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A child plays at an early childhood development programme in Nairobi Picture: Adriane Ohanesian

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Every child deserves the best start in life. Growing up with a healthy body and mind �鶹APP� backed by care and learning through play and at pre-primary school �鶹APP� are vital if they are to fulfil their potential.

But in many of the poorest parts of the world, huge numbers of girls and boys are being �鶹APP�left behind�鶹APP� because of factors like stunted growth and inadequate childcare in their early years.

The findings for 20 countries are revealed today in a snapshot scorecard produced by the children�鶹APP�s charity that looks at nutrition and early childhood development in East and Southern Africa.

The report says: �鶹APP�The data tells a very clear story �鶹APP� millions of children are being left behind at every developmental milestone and those left behind are disproportionately poor.�鶹APP�

Early childhood development is the vitally important stage of a child�鶹APP�s life before the age of five when their brains develop significantly.

If conditions are unsatisfactory for the child they will not get the most from their education and fail to reach their full potential.

Kenyan children at the ECD programme in Kibera, Nairobi Picture: Adriane Ohanesian

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Among the findings of the snapshot are:

PRE-PRIMARY SCHOOL ATTENDANCE

• This varies hugely, from 4% in the Democratic Republic of the Congo and 6% in South Sudan to 79% in Angola and 93% in South Africa
• The average pre-primary attendance across the 17 countries with data is just 34%
• Of those 17 countries, 12 show little or no progress over 10 years, or are getting worse

STUNTING AND HEALTH ISSUES

• The region has a high percentage of stunted children �鶹APP� those who fail��to reach �鶹APP�normal�鶹APP� height due to poor nutrition and other health factors
• It is as high as 58% in Burundi and 48% in Madagascar �鶹APP� the lowest is 24% in South Africa and 26% in Kenya
• Stunting is rated �鶹APP�unequal�鶹APP� or �鶹APP�extremely unequal�鶹APP���between the poorest and richest children in 14 of 17 countries with data

The scorecard published by �鶹APP �鶹APP� the charity behind A World at School �鶹APP� says the statistics �鶹APP�paint an alarming picture of early childhood development in these countries�鶹APP�. But it stresses there are opportunities to have a real impact.

They include targeting the hardest-to-reach children �鶹APP� especially the very poor, marginalised and those discriminated against �鶹APP� and investing in the health of adolescent girls.

The data has been published ahead of TICAD �鶹APP� the Tokyo International Conference on African Development �鶹APP� summit in Kenya on August 27 and 28. A new initiative for food and nutrition security will be launched there.