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Training packages for the use of child development tools in low/middle-income countries: a review

Background We are now moving beyond the focus of ‘child survival’ to an era which promotes children thriving and developing rather than simply ‘surviving’. In doing so, we are becoming more aware of the large variation of child development screening tools available globally, but in particular, those in low/middle-income countries (LMICs). Methods This narrative review identifies 24 child development tools used in LMICs. We aimed to identify information on training accessibility and training design, assessment methods and cost of training. For those tools with no training information identified or for any tools identified as providing online training, the tool author was contacted individually to obtain information on the features of the tool’s training package. Results Information on training features was identified for 18 tools. All of the tools are identified as screening tools with some also identified as surveillance or assessment tools. The training material for the majority of the tools was not readily accessible and most training packages were proprietary and only available with a face-to-face training design. Other training options included a user manual, training videos or training through an online platform. Conclusions Training is a key factor when selecting a child development screening or surveillance tool particularly in a low-income or middle-income setting where funds may be limited. The accessibility of training can have a key impact on the implementation and utilisation of tools desperately needed for use in LMICs. Essential to improvements in overall child health is an emphasis on helping children thrive as well as survive. This new emphasis will require a well-trained healthcare workforce in this regard. This paper reviews child development training packages in resource-limited settings.