{
  "abstract": "Objectives Crises in low- and middle-income countries (LMICs) pose major challenges to children with developmental difficulties (DDs). Following the 2023 Turkey-Syria Earthquake, this study aimed to examine the developmental needs of children with DDs using the World Health Organization’s Nurturing Care Framework (WHO NCF).Methods This longitudinal study included children with DDs who were followed at Ankara University School of Medicine Department of Pediatrics, Developmental Pediatrics Division, and lived in one of the ten affected cities. Semi-structured phone interviews based on the World Health Organization Nurturing Care Framework were conducted at 3-, 6-, and 12-months post-earthquake.Results Of 68 eligible children, 4 (5.9%) died after the earthquake. Families of 31 (45.6%), 53 (77.9%), and 57 (83.8%) children participated in the first, second, and third interviews, respectively. Median age was 58.0 (min-max: 9.0–186.3) months, 63.8% was male. Most (74.1%) had chronic health conditions and developmental delay (72.4%). At 3,6, and 12 months post-earthquake, unsafe living conditions were reported by 27 (87.1%), 14 (26.4%), and 8 (14.1%); inadequate food access was reported by 26 (83.9%), 9 (17.0%), and 13 (22.8%); unmet healthcare needs by 31 (100%), 22 (41.5%), and 22 (38.6%); and lack of early learning opportunities by 31 (100%), 30 (50.6%), and 5 (8.8%) of families respectively.Conclusions One year after the earthquake, children with DDs continue to face serious unmet needs across all WHO NCF domains. These findings emphasize the critical importance of sustained, multidimensional support for children with DDs in LMICs during and after crises.",
  "authors": [
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey"
      ],
      "name": "Zehra Vatansever"
    },
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey"
      ],
      "name": "Ezgi Özalp Akın"
    },
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey"
      ],
      "name": "Tuğçe Güzelkaş"
    },
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey"
      ],
      "name": "Ayşe Akkuş"
    },
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey"
      ],
      "name": "Merve Betül Solmaz"
    },
    {
      "affiliations": [
        "Ankara University School of Medicine, Department of Pediatrics, Developmental Pediatrics Division, Ankara, Turkey"
      ],
      "name": "Bahar Bingöler Pekcici"
    }
  ],
  "title": "44 Outcomes of children with developmental difficulties who experienced Turkey’s earthquake: a one-year follow-up based on the world health organization nurturing care framework",
  "uid": "7f5ae6bf-2884-5dab-a5af-2f4d88741213"
}