{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T15:55:54Z","timestamp":1786118154604,"version":"build-2736575974"},"reference-count":44,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T00:00:00Z","timestamp":1770163200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012256","name":"Cerebral Palsy Alliance Research Foundation","doi-asserted-by":"publisher","award":["PRG10019"],"award-info":[{"award-number":["PRG10019"]}],"id":[{"id":"10.13039\/100012256","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100012256","name":"Cerebral Palsy Alliance Research Foundation","doi-asserted-by":"publisher","award":["PRG10421"],"award-info":[{"award-number":["PRG10421"]}],"id":[{"id":"10.13039\/100012256","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001794","name":"University of Queensland","doi-asserted-by":"publisher","award":["Child Health Research Centre (Small Grant)"],"award-info":[{"award-number":["Child Health Research Centre (Small Grant)"]}],"id":[{"id":"10.13039\/501100001794","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP2009873"],"award-info":[{"award-number":["APP2009873"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2026,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To describe the epidemiology of cerebral palsy (CP) and access to related services on Tanna Island, Vanuatu, a low\u2010income country in the Pacific region with limited data on childhood disability, including CP.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A population\u2010based register of children (aged 0\u201318\u2009years) with CP was established on Tanna Island. Children with suspected CP were identified using the key informant method and assessed by a multidisciplinary team for clinical diagnosis. Data were collected on demographics, aetiology, clinical characteristics, rehabilitation, and education using a culturally adapted case record form from the Global Low\u2010 and Middle\u2010Income Country CP Register.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the 98 children assessed, 52 had CP and two acquired brain injury. The observed prevalence of CP was 3.4 per 1000 in the paediatric population; mean age at diagnosis was 8\u2009years 1\u2009month (SD\u00a0=\u00a05\u2009years 1\u2009month). Sixty\u2010three per cent (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a034) of children had primary motor\u2010type spasticity, 43% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a023) were classified in Gross Motor Function Classification System levels III to V, 43% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a021) were severely underweight, 83% (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a045) had never received any rehabilitation, and 79% of school\u2010age children (\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a030 of 38) did not attend school.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation<\/jats:title>\n                    <jats:p>The prevalence and motor severity of CP is alarmingly high on Tanna Island, Vanuatu. Delayed diagnosis and lack of access to rehabilitation and education highlights the urgent need for early diagnosis, intervention, and rehabilitation services for children with CP in Vanuatu.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dmcn.70137","type":"journal-article","created":{"date-parts":[[2026,2,4]],"date-time":"2026-02-04T12:25:28Z","timestamp":1770207928000},"page":"1292-1304","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Epidemiology of cerebral palsy on Tanna Island, Vanuatu: A population\u2010based register study"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8697-5156","authenticated-orcid":false,"given":"Andrea","family":"Burgess","sequence":"first","affiliation":[{"name":"Queensland Cerebral Palsy and Rehabilitation Research Centre, University of Queensland  South Brisbane Queensland Australia"},{"name":"Queensland Paediatric Rehabilitation 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