of Children Under 2 years in a Sudanese Orphanage

Emmanuelle Espié, Lisa Ouss, Valérie Gaboulaud, Drina Candilis, Khalid Ahmed, Sandra Cohuet, Thierry Baubet, Rebecca F. Grais and Marie-Rose Moro

in Journal of Tropical Pediatrics

Volume 57, issue 6, pages 412-417
Published in print December 2011 | ISSN: 0142-6338
Published online January 2011 | e-ISSN: 1465-3664 | DOI:
Against the Odds: Psychomotor Development of Children Under 2 years in a Sudanese Orphanage

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Providing abandoned children the necessary medical and psychological care as possible after their institutionalization may minimize developmental delays. We describe psychomotor development in infants admitted to an orphanage in Khartoum, Sudan, assessed at admission and over an 18-month follow-up. Psychological state and psychomotor quotients were determined using a simplified Neonatal Behavior Assessment Scale (NBAS), the Brunet–Lezine and Alarm distress baby (ADBB) scale. From May–September 2005, 151 children were evaluated 2, 4, 9, 12 and 18 months after inclusion. At admission, ∼15% of children ≤1 month had a regulation impairment according to the NBAS, and 33.8% presented a distress state (ADBB score >5). More than 85% (129/151) recovered normal psychomotor development. The results of the program reinforce the importance of early detection of psychological disorders followed by rapid implementation of psychological case management to improve the development of young children in similar institutions and circumstances.

Keywords: psychomotor; psychological; development; orphan; foster care; adoption

Journal Article.  2727 words.  Illustrated.

Subjects: Paediatrics

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