RT Journal Article SR Electronic T1 Child development assessment tools in low-income and middle-income countries: how can we use them more appropriately? JF Archives of Disease in Childhood JO Arch Dis Child FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 482 OP 488 DO 10.1136/archdischild-2014-308114 VO 100 IS 5 A1 Saraswathy Sabanathan A1 Bridget Wills A1 Melissa Gladstone YR 2015 UL http://adc.bmj.com/content/100/5/482.abstract AB Global emphasis has shifted beyond reducing child survival rates to improving health and developmental trajectories in childhood. Optimum early childhood experience is believed to allow children to benefit fully from educational opportunities resulting in improved human capital. Investment in early childhood initiatives in low-income and middle-income countries (LMICs) is increasing. These initiatives use early childhood developmental assessment tools (CDATs) as outcome measures. CDATs are also key measures in the evaluation of programmatic health initiatives in LMICs, influencing public health policy. Interpretation of CDAT outcomes requires understanding of their structure and psychometric properties. This article reviews the structure and main methods of CDAT development with specific considerations when applied in LMICs.