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Parents have central and critical influence in the health, learning and development of their young children. The physician plays a key role in supporting this role of parents, and there are practical health interventions that practitioners can promote in everyday practice that are coherent with the population-based evidence related to childhood outcomes. Four child development enhancers are recognized - emotional awareness, reading books, appropriate discipline and preschool programs including appropriate play opportunities. The child's physician can give clear messages about why each enhancer is important and what parents can do to use them to create nurturing environments for their children. The present article provides the evidence for these interventions and a series of coordinated physician activities that will enhance the early learning opportunities of the first few years of life, for improved trajectories for health and well being.

Social paediatrics and early child development – the practical enhancements: Part 2