And the Word was made flesh, and dwelt among us, full of grace and truth.
Searching a solution for this quandary I called up my brother in law Dr. Satyendra who is a practicing paediatrician and had some lengthy discussions about how medical community currently deals with this issue of systematically monitoring healthy growth of kids and also about the parental role in it.
Insights gained from these discussions led me into a territory of paediatrics and followed were the countless hours spent in study of various paediatric books, articles, journals, prevalent tools, guidelines, screening tests etc.
Results of this research, astonishing they were but also cemented my opinion that there is a yawning need of a tool to channelize this process of child growth and development monitoring, a tool which can start bridging from both banks together – from paediatric side as well as parental side. So that if either of these key caretakers of a child adopts this, it could help a great deal. If both can, nothing like it!
Paediatricians do this monitoring mostly based on their clinical judgement and sometime with help of some existing paper based tools. My own experience was that this process gets abandoned after sometime due to various reasons – no obvious problems in child development, strong reliance on clinical judgement, time it consumes and various other factors. Considering the number of kids doctors have to cater in India, this monitoring schedule suffers despite the best efforts of our doctors.
On the other side of the spectrum there are parents who try to do their part by asking questions and by remaining alert. But they also fail to channelize this alertness into informed monitoring due to lack of information and knowledge of various aspects of child growth.
“Unfortunately, research shows that clinical judgment detects fewer than 30% of children who have mental retardation, learning disabilities, language
impairments, and other developmental disabilities. Clinical judgment also identifies fewer than 50% of children who have serious emotional and behavioral disturbances.” – source (Glascoe, F. P. (2000). Early detection of developmental and behavioral problems. Pediatrics in Review, 21(8))
This whole process culminated in germination of a concept of a tool which should have flavors to suite the needs of both hands who nurture a young kid. One hand was of doctors, creation of a tool for that required deep medical research and thorough understanding of latest screening tools and guidelines. Other hand i.e. of parents required a systematic process which is not too complex and tedious to understand and which should not be putting too much medical information/decisions in their basket to handle, yet it should cover everything which is missing so far, and critical for effective monitoring.
Numerous meetings with experts from many leading hospitals and research institutes in developmental paediatrics from all over the country, their inputs combined with continuous research and hard work from our team started to show in the evolution of a polished product.
This ongoing nurture which I believe will remain a key feature here at KidNurture allowed us to dare to produce a software which can provide effective nurture for our kids.
(To be contd…)Visit KidNurture