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Investment in child and adolescent health and development: key messages from Disease Control Priorities , 3rd Edition
Abstract
The realisation of human potential for development requires age-specific investment throughout the 8000 days of childhood and adolescence. Focus on the first 1000 days is an essential but insufficient investment. Intervention is also required in three later phases: the middle childhood growth and consolidation phase (5-9 years), when infection and malnutrition constrain growth, and mortality is higher than previously recognised; the adolescent growth spurt (10-14 years), when substantial changes place commensurate demands on good diet and health; and the adolescent phase of growth and consolidation (15-19 years), when new responses are needed to support brain maturation, intense social engagement, and emotional control. Two cost-efficient packages, one delivered through schools and one focusing on later adolescence, would provide phase-specific support across the life cycle, securing the gains of investment in the first 1000 days, enabling substantial catch-up from early growth failure, and leveraging improved learning from concomitant education investments.
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“Using the number of global publications to measure research interest, 70% to 90% of research attention on the first 20 years of life has been expended before the subjects reach 5 years of age.106,107”
From Global health 2050: the path to halving premature death by mid-century (2024) · cites this paper as [106]
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Metadata
- Authors
- Bundy, D. A. P., de Silva, N., Horton, S., Patton, G. C., Schultz, L., Jamison, D. T., Abubakara, A., Ahuja, A., Alderman, H., Allen, N., Appleby, L., Aurino, E., Azzopardi, P., Baird, S., Banham, L., Behrman, J., Benzian, H., Bhalotra, S., Bhutta, Z., Black, M., Bloem, P., Bonell, C., Bradley, M., Brinkman, S., Brooker, S., Burbano, C., Burnett, N., Cernuschi, T., Clarke, S., Coffey, C., Colenso, P., Croke, K., Daniels, A., De la Cruz, E., de Walque, D., Deolaikar, A., Drake, L., Fernald, L., Fernandes, M., Fernando, D., Fink, G., Galloway, R., Gelli, A., Georgiadis, A., Gitonga, C., Giyosa, B., Glewwe, P., Gona Nzovu, J., Gove, A., Graham, N., Greenwood, B., Grigorenko, E., Heath, C., Hicks, J. H., Hidrobo, M., Hill, K., Hill, T., Hollingsworth, T. D., Kennedy, E., Khan, I., Kiamba, J., Kim, J., Kremer, M., LaMontagne, D. S., Lassi, Z., Laxminarayan, R., Mahon, J., Mai, L., Martínez, S., Meresman, S., Merseth, K. A., Miguel, E., Mitchell, A., Mitra, S., Moin, A., Mokdad, A., Mont, D., Nandi, A., Nankabirwa, J., Plaut, D., Pradhan, E., Pullan, R., Reavley, N., Santelli, J., Sarr, B., & Sawyer, S. M.
- Affiliations
- Gates Foundation (US)
- University of Kelaniya (LK)
- University of Waterloo (CA)
- The University of Melbourne (AU)
- World Bank (US)
- University of California, San Francisco (US)
- Corresponding author
- Bundy, Donald A P
- ORCID
- Bundy, Donald A P
- Horton, Susan
- Patton, George C
- Schultz, Linda
- Jamison, Dean T
- Alderman, Harold
- Appleby, Laura
- Aurino, Elisabetta
- Azzopardi, Peter
- Baird, Sarah
- Behrman, Jere
- Benzian, Habib
- Bhalotra, Sonia
- Bhutta, Zulfiqar
- Black, Maureen
- Bloem, Paul
- Bonell, Chris
- Bradley, Mark
- Brinkman, Sally
- Burbano, Carmen
- Cernuschi, Tania
- Croke, Kevin
- Daniels, Amy
- de Walque, Damien
- Drake, Lesley
- Fernald, Lia
- Fernando, Deepika
- Fink, Günther
- Gelli, Aulo
- Georgiadis, Andreas
- Gove, Amber
- Greenwood, Brian
- Grigorenko, Elena
- Heath, Cai
- Hicks, Joan Hamory
- Kennedy, Elissa
- Khan, Imran
- Kremer, Michael
- LaMontagne, D. Scott
- Lassi, Zohra
- Laxminarayan, Ramanan
- Martínez, Sebastián
- Miguel, Edward
- Mitchell, Arlene
- Mitra, Sophie
- Moin, Anoosh
- Mokdad, Ali
- Mont, Daniel
- Nandi, Arindam
- Nankabirwa, Joaniter
- Pradhan, Elina
- Pullan, Rachel
- Reavley, Nicola
- Sawyer, Susan M
- Venue
- The Lancet
- Publisher
- Elsevier BV
- Published
- 2018-02
- Volume
- 391
- Issue
- 10121
- Pages
- 687-699
- ISSN
- 0099-5355 (ISSN-L)
- 0140-6736
- OpenAlex
- W2769149237
- Cited by
- 253
- References
- 41
- Citations by year
- 2026: 14 · 2025: 17 · 2024: 29 · 2023: 25 · 2022: 42 · 2021: 31 · 2020: 50 · 2019: 24 · 2018: 20
- FWCI
- 2.67
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Lancet (publishedVersion)
- PubMed (publishedVersion)
- LSHTM Research Online (London School of Hygiene and Tropical Medicine) (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- UWA Profiles and Research Repository (UWA) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Economic and Social Research Council (ES/L009153/1)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Child Nutrition and Water Access
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Global Maternal and Child Health
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Child and Adolescent Health
- Keywords
- child health, adolescent health, first 1000 days, middle childhood, pubertal growth spurt, growth failure, malnutrition, brain maturation, school-based intervention, cost-effective interventions, learning outcomes, disease control priorities
- MeSH terms
- Child Health, Adolescent Health, Adolescent, Child, Child Development, Cost-Benefit Analysis, Delivery of Health Care, Humans, Preventive Health Services, Adolescent Development
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