Maternal Knowledge regarding Early Childhood Development in Bangladesh
Abstract
Background: Early childhood development (ECD) forms the foundation for lifelong health, learning, and well-being. Mothers, as primary caregivers, play a pivotal role in recognizing developmental milestones and supporting optimal child growth. However, limited evidence exists regarding maternal knowledge of ECD in Bangladesh.
Methods: This cross-sectional study, conducted from April to September 2024, assessed maternal knowledge of ECD and its socio-demographic determinants among 208 mothers of children under five years, recruited from Mallika Kindergarten in Barisal, Bangladesh. Data were collected using a structured self-administered questionnaire comprising socio-demographic items and 28 dichotomous questions assessing knowledge across gross motor, fine motor, speech and language, and social-emotional domains. Data analysis was performed using SPSS version 26 with descriptive statistics, t-tests, ANOVA, and Pearson’s correlation.
Results: The participants’ mean age was 30.25 ± 5.78 years; most were college or university educated (73.6%), urban residents (86.1%), and from nuclear families (84.1%). The mean ECD knowledge score was 21.75 ± 2.61 out of 28 (77% ± 9.3%), reflecting good understanding. Knowledge was highest in the gross motor domain (mean = 0.82 ± 0.15) and lowest in social-emotional development (mean = 0.75 ± 0.15), with only 37.5% identifying stranger recognition as a milestone. Weak but significant correlations were found between mothers’ age (r = 0.139, p = 0.044), number of children (r = 0.143, p = 0.039), and knowledge scores.
Conclusion: Overall, mothers exhibited good ECD knowledge with notable gaps in social-emotional awareness. Strengthening maternal education through targeted programs may enhance early identification of developmental delays and promote better child health outcomes in Bangladesh.
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References
Begum, T. (2019). Parental knowledge, attitudes and practices in early childhood development among low-income urban parents. Universal Journal of Public Health, 7(5), 214–226. https://doi.org/10.13189/ujph.2019.070504
Boelsma, F., Bektas, G., Wesdorp, C. L., Seidell, J. C., & Dijkstra, S. C. (2021). The perspectives of parents and healthcare professionals towards parental needs and support from healthcare professionals during the first two years of children’s lives. International Journal of Qualitative Studies on Health and Well-Being, 16(1), 1966874. https://doi.org/10.1080/17482631.2021.1966874
Britto, P. R., Lye, S. J., Proulx, K., Yousafzai, A. K., Matthews, S. G., Vaivada, T., Perez-Escamilla, R., Rao, N., Ip, P., Fernald, L. C. H., MacMillan, H., Hanson, M., Wachs, T. D., Yao, H., Yoshikawa, H., Cerezo, A., Leckman, J. F., & Bhutta, Z. A. (2017). Nurturing care: Promoting early childhood development. The Lancet, 389(10064), 91–102. https://doi.org/10.1016/S0140-6736(16)31390-3
Chand, A., & Ranjitkar, U. D. (2023). Knowledge regarding child development among mothers attending clinic of Bheri Hospital, Banke. Journal of Nursing Education of Nepal, 14(1), 29–34. https://nepjol.info/index.php/jonen/article/view/66633
Currie, J., & Vogl, T. (2012). Early-life health and adult circumstance in developing countries (NBER Working Paper No. 18371). National Bureau of Economic Research. https://doi.org/10.3386/w18371
Demas, A., Aliu, M., Coll-Black, S., Zafeirakou, A., Hankey, A. M., & Gotcheva, B. (2019). A situational analysis of early childhood development (ECD) services in Kosovo. World Bank. https://documents.worldbank.org
Haq, I., Hossain, M. I., Zinnia, M. A., Hasan, M. R., & Chowdhury, I.-A.-Q. (2021). Determinants of the Early Childhood Development Index among children aged less than 5 years in Bangladesh, Costa Rica and Ghana: A comparative study. Eastern Mediterranean Health Journal. https://doi.org/10.26719/emhj.21.055
Joshi, N. H., Trivedi, A. V., & Rupani, M. (2019). Assessment of mothers’ knowledge regarding identification of developmental milestones of young children in an urban area of Bhavnagar, Gujarat. Healthline: Journal of Indian Association of Preventive and Social Medicine, 10(1), 19–26.
Karuppannan, A., Ramamoorthy, T., Rammamoorthi, A., & Ravichandran, L. (2020). Mother’s knowledge on child developmental milestones and parenting skills in Kanchipuram District, Tamil Nadu. International Journal of Health Sciences and Research, 10(2), 109–116.
KCD. (2016). Knowledge of child development: Language developmental milestones. SlideShare. https://www.slideshare.net/slideshow/language-developmental-milestones/195147921
Lopchan, R., & Dangol, B. K. (2021). Knowledge regarding developmental milestones of infants among mothers attending a selected primary health care centre of Sunsari, Nepal. IOSR Journal of Nursing and Health Science, 10(4), 49–53.
Lorina. (2015, January 4). Social and emotional development for infants 0–12 months. Aussie Childcare Network. https://aussiechildcarenetwork.com.au/articles/child-development/social-and-emotional-development-for-infants-0-12-months
Lozoff, B., Castillo, M., Clark, K. M., & Smith, J. B. (2006). Iron deficiency anemia and cognitive and behavioral development in children: Evidence from two randomized trials in Chile. The Journal of Nutrition, 136(2), 385–392. https://doi.org/10.1093/jn/136.2.385
Rehman, A., Farhana, S., & Kazmi, M. F. (2016). Mothers’ knowledge about child development. Pakistan Pediatric Journal, 40(3), 176–181.
Saleh, S., AlGhfeli, M., Al Mansoori, L., Al Kaabi, A., Al Kaabi, S., & Nair, S. C. (2023). Knowledge and awareness among mothers regarding early childhood development: A study from the United Arab Emirates. Cureus, 15(4), e37027. https://doi.org/10.7759/cureus.37027
Shaw, G. (2022, March 27). Baby’s first year: How infants develop. WebMD. https://www.webmd.com/parenting/baby/features/stages-of-development
Siddiqy, R. (2016). Knowledge, attitude and practice of mothers on early childhood development in a slum area of Dhaka City. Asian Journal of Management Sciences & Education, 5(4), 65–76.
Sikder, S., & Banu, L. F. A. (2018). Early childhood care and education in Bangladesh: Policies, practices and research. In M. Fleer & B. van Oers (Eds.), International handbook of early childhood education (pp. 569–587). Springer.
Theirworld. (2018, January 18). Children are like little sponges: Early learning can set them up for life. https://theirworld.org/news/early-learning-sets-up-young-children-for-life/
Tinajero, A. R., & Loizillon, A. (2010). Review of care, education and child development indicators in early childhood. UNESCO.
World Health Organization. (2018). Nurturing care for early childhood development: A global framework for action and results. https://www.who.int/maternal_child_adolescent/child/nurturing-care-framework-first-draft.pdf
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