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This idea proposes to incorporate depression and developmental screenings into the already existing National Program on Immunization (NPI) in Nigeria. The specific objectives would be to recognize postpartum depression (PPD) among mothers attending i

This idea proposes to incorporate depression and developmental screenings into the already existing National Program on Immunization (NPI) in Nigeria. The specific objectives would be to recognize postpartum depression (PPD) among mothers attending i

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Thank you very much for the information lliriana . I do not live in United States, so I may not know the contextual environment. But we have a collaborator for this idea at theUniversity Center for Excellence in Developmental Disabilities (UCEDD), Boston Children Hospital, 300 Longwood Avenue, Boston, MA, USA.

3. How does this idea consider user needs?
• “The users are served but my question remains, how were children and families involved in the design process? What do the children and families think about the delivery model?”

Response - Our feedback engagement has shown that the parents welcome the delivery model and are happy with it and express the desire to have some aspects of health checks included in the home visits planned for educational intervention services.

• “How do/will you train teachers to be knowledgeable about a broad range of disabilities? For example, children with cerebral palsy or muscular dystrophy often have typical intelligence and need very different strategies to address their motor limitations. Children with Autism need sensory modifications. How will teachers be trained for a broad range of students?”

Response – As mentioned earlier, most special education teachers have background training curriculum that had exposed them to various issues of neurodevelopmental disorders (NDD) during their school training. However, they would be further trained with our training manual (attached) before joining our team for the project. Two experienced special education teachers are presently working on part time basis with our team on this project from inception and are conversant with different cases of neurodevelopmental disorders (NDD) we see in the clinic on follow-up. In addition, Developmental Psychologists and Social Workers would pay fortnight home visits to the children and their parents.

We would be happy to receive further feedback and address further thoughts as the idea is being refined and improved. Thank you.

2. What experts shared for is this idea desirable, feasible and viable?

• Desirability: “The intended output (e.g. more children with NDD receiving some education) is desirable in a larger sense. Is this specific model what parents and children desire?”

Response – Our feedback phase engagement has shown that the parents welcome the idea and are happy with it and express the desire to have some aspects of health checks included in the home visits planned for educational interventions.

• Feasibility: Seems feasible given traction to date. Questions that came up: How do you identify and train teaching professionals? Are other core care providers’ involved i.e. physical therapists, occupational therapists, speech therapists, behaviorists, etc.?

Response – Yes, other core care providers like physical therapists, occupational therapists, speech therapists, behaviorists are involved in these children follow-up plan. Our present idea has also been expanded to include training parents to provide some level of intervention services at home for their children with neurodevelopmental disorders (NDD). An advert would be placed to hire more Special Education Teachers for the purpose of this program. We have a training manual for neurodevelopmental disorders (which is included as part of the attachments to this idea). The training manual would be used to further train special education teachers about different types of neurodevelopmental disorders. Most special education teachers have background training curriculum that had exposed them to various issues of neurodevelopmental disorders (NDD) during their school training. However, they would be further trained with our training manual before joining our team for the project. Two experienced special education teachers are presently working on part time basis with our team on this project from inception.

• Viability: Some questions that came up: “This is hard to assess not know what the program costs and if parents are able to contribute to this effort”

Response – It is our belief that the parents would be willing to contribute fees to sustain this idea after the expiration of the Grant tenure based on improvement they would be able to see in their children, following every six months assessments by the Special Education Teachers. The parents would also be involved in rating improvement in their children that would be participating in the program. Satisfaction with the services being provided would also be assessed among the parents using Client Satisfaction Questionnaire (CSQ-8) - http://sno.mcmaster.ca/index.php?option=com_content&view=article&id=94:client-satisfaction-questionnaire-csq-8&catid=38:patient-satisfaction&Itemid=56