Social determinants of Child Health can contribute to the social patterning of health, disease and illness. This can also have an impact on the wellbeing and functioning of the person throughout his or her lifespan. But there is hardly much research in this regard. This article details about the Social determinants of child health, Early childhood care and development in an ecological perspective and on the scheme -Integrated Child Development Services (ICDS). The paper also suggests the need for a participatory approach in early childhood care and development programme.