Figure 1 An Indian conceptual framework for integrated child development Determinants Maternal health, nutrition adequacy and quality of care of newborn Safe delivery, family and community support for the mother and baby Environmental hygiene, safe water and sanitation Prental to one month Outcomes Healthy, responsive newborn Indicators Mother non anemic or underweigth Child weights more than 2500 grams Child moves head side to side on being stimulated Determinants Nutrition adequacy, including exclusive breast-feeding Responsive complementary feading, quality of mother/caregiver child interaction Imunixation, managment of diarrhea and other illnesses Health and hygiene practices Sensory motor and laguage stimulation and opportunities for play and exploration Cultural attitudes and stereotypes One month to three years Outcomes Freedom from intermittent diseases (diarrhea & acute respiratory infection) Nutritonal society Curiosity, sociability Confidence self-help and sensory motor skills Indicators Full immunization by end of year one Compeltion of all prophylaxis (e.g. vitamin A) by end of 3 years Ability to communicate clearly and confidently Sociability and ability to stay away from family for a few hours Appropriate height and weight for age Age appropriate grows motor and auditory- visual skills Determinants Quality early childhood care and education Basic healthcare services including disability screening Nutrition adequacy and incidence of interminent diseases Literacy level of parents, educational environment at home Three to six years Outcomes Interest in learning and school readiness skills (language, numeracy and psychosocial skills) Activeness, self-confidence, awarenes of environment Freedom from intermittent diseases, nutritional security Management of any identified disability Indicators Active participation in early childhood care and education activities Ability to narrate experience confidently Demonstration of curiosity Age-appropriate self-help & social skills Age-appropriate height & weight Regular pre-school attendance Determinants Early childhood care and education experience school readiness Access to schooling Nutritional adequacy Quality of school Socio-cultural factors extent of inclusion (gender, tribe, caste, etc.) Early detection of learning disabilities Social norm, role models and supportive home environment Safe water and animation, incidence of infestation and infection affecting regular attendance Female teachers Six to eight years Outcomes Sociability, self-confidence/ self-esteem Ability to read and write, with a continued interest in learning Freedom from anemia and interminent diseases Indicators Demonstration of competencies for Class 2 by end of age 8 Regular attendance No worm infestation or anemia Determinants Quality of school Socio-cultural factors inclusion (gender, tribe, caste), social norm Health promoting school Early detection of learning disabilities Infestation and infection occurrence, nutritional levels, particularly in girls Supportive home environment, community. Eight to eleven years Outcomes Succesful completion of primary school with appropriate literacy and numeracy skills Active learning capacity Good health, nutrition Positive self-image Coping and social skills Indicators Regular school attendance Eagerness to learn Sociability, activeness Demonstration of competencies for Class 5 at end of age 11 Motivation and confidence to continue education Source: New Concept Systems 2003