Abstract：
Last couple of decades have witnessed a substantial decline in child mortality. Now, the need of the hour is to ensure the quality survival of children beyond infancy. Adverse events in the first few years of life have a long-lasting effect on child\'s development, behavior and personality; and effective interventions during this time have maximum impact to prevent these consequences. Nurturing Care for Early Childhood Development (NC-ECD) is a concept adapted worldwide by health agencies to improve the level of optimum care to children in the first 1000 days as promotion of Early Childhood Development (ECD) is integral for overall social and financial progress of the country and its population. The five components of NC-ECD include good health, adequate nutrition, responsive caregiving, safety and security, and opportunities for early learning. This five-pillar approach emphasizes upon providing quality care by catering to needs like responsive caregiving, safe and secure environment and better learning opportunities apart from health and nutrition, which are already addressed by various health programs. Taking care of mental health of child as well as caregiver is another important aspect of providing optimum care to these children. To accomplish these goals, there is a need to integrate ECD with existing public health programmes with additional focus on elements of early learning opportunities, safety and security, and responsive caregiving.
摘要：
在过去的几十年中，儿童死亡率大幅下降。现在,小时的需要是确保婴儿的生存质量。生命最初几年的不良事件对儿童的发展有长期的影响，行为和个性；在此期间的有效干预对防止这些后果具有最大的影响。幼儿发展的培育护理（NC-ECD）是卫生机构在全球范围内采用的概念，目的是在头1000天内提高对儿童的最佳护理水平，因为促进幼儿发展（ECD）对于整个社会和经济发展至关重要国家及其人口的进步。NC-ECD的五个组成部分包括良好的健康，充足的营养,反应灵敏的护理，安全和保障,和早期学习的机会。这五支柱方法强调通过满足响应式护理等需求来提供优质护理，安全可靠的环境和更好的学习机会，除了健康和营养，各种健康计划已经解决了这些问题。照顾儿童和照顾者的心理健康是为这些儿童提供最佳照顾的另一个重要方面。为了实现这些目标,有必要将幼儿发展与现有的公共卫生计划相结合，并进一步关注早期学习机会的要素，安全和保障,和反应灵敏的护理。
