Thursday, April 10, 2014

HEALTHY HOMES PROJECT: Ed Session #4: Early Childhood Development

Most mothers in the community of El Tallan have never heard of early childhood development and have difficulty imagining that engaging infants in stimulating activities can have a huge impact on cognitive and motor development.  Many people share the belief that children are born with the ability to speak Spanish, and that speaking to children before they can respond verbally is pointless.  These attitudes were significant barriers to the mothers adopting new practices in early childhood development and were taken into consideration when planning the class.

Immediately upon entering the educational session, the participants heard playful catchy tunes that allowed for easy recall.  One song in particular repeated the importance of washing hands, which could spark a child’s interest in washing hands by making it a fun activity.  Another song requested that the listener touch various body parts as a way to learn the names of parts of the body and practice coordination.  We encouraged the mothers to sing along with the songs and learn them sufficiently to sing with their children.  Given that about half of the mothers in the group could not read, it was important to give them tools that can be easily memorized.

After explaining early childhood development and its importance for proper physical and mental development, we presented activities for stimulating development in children of various age groups and allowed the mothers to practice with the children who had accompanied their mothers to the session.

The following activities were provided by the national Ministry of Health and recommended to the participating mothers:

Children 0-5 months of age
Repeat the sounds and babbling the baby produces. Serves to reaffirm their vocalizations.
The child should take the initiative and run their hands to grasp objects and achieve at least one of them to keep a few seconds in his hands.
Massage the baby. Place it upside down and gently pass the fingertips down the side of spine.
Take baby leg below the knee and bring the chest. (With your other hand hold the other leg) Then switch legs.
Hang pleasing objects near the child; move the rope to swing to and from. Verbally invite him to repeat the action; celebrated when it succeeds.
Repeat the child several vowel sounds and labial sounds (m, b, p) that are easy to play and watch the movement of the lips.

Children 6-11 months of age
Take object out of child’s hand and gently pull it forward, repeat play.
Encourage child to remove and place objects in a box or basket.
Show him a toy and invite child to grab it. Make it so that the child must crawl to reach it.
Place it face up, put a hand on the foot and push back to bend the knee.
Place the baby face down on a cylindrical object that rolls and move it back and forth.
Hide objects and ask where they are, (cover them with something, revealing some part of it).
Show books to observe the figures and tell stories.


Children 1-2 years of age
Imitate actions and sounds of animals.
Encourage child to assemble towers up to 3 cubes.
Cover an object and ask the child to try to find it.
Show child pages of a book and discuss the figures observed.
Show child how to place small objects inside a bottle and verbalize each step.
Point to parts of the body and say the body part.
Help child climb stairs.

Children 2-3 years of age
Help child jump up to land on low surfaces.
Help child stand on one foot.
Provide a box or other object that the child can hid inside.
Invite child to throw a ball to you as high as possible.
Show child images of various items, and ask child to name the different items.
Help to develop autonomy, allow child to dress and undress with little help.
Talk to your child at every opportunity.
Give simple instructions and make sure you understand them and obey.
Brush your teeth together so child can watch and imitate movements.

After the health promoters described and demonstrated the activities, several mothers were selected to repeat and practice the actions.   Some participants showed hints of embarrassment, and seemed to feel silly about conducting the activities in front other mothers.  This could be a reflection of their discomfort with being observed by their peers during the activity, or possibly they felt it was ridiculous to do these kinds of activities with children. 


Despite their initial discomfort with demonstrating the newly acquired behaviors, the mothers appeared to become more comfortable as the activities continued, but clearly some needed ongoing encouragement to follow through with our request to engage children in these activities at home.  Clearly the personal house visits were a necessary component to raising each mother’s comfort level and competency with the activities.

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