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Beyond the dyad: making DOHaD interventions more inclusive

Research output: Contribution to journalArticle

Michelle Pentecost, Fiona Ross, Andrew Macnab

Original languageEnglish
Number of pages5
JournalJournal of Developmental Origins of Health and Disease
Early online date8 Aug 2017
Accepted/In press12 Jul 2017
E-pub ahead of print8 Aug 2017

King's Authors


Pregnant women, children under 2 and the first thousand days of life have been principal targets for Developmental Origins of Health and Disease interventions. This paradigm has been criticized for laying responsibility for health outcomes on pregnant women and mothers and through the thousand days focus inadvertently deflecting attention from other windows for intervention. Drawing on insights from the South African context, this commentary argues for integrated and inclusive interventions that encompass broader social framings. First, future interventions should include a wider range of actors. Second, broader action frameworks should encompass life-course approaches that identify multiple windows of opportunity for intervention. Using two examples – the inclusion of men, and engagement with adolescents – this commentary offers strategies for producing more inclusive interventions by using a broader social framework.

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