title: Neurodevelopmental delay among children under the age of three years at immunization clinics in Lagos State, Nigeria - Preliminary report.
abstract: Late diagnosis and interventions characterize childhood neurodevelopmental disorders in Sub-Saharan Africa. This has negatively impacted on the prognosis of the children with neurodevelopmental disorders. This study examined the prevalence and pattern of neurodevelopmental delays among children under the age of 3 years attending immunization clinics in Lagos State, Nigeria and also affords opportunity of early follow-up and interventions, which had been documented to improve prognosis. The study involved two stage assessments; which consisted of first phase screening of the children for neurodevelopmental delays in immunization clinics at primary healthcare centers Lagos State, Nigeria and second phase which consists of definitive clinical evaluation and follow-up interventions for children screened positive for neurodevelopmental delays. Twenty seven (0.9%) of a total of 3,011 children under the age of 3 years were screened positive for neurodevelopmental delays and subsequently undergoing clinical evaluation and follow-up interventions. Preliminary working diagnoses among these children include cerebral palsy, autism spectrum disorder trait, nutritional deficiency, Down syndrome and Non-specific neurodevelopmental delay with co-morbid seizure disorder accounting for 33.3%, 14.8%, 18.5%, 7.4% and 25.9% respectively. This is a preliminary report that would be followed up with information on medium and long term intervention phase.
authors.affiliation: Child and Adolescent Unit, Federal Neuropsychiatric Hospital, Upper Chime, New Haven, Enugu, Enugu State, Nigeria.|Childhood Neuropsychiatric Disorders Initiatives (CNDI), E46 Goshen Estate, Premier Layout, Enugu, Enugu State, Nigeria.
authors.forename: Muideen O
authors.initials: MO
authors.lastname: Bakare
authors.affiliation: Child and Adolescent Unit, Federal Neuropsychiatric Hospital, Yaba, Lagos, Nigeria.|Childhood Neuropsychiatric Disorders Initiatives (CNDI), E46 Goshen Estate, Premier Layout, Enugu, Enugu State, Nigeria.
authors.forename: Mashudat A
authors.initials: MA
authors.lastname: Bello-Mojeed
authors.affiliation: University Center for Excellence in Developmental Disabilities (UCEDD), Division of Developmental Medicine, Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
authors.forename: Kerim M
authors.initials: KM
authors.lastname: Munir
authors.affiliation: Child and Adolescent Unit, Federal Neuropsychiatric Hospital, Yaba, Lagos, Nigeria.|Childhood Neuropsychiatric Disorders Initiatives (CNDI), E46 Goshen Estate, Premier Layout, Enugu, Enugu State, Nigeria.
authors.forename: Oluwayemi C
authors.initials: OC
authors.lastname: Ogun
authors.affiliation: CBM, West Africa Regional Office, Villa B-86, Rue des Mercuriales, Residence du Benin, BP 13489 - Lomé, Togo.
authors.forename: Julian
authors.initials: J
authors.lastname: Eaton
mesh_terms: D002657:Child Development; D002675:Child, Preschool; D002658:Developmental Disabilities / Q000453:epidemiology* / Q000473:pathology*; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D065886:Neurodevelopmental Disorders / Q000453:epidemiology* / Q000473:pathology*; D009549:Nigeria / Q000453:epidemiology; D015995:Prevalence