NameHealthy Child Development at School Entry
Short/Other Names

Healthy Child Development

Description

The percentage of children who are considered vulnerable on at least one developmental domain at school entry, as measured by the Early Development Instrument (EDI). The EDI is a kindergarten teacher–completed checklist that consists of 104 questions and measures 5 domains of development for early child development:

1) Physical health and well-being

2) Social knowledge and competence

3) Emotional health/maturity

4) Language and cognitive development

5) General knowledge and communication skills

InterpretationA lower percentage of children considered vulnerable at school entry is a positive indicator of healthy development at age 5.
HSP Framework Dimension

Health System Outcomes: Improve health status of Canadians

Areas of Need

Not applicable

Geographic Coverage

Newfoundland and Labrador, Prince Edward Island, New Brunswick, Nova Scotia, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon, Northwest Territories

Reporting Level/Disaggregation

National, Province/Territory, Region

Latest Result Update Date

11/2013

Indicator Results

http://ourhealthsystem.ca/#!/indicators/013/healthy-child-development

Identifying Information
NameHealthy Child Development at School Entry
Short/Other Names

Healthy Child Development

Indicator Description and Calculation
Description

The percentage of children who are considered vulnerable on at least one developmental domain at school entry, as measured by the Early Development Instrument (EDI). The EDI is a kindergarten teacher–completed checklist that consists of 104 questions and measures 5 domains of development for early child development:

1) Physical health and well-being

2) Social knowledge and competence

3) Emotional health/maturity

4) Language and cognitive development

5) General knowledge and communication skills

Calculation: DescriptionNumber of children who are considered vulnerable on at least one developmental domain divided by the total number of children for whom the EDI was completed (indicator reported based on school year, September to June)
Calculation: Geographic Assignment

Place of residence

Calculation: Type of Measurement

Percentage or proportion

Calculation: Adjustment Applied

None

Calculation: Method of Adjustment

Not applicable

Denominator

Description:
Total number of children for whom the EDI was completed
Exclusions:
1. Cases that contain invalid EDI results

2. Cases where the child was in the classroom for less than one month, was identified as having special needs or was not in senior kindergarten

Numerator

Description:
Number of children who are considered vulnerable on at least one developmental domain. The cut-off score used to identify vulnerability on each domain for this indicator was established using the 10th percentile score of the national baseline (this baseline includes 174,799 children from seven provinces over the period 2004–2005 to 2006–2007).

Background, Interpretation and Benchmarks
Rationale

Healthy child development is an important determinant of health and well-being in later life. It is the outcome of available services and supports for families, effective parenting, as well as the social and economic circumstances in which children live and grow up, such as their housing, neighbourhood and community environment; family income and parents' level of education; and access to nutritious foods and physical recreation.

Healthy child development can be assessed at age 5 with the EDI. The EDI was developed to provide a feasible, acceptable and psychometrically sound measuring instrument that assesses school readiness of children at the senior kindergarten level, that is, just before entering Grade 1. The instrument has been designed to provide information for groups of children to

1) Report on populations of children in different communities

2) Assess the strengths and deficits of students

3) Predict how children will do in elementary school

Interpretation

A lower percentage of children considered vulnerable at school entry is a positive indicator of healthy development at age 5.

HSP Framework Dimension

Health System Outcomes: Improve health status of Canadians

Areas of Need

Not applicable

Targets/Benchmarks

Not Applicable

References

Chief Medical Officer of Health of Ontario. Maintaining the Gains, Moving the Yardstick: Ontario Health Status Report, 2011. 2011 Annual Report of the Chief Medical Officer of Health of Ontario to the Legislative Assembly of Ontario, 2013.

Offord Centre for Child Studies. School readiness to learn (SRL) project. http://www.offordcentre.com/readiness/. Updated 2011. Accessed May 17, 2013.

Availability of Data Sources and Results
Data Sources

EDI

Available Data Years

Type of Year:
School
First Available Year:
2004
Last Available Year:
2011

Geographic Coverage

Newfoundland and Labrador, Prince Edward Island, New Brunswick, Nova Scotia, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon, Northwest Territories

Reporting Level/Disaggregation

National, Province/Territory, Region

Result Updates
Update Frequency

The frequency of data collection varies across jurisdictions. The most recent data available is for the following periods: P.E.I.: 2007–2008; Man.: 2010–2011; Y.T.: 2011–2012; Sask.: 2008–2009 to 2010–2011; B.C.: 2009–2010 to 2010–2011; and Ont.: 2009–2010 to 2011–2012.

Latest Result Update Date

11/2013

Indicator Results

Web Tool:
OurHealthSystem.ca
URL: http://ourhealthsystem.ca/#!/indicators/013/healthy-child-development

Updates

Not applicable

Quality Statement
Caveats and Limitations

To protect confidentiality and to allow for the deduction of meaningful statistics, the Offord Centre for Child Studies suppresses information for units of aggregation that feature EDI results for less than 35 children (when the units are geographic in nature).

Trending Issues

Not applicable

Comments

Data is reported by school year (September to June); the first year of data is for the 2004–2005 school year.

National data includes Newfoundland and Labrador, Prince Edward Island, Nova Scotia, New Brunswick, Quebec, Ontario, Manitoba, Saskatchewan, Alberta, British Columbia, Yukon and the Northwest Territories.

Provincial/territorial and regional data includes Prince Edward Island, New Brunswick, Ontario, Manitoba, Saskatchewan, British Columbia and Yukon.

Updated indicator results including 2012–2013 data will be available on

  • OurHealthSystem.ca (data results will be available in September 2014)
  • Interactive Facility/Regional Website (data results will be available in September 2014)