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Paediatr Child Health. 2011 Dec;16(10):647-54.

Getting it right at 18 months: In support of an enhanced well-baby visit.

[Article in English, French]


Evolving neuroscience reveals an ever-strong relationship between children's earliest development/environment and later life experience, including physical and mental health, school performance and behaviour. Paediatricians, family physicians and other primary care providers need to make the most of well-baby visits-here a focus on an enhanced 18-month visit-to address a widening 'opportunity gap' in Canada. An enhanced visit entails promoting healthier choices and positive parenting to families, using anticipatory guidance and physician-prompt tools, and connecting children and families with local community resources. This statement demonstrates the need for measuring/monitoring key indicators of early childhood health and well-being. It offers specific recommendations to physicians, governments and organizations for a universally established and supported assessment of every Canadian child's developmental health at 18 months.


Anticipatory guidance; Early child development; Population health measurement; Primary care; Well-baby visit


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