WorldWideScience

Sample records for child health variations

  1. The social determinants of child health: variations across health outcomes – a population-based cross-sectional analysis

    OpenAIRE

    Victorino Charlemaigne C; Gauthier Anne H

    2009-01-01

    Abstract Background Disparities in child health outcomes persist despite advances in medical technology and increased global wealth. The social determinants of health approach is useful in explaining the disparities in health. Our objective in this paper is four-fold: (1) to test whether the income relationship (and the related income gradient) is the same across different child health outcomes; (2) to test whether the association between income and child health outcomes persists after contro...

  2. Child Health in Peru: Importance of Regional Variation and Community Effects on Children's Height and Weight

    Science.gov (United States)

    Shin, Heeju

    2007-01-01

    In developing countries, height and weight are good indicators of children's health and nutritional status. Maternal education has been accepted as one of the most important influences on child health. Using the 2000 Demographic and Health Survey of Peru, however, I find that the effect of maternal education varies as a function of region. In the…

  3. The social determinants of child health: variations across health outcomes – a population-based cross-sectional analysis

    Directory of Open Access Journals (Sweden)

    Victorino Charlemaigne C

    2009-08-01

    Full Text Available Abstract Background Disparities in child health outcomes persist despite advances in medical technology and increased global wealth. The social determinants of health approach is useful in explaining the disparities in health. Our objective in this paper is four-fold: (1 to test whether the income relationship (and the related income gradient is the same across different child health outcomes; (2 to test whether the association between income and child health outcomes persists after controlling for other traditional socioeconomic characteristics of children and their family (education and employment status; (3 to test the role of other potentially mediating variables, namely parental mental health, number of children, and family structure; and (4 to test the interaction between income and education. Methods This population-based cross-sectional study used data from the 2003 US National Survey of Children's Health involving 102,353 children aged 0 to 17 years. Using multivariate logistic regression models, the association between household income, education, employment status, parental mental health, number of children, family structure and the following child health outcomes were examined: presence or absence of asthma, headaches/migraine, ear infections, respiratory allergy, food/digestive allergy, or skin allergy. Results While the associations of some determinants were found to be consistent across different health outcomes, the association of other determinants such as household income depended on the specific outcome. Controlling for other factors, a gradient association persisted between household income and a child having asthma, migraine/severe headaches, or ear infections with children more likely to have the illness if their family is closer to the federal poverty level. Potentially mediating variables, namely parental mental health, number of children, and family structure had consistent associations across health outcomes. Conclusion

  4. Child health in Greenland

    DEFF Research Database (Denmark)

    Niclasen, Birgit V L; Bjerregaard, Peter

    2007-01-01

    AIM: To review the knowledge on child health and child health problems in Greenland. METHOD: The review was based on theses, national statistics, national and international reports, and a search in Pub Med, PsycINFO, Web of Science, and WHOLIB databases from 1985 to 2005. The resulting articles...... importance to the health of children in Greenland. More accurate data on child health are necessary in the future to secure better prioritization. It is suggested to construct a set of reliable indicators of child health in Greenland to monitor the health of children on a national and regional basis....

  5. Child Dental Health

    Science.gov (United States)

    Healthy teeth are important to your child's overall health. From the time your child is born, there are things you can do to promote healthy teeth and prevent cavities. For babies, you should clean ...

  6. International child health

    DEFF Research Database (Denmark)

    Kruse, Alexandra Y; Høgh, Birthe

    2007-01-01

    diseases and neonatal complications, over half associated with malnutrition. Conditions we could prevent and treat. One of UN's Millennium Development Goals is to reduce child mortality. However child health is more than mortality and morbidity indicators, it includes growth and development. Udgivelsesdato......International child health has improved. Better healthcare strategies, like IMCI, have contributed implementing basic interventions: vaccinations, nutrition supplement, oral rehydration and antibiotics. But 11 million children still die every year before they turn five, most from infectious...

  7. REGIONAL VARIATIONS IN CHILD MARRIAGE IN BANGLADESH.

    Science.gov (United States)

    Islam, Md Kamrul; Haque, Md Rabiul; Hossain, Mohammad Bellal

    2016-09-01

    This study aimed to investigate the regional variations in the prevalence of child marriage in Bangladesh with a view to providing recommendations for division-specific policy interventions. Data from the 2011 Bangladesh Demographic and Health Survey were analysed using multivariate logistic regression. Substantial regional variations in child marriage were found in Bangladesh. Rangpur and Khulna had more than four times higher odds of child marriage than Sylhet (4.57 and 4.11 times, respectively). Barisal and Rajshahi had more than three times higher odds of child marriage than Sylhet (3.70 and 3.48 times, respectively). Chittagong and Dhaka had about two times odds of child marriage than Sylhet (1.98 and 2.67 times, respectively), even after controlling for selected socio-demographic, economic and cultural characteristics. Respondent's education, employment status, husband's education and wealth index were inversely associated with the prevalence of child marriage. The policy implications of these findings are discussed in the context of Bangladesh. PMID:27076200

  8. Explaining Variation in Child Labor Statistics

    OpenAIRE

    Dillon, Andrew; Bardasi, Elena; Beegle, Kathleen; Serneels, Pieter

    2010-01-01

    Child labor statistics are critical for assessing the extent and nature of child labor activities in developing countries. In practice, widespread variation exists in how child labor is measured. Questionnaire modules vary across countries and within countries over time along several dimensions, including respondent type and the structure of the questionnaire. Little is known about the eff...

  9. Parental health and child schooling

    OpenAIRE

    Bratti, Massimiliano; Mendola, Mariapia

    2011-01-01

    Evidence on the role of parental health on child schooling is surprisingly thin. We explore this issue by estimating the short-run effects of parents\\' illness on child school enrollment. Our analysis is based on household panel data from Bosnia-Herzegovina, a country whose health and educational systems underwent extensive destruction during the 1992-1995 war. Using child fixed effects to correct for potential endogeneity bias, we find that — contrary to the common wisdom that shocks to the ...

  10. Child Labor, Gender, and Health

    OpenAIRE

    Leinberger-Jabari, Andrea; Parker, David L.; Oberg, Charles

    2005-01-01

    It is often forgotten that child labor is part of a multi-generational problem due in part to the failure to educate girls. Although the literacy rate for women has improved over the last two decades, in many countries it is less than half that of their male counterparts. This in turn leads to nutritional deficiencies, poverty, and poor health. While many researchers address the immediate health effects of child labor on the child laborers, this article addresses the issue of child labor from...

  11. Child Dental Health

    Science.gov (United States)

    ... a dentist or doctor suggests it. Provide healthy foods and limit sweet snacks and drinks Schedule regular dental check-ups Forming good habits at a young age can help your child have healthy teeth ...

  12. Health Consequences of Child Labour in Bangladesh

    OpenAIRE

    Salma Ahmed; Ranjan Ray

    2012-01-01

    Background: The paper examines the effect of child labour on child health outcomes in Bangladesh, advancing the methodologies and the results of papers published in different journals. Objective: We examine the effect of child labour on child health outcomes. Methods: We used Bangladesh National Child Labour Survey data for 2002-2003 for our analysis. Results: The main finding of the paper suggests that child labour is positively and significantly associated with the probability of b...

  13. Child Social Exclusion Risk and Child Health Outcomes in Australia

    OpenAIRE

    Mohanty, Itismita; Edvardsson, Martin; Abello, Annie; Eldridge, Deanna

    2016-01-01

    Introduction This paper studies the relationship between the risk of child social exclusion, as measured by the Child Social Exclusion (CSE) index and its individual domains, and child health outcomes at the small area level in Australia. The CSE index is Australia’s only national small-area index of the risk of child social exclusion. It includes five domains that capture different components of social exclusion: socio-economic background, education, connectedness, housing and health service...

  14. Birth placement and child health.

    Science.gov (United States)

    Fergusson, D M; Horwood, J; Shannon, F T

    1981-07-22

    The standards of health and health care for a sample of 1265 Christchurch children during the period birth to three years were examined. There was a systematic tendency for levels of health care and morbidity to vary with the child's birth placement: in general adopted children had the best standard of health care and the lowest rates of morbidity; children who entered single parent families at birth had the poorest standards of health care and the highest rates of morbidity. Statistical control for family social background including maternal age, education, ethnic status, family size and changes of residence tended to reduce the size of the observed differences. However, even when the results were controlled for these factors children in single parent families still has depressed levels of preventive health care and higher rates of hospital admission. Possible explanations of the differences are discussed. PMID:6944632

  15. Child nutrition, child health, and school enrollment : a longitudinal analysis

    OpenAIRE

    Alderman, Harold; Behrman, Jere R.; Lavy, Victor; Menon, Rekha

    1997-01-01

    Better health and nutrition are thought to improve children's performance in school, and therefore their productivity after school. Most literature ignores the fact that child health and schooling reflect behavioral choices, so the estimated impact of health and nutrition on a child's schooling reflects biases in the studies. Using an explicit dynamic model for preferred estimates, the authors use longitudinal data to investigate how children's health and nutrition affect school enrollment in...

  16. Globalization, democracy, and child health in developing countries.

    Science.gov (United States)

    Welander, Anna; Lyttkens, Carl Hampus; Nilsson, Therese

    2015-07-01

    Good health is crucial for human and economic development. In particular poor health in childhood is of utmost concern since it causes irreversible damage and has implications later in life. Recent research suggests globalization is a strong force affecting adult and child health outcomes. Yet, there is much unexplained variation with respect to the globalization effect on child health, in particular in low- and middle-income countries. One factor that could explain such variation across countries is the quality of democracy. Using panel data for 70 developing countries between 1970 and 2009 this paper disentangles the relationship between globalization, democracy, and child health. Specifically the paper examines how globalization and a country's democratic status and historical experience with democracy, respectively, affect infant mortality. In line with previous research, results suggest that globalization reduces infant mortality and that the level of democracy in a country generally improves child health outcomes. Additionally, democracy matters for the size of the globalization effect on child health. If for example Côte d'Ivoire had been a democracy in the 2000-2009 period, this effect would translate into 1200 fewer infant deaths in an average year compared to the situation without democracy. We also find that nutrition is the most important mediator in the relationship. To conclude, globalization and democracy together associate with better child health in developing countries. PMID:25982869

  17. Variation in recorded child maltreatment concerns in UK primary care records: a cohort study using The Health Improvement Network (THIN database.

    Directory of Open Access Journals (Sweden)

    Jenny Woodman

    Full Text Available OBJECTIVES: To determine variation over time and between practices in recording of concerns related to abuse and neglect (maltreatment in children's primary care records. DESIGN: Retrospective cohort study using a United Kingdom representative primary care database. SETTING: 448 General Practices. PARTICIPANTS: In total 1,548, 972 children (<18 y registered between 1995 and 2010. MAIN OUTCOME MEASURES: Change in annual incidence of one or more maltreatment-related codes per child year of registration. Variation between general practices measured as the proportion of registered children with one or more maltreatment-related codes during 3 years (2008-2010. RESULTS: From 1995-2010, annual incidence rates of any coded maltreatment-related concerns rose by 10.8% each year (95% confidence interval 10.5, 11.2; adjusted for sex, age and deprivation. In 2010 the rate was 9.5 per 1000 child years (95%CI: 9.3, 9.8, equivalent to a prevalence of 0.8% of all registered children in 2010. Across all practices, the median prevalence of children with any maltreatment-related codes in three years (2008 to 2010 was 0.9% (range 0%-13.4%; 11 practices (2.5% had zero children with relevant codes in the same period. Once we accounted for sex, age, and deprivation, the prevalence for each practice was within two standard errors of the grand mean. CONCLUSIONS: General Practitioners (GPs are far from disengaged from safeguarding children; they are consistently and increasingly recording maltreatment concerns. As these results are likely to underestimate the burden of maltreatment known to primary care, there is much scope for increasing recording in primary care records with implications for resources to respond to concerns about maltreatment. Interventions and policies should build on this evidence that the average GP in the UK is engaged in child safeguarding activity.

  18. Parental unemployment and child health

    OpenAIRE

    Mörk, Eva; Sjögren, Anna; Svaleryd, Helena

    2014-01-01

    We analyze to what extent health outcomes of Swedish children are worse among children whose parents become unemployed. To this end we combine Swedish hospitalization data for 1992-2007 for children 3-18 years of age with register data on parental unemployment. We find that children with unemployed parents are 17 percent more likely to be hospitalized than other children, but that most of the difference is driven by selection. A child fixed-effects approach suggests a small effect of parental...

  19. Health consequences of child labour in Bangladesh

    Directory of Open Access Journals (Sweden)

    Salma Ahmed

    2014-01-01

    Full Text Available Background: The paper examines the effect of child labour on child health outcomes in Bangladesh, advancing the methodologies and the results of papers published in different journals. Objective: We examine the effect of child labour on child health outcomes. Methods: We used Bangladesh National Child Labour Survey data for 2002-2003 for our analysis. Results: The main finding of the paper suggests that child labour is positively and significantly associated with the probability of being injured or becoming ill. Intensity of injury or illness is significantly higher in construction and manufacturing sectors than in other sectors. Health disadvantages for different age groups are not essentially parallel. Conclusions: The results obtained in this paper strengthen the need for stronger enforcement of laws that regulate child labour, especially given its adverse consequences on health. Although the paper focuses on Bangladesh, much of the evidence presented has implications that are relevant to policymakers in other developing countries.

  20. Poverty experience, race, and child health.

    OpenAIRE

    Malat, Jennifer; Oh, Hyun Joo; Hamilton, Mary Ann

    2005-01-01

    OBJECTIVES: Studies that examine children's poverty and health at one point in time do not account for some children experiencing poverty briefly and others living in poverty for much of their lives. The objective of this study was to determine how duration of poverty and child race are related to child health. METHODS: To assess these relationships, we analyzed data from the Panel Study of Income Dynamics and its Child Development Supplement. Ordinary least squares regression was used to est...

  1. 78 FR 62309 - Child Health Day, 2013

    Science.gov (United States)

    2013-10-16

    ...' health insurance until age 26, and no child can be denied coverage based on a pre-existing condition.... (Presidential Sig.) [FR Doc. 2013-24500 Filed 10-15-13; 8:45 am] Billing code 3295-F4 ... Documents#0;#0; ] Proclamation 9036 of October 4, 2013 Child Health Day, 2013 By the President of the...

  2. Child Social Exclusion Risk and Child Health Outcomes in Australia

    Science.gov (United States)

    Mohanty, Itismita; Edvardsson, Martin; Abello, Annie; Eldridge, Deanna

    2016-01-01

    Introduction This paper studies the relationship between the risk of child social exclusion, as measured by the Child Social Exclusion (CSE) index and its individual domains, and child health outcomes at the small area level in Australia. The CSE index is Australia’s only national small-area index of the risk of child social exclusion. It includes five domains that capture different components of social exclusion: socio-economic background, education, connectedness, housing and health services. Methods The paper used data from the National Centre for Social and Economic Modelling (NATSEM), University of Canberra for the CSE Index and its domains and two key Australian Institute of Health and Welfare (AIHW) data sources for the health outcome measures: the National Hospital Morbidity Database and the National Mortality Database. Results The results show positive associations between rates of both of the negative health outcomes: potentially preventable hospitalisations (PPH) and avoidable deaths, and the overall risk of child social exclusion as well as with the index domains. This analysis at the small-area level can be used to identify and study areas with unexpectedly good or bad health outcomes relative to their estimated risk of child social exclusion. We show that children’s health outcomes are worse in remote parts of Australia than what would be expected solely based on the CSE index. Conclusions The results of this study suggest that developing composite indices of the risk of child social exclusion can provide valuable guidance for local interventions and programs aimed at improving children’s health outcomes. They also indicate the importance of taking a small-area approach when conducting geographic modelling of disadvantage. PMID:27152596

  3. Parental Health and Child Behavior: Evidence from Parental Health Shocks

    OpenAIRE

    Westermaier, Franz; Mühlenweg, Andrea M.; Morefield, Brant

    2015-01-01

    This study examines the importance of parental health in the development of child behavior during early childhood. Our analysis is based on child psychometric measures from a longitudinal German dataset, which tracks mothers and their newborns up to age six. We identify major changes in parental health (shocks) and control for a variety of initial characteristics of the child including prenatal conditions. The results are robust to placebo regressions of health shocks that occur after the out...

  4. A profile of child health, child and adolescent mental health and maternity services in England 2007.

    OpenAIRE

    Barnes, Di; Parker, Ethna; Wistow, Richard; Dean, Richard; Thomson, Claire

    2007-01-01

    This is a report of the 2006/07 national child health, child and adolescent mental health service (CAMHS) and maternity services mapping exercise. This was the second year that child health and maternity service data was collected and the fifth year that the CAMHS exercise had been carried out. For the first time, data collection in these three areas was combined, underlining their joint aim to contribute to the monitoring of the implementation of the National Service Framework for Children, ...

  5. The evolutionary biology of child health

    OpenAIRE

    Crespi, Bernard

    2011-01-01

    I apply evolutionary perspectives and conceptual tools to analyse central issues underlying child health, with emphases on the roles of human-specific adaptations and genomic conflicts in physical growth and development. Evidence from comparative primatology, anthropology, physiology and human disorders indicates that child health risks have evolved in the context of evolutionary changes, along the human lineage, affecting the timing, growth-differentiation phenotypes and adaptive significanc...

  6. MedlinePlus: Child Mental Health

    Science.gov (United States)

    ... Search Search MedlinePlus GO GO About MedlinePlus Site Map FAQs Contact Us Health Topics Drugs & Supplements Videos & Tools Español You Are Here: Home → Health Topics → Child Mental Health URL of this page: https://medlineplus.gov/ ...

  7. Pregnancy smoking, child health and nutrition

    NARCIS (Netherlands)

    G. Koshy

    2012-01-01

    The aim of the research in this thesis was to assess, through cross-sectional school child health surveys, the health and nutrition of primary school children (5-11 years) in Merseyside, England, in relation to their mother’s history of pregnancy smoking. Childhood health outcomes assessed included

  8. Child health and parental relationships

    DEFF Research Database (Denmark)

    Loft, Lisbeth Trille Gylling

    2011-01-01

    Using longitudinal national-level representative data from Denmark, this study considers the link between child disability or chronic illness and parental relationship termination as measured by the point in time at which one parent, following the breakup of the relationship, no longer resides in...... the household. By means of event-history techniques, I examine whether a Danish family's experience of having a child diagnosed with a disability or chronic illness affects the chances of parental relationship termination. My findings suggest that families with a child with disabilities or chronic...... illness do have a higher risk of parental relationship termination, when compared to families where no diagnosis of child disability or chronic illness is reported....

  9. FastStats: Child Health

    Science.gov (United States)

    ... State and Territorial Data Reproductive Health Contraceptive Use Infertility Reproductive Health FastStats Mobile Application Get Email Updates ... Links National Health Interview Survey National Health and Nutrition Examination Survey Mortality Data NCHS Survey Measures Catalog: ...

  10. A child health report card: 1992.

    Science.gov (United States)

    Williams, C L; Wynder, E L

    1993-07-01

    It is because of statistics like the ones included above in the Report Card that the health of our children has become a topic of great concern. These statistics, however, reflect only a small piece of a much larger problem, which includes child poverty, child neglect, child abuse, family disintegration, educational failure, violence, and crime. Indeed the biggest threats to child health have roots in the past and present core of our social and environmental conditions. Improving the health of our children will require innovative and comprehensive approaches that include health education, health services, and family support. The cost of our failure to fund preventive programs in the area of child and family health is significant and mounting. Prenatal care for a pregnant women for 9 months cost about $600; however, medical care for a premature baby for only one day may cost more than four times as much ($2,500). Similar comparisons for the cost of prevention versus treatment are listed in Table 8. It is clear that unless we as a nation place more emphasis on funding preventive medicine, the health of our children will continue to suffer, with grave consequences for the future of our country. PMID:8415515

  11. Mental Health Practice Guidelines for Child Welfare

    Science.gov (United States)

    Annie E. Casey Foundation, 2009

    2009-01-01

    The guidelines and supporting rationale presented in this paper were developed from the October 2007 "Best Practices for Mental Health in Child Welfare Consensus Conference" sponsored by Casey Family Programs, the Annie E. Casey Foundation and the REACH Institute (REsource for Advancing Children's Health). The purpose of the conference was to…

  12. Social Factors Influencing Child Health in Ghana.

    Directory of Open Access Journals (Sweden)

    Emmanuel Quansah

    Full Text Available Social factors have profound effects on health. Children are especially vulnerable to social influences, particularly in their early years. Adverse social exposures in childhood can lead to chronic disorders later in life. Here, we sought to identify and evaluate the impact of social factors on child health in Ghana. As Ghana is unlikely to achieve the Millennium Development Goals' target of reducing child mortality by two-thirds between 1990 and 2015, we deemed it necessary to identify social determinants that might have contributed to the non-realisation of this goal.ScienceDirect, PubMed, MEDLINE via EBSCO and Google Scholar were searched for published articles reporting on the influence of social factors on child health in Ghana. After screening the 98 articles identified, 34 of them that met our inclusion criteria were selected for qualitative review.Major social factors influencing child health in the country include maternal education, rural-urban disparities (place of residence, family income (wealth/poverty and high dependency (multiparousity. These factors are associated with child mortality, nutritional status of children, completion of immunisation programmes, health-seeking behaviour and hygiene practices.Several social factors influence child health outcomes in Ghana. Developing more effective responses to these social determinants would require sustainable efforts from all stakeholders including the Government, healthcare providers and families. We recommend the development of interventions that would support families through direct social support initiatives aimed at alleviating poverty and inequality, and indirect approaches targeted at eliminating the dependence of poor health outcomes on social factors. Importantly, the expansion of quality free education interventions to improve would-be-mother's health knowledge is emphasised.

  13. Social Factors Influencing Child Health in Ghana

    Science.gov (United States)

    Quansah, Emmanuel; Ohene, Lilian Akorfa; Norman, Linda; Mireku, Michael Osei; Karikari, Thomas K.

    2016-01-01

    Objectives Social factors have profound effects on health. Children are especially vulnerable to social influences, particularly in their early years. Adverse social exposures in childhood can lead to chronic disorders later in life. Here, we sought to identify and evaluate the impact of social factors on child health in Ghana. As Ghana is unlikely to achieve the Millennium Development Goals’ target of reducing child mortality by two-thirds between 1990 and 2015, we deemed it necessary to identify social determinants that might have contributed to the non-realisation of this goal. Methods ScienceDirect, PubMed, MEDLINE via EBSCO and Google Scholar were searched for published articles reporting on the influence of social factors on child health in Ghana. After screening the 98 articles identified, 34 of them that met our inclusion criteria were selected for qualitative review. Results Major social factors influencing child health in the country include maternal education, rural-urban disparities (place of residence), family income (wealth/poverty) and high dependency (multiparousity). These factors are associated with child mortality, nutritional status of children, completion of immunisation programmes, health-seeking behaviour and hygiene practices. Conclusions Several social factors influence child health outcomes in Ghana. Developing more effective responses to these social determinants would require sustainable efforts from all stakeholders including the Government, healthcare providers and families. We recommend the development of interventions that would support families through direct social support initiatives aimed at alleviating poverty and inequality, and indirect approaches targeted at eliminating the dependence of poor health outcomes on social factors. Importantly, the expansion of quality free education interventions to improve would-be-mother’s health knowledge is emphasised. PMID:26745277

  14. Teenage childbearing and child health in Eritrea

    OpenAIRE

    Gebremariam Woldemicael

    2005-01-01

    Data from the 2002 Eritrea Demographic and Health Survey (EDHS) are used to examine teenage childbearing and its health consequences. Bivariate analysis is used to calculate trends and differentials in teenage childbearing. Logistic and Cox hazard models are employed to examine the health impact of teenage childbearing on mothers and their children. Teenage childbearing is high in Eritrea, where around half of all women aged 19 have already been pregnant with their first child. Nearly all fir...

  15. Child Health Booklet: experiences of professionals in primary health care

    Directory of Open Access Journals (Sweden)

    Gisele Nepomuceno de Andrade

    2014-10-01

    Full Text Available Objective: Understanding the experiences of health professionals in primary care with the Child Health Booklet in child health care. Method: A qualitative study with a phenomenological approach, in which participated nurses and doctors from six teams of the Family Health Strategy (FHS in Belo Horizonte, MG. In total, were carried out 12 non-directive interviews, using two guiding questions. Results: A comprehensive analysis of the speeches enabled the construction of three categories that signal the experiences of the professionals with the booklet. The experiments revealed difficulties arising from the limitations of knowledge about the instrument; incomplete filling out of the booklet by many professionals that care for children; the daily confrontations of the process and the organization of work teams; disinterest of families with the instrument. Conclusion: The research points possible and necessary ways to improve the use of booklets as an instrument of full child health surveillance.

  16. Child abuse: concerns for oral health practitioners.

    Science.gov (United States)

    Rayman, Salim; Dincer, Elvir; Almas, Khalid

    2013-01-01

    Child abuse and neglect are prevalent issues that permeate all ethnic, cultural and socioeconomic segments of society. Parents of abused children frequently change physicians in order to prevent detection, but they are more likely to continue to visit the child's dentist. Most states recognize four major types of maltreatment: neglect; physical abuse; psychological maltreatment; and sexual abuse. The American Academy of Pediatric Dentistry defines dental neglect as "the willful failure of parent or guardian to seek and follow through with treatment necessary to ensure a level of oral health essential for adequate function and freedom from pain and infection." The oral health practitioner must uphold his or her legal and ethical responsibility if there is suspicion, record and report the incidence. It may help save a child from further abuse. PMID:24027895

  17. REGIONAL VARIATIONS IN INFANT AND CHILD MORTALITY IN NIGERIA: A MULTILEVEL ANALYSIS

    OpenAIRE

    Adedini, Sunday A.; Odimegwu, Clifford; Imasiku, Eunice N.S.; Ononokpono, Dorothy N.; IBISOMI, LATIFAT

    2014-01-01

    Summary There are substantial regional disparities in under-five mortality in Nigeria, and evidence suggests that both individual- and community-level characteristics have an influence on health outcomes. Using 2008 Nigeria Demographic and Health Survey data, this study (1) examines the effects of individual- and community-level characteristics on infant/child mortality in Nigeria and (2) determines the extent to which characteristics at these levels influence regional variations in infant/ch...

  18. Differentials in reproductive and child health status in India

    Directory of Open Access Journals (Sweden)

    Nikhilesh Parchure

    2011-12-01

    Full Text Available

    Background: Inequalities in reproductive and child health (RCH exist, in general, in different regions of India. The present study aims to investigate the current status of RCH and examine the factors responsible for it in different parts of India.

    Methods: This study utilized data obtained from two Indian studies – (i National Family Health Survey – 3 (NFHS- 2005-06 and (ii District Level Household Survey (DLHS – 2002-04. Reproductive Health Index was computed on the basis of five variables such as total fertility rate, infant mortality rate, birth order, delivery care and female educational attainment.

    Results: In terms of reproductive and child health, a wide range of variation exists in India in its different regions. The study reveals that among Indian states, 13 states have an index value less than the national average. On the basis of the reproductive health index, the Indian states can be divided into three categories, namely; progressive states, semi progressive states and backward states.

    Conclusions: The interstate differences in healthcare utilization are partly due to variations in the implementation of maternal health care programs as well as differences in availability of and accessibility to healthcare between Indian states.

  19. Parenting and child mental health: a cross-cultural perspective.

    Science.gov (United States)

    Bornstein, Marc H

    2013-10-01

    In its most general instrumental sense, parenting consists of care of the young in preparing them to manage the tasks of life. Parents provide childhood experiences and populate the environments that guide children's development and so contribute to child mental health. Parenting is expressed in cognitions and practices. However, parents do not parent, and children do not grow up, in isolation, but in multiple contexts, and one notable context of parenting and child mental health is culture. Every culture is characterized, and distinguished from other cultures, by deep-rooted and widely acknowledged ideas about how one needs to feel, think, and act as an adequately functioning member of the culture. Insofar as parents subscribe to particular conventions of a culture, they likely follow prevailing "cultural scripts" in childrearing. Broadening our definition, it is therefore the continuing task of parents also to enculturate children by preparing them for the physical, psychosocial, and educational situations that are characteristic of their specific culture. Cross-cultural comparisons show that virtually all aspects of parenting children are informed by culture: culture influences when and how parents care for children, what parents expect of children, and which behaviors parents appreciate, emphasize and reward or discourage and punish. Thus, cultural norms become manifest in the mental health of children through parenting. Furthermore, variations in what is normative in different cultures challenge our assumptions about what is universal and inform our understanding of how parent-child relationships unfold in ways both culturally universal and specific. This essay concerns the contributions of culture to parenting and child mental health. No study of a single society can address this broad issue. It is possible, however, to learn lessons about parenting and child mental health from the study of different societies. PMID:24096792

  20. Maternal and Child Health Bureau

    Science.gov (United States)

    ... 345 million to support families through the voluntary home visiting program (04/01/2016) White House Rural IMPACT Initiative (08/04/2015) HRSA awards $5 million to support families of children with special health care needs (05/14/2015) ...

  1. Nutrition and maternal, neonatal, and child health.

    Science.gov (United States)

    Christian, Parul; Mullany, Luke C; Hurley, Kristen M; Katz, Joanne; Black, Robert E

    2015-08-01

    This article reviews the central role of nutrition in advancing the maternal, newborn, and child health agenda with a focus on evidence for effective interventions generated using randomized controlled trials in low- and middle-income countries (LMIC). The 1000 days spanning from conception to 2 years of life are a critical period of time when nutritional needs must be ensured; failure to do so can lead to adverse impacts on short-term survival as well as long-term health and development [corrected]. The burden of maternal mortality continues to be high in many under-resourced settings; prenatal calcium supplementation in populations with low intakes can reduce the risk of pre-eclampsia and eclampsia morbidity and mortality and is recommended, and antenatal iron-folic acid use in many countries may reduce anemia, a condition that may be an underlying factor in postpartum hemorrhage. Sufficient evidence exists to promote multiple micronutrient supplementation during pregnancy to reduce fetal growth restriction and low birth weight. Early initiation of breastfeeding (within an hour), exclusive breastfeeding in the first 6 months of life, and vitamin A supplementation in the first few days of life in Asia (but not in Africa) reduce infant mortality. Biannual large-dose vitamin A supplements to children 6-59 months of age and zinc for treatment of diarrhea continue to be important strategies for improving child health and survival. Early nutrition and micronutrient status can influence child development but should be integrated with early responsive learning interventions. Future research is needed that goes beyond the 1000 days to ensure adequate preconceptional nutrition and health, with special emphasis on adolescents who contribute to a large proportion of first births in many LMIC. Thus, we make the case for integrating proven nutrition interventions with those for health in pregnant women, and with those for health and child development in neonates, infants, and

  2. Child Poverty and the Health Care System.

    Science.gov (United States)

    Racine, Andrew D

    2016-04-01

    The persistence of child poverty in the United States and the pervasive health consequences it engenders present unique challenges to the health care system. Human capital theory and empirical observation suggest that the increased disease burden experienced by poor children originates from social conditions that provide suboptimal educational, nutritional, environmental, and parental inputs to good health. Faced with the resultant excess rates of pediatric morbidity, the US health care system has developed a variety of compensatory strategies. In the first instance, Medicaid, the federal-state governmental finance system designed to assure health insurance coverage for poor children, has increased its eligibility thresholds and expanded its benefits to allow greater access to health services for this vulnerable population. A second arm of response involves a gradual reengineering of health care delivery at the practice level, including the dissemination of patient-centered medical homes, the use of team-based approaches to care, and the expansion of care management beyond the practice to reach deep into the community. Third is a series of recent experiments involving the federal government and state Medicaid programs that includes payment reforms of various kinds, enhanced reporting, concentration on high-risk populations, and intensive case management. Fourth, pediatric practices have begun to make use of specific tools that permit the identification and referral of children facing social stresses arising from poverty. Finally, constituencies within the health care system participate in enhanced advocacy efforts to raise awareness of poverty as a distinct threat to child health and to press for public policy responses such as minimum wage increases, expansion of tax credits, paid family leave, universal preschool education, and other priorities focused on child poverty. PMID:27044708

  3. Domestic Abuse and Child Health

    OpenAIRE

    Rawlings, Samantha; Siddique, Zahra

    2014-01-01

    We examine the effects of different kinds of domestic abuse (physical violence, emotional abuse, sexual abuse and physical violence while the victim is pregnant) on health outcomes of children born to victims. We use data on approximately 0.6 million children born between 1975 and 2013 across thirty different developing countries to investigate this relationship. Comparing children of abused mothers with otherwise similar children whose mothers were not victims of abuse, we find these childre...

  4. Does trade affect child health?

    Science.gov (United States)

    Levine, David I; Rothman, Dov

    2006-05-01

    Frankel and Romer [Frankel, J., Romer, D., 1999. Does trade cause growth? American Economic Review 89 (3), 379-399] documented positive effects of geographically determined trade openness on economic growth. At the same time, critics fear that openness can lead to a "race to the bottom" that increases pollution and reduces government resources for investments in health and education. We use Frankel and Romer's gravity model of trade to examine how openness to trade affects children. Overall, we find little harm from trade, and potential benefits largely through slightly faster GDP growth. PMID:16303196

  5. REGIONAL VARIATIONS IN INFANT AND CHILD MORTALITY IN NIGERIA: A MULTILEVEL ANALYSIS.

    Science.gov (United States)

    Adedini, Sunday A; Odimegwu, Clifford; Imasiku, Eunice N S; Ononokpono, Dorothy N; Ibisomi, Latifat

    2015-03-01

    There are substantial regional disparities in under-five mortality in Nigeria, and evidence suggests that both individual- and community-level characteristics have an influence on health outcomes. Using 2008 Nigeria Demographic and Health Survey data, this study (1) examines the effects of individual- and community-level characteristics on infant/child mortality in Nigeria and (2) determines the extent to which characteristics at these levels influence regional variations in infant/child mortality in the country. Multilevel Cox proportional hazard analysis was performed on a nationally representative sample of 28,647 children nested within 18,028 mothers of reproductive age, who were also nested within 886 communities. The results indicate that community-level variables (such as region, place of residence, community infrastructure, community hospital delivery and community poverty level) and individual-level factors (including child's sex, birth order, birth interval, maternal education, maternal age and wealth index) are important determinants of infant/child mortality in Nigeria. For instance, the results show a lower risk of death in infancy for children of mothers residing in communities with a high proportion of hospital delivery (HR: 0.70, p < 0.05) and for children whose mothers had secondary or higher education (HR: 0.84, p < 0.05). Although community factors appear to influence the association between individual-level factors and death during infancy and childhood, the findings consistently indicate that community-level characteristics are more important in explaining regional variations in child mortality, while individual-level factors are more important for regional variations in infant mortality. The results of this study underscore the need to look beyond the influence of individual-level factors in addressing regional variations in infant and child mortality in Nigeria. PMID:24411023

  6. Child Homicide: A Global Public Health Concern

    OpenAIRE

    Naeemah Abrahams; Shanaaz Mathews; Martin, Lorna J.; Carl Lombard; Nadine Nannan; Rachel Jewkes

    2016-01-01

    Editors' Summary Background Child mortality (death) is a global public health concern. In 2015, 5.9 million children (43 out of every 1,000 children born alive) died before their fifth birthday. Nearly half of these deaths occurred among neonates (babies 28 days old or younger); three-quarters of them occurred among infants (children less than one year old). Most of these deaths happened in resource-limited countries following delivery complications, infections, and other natural causes. Some...

  7. Child health and mortality in Guinea-Bissau

    DEFF Research Database (Denmark)

    Kovsted, Jens Anders; Pörtner, Claus Christian; Tarp, Finn

    2002-01-01

    This paper studies factors that influence child health in Bissau, the capital of Guinea-Bissau. This environment is characterised by high infant mortality, but not by malnutrition. We show that although maternal education is important in determining child health and mortality this effect diminishes...... or disappears when health knowledge is introduced as an explanatory variable. It emerges that health knowledge has large and positive effects on both child mortality and health when instrumented for to capture endogeneity...

  8. Child health and living at high altitude.

    Science.gov (United States)

    Niermeyer, S; Andrade Mollinedo, P; Huicho, L

    2009-10-01

    The health of children born and living at high altitude is shaped not only by the low-oxygen environment, but also by population ancestry and sociocultural determinants. High altitude and the corresponding reduction in oxygen delivery during pregnancy result in lower birth weight with higher elevation. Children living at high elevations are at special risk for hypoxaemia during infancy and during acute lower respiratory infection, symptomatic high-altitude pulmonary hypertension, persistence of fetal vascular connections, and re-entry high-altitude pulmonary oedema. However, child health varies from one population group to another due to genetic adaptation as well as factors such as nutrition, intercurrent infection, exposure to pollutants and toxins, socioeconomic status, and access to medical care. Awareness of the risks uniquely associated with living at high altitude and monitoring of key health indicators can help protect the health of children at high altitude. These considerations should be incorporated into the scaling-up of effective interventions for improving global child health and survival. PMID:19066173

  9. Infant mental health screening in the general child health surveilliance

    DEFF Research Database (Denmark)

    Ammitzbøll, Janni; Holstein, Bjørn Evald; Andersen, Anette;

    2016-01-01

    Title: Copenhagen Infant Mental Health Screening, CIMHS: Construct validity and predictivity of a general population measure. Introduction: The Copenhagen Infant Mental Health Screening (CIMHS) was developed as first part of an intervention program embedded in the existing services...... and Methods: At age 9-10 months a consecutive sample of 2,973 infants were assessed by community health nurses, using the CIMHS. Item-response analyses were used to explore construct validity and define cases. A case-cohort sample of 418 children was assessed at 1½ year in a two hour session comprising Bayley...... Scales of Infant and Toddler Development, 3rd edition (Bayley-III), parent interviews (including Child Behaviour Checklist 1½-5), video-recordings of play and eating. Diagnostic classification was completed by experienced child psychiatrists according to the Diagnostic Classification of Mental Health...

  10. Parental investments in child health - maternal health behaviours and birth outcomes

    DEFF Research Database (Denmark)

    Wüst, Miriam

    A growing economic literature has begun to focus on the effect of parental investments in child health in developed countries. However, this literature is not conclusive. Empirical work has concentrated on estimating the effect of a wide set of parental inputs comprising maternal health behaviours...... like smoking, alcohol consumption or diet. As most of these inputs are parental choices and we commonly do not observe all inputs relevant for the child production function, estimates on the effect of health inputs suffer from endogeneity bias. This paper explores the effect of smoking, alcohol...... consumption, exercise and diet during pregnancy on birth outcomes and considers the problem of identifying the causal effect of these endogenous maternal health behaviours. The analysis controls for a wide range of covariates and exploits sibling variation in the Danish National Birth Cohort. The paper...

  11. Impacts of Climate Change on Inequities in Child Health

    OpenAIRE

    Charmian M. Bennett; Sharon Friel

    2014-01-01

    This paper addresses an often overlooked aspect of climate change impacts on child health: the amplification of existing child health inequities by climate change. Although the effects of climate change on child health will likely be negative, the distribution of these impacts across populations will be uneven. The burden of climate change-related ill-health will fall heavily on the world’s poorest and socially-disadvantaged children, who already have poor survival rates and low life expect...

  12. Lifetime Health Consequences of Child Labor in Brazil

    OpenAIRE

    Lee, Chanyoung; Orazem, Peter

    2008-01-01

    The health consequences of child labor may take time to manifest themselves. This study examines whether children who began working at a young age experience increased incidence of illness or physical disability as adults.. When child labor and schooling are treated as chosen without consideration of unobserved abilities or health endowments, child labor appears to have small adverse effects on a wide variety of health measures. Some adverse health consequences such as heart disease or hypert...

  13. Modeling Per Capita State Health Expenditure Variat...

    Data.gov (United States)

    U.S. Department of Health & Human Services — Modeling Per Capita State Health Expenditure Variation State-Level Characteristics Matter, published in Volume 3, Issue 4, of the Medicare and Medicaid Research...

  14. Research inventory of child health: A report on roadmaps for the future of child health research in Europe

    OpenAIRE

    Ottova, Veronika; Alexander, Denise; Rigby, Michael; Staines, Anthony; Hjern, Anders; Leonardi, Matilde; Blair, Mitch; Tamburlini, Giorgio; Gaspar de Matos, Margarida; Bourek, Ales; Köhler, Lennart; Gunnlaugsson, Geir; Tomé, Gina; Ramiro, Lucia; Santos, Teresa

    2013-01-01

    RICHE was the response to a call under HEALTH-2009-3.3-5, with the title of 'European child health research platform'. The call text asked us to “address the diversity and fragmentation in child health research in Europe in an inclusive multidisciplinary way, identifying existing research programmes in Member States, recent advances and identification of gaps to explore road maps for the future of child health research in Europe”. Project structure A consortium, with a final total of 23...

  15. Environmental Health and Child Survival : Epidemiology, Economics, Experiences

    OpenAIRE

    World Bank

    2008-01-01

    This report complements Repositioning Nutrition as Central to Development by looking at environmental health issues that affect child health broadly, while also exploring the links through malnutrition. This report argues that environmental health interventions are preventive measures that are imperative to improve child survival with sustainable results in the long term. Preventive measur...

  16. 45 CFR 1304.22 - Child health and safety.

    Science.gov (United States)

    2010-10-01

    ... AGENCIES Early Childhood Development and Health Services § 1304.22 Child health and safety. (a) Health... procedures for emergencies (e.g., fire or weather-related) which are practiced regularly (see 45 CFR 1304.53... allow for easy access to each child. (f) First aid kits. (1) Readily available, well-supplied first...

  17. University of Washington Center for Child Environmental Health Risks Research

    Data.gov (United States)

    Federal Laboratory Consortium — The theme of the University of Washington based Center for Child Environmental Health Risks Research (CHC) is understanding the biochemical, molecular and exposure...

  18. Raising the bar for health and safety in child care.

    Science.gov (United States)

    Lucarelli, Patti

    2002-01-01

    During the past few decades, this country has experienced many socio-economic changes including a rise in the number of dual-income families and single parent homes. Combined with a fluctuating economy and drastic reforms in welfare, one of the results has been an ever-increasing number of children being cared for in out-of-home settings. With almost 75% of all children under age 5 years and 50% of infants in some form of child care on a regular basis, opportunities abound for nurses to promote optimal health and safety in child care. To ensure quality child care for these children, health care professionals are uniquely positioned to provide consultation services to centers and family child care settings. With expertise in child development, infection control, disease prevention, and health promotion, pediatric and public health nurses can provide many types of child care health consultation services to impact the care of these children positively. PMID:12087643

  19. Aggregate Economic Shocks, Child Schooling, and Child Health

    OpenAIRE

    Francisco H.G. Ferreira; Schady, Norbert

    2009-01-01

    Do aggregate economic shocks, such as those caused by macroeconomic crises or droughts, reduce child human capital? The answer to this question has important implications for public policy. If shocks reduce investments in children, they may transmit poverty from one generation to the next. This paper uses a simple framework to analyze the effects of aggregate economic shocks on child schoo...

  20. The Impact of Child Health and Family Inputs on Child Cognitive Develop-ment

    OpenAIRE

    Robert Kaestner; Hope Corman

    1995-01-01

    In this paper we extensively analyze the impact of child health and other family characteristics on the cognitive achievement of children between the ages of five and nine. We estimate both cross sectional and fixed effects models using data from the National Longitudinal Survey of Youth. Several of our results challenge the conclusions found in the existing literature. First, we find only a weak relationship between several measures of child health and child cognitive development. Second, we...

  1. Health Professionals' Responses to Disclosure of Child Sexual Abuse History: Female Child Sexual Abuse Survivors' Experiences

    Science.gov (United States)

    McGregor, Kim; Julich, Shirley; Glover, Marewa; Gautam, Jeny

    2010-01-01

    This study reports on a postal questionnaire, conducted in 2004, with female survivors of historic child sexual abuse. The questionnaire explored their experiences of health professionals' responsiveness to disclosure of child sexual abuse history. Of 61 participants, aged between 22 and 65, 69% had disclosed to health professionals. Those who had…

  2. Harsh Parenting May Harm a Child's Physical Health

    Science.gov (United States)

    ... https://medlineplus.gov/news/fullstory_158709.html Harsh Parenting May Harm a Child's Physical Health Problems might ... 2016 FRIDAY, May 6, 2016 (HealthDay News) -- Harsh parenting may leave more than psychological scars, it might ...

  3. Diet quality, child health, and food policies in developing countries

    OpenAIRE

    Bhargava, Alok

    2014-01-01

    Although the importance of diet quality for improving child health is widely recognized, the roles of environmental factors and the absorption of nutrients for children's physical growth and morbidity have not been adequately integrated into a policy framework. Moreover, nutrient intakes gradually affect child health, so it is helpful to use alternative tools to evaluate short-term interve...

  4. 45 CFR 1304.20 - Child health and developmental services.

    Science.gov (United States)

    2010-10-01

    ... this section) from the child's entry into the program (for the purposes of 45 CFR 1304.20(a)(1), 45 CFR 1304.20(a)(2), and 45 CFR 1304.20(b)(1), “entry” means the first day that Early Head Start or Head... GRANTEE AND DELEGATE AGENCIES Early Childhood Development and Health Services § 1304.20 Child health...

  5. Emergency Child Aid. Child Health and Safety Series (Module VI).

    Science.gov (United States)

    Iscoe, Louise; And Others

    This manual for child care personnel in day care homes and centers provides a step by step review of what to do in common emergency situations. It is emphasized that the manual is not a substitute for the complete first aid course which every careperson should have. Initial sections of the manual focus on preparing for emergency conditions,…

  6. Child Labor and Environmental Health: Government Obligations and Human Rights

    OpenAIRE

    Joseph J Amon; Jane Buchanan; Jane Cohen; Juliane Kippenberg

    2012-01-01

    The Convention concerning the Prohibition and Immediate Action for the Elimination of the Worst Forms of Child Labour was adopted by the International Labour Organization in 1999. 174 countries around the world have signed or ratified the convention, which requires countries to adopt laws and implement programs to prohibit and eliminate child labor that poses harms to health or safety. Nonetheless, child labor continues to be common in the agriculture and mining sectors, where safety and envi...

  7. Child and adolescent mental health emergency services in Macedonia.

    Science.gov (United States)

    Releva, M; Boskovska, M; Apceva, A; Polazarevska, M; Novotni, A; Bonevski, D; Sargent, J

    2001-01-01

    This paper describes the development of child and adolescent mental health emergency services in Macedonia since 1993. The evolution of services through the Mental Crisis Centre for Children and Adolescents, funded by the Open Society Institute, and located in six cities is outlined. The paper also defines traditional services, the nature of child mental health emergencies, the evaluation process, follow-up care and training and supervision. It concludes with concern that the mental health emergency system is not sufficient to meet the needs of the child and adolescent population, particularly in the face of the Kosovar refugee crisis. Recommendations for the future are made. PMID:11508566

  8. Impacts of Climate Change on Inequities in Child Health.

    Science.gov (United States)

    Bennett, Charmian M; Friel, Sharon

    2014-01-01

    This paper addresses an often overlooked aspect of climate change impacts on child health: the amplification of existing child health inequities by climate change. Although the effects of climate change on child health will likely be negative, the distribution of these impacts across populations will be uneven. The burden of climate change-related ill-health will fall heavily on the world's poorest and socially-disadvantaged children, who already have poor survival rates and low life expectancies due to issues including poverty, endemic disease, undernutrition, inadequate living conditions and socio-economic disadvantage. Climate change will exacerbate these existing inequities to disproportionately affect disadvantaged children. We discuss heat stress, extreme weather events, vector-borne diseases and undernutrition as exemplars of the complex interactions between climate change and inequities in child health. PMID:27417491

  9. Impacts of Climate Change on Inequities in Child Health

    Directory of Open Access Journals (Sweden)

    Charmian M. Bennett

    2014-12-01

    Full Text Available This paper addresses an often overlooked aspect of climate change impacts on child health: the amplification of existing child health inequities by climate change. Although the effects of climate change on child health will likely be negative, the distribution of these impacts across populations will be uneven. The burden of climate change-related ill-health will fall heavily on the world’s poorest and socially-disadvantaged children, who already have poor survival rates and low life expectancies due to issues including poverty, endemic disease, undernutrition, inadequate living conditions and socio-economic disadvantage. Climate change will exacerbate these existing inequities to disproportionately affect disadvantaged children. We discuss heat stress, extreme weather events, vector-borne diseases and undernutrition as exemplars of the complex interactions between climate change and inequities in child health.

  10. Health reform, population policy and child nutritional status in China

    OpenAIRE

    Bredenkamp, Caryn

    2008-01-01

    This paper examines the determinants of child nutritional status in seven provinces of China during the 1990s, focusing specifically on the role of two areas of public policy, namely health system reforms and the one child policy. The empirical relationship between income and nutritional status, and the extent to which that relationship is mediated by access to quality healthcare and being...

  11. Financial Health of Child Care Facilities Affects Quality of Care.

    Science.gov (United States)

    Brower, Mary R.; Sull, Theresa M.

    2003-01-01

    Contends that child care facility owners, boards of directors, staff, and parents need to focus on financial management, as poor financial health compromises the quality of care for children. Specifically addresses the issues of: (1) concern for providing high quality child care; (2) the connection between quality and money; and (3) strengthening…

  12. The influence of child care on maternal health and mother-child interaction

    OpenAIRE

    Kröll, Alexandra; Borck, Rainald

    2013-01-01

    In Germany, formal child care coverage rates have increased markedly over the past few decades. The expansion in coverage is particularly pronounced for under 3 year-olds. The present paper is concerned with how mothers' mental and physical health is affected by whether they place their child in formal day care or not. Furthermore, the effects of formal child care usage on mother-child interaction are examined. The analysis is based on data from the German Socio-Economic Panel for the years 2...

  13. Perceived impact of Ghana's conditional cash transfer on child health.

    Science.gov (United States)

    Owusu-Addo, Ebenezer

    2016-03-01

    A plethora of studies from sub-Saharan Africa indicate that orphaned and vulnerable children are exposed to adverse health, education and other social outcomes. Across diverse settings, conditional cash transfer (CCT) programmes have been successful in improving health outcomes amongst vulnerable children. This study explored the pathways of CCTs' impact on the health of orphans and vulnerable children in rural Ghana. Due to the multi-dimensional nature of CCTs, the programme impact theory was used to conceptualize CCTs' pathways of impact on child health. A qualitative descriptive exploratory approach was used for this study. This study drew on the perspectives of 18 caregivers, 4 community leaders and 3 programme implementers from two rural districts in Ghana. Semi-structured individual interviews were conducted with the participants. Thematic content analysis was conducted on the interview transcripts to pull together core themes running through the entire data set. Five organizing themes emerged from the interview transcripts: improved child nutrition, health service utilization, poverty reduction and social transformation, improved education and improved emotional health and well-being demonstrating the pathways through which CCTs work to improve child health. The results indicated that CCTs offer a valuable social protection instrument for improving the health of orphans and vulnerable children by addressing the social determinants of child health such as nutrition, access to health care, child poverty and education. PMID:25073762

  14. Parenting and child mental health: a cross-cultural perspective

    OpenAIRE

    Bornstein, Marc H.

    2013-01-01

    In its most general instrumental sense, parenting consists of care of the young in preparing them to manage the tasks of life. Parents provide childhood experiences and populate the environments that guide children's development and so contribute to child mental health. Parenting is expressed in cognitions and practices. However, parents do not parent, and children do not grow up, in isolation, but in multiple contexts, and one notable context of parenting and child mental health is culture. ...

  15. Small area variations in health care delivery.

    Science.gov (United States)

    Wennberg, J; Gittelsohn

    1973-12-14

    Health information about total populations is a prerequisite for sound decision-making and planning in the health care field. Experience with a population-based health data system in Vermont reveals that there are wide variations in resource input, utilization of services, and expenditures among neighboring communities. Results show prima facie inequalities in the input of resources that are associated with income transfer from areas of lower expenditure to areas of higher expenditure. Variations in utilization indicate that there is considerable uncertainty about the effectiveness of different levels of aggregate, as well as specific kinds of, health services. Informed choices in the public regulation of the health care sector require knowledge of the relation between medical care systems and the population groups being served, and they should take into account the effect of regulation on equality and effectiveness. When population-based data on small areas are available, decisions to expand hospitals, currently based on institutional pressures, can take into account a community's regional ranking in regard to bed input and utilization rates. Proposals by hospitals for unit price increases and the regulation of the actuarial rate of insurance programs can be evaluated in terms of per capita expenditures and income transfer between geographically defined populations. The PSRO's can evaluate the wide variations in level of services among residents of different communities. Coordinated exercise of the authority vested in these regulatory programs may lead to explicit strategies to deal directly with inequality and uncertainty concerning the effectiveness of health care delivery. Population-based health information systems, because they can provide information on the performance of health care systems and regulatory agencies, are an important step in the development of rational public policy for health. PMID:4750608

  16. 76 FR 62295 - Child Health Day, 2011

    Science.gov (United States)

    2011-10-07

    ... hosted the White House Conference on Bullying Prevention because no child should feel unsafe or be afraid... the two hundred and thirty-sixth. (Presidential Sig.) [FR Doc. 2011-26149 Filed 10-6-11; 8:45...

  17. Vietnamese Immigrants in Brisbane, Australia: Perception of Parenting Roles, Child Development, Child Health, Illness, and Disability, and Health Service Utilisation

    OpenAIRE

    Tran, Uyen N. T. L.

    2012-01-01

    The limited research into Vietnamese immigrants suggests that this group may have different perceptions relating to parenting roles, child development, child health, illness, and disability, and differing patterns of health service utilisation. The author conducted a pilot study exploring how Vietnamese immigrants differ from Anglo-Australian in relation to these issues. The pilot, utilising a mixed quantitative and qualitative method, was conducted in Brisbane, Australia, with subjects being...

  18. Child care subsidies, maternal health, and child-parent interactions: evidence from three nationally representative datasets.

    Science.gov (United States)

    Herbst, Chris M; Tekin, Erdal

    2014-08-01

    A complete account of the US child care subsidy system requires an understanding of its implications for both parental and child well-being. Although the effects of child care subsidies on maternal employment and child development have been recently studied, many other dimensions of family well-being have received little attention. This paper attempts to fill this gap by examining the impact of child care subsidy receipt on maternal health and the quality of child-parent interactions. The empirical analyses use data from three nationally representative surveys, providing access to numerous measures of family well-being. In addition, we attempt to handle the possibility of non-random selection into subsidy receipt by using several identification strategies both within and across the surveys. Our results consistently indicate that child care subsidies are associated with worse maternal health and poorer interactions between parents and their children. In particular, subsidized mothers report lower levels of overall health and are more likely to show symptoms consistent with anxiety, depression, and parenting stress. Such mothers also reveal more psychological and physical aggression toward their children and are more likely to utilize spanking as a disciplinary tool. Together, these findings suggest that work-based public policies aimed at economically disadvantaged mothers may ultimately undermine family well-being. PMID:23832797

  19. Child prostitution: global health burden, research needs, and interventions.

    Science.gov (United States)

    Willis, Brian M; Levy, Barry S

    2002-04-20

    Child prostitution is a significant global problem that has yet to receive appropriate medical and public health attention. Worldwide, an estimated 1 million children are forced into prostitution every year and the total number of prostituted children could be as high as 10 million. Inadequate data exist on the health problems faced by prostituted children, who are at high risk of infectious disease, pregnancy, mental illness, substance abuse, and violence. Child prostitution, like other forms of child sexual abuse, is not only a cause of death and high morbidity in millions of children, but also a gross violation of their rights and dignity. In this article we estimate morbidity and mortality among prostituted children, and propose research strategies and interventions to mitigate such health consequences. Our estimates underscore the need for health professionals to collaborate with individuals and organisations that provide direct services to prostituted children. Health professionals can help efforts to prevent child prostitution through identifying contributing factors, recording the magnitude and health effects of the problem, and assisting children who have escaped prostitution. They can also help governments, UN agencies, and non-governmental organisations (NGOs) to implement policies, laws, and programmes to prevent child prostitution and mitigate its effects on children's health. PMID:11978356

  20. Maternal Health and Child Mortality in Rural India

    OpenAIRE

    Pandey, Manoj K.

    2009-01-01

    In this paper, the effect of maternal health on the under-five mortality has been examined. Third wave of micro-level National Family Health Survey 2005-06 data for rural India is used. Using various alternative measures of maternal health, the paper finds strong association between maternal health and child mortality. In particular, the effects of maternal height, weight, presence of any disease and anemia are found significant. Based on our findings, we argue that if the possible generation...

  1. Child labor and environmental health: government obligations and human rights.

    Science.gov (United States)

    Amon, Joseph J; Buchanan, Jane; Cohen, Jane; Kippenberg, Juliane

    2012-01-01

    The Convention concerning the Prohibition and Immediate Action for the Elimination of the Worst Forms of Child Labour was adopted by the International Labour Organization in 1999. 174 countries around the world have signed or ratified the convention, which requires countries to adopt laws and implement programs to prohibit and eliminate child labor that poses harms to health or safety. Nonetheless, child labor continues to be common in the agriculture and mining sectors, where safety and environmental hazards pose significant risks. Drawing upon recent human rights investigations of child labor in tobacco farming in Kazakhstan and gold mining in Mali, the role of international human rights mechanisms, advocacy with government and private sector officials, and media attention in reducing harmful environmental exposures of child workers is discussed. Human rights-based advocacy in both cases was important to raise attention and help ensure that children are protected from harm. PMID:23316246

  2. The influence of economic development level, household wealth and maternal education on child health in the developing world.

    Science.gov (United States)

    Boyle, Michael H; Racine, Yvonne; Georgiades, Katholiki; Snelling, Dana; Hong, Sungjin; Omariba, Walter; Hurley, Patricia; Rao-Melacini, Purnima

    2006-10-01

    This study estimates the relative importance to child health (indicated by weight and height for age) of economic development level [gross domestic product (GDP) converted to international dollars using purchasing power parity (PPP) rates: GDP-PPP], household wealth and maternal education and examines the modifying influence of national contexts on these estimates. It uses information collected from mothers aged 15-49-years participating in Demographic Health Surveys (DHS) conducted in 42 developing countries. In multilevel regression models, the three study variables exhibited strong independent associations with child health: GDP-PPP accounted for the largest amount of unique variation, followed by maternal education and household wealth. There was also substantial overlap (shared variance) between maternal education and the other two study variables. The regressions of child health on household wealth and maternal education exhibited substantial cross-national variation in both strength and form of association. Although higher education levels were associated with disproportionately greater returns to child health, the pattern for household wealth was erratic: in many countries there were diminishing returns to child health at higher levels of household wealth. We conclude that there are inextricable links among different strategies for improving child health and that policy planners, associating benefits with these strategies, must take into account the strong moderating impact of national context. PMID:16790308

  3. Disparities in academic achievement and health: the intersection of child education and health policy.

    Science.gov (United States)

    Fiscella, Kevin; Kitzman, Harriet

    2009-03-01

    Recent data suggest that that the United States is failing to make significant progress toward the Healthy People 2010 goal of eliminating health disparities. One missing element from the US strategy for achieving this goal is a focus on gaps in child development and achievement. Academic achievement and education seem to be critical determinants of health across the life span and disparities in one contribute to disparities in the other. Despite these linkages, national policy treats child education and health as separate. Landmark education legislation, the No Child Left Behind Act of 2001, is due for Congressional reauthorization. It seeks to eliminate gaps in academic child achievement by 2014. It does so by introducing accountability for states, school districts, and schools. In this special article, we review health disparities and contributors to child achievement gaps. We review changes in achievement gaps over time and potential contributors to the limited success of the No Child Left Behind Act of 2001, including its unfunded mandates and unfounded assumptions. We conclude with key reforms, which include addressing gaps in child school readiness through adequate investment in child health and early education and reductions in child poverty; closing the gap in child achievement by ensuring equity in school accountability standards; and, importantly, ensuring equity in school funding so that resources are allocated on the basis of the needs of the students. This will ensure that schools, particularly those serving large numbers of poor and minority children, have the resources necessary to promote optimal learning. PMID:19255042

  4. Role of Child Nutrition Programs in Health Education.

    Science.gov (United States)

    Martin, M. Josephine

    The role of health educators in integrating child nutrition programs into school health education is discussed and issues attending such programs are considered. The importance of breakfast and lunch programs in the school is stressed with particular emphasis on using these programs to instruct children in sound nutritional practices. It is…

  5. 45 CFR 1304.24 - Child mental health.

    Science.gov (United States)

    2010-10-01

    ... services. (1) Grantee and delegate agencies must work collaboratively with parents (see 45 CFR 1304.40(f... 45 Public Welfare 4 2010-10-01 2010-10-01 false Child mental health. 1304.24 Section 1304.24..., DEPARTMENT OF HEALTH AND HUMAN SERVICES THE ADMINISTRATION FOR CHILDREN, YOUTH AND FAMILIES, HEAD...

  6. 77 FR 4569 - Revision to Proposed Collection; Comment Request; National Institute of Child Health and Human...

    Science.gov (United States)

    2012-01-30

    ... time that the enrolled child is 6 months of age to the time the child is 5 years of age. 30-Month Data... Institute of Child Health and Human Development; the National Children's Study, Vanguard (Pilot) Study... of Child Health and Human Development (NICHD), the National Institutes of Health (NIH) will...

  7. Effects of Increased Access to Infertility Treatment on Infant and Child Health Outcomes: Evidence from Health Insurance Mandate

    OpenAIRE

    Marianne P. Bitler

    2005-01-01

    This paper examines the association between use of infertility treatment and infant and child health outcomes. Infertility treatment makes conception possible for many couples who otherwise would have been unable to reproduce. Many treatments also increase the chance of having a multiple birth, typically a more risky pregnancy. State insurance mandates compelling insurers to cover or offer to cover infertility treatment induce variation across states over time in access to subsidized infertil...

  8. 77 FR 9666 - National Institute of Child Health and Human Development; New Proposed Collection; Comment...

    Science.gov (United States)

    2012-02-17

    ... HUMAN SERVICES National Institutes of Health National Institute of Child Health and Human Development... Institute of Child Health and Human Development (NICHD), the National Institutes of Health (NIH) will... purpose of this section to authorize the National Institute of Child Health and Human Development...

  9. Gender bias in child care and child health: global patterns.

    Science.gov (United States)

    Khera, Rohan; Jain, Snigdha; Lodha, Rakesh; Ramakrishnan, Sivasubramanian

    2014-04-01

    Gender-based discrimination is reported across the spectrum of paediatric healthcare including emergency, inpatient, outpatient and preventive care and is mostly reported from South Asia and China with sporadic reports from Africa and South America. Biases against young girls have been documented even in immunisation percentage, home food allocation, seeking medical care for childhood ailments and percentage of household healthcare expenditures allocated to them. Such gender discrimination in access to medical care is likely to have an influence on the overall health of female children. Over the last five decades, the under-5 sex ratios are worsening in India with declining number of girls. Deliberate parental neglect of girls' essential and life-saving medical care is also an important contributing factor apart from sex-selective abortions to the declining gender ratios. Corrective measures and focused action are needed. PMID:24344176

  10. Child Labor and Health: Quantifying the Global Health Impacts of Child Labor.

    Science.gov (United States)

    Graitcer, Philip L.; Lerer, Leonard B.

    Child labor remains one of the most controversial challenges at the end of the 20th century. Approximately 250 million children in developing countries work either full- or part-time. Child labor is not confined to less-developed countries, as economic transitions bring shifts in the prevalence and nature of child labor. Throughout the world,…

  11. Multiple trauma and mental health in former Ugandan child soldiers.

    Science.gov (United States)

    Klasen, Fionna; Oettingen, Gabriele; Daniels, Judith; Adam, Hubertus

    2010-10-01

    The present study examines the effect of war and domestic violence on the mental health of child soldiers in a sample consisting of 330 former Ugandan child soldiers (age: 11-17 years, female: 49%). All children had experienced at least 1 war-related event and 78% were additionally exposed to at least 1 incident of domestic violence. Prevalences of posttraumatic stress disorder and major depressive disorder were 33%, and 36%, respectively. Behavioral and emotional problems above clinical cutoff were measured in 61%. No gender differences were found regarding mental health outcomes. War experience and domestic violence were significantly associated with all mental health outcomes. The authors' findings point to the detrimental effects of domestic violence in addition to traumatizing war experiences in child soldiers. PMID:21053376

  12. The Rhythm of the Rains: Seasonal Effects on Child Health in The Gambia

    OpenAIRE

    Gajigo, Ousman; Schwab, Benjamin

    2012-01-01

    We analyze the consequences of seasonal variation in maternal consumption on child health using two nationally representative Gambian household surveys. Seasonal fluctuation in consumption stems from difficulties borrowing when incomes are low during the rainy season and saving when they peak after harvest. The resulting fluctuations in maternal nutritional intake can affect birth outcomes and lactational performance. Using mother fixed effects to isolate the effect of birth season, we find t...

  13. Maternal and child health in Brazil: progress and challenges.

    Science.gov (United States)

    Victora, Cesar G; Aquino, Estela M L; do Carmo Leal, Maria; Monteiro, Carlos Augusto; Barros, Fernando C; Szwarcwald, Celia L

    2011-05-28

    In the past three decades, Brazil has undergone rapid changes in major social determinants of health and in the organisation of health services. In this report, we examine how these changes have affected indicators of maternal health, child health, and child nutrition. We use data from vital statistics, population censuses, demographic and health surveys, and published reports. In the past three decades, infant mortality rates have reduced substantially, decreasing by 5·5% a year in the 1980s and 1990s, and by 4·4% a year since 2000 to reach 20 deaths per 1000 livebirths in 2008. Neonatal deaths account for 68% of infant deaths. Stunting prevalence among children younger than 5 years decreased from 37% in 1974-75 to 7% in 2006-07. Regional differences in stunting and child mortality also decreased. Access to most maternal-health and child-health interventions increased sharply to almost universal coverage, and regional and socioeconomic inequalities in access to such interventions were notably reduced. The median duration of breastfeeding increased from 2·5 months in the 1970s to 14 months by 2006-07. Official statistics show stable maternal mortality ratios during the past 10 years, but modelled data indicate a yearly decrease of 4%, a trend which might not have been noticeable in official reports because of improvements in death registration and the increased number of investigations into deaths of women of reproductive age. The reasons behind Brazil's progress include: socioeconomic and demographic changes (economic growth, reduction in income disparities between the poorest and wealthiest populations, urbanisation, improved education of women, and decreased fertility rates), interventions outside the health sector (a conditional cash transfer programme and improvements in water and sanitation), vertical health programmes in the 1980s (promotion of breastfeeding, oral rehydration, and immunisations), creation of a tax-funded national health service in 1988

  14. Repository on maternal child health: Health portal to improve access to information on maternal child health in India

    Directory of Open Access Journals (Sweden)

    Khanna Rajesh

    2013-01-01

    Full Text Available Abstract Background Quality and essential health information is considered one of the most cost-effective interventions to improve health for a developing country. Healthcare portals have revolutionalized access to health information and knowledge using the Internet and related technologies, but their usage is far from satisfactory in India. This article describes a health portal developed in India aimed at providing one-stop access to efficiently search, organize and share maternal child health information relevant from public health perspective in the country. Methods The portal ‘Repository on Maternal Child Health’ was developed using an open source content management system and standardized processes were followed for collection, selection, categorization and presentation of resource materials. Its usage is evaluated using key performance indicators obtained from Google Analytics, and quality assessed using a standardized checklist of knowledge management. The results are discussed in relation to improving quality and access to health information. Results The portal was launched in July 2010 and provides free access to full-text of 900 resource materials categorized under specific topics and themes. During the subsequent 18 months, 52,798 visits were registered from 174 countries across the world, and more than three-fourth visits were from India alone. Nearly 44,000 unique visitors visited the website and spent an average time of 4 minutes 26 seconds. The overall bounce rate was 27.6%. An increase in the number of unique visitors was found to be significantly associated with an increase in the average time on site (p-value 0.01, increase in the web traffic through search engines (p-value 0.00, and decrease in the bounce rate (p-value 0.03. There was a high degree of agreement between the two experts regarding quality assessment carried out under the three domains of knowledge access, knowledge creation and knowledge transfer (Kappa

  15. Courses in reproductive and child health in India: An overview

    Directory of Open Access Journals (Sweden)

    Sutapa Bandyopadhyay Neogi

    2013-01-01

    Full Text Available Defining the human resource needs for providing quality maternal, newborn, and child health services across such a large and diverse population country like India is truly challenging. The effective response to significant challenges and increased requirements of evidence-based effectiveness of the public health projects on maternal and child health is putting pressure on existing program managers to acquire new advanced academic training and information. The data regarding the existing courses on reproductive and child health and related fields in the country were obtained by a predefined search made on the Internet through the Google search engine in December 2011. The collected data were the name and location of the institution offering the respective course, theme, course duration, course structure, eligibility criteria, and mode of learning. In India, around 15 institutes are offering certificate/postgraduate diploma courses on maternal and child health either as a regular program or through distance education program. The admission procedure for each institute is independent of others. The courses vary in terms of duration, eligibility criteria, and fee structure. Conceptualizing an educational initiative in response to national demands for increased workforce capacity to eliminate key medical and nonmedical educational barriers and financial and nonfinancial barriers to advanced academic preparation would enhance the quality of services available in the region.

  16. 77 FR 10758 - National Institute of Child Health and Human Development Proposed Collection; Comment Request...

    Science.gov (United States)

    2012-02-23

    ... HUMAN SERVICES National Institutes of Health National Institute of Child Health and Human Development... Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Building 6100... comment on proposed data collection projects, the National Institute of Child Health and ]...

  17. 77 FR 30294 - National Institute of Child Health and Human Development; Submission for OMB Review; Comment...

    Science.gov (United States)

    2012-05-22

    ... HUMAN SERVICES National Institutes of Health National Institute of Child Health and Human Development... 1995, the National Institute of Child Health and Human Development (NICHD), the National Institutes of....--It is the purpose of this section to authorize the National Institute of Child Health and...

  18. 77 FR 14530 - National Institute of Child Health and Human Development; New Proposed Collection; Comment...

    Science.gov (United States)

    2012-03-12

    ... HUMAN SERVICES National Institutes of Health National Institute of Child Health and Human Development... collection projects, the National Institute of Child Health and Human Development (NICHD), the National... the National Institute of Child Health and Human Development* to conduct a national longitudinal...

  19. 77 FR 19022 - National Institute of Child Health and Human Development Submission for OMB Review; Comment...

    Science.gov (United States)

    2012-03-29

    ... HUMAN SERVICES National Institutes of Health National Institute of Child Health and Human Development... this section to authorize the National Institute of Child Health and Human Development* to conduct a... Child Health and Human Development* shall establish a consortium of representatives from...

  20. Health insurance and child mortality in rural Burkina Faso

    Directory of Open Access Journals (Sweden)

    Anja Schoeps

    2015-04-01

    Full Text Available Background: Micro health insurance schemes have been implemented across developing countries as a means of facilitating access to modern medical care, with the ultimate aim of improving health. This effect, however, has not been explored sufficiently. Objective: We investigated the effect of enrolment into community-based health insurance on mortality in children under 5 years of age in a health and demographic surveillance system in Nouna, Burkina Faso. Design: We analysed the effect of health insurance enrolment on child mortality with a Cox regression model. We adjusted for variables that we found to be related to the enrolment in health insurance in a preceding analysis. Results: Based on the analysis of 33,500 children, the risk of mortality was 46% lower in children enrolled in health insurance as compared to the non-enrolled children (HR=0.54, 95% CI 0.43–0.68 after adjustment for possible confounders. We identified socioeconomic status, father's education, distance to the health facility, year of birth, and insurance status of the mother at time of birth as the major determinants of health insurance enrolment. Conclusions: The strong effect of health insurance enrolment on child mortality may be explained by increased utilisation of health services by enrolled children; however, other non-observed factors cannot be excluded. Because malaria is a main cause of death in the study area, early consultation of health services in case of infection could prevent many deaths. Concerning the magnitude of the effect, implementation of health insurance could be a major driving factor of reduction in child mortality in the developing world.

  1. Why Should We Care about Child Labor? The Education, Labor Market, and Health Consequences of Child Labor

    Science.gov (United States)

    Beegle, Kathleen; Dehejia, Rajeev; Gatti, Roberta

    2009-01-01

    Despite the extensive literature on the determinants of child labor, the evidence on the consequences of child labor on outcomes such as education, labor, and health is limited. We evaluate the causal effect of child labor participation among children in school on these outcomes using panel data from Vietnam and an instrumental variables strategy.…

  2. The Child Health Disadvantage of Parental Cohabitation

    Science.gov (United States)

    Schmeer, Kammi K.

    2011-01-01

    This study uses Fragile Families data (N = 2,160) to assess health differences at age 5 for children born to cohabiting versus married parents. Regression analyses indicate worse health for children born to cohabiting parents, including those whose parents stably cohabited, dissolved their cohabitation, and married, than for children with stably…

  3. Is there much variation in variation? Revisiting statistics of small area variation in health services research

    Directory of Open Access Journals (Sweden)

    Ibáñez Berta

    2009-04-01

    Full Text Available Abstract Background The importance of Small Area Variation Analysis for policy-making contrasts with the scarcity of work on the validity of the statistics used in these studies. Our study aims at 1 determining whether variation in utilization rates between health areas is higher than would be expected by chance, 2 estimating the statistical power of the variation statistics; and 3 evaluating the ability of different statistics to compare the variability among different procedures regardless of their rates. Methods Parametric bootstrap techniques were used to derive the empirical distribution for each statistic under the hypothesis of homogeneity across areas. Non-parametric procedures were used to analyze the empirical distribution for the observed statistics and compare the results in six situations (low/medium/high utilization rates and low/high variability. A small scale simulation study was conducted to assess the capacity of each statistic to discriminate between different scenarios with different degrees of variation. Results Bootstrap techniques proved to be good at quantifying the difference between the null hypothesis and the variation observed in each situation, and to construct reliable tests and confidence intervals for each of the variation statistics analyzed. Although the good performance of Systematic Component of Variation (SCV, Empirical Bayes (EB statistic shows better behaviour under the null hypothesis, it is able to detect variability if present, it is not influenced by the procedure rate and it is best able to discriminate between different degrees of heterogeneity. Conclusion The EB statistics seems to be a good alternative to more conventional statistics used in small-area variation analysis in health service research because of its robustness.

  4. What Every Child Needs for Good Mental Health

    Science.gov (United States)

    ... Teen Eating Disorders Teen Depression and Suicide Teen Self-esteem Feeling Good About Yourself Teen Stress: A Guide to Surviving Stress SOURCES “Facts for Families," America Academy of Child and Adolescent Psychiatry “Children’s and Adolescent’s Mental Health," US Dept. ...

  5. Why Should We Care about Child Labor? The Education, Labor Market, and Health Consequences of Child Labor

    OpenAIRE

    Beegle, Kathleen; Dehejia, Rajeev; Gatti, Roberta

    2009-01-01

    Despite the extensive literature on the determinants of child labor, the evidence on the consequences of child labor on outcomes such as education, labor, and health is limited. We evaluate the causal effect of child labor participation among children in school on these outcomes using panel data from Vietnam and an instrumental variables strategy. Five years subsequent to the child labor experience we find significant negative impacts on education, and also find a higher probability of wage w...

  6. Why Should We Care About Child Labor? The Education, Labor Market, and Health Consequences of Child Labor

    OpenAIRE

    Beegle, Kathleen; Dehejia, Rajeev; Gatti, Roberta

    2005-01-01

    Although there is extensive literature on the determinants of child labor and many initiatives aimed at combating it, there is limited evidence on the consequences of child labor on socioeconomic outcomes such as education, wages, and health. The authors evaluate the causal effect of child labor participation on these outcomes using panel data from Vietnam and an instrumental variables strategy. Five years subsequent to the child labor experience, they find significant negative effects on sch...

  7. Evaluating web sites: reliable child health resources for parents.

    Science.gov (United States)

    Golterman, Linda; Banasiak, Nancy C

    2011-01-01

    This article describes a framework for evaluating the quality of health care information on the Internet and identifies strategies for accessing reliable child health resources. A number of methods are reviewed, including how to evaluate Web sites for quality using the Health Information Technology Institute evaluation criteria, how to identify trustworthy Web sites accredited by Health On the Net Foundation Code of Conduct, and the use of portals to access prescreened Web sites by organizations, such as the Medical Library Association. Pediatric nurses can use one or all of these strategies to develop a list of reliable Web sites as a supplement to patient and family teaching. PMID:21661608

  8. Global child health: challenges and goals in the 1990s.

    Science.gov (United States)

    Reid, R S

    1994-01-01

    The UNICEF message to the pediatricians and child health experts attending the Regional Pediatric Congress of the Union of National Pediatric Societies of Turkish Republics is that the way children are conceptualized in the development process has a major impact on poverty. UNICEF argues that human resource development is the safest way out of population pressure, vanishing forests, and despoiled rivers. Thailand, South Korea, Taiwan, and Singapore are examples of countries that "sacrificed, deferred consumer gratification of the elites, and disciplined themselves" in order to provide better care for their children in terms of good nutrition, good health care, and rigorous primary and secondary education for all children. Family planning was available to all parents. The emphasis was on hygiene, immunization, clean water supplies, and sanitation. Lower infant and child mortality created confidence in child survival and parental willingness to have fewer children. The working population is healthier due to the state nutrition programs and a better skilled labor force due to education and training. These countries are no longer underdeveloped because of the priority on children for over a generation and a half. Robert Heilbroner has described this strategy for development as based on social development, human development, and protection of children aged under 5 years. The Alma Ata conference in 1976 was instrumental in focusing on the health of the child by setting a standard of health for all by the year 2000. Many countries are moving in the direction proposed in these agendas. The result has been a 33% reduction in child mortality within 10 years and greater immunization in some developing countries than in Europe and North America. Immunization rates in Ankara, Turkey; Calcutta, India; Lagos, Nigeria; and Mexico City are higher than in Washington, D.C. or New York City. The 1990 World Summit for Children found that the following rules are applicable to

  9. Neighborhood adversity, child health, and the role for community development.

    Science.gov (United States)

    Jutte, Douglas P; Miller, Jennifer L; Erickson, David J

    2015-03-01

    Despite medical advances, childhood health and well-being have not been broadly achieved due to rising chronic diseases and conditions related to child poverty. Family and neighborhood living conditions can have lasting consequences for health, with community adversity affecting health outcomes in significant part through stress response and increased allostatic load. Exposure to this "toxic stress" influences gene expression and brain development with direct and indirect negative consequences for health. Ensuring healthy child development requires improving conditions in distressed, high-poverty neighborhoods by reducing children's exposure to neighborhood stressors and supporting good family and caregiver functioning. The community development industry invests more than $200 billion annually in low-income neighborhoods, with the goal of improving living conditions for residents. The most impactful investments have transformed neighborhoods by integrating across sectors to address both the built environment and the social and service environment. By addressing many facets of the social determinants of health at once, these efforts suggest substantial results for children, but health outcomes generally have not been considered or evaluated. Increased partnership between the health sector and community development can bring health outcomes explicitly into focus for community development investments, help optimize intervention strategies for health, and provide natural experiments to build the evidence base for holistic interventions for disadvantaged children. The problems and potential solutions are beyond the scope of practicing pediatricians, but the community development sector stands ready to engage in shared efforts to improve the health and development of our most at-risk children. PMID:25733725

  10. Child Health USA 2013: Prenatal Care Utilization

    Science.gov (United States)

    ... Health Services Utilization > Prenatal Care Utilization Prenatal Care Utilization Narrative Early and adequate prenatal care helps to ... 20.3 6.0 Adequacy of Prenatal Care Utilization Upon Initiation, * by Maternal Race/Ethnicity, 2011 Race/ ...

  11. Traditional perspectives on child and family health

    OpenAIRE

    Warne, Donald

    2005-01-01

    First Nations and American Indian communities experience significant health disparities compared with the general populations of Canada and the United States. Children from these communities experience higher rates of infant mortality, suicide and unintentional injury. From a traditional Lakota perspective, many of the health disparities faced in Aboriginal communities are linked to imbalances in the family and community. These imbalances can lead to detrimental behaviours, including substanc...

  12. International Child Health Elective for Pediatric Residents

    OpenAIRE

    Da Dalt, Liviana; Putoto, Giovanni; Carraro, Dante; Gatta, Alessandra; Baraldi, Eugenio; Perilongo, Giorgio

    2014-01-01

    Background There are increasing evidence highlighting the importance of incorporating issues of global health into pre- and post-graduate medical curricula. Medical international cooperation is a fundamental component of strategies to include global health issues in post-graduate medical curricula. Methods Here we describe a seven-year cooperation between the Non Governmental Organization (NGO) “Doctors for Africa CUAMM” and the Pediatric Residency Program (PRP) of the University of Padua (It...

  13. Homework for Parents -- Your Child's Back-To-School Health Checklist

    Science.gov (United States)

    ... Tips Share this! Home » Health Tips » Child Emergencies Homework for Parents — Your Child's Back-To-School Health ... advise parents and guardians to do a little homework of their own and go through a back- ...

  14. Social context, social position and child survival : Social determinants of child health inequities in Nigeria

    OpenAIRE

    Antai, Diddy

    2010-01-01

    Under-five mortality rate is a key indicator of the level of child health and overall well-being of a given population and is an indicator of the United Nations Millennium Development Goals 4. Of the estimated more than 10 million children that die worldwide each year, 41% of these deaths occur in sub-Saharan Africa. With over one million children dying yearly from preventable diseases in Nigeria, the country may not meet the other Millennium Development Goals by 2015. Child...

  15. Child Development and Structural Variation in the Human Genome

    Science.gov (United States)

    Zhang, Ying; Haraksingh, Rajini; Grubert, Fabian; Abyzov, Alexej; Gerstein, Mark; Weissman, Sherman; Urban, Alexander E.

    2013-01-01

    Structural variation of the human genome sequence is the insertion, deletion, or rearrangement of stretches of DNA sequence sized from around 1,000 to millions of base pairs. Over the past few years, structural variation has been shown to be far more common in human genomes than previously thought. Very little is currently known about the effects…

  16. The dynamic relationship between cash transfers and child health: can the child support grant in South Africa make a difference to child nutrition?

    OpenAIRE

    Zembe-Mkabile, Wanga; Ramokolo, Vundli; Sanders, David; Jackson, Debra; Doherty, Tanya

    2015-01-01

    Objective Cash transfer programmes targeting children are considered an effective strategy for addressing child poverty and for improving child health outcomes in developing countries. In South Africa, the Child Support Grant (CSG) is the largest cash transfer programme targeting children from poor households. The present paper investigates the association of the duration of CSG receipt with child growth at 2 years in three diverse areas of South Africa. Design The study analysed data on CSG ...

  17. 78 FR 70309 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-11-25

    ... Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Boulevard, Room 5B01... of Committee: National Institute of Child Health and Human Development Special Emphasis Panel... Branch, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH,...

  18. 76 FR 50743 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-08-16

    ... Development Special Emphasis Panel, Maintenance of Child Health and Development Studies Name and Address Files... Scientific Review, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child...

  19. 75 FR 54897 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-09-09

    ... Child Health and Human Development Special Emphasis Panel; Review of T32 Applications from the... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child...

  20. 75 FR 8974 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-02-26

    ... Development Special Emphasis Panel; Maternal and Child Health in Poor Countries: Evidence from Randomized... Scientific Review, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child...

  1. 76 FR 37133 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-06-24

    ... Development, Special Emphasis Panel. The Role of Human-Animal Interactions in Child Health and Development... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., room 5B01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child...

  2. 78 FR 37233 - Eunice Kennedy Shriver National Institute Of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-06-20

    ... Child Health and Human Development Special Emphasis Panel; Diet, Obesity, and Weight Change in Pregnancy... Child Health and Human Development Special Emphasis Panel; 68-2 Diet, Obesity, and Weight Change in... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute Of Child...

  3. Child health developmental plasticity, and epigenetic programming

    Science.gov (United States)

    Plasticity in developmental programming has evolved in order to provide the best chances of survival and reproductive success to the organism under changing environments. Environmental conditions that are experienced in early life can profoundly influence human biology and long-term health. Developm...

  4. Child Physical Abuse and Concurrence of Other Types of Child Abuse in Sweden--Associations with Health and Risk Behaviors

    Science.gov (United States)

    Annerback, E. M.; Sahlqvist, L.; Svedin, C. G.; Wingren, G.; Gustafsson, P. A.

    2012-01-01

    Objective: To examine the associations between child physical abuse executed by a parent or caretaker and self-rated health problems/risk-taking behaviors among teenagers. Further to evaluate concurrence of other types of abuse and how these alone and in addition to child physical abuse were associated with bad health status and risk-taking…

  5. Child Maltreatment, Family Characteristics, and Educational Attainment: Evidence from Add Health Data

    OpenAIRE

    Fang, Xiangming; TARUI, Nori

    2015-01-01

    Rationale: Child maltreatment, which includes both child abuse and child neglect, is widely regarded as a serious social and public health problem that affects large numbers of children in the United States. In 2012, U.S. state and local child protective services received an estimated 3.4 million referrals of children being abused or neglected. There is increasing evidence that exposure to child maltreatment can lead to many emotional, behavioral, and physical health problems. However, little...

  6. Early childbirth, health inputs and child mortality: recent evidence from Bangladesh

    OpenAIRE

    Maitra, Pushkar; Pal, Sarmistha

    2007-01-01

    This paper examines the relationship between early childbearing, parental use of health inputs and child mortality in Bangladesh. In order to account for the potential endogeneity of the age at birth and use of health inputs, (hospital delivery and child vaccination) in the child mortality regression, we jointly estimate mother’s age at childbirth, hospital delivery, child vaccination and child mortality taking into account of unobserved mother level heterogeneity. There is evidence of signif...

  7. The importance of including both a child perspective and the child's perspective within health care settings to provide truly child-centred care.

    Science.gov (United States)

    Söderbäck, Maja; Coyne, Imelda; Harder, Maria

    2011-06-01

    The UN Convention on the Rights of the Child (1989) asserts the right of every child to self-determination, dignity, respect, non-interference, and the right to make informed decisions. The provision of quality care in health services tailored to children's preferences means that health professionals have a responsibility to ensure children's rights, and that the child is encouraged and enabled to make his or her view known on issues that affect them. This paper will help illuminate and differentiate between a child perspective and the child's perspective in health care settings. The issues are supported with research which illustrates the different perspectives. Both perspectives are required to perceive and encounter children as equal human beings in child-centred health care settings. PMID:21685225

  8. Parental Compensatory Behaviors and Early Child Health Outcomes in Cebu, Philippines*

    OpenAIRE

    Liu, Haiyong; Mroz, Thomas; Adair, Linda

    2009-01-01

    A dynamic optimization model of parents choosing investments in their children’s health motivates an empirical model of parents’ choices of health inputs for their children and the impacts of these decisions on their children’s subsequent health. Estimates of the child health input demand functions and the child health production functions from the Cebu Longitudinal Health and Nutrition Survey accord with the prediction that optimizing behavior results in higher levels of aggregate child heal...

  9. La salud en la infancia Child health

    Directory of Open Access Journals (Sweden)

    Concha Colomer-Revuelta

    2004-05-01

    Full Text Available En España, la infancia aparece como un grupo de población con escasas necesidades y problemas de salud, lo que lo hace casi invisible en la investigación y en la planificación de servicios. En general, no se tiene en cuenta que se trata de un período de desarrollo y de alta vulnerabilidad a los riesgos físicos y psicosociales, y de respuesta positiva a los factores protectores. En este artículo se recogen datos y reflexiones sobre algunos problemas que mejoran (mortalidad, cáncer y otros que persisten o empeoran (calidad del ambiente, maltrato, salud mental, obesidad, discapacidades y estilos de vida, y se plantean nuevos desafíos relacionados con la calidad de vida y la equidad de género y clase social. Además se revisan las respuestas que se dan desde los servicios de salud, las políticas medioambientales y de promoción de la salud, y se propone una atención específica a la salud de niños y niñas desde un enfoque de los derechos humanos.Children in Spain are considered as being a population group with few health problems and needs therefore making it almost invisible in research and services' planning. Generally, it is not taken into account that this is a development period with very high vulnerability to physical and psychosocial risks whereas there is a positive response to protective factors. This article covers some data and thoughts on their health problems that are improving (mortality, cancer, those that persist or worsen (environmental quality, abuse, mental health, obesity, disabilities and lifestyles and new challenges relating to quality of life and gender and social class equity. Responses provided by the health services are reviewed, as are environmental policies and health promotion and specific care is proposed for boys' and girls' health from a children's human rights-focused perspective.

  10. Poverty and Child Health in the United States.

    Science.gov (United States)

    2016-04-01

    Almost half of young children in the United States live in poverty or near poverty. The American Academy of Pediatrics is committed to reducing and ultimately eliminating child poverty in the United States. Poverty and related social determinants of health can lead to adverse health outcomes in childhood and across the life course, negatively affecting physical health, socioemotional development, and educational achievement. The American Academy of Pediatrics advocates for programs and policies that have been shown to improve the quality of life and health outcomes for children and families living in poverty. With an awareness and understanding of the effects of poverty on children, pediatricians and other pediatric health practitioners in a family-centered medical home can assess the financial stability of families, link families to resources, and coordinate care with community partners. Further research, advocacy, and continuing education will improve the ability of pediatricians to address the social determinants of health when caring for children who live in poverty. Accompanying this policy statement is a technical report that describes current knowledge on child poverty and the mechanisms by which poverty influences the health and well-being of children. PMID:26962238

  11. Child maltreatment and educational attainment in young adulthood: results from the Ontario Child Health Study.

    Science.gov (United States)

    Tanaka, Masako; Georgiades, Katholiki; Boyle, Michael H; MacMillan, Harriet L

    2015-01-01

    There is increasing evidence for the adverse effects of child maltreatment on academic performance; however, most of these studies used selective samples and did not account for potential confounding or mediating factors. We examined the relationship between child physical abuse (PA; severe and non-severe) and sexual abuse (SA) and educational attainment (years of education, failure to graduate from high school) with a Canadian community sample. We used data from the Ontario Child Health Study (N = 1,893), a province-wide longitudinal survey. Potential confounding variables (family socio-demographic and parental capacity) and child-level characteristics were assessed in 1983, and child abuse was determined in 2000-2001 based on retrospective self-report. Results showed that PA and SA were associated with several factors indicative of social disadvantage in childhood. Multilevel regression analyses for years of education revealed a significant estimate for severe PA based on the unadjusted model (-0.60 years, 95% CI = [-0.45, -0.76]); estimates for non-severe PA (0.05 years, CI = [-0.15, 0.26]) and SA (-0.25 years, CI = [-0.09, -0.42]) were not significant. In the adjusted full model, the only association to reach significance was between severe PA and reduced years of education (-0.31 years, CI = [-0.18, -0.44]). Multilevel regression analyses for failure to graduate from high school showed significant unadjusted estimates for severe PA (OR = 1.77, 95% CI = [1.21, 2.58]) and non-severe PA (OR = 1.61, CI = [1.01, 2.57]); SA was not associated with this outcome (OR = 1.40, CI = [0.94, 2.07]). In the adjusted full models, there were no significant associations between child abuse variables and failure to graduate. The magnitude of effect of PA on both outcomes was reduced largely by child individual characteristics. These findings generally support earlier research, indicating the adverse effects of child maltreatment on educational attainment. Of particular note

  12. Infant and Young Child Feeding: a Key area to Improve Child Health

    OpenAIRE

    Habibolah Taghizade Moghaddam; Gholam Hasan Khodaee; Maryam Ajilian Abbasi; Masumeh Saeidi

    2015-01-01

    Good nutrition is essential for survival, physical growth, mental development, performance, productivity, health and well-being across the entire life-span: from the earliest stages of fetal development, at birth, and through infancy, childhood, adolescence and on into adulthood. Poor nutrition in the first 1,000 days of children’s lives can have irreversible consequences. For millions of children, it means they are, forever, stunted. Every infant and child has the right to good nutrition acc...

  13. Filipino Child Health in the United States: Do Health and Health Care Disparities Exist?

    Directory of Open Access Journals (Sweden)

    Joyce R. Javier, MD, MPH

    2007-04-01

    Full Text Available IntroductionFilipinos are the second largest Asian subgroup in the United States, but few studies have examined health and health care disparities in Filipino children. The objectives of this review are 1 to appraise current knowledge of Filipino children’s health and health care and 2 to present the implications of these findings for research, clinical care, and policy.MethodsWe identified articles for review primarily via a Medline search emphasizing the terms Filipino and United States crossed with specific topics in child and adolescent health that fall under one of Healthy People 2010’s 28 focus areas. ResultsFilipino children are underrepresented in medical research. Studies that compare Filipino children and adolescents with white children or children of other Asian Pacific Islander subgroups suggest disparities with regard to gestational diabetes, rates of neonatal mortality and low birth weight, malnutrition in young children, overweight, physical inactivity and fitness, tuberculosis, dental caries, and substance abuse. Studies that compare Filipino adults with white adults describe adult Filipino health problems similar to those of Filipino children, including higher rates of diabetes, hypertension, and metabolic syndrome. Health care disparities remain to be determined.ConclusionHealth and health care disparities appear to exist for Filipino children, but more research is needed to confirm these findings. Practitioners serving this population need to consider social and cultural factors that can increase or diminish risk for health problems. There are priorities in research and policy that, if pursued, may improve the health care and health outcomes of Filipino children.

  14. Conflict, Child Health, and Household Adjustments in Eritrea

    OpenAIRE

    2012-01-01

    Child stunting in growth currently affects 164 million children globally, and has dire consequences for the future well-being of the affected children. Wars disproportionately affect children and is believed to raise levels of stunting due to malnutrition and diseases. Using the 2002 Eritrean Demographic and Health Survey, this thesis adopts a differences-in-differences methodology and finds that the 1998-2000 border war between Eritrea and Ethiopia raised levels of stunting in affected regio...

  15. Epidemiology of child injuries in Uganda: challenges for health policy

    OpenAIRE

    Renee Yuen-Jan Hsia; Doruk Ozgediz; Sudha Jayaraman; Patrick Kyamanywa; Milton Mutto; Kobusingye, Olive C.

    2011-01-01

    Globally, 90% of road crash deaths occur in the developing world. Children in Africa bear the major part of this burden, with the highest unintentional injury rates in the world. Our study aims to better understand injury patterns among children living in Kampala, Uganda and provide evidence that injuries are significant in child health. Trauma registry records of injured children seen at Mulago Hospital in Kampala were analysed. This data was collected when patients were seen initially and i...

  16. General practitioner training needs for child health surveillance.

    OpenAIRE

    Goodhart, L C

    1991-01-01

    A postal questionnaire was sent to 136 Hackney general practitioners inquiring about their plans for child health surveillance. A total of 112 responded and detailed their training needs, both practical and theoretical. Ninety one responders were providing or planning to provide surveillance. Responders were eager for further training particularly in premature baby follow up, mental handicap, speech and hearing assessment, and social and behavioural problems.

  17. Maternalmental health after a child's diagnosis of autism spectrum disorder

    OpenAIRE

    Karp, EA; Kuo, AA

    2014-01-01

    © 2015 American Medical Association. All rights reserved. Importance:The prevalence of psychological distress among mothers of children with autism spectrum disorder (ASD) suggests a need for interventions that address parental mental health during the critical period after the child's autism diagnosis when parents are learning to navigate the complex system of autism services.Objective: To investigate whether a brief cognitive behavioral intervention, problem-solving education (PSE), decreas...

  18. Promoting equity to achieve maternal and child health.

    Science.gov (United States)

    Thomsen, Sarah; Hoa, Dinh Thi Phuong; Målqvist, Mats; Sanneving, Linda; Saxena, Deepak; Tana, Susilowati; Yuan, Beibei; Byass, Peter

    2011-11-01

    Maternal and child mortality rates, the targets for two of the eight Millennium Development Goals, remain unacceptably high in many countries. Some countries have made significant advances in reducing deaths in pregnancy, childbirth, and childhood at the national level. However, on a sub-national basis most countries show wide disparities in health indices which are not necessarily reflected in national figures. This is a sign of inequitable access to and provision of health services. Yet there has been little attention to health equity in relation to the Millennium Development Goals. Instead, countries have focused on achieving national targets. This has led to an emphasis on utilitarian, as opposed to universalist, approaches to public health, which we discuss here. We recommend a policy of "proportionate universalism". In this approach, universal health care and a universal social policy are the ultimate goal, but in the interim actions are carried out with intensities proportionate to disadvantage. We also briefly describe an initiative that aims to promote evidence-based policy and interventions that will reduce inequity in access to maternal and child health care in China, India, Indonesia and Viet Nam. PMID:22118151

  19. Latino Caregiver Psychosocial Factors and Health Care Services for Children Involved in the Child Welfare System

    OpenAIRE

    Smith, Caitlin; Brinkmann, Andrea; Schneiderman, Janet U.

    2015-01-01

    Children in the child welfare system have a high prevalence of health problems, making pediatric health service use critical. Latino children represent a growing proportion of the child welfare system, and are at increased risk for health problems. Many have argued that Latino caregivers can provide Latino children with the least disruptive out-of-home placement, but little is known about how caregiver factors might relate to health services utilization or child health status within this popu...

  20. The Health Development Organization: An Organizational Approach to Achieving Child Health Development

    OpenAIRE

    Halfon, Neal; Inkelas, Moira; Hochstein, Miles

    2000-01-01

    The health development organization (HDO) is a new approach to the organization and delivery of children’s health and social services. The HDO would combine the best features of vertically integrated HMOs with horizontally integrated, child-focused social services and longitudinally integrated health promotion strategies. Its mandate would be to develop the health of children in a community. The impetus for creating HDOs is a growing body of evidence in chronic disease epidemiology, developme...

  1. HIV infection and maternal and child health.

    Science.gov (United States)

    Ramachandran, P

    1988-01-01

    Collaborative studies to determine the consequences of pregnancy in HIV infected women have been begun in the last 2 years. Both HIV and HIV antibodies pass through the placenta, and 30-50% of infants born to HIV infected mothers are infected in utero. In developed countries it is feasible to screen pregnant women in high risk groups for HIV positivity. In developing countries, where heterosexual transmission is the main route of infection, there are no high risk groups, and it is not feasible to screen all pregnant women. Some data have shown that HIV infection in pregnancy is associated with intrauterine growth retardation, low birth weight, and high infant mortality. There is no evidence that cesarean section reduces infection in neonates, and it should not be performed on HIV infected women. By 1987 almost 1.5% of AIDS cases in the US were in vertically infected infants. In Africa also the main factor in HIV in infancy is vertical transmission. AIDS in infancy follows 1 of 2 distinct patterns: failure to thrive and death from Pneumocystis carinii pneumonia within the 1st year or else apparent health during infancy but death from opportunistic infections by age 3. HIV infection in childhood is uncommon and can usually be traced to blood transfusions or unsterilized needles used for vaccinations. Neurological symptoms often develop early in children. Breast feeding probably does not infect any infants who have not already been infected in utero, and in developing counties breast feeding is still the best assurance of total nutrition. Pooled, unpasteurized milk banks, on the other hand, represent an unnecessary danger, and milk donors should be screened. Since there is no evidence that routine immunization accelerates the course of HIV infection, and since mass screening is not feasible in developing countries, the World Health Organization recommends that routine immunizations be continued. Since the best protection from in utero HIV infection is the use of

  2. Comparing MOSAIC and the variational learning model of the optional infinitive stage in early child language

    OpenAIRE

    Freudenthal, D; Pine, J M; Gobet, F.

    2009-01-01

    This paper compares MOSAIC and the Variational Learning Model (VLM) in terms of their ability to explain the level of finiteness marking in early child Dutch, English, Spanish, German and French. It is shown that both models are successful in explaining cross-linguistic variation in rates of Optional Infinitive (OI) errors, although both models underestimate the error rate in English. A second set of analyses shows strong lexical effects in the pattern of errors ac...

  3. HOUSEHOLD NUCLEATION, DEPENDENCY AND CHILD HEALTH OUTCOMES IN GHANA.

    Science.gov (United States)

    Annim, Samuel Kobina; Awusabo-Asare, Kofi; Amo-Adjei, Joshua

    2015-09-01

    This study uses three key anthropometric measures of nutritional status among children (stunting, wasting and underweight) to explore the dual effects of household composition and dependency on nutritional outcomes of under-five children in Ghana. The objective is to examine changes in household living arrangements of under-five children to explore the interaction of dependency and nucleation on child health outcomes. The concept of nucleation refers to the changing structure and composition of household living arrangements, from highly extended with its associated socioeconomic system of production and reproduction, social behaviour and values, towards single-family households - especially the nuclear family, containing a husband and wife and their children alone. A negative relationship between levels of dependency, as measured by the number of children in the household, and child health outcomes is premised on the grounds that high dependency depletes resources, both tangible and intangible, to the disadvantage of young children. Data were drawn from the last four rounds of the Ghana Demographic and Health Surveys (GDHSs), from 1993 to 2008, for the first objective - to explore changes in household composition. For the second objective, the study used data from the 2008 GDHS. The results show that, over time, households in Ghana have been changing towards nucleation. The main finding is that in households with the same number of dependent children, in nucleated households children under age 5 have better health outcomes compared with children under age 5 in non-nucleated households. The results also indicate that the effect of dependency on child health outcomes is mediated by household nucleation and wealth status and that, as such, high levels of dependency do not necessarily translate into negative health outcomes for children under age 5, based on anthropometric measures. PMID:25167165

  4. Impact of information and communication technology on child health.

    Science.gov (United States)

    Woo, Eugenia Hc; White, Peter; Lai, Christopher Wk

    2016-06-01

    This article provides a general framework for understanding the use of information and communication technology in education and discusses the impact of computer usage on students' health and development. Potential beneficial and harmful effects of computer use by children are discussed. Early epidemiological and laboratory studies have indicated that children are at least of similar risk of developing musculoskeletal and vision problems as adults, and musculoskeletal and visual health problems developed in childhood are likely to persist into adulthood. This article, therefore, aims to provide a reflection on the deficits of existing policy and recommendations for child-specific guidelines in computer use. PMID:27333844

  5. Association of Selected Risk Factors with Variation in Child and Adolescent Firearm Mortality by State

    Science.gov (United States)

    Murnan, Judy; Dake, Joseph A.; Price, James H.

    2004-01-01

    This study examined relationships between variation in child and adolescent firearm mortality by state and the following variables: childhood poverty rate, percent single parent families, percent population that is African American, percent population that is Hispanic. percent students carrying a gun, percent students carrying a weapon, percent…

  6. Variations in Latino Parenting Practices and Their Effects on Child Cognitive Developmental Outcomes

    Science.gov (United States)

    De Von Figueroa-Moseley, Colmar; Ramey, Craig T.; Keltner, Bette; Lanzi, Robin G.

    2006-01-01

    This research examines variations in parenting and its effects on child cognitive outcomes across Latino subgroups from a national sampling that utilized a subset of 995 former Head Start Latino parents and children. Comparisons of the Parenting Dimension Inventory scaled scores revealed Latino subgroup differences on nurturance and consistency.…

  7. Child psychoanalytic psychotherapy in the UK National Health Service: an historical analysis

    OpenAIRE

    Rous, Elizabeth; Clark, Andrew

    2009-01-01

    Abstract This review developed from a discussion with the late Professor Richard Harrington about interventions in Child and Adolescent Mental Health services (CAMHS) that lacked an evidence base. Our aim is to investigate the literature for signs that child psychoanalysis is a declining paradigm within the Child and Adolescent Mental Health Services (CAMHS) in the United Kingd...

  8. 76 FR 69747 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-11-09

    ... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and Human Development; Special Emphasis Panel; Infertility Treatment, Child Growth and Development to age Three Years... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child...

  9. 77 FR 24964 - National Institute of Child Health and Human Development Submission for OMB Review; Comment...

    Science.gov (United States)

    2012-04-26

    ... at every study visit contact from the time that the enrolled child is 6 months of age to the time the child is 5 years of age. 30-Month Data Collection Module: We propose piloting an age- specific module... HUMAN SERVICES National Institutes of Health National Institute of Child Health and Human...

  10. [Reflections on the development of maternal and child health in public health nursing in Taiwan].

    Science.gov (United States)

    Chen, Miao-Ching

    2014-06-01

    Continued global economic difficulties and Taiwan's health insurance scheme have focused the domestic healthcare system excessively on medical treatments and made this system overly market-oriented. The NHI (national health insurance) Reimbursement Policy lacks adequate flexibility to adjust to current health needs. The situation constrains the medical service budget and causes nursing shortages in hospitals, which in turn marginalizes the public health nurses working at health centers. It is important for the government and professional associations to establish a public healthcare model that adequately meets the needs of the community. In addition to strengthening the role and function of public health nurses, a service model must be developed and piloted. This paper analyzes the situation and problem of maternal and child healthcare in Taiwan, studies the successful experiences of maternal and child healthcare from other counties, and then provides recommendations for the future development of public health nursing in Taiwan. PMID:24899555

  11. Recording actions to prevent child morbidity in children's health cards.

    Science.gov (United States)

    Vieira, Daniele de Souza; Santos, Nathanielly Cristina Carvalho de Brito; Costa, Dayse Kalyne Gomes da; Pereira, Mayara de Melo; Vaz, Elenice Maria Cecchetti; Reichert, Altamira Pereira da Silva

    2016-06-01

    The aim of this study was to analyze the registering of preventative actions in relation to child morbidity using information regarding vaccinations, as well as iron and vitamin A supplements, which are recorded in children's health cards. This transversal study used a quantitative approach and was performed in Family Health Units in the city of João Pessoa, Paraíba; the sampling was by convenience and totaled 116 children's health cards. The data was collected by observing the cards and the analysis was simple, statistical. The highest percentage of children had their vaccination cards up to date (92.2%) and those that did not were aged between 6 and 12 months: 78.9% of the cards did not have records relating to iron and vitamin A supplements and others only had records of one of the supplements being administered. The vaccination status of children in the first year of life was found to be satisfactory; however, discrepancies were observed in the recordings of the administration of iron and vitamin A supplements, which complicates monitoring performed by child health care professionals. It is hoped that this study will contribute to discussions and strategies aimed at improving the monitoring and recording of micronutrients in children's health cards. PMID:27383363

  12. When do parents and child health professionals agree on child’s psychosocial problems? Cross-sectional study on parent–child health professional dyads

    OpenAIRE

    Crone, Mathilde R; Zeijl, Elke; Reijneveld, Sijmen A.

    2016-01-01

    Background About one third of all parents have concerns about their child’s psychosocial development. Agreement between child health professionals (CHPs) and parents about such concerns may improve treatment adherence and outcomes. This study investigates which child, parenting and/or environmental stressors are associated with (dis)agreement in concerns regarding psychosocial problems in children, in parent-CHP dyads. Methods During routine child health assessments, data were collected from ...

  13. Child Health and Young Adult Outcomes. NBER Working Paper No. 14482

    Science.gov (United States)

    Currie, Janet; Stabile, Mark; Manivong, Phongsack; Roos, Leslie L.

    2008-01-01

    Previous research has shown a strong connection between birth weight and future child outcomes. But this research has not asked how insults to child health after birth affect long-term outcomes, whether health at birth matters primarily because it predicts future health or through some other mechanism, or whether health insults matter more at some…

  14. Caregiver perceptions about mental health services after child sexual abuse.

    Science.gov (United States)

    Fong, Hiu-fai; Bennett, Colleen E; Mondestin, Valerie; Scribano, Philip V; Mollen, Cynthia; Wood, Joanne N

    2016-01-01

    The objective of this study was to describe caregiver perceptions about mental health services (MHS) after child sexual abuse (CSA) and to explore factors that affected whether their children linked to services. We conducted semi-structured, in-person interviews with 22 non-offending caregivers of suspected CSA victimschild advocacy center in Philadelphia. Purposive sampling was used to recruit caregivers who had (n=12) and had not (n=10) linked their children to MHS. Guided by the Health Belief Model framework, interviews assessed perceptions about: CSA severity, the child's susceptibility for adverse outcomes, the benefits of MHS, and the facilitators and barriers to MHS. Interviews were audio-recorded, transcribed, coded, and analyzed using modified grounded theory. Recruitment ended when thematic saturation was reached. Caregivers expressed strong reactions to CSA and multiple concerns about adverse child outcomes. Most caregivers reported that MHS were generally necessary for children after CSA. Caregivers who had not linked to MHS, however, believed MHS were not necessary for their children, most commonly because they were not exhibiting behavioral symptoms. Caregivers described multiple access barriers to MHS, but caregivers who had not linked reported that they could have overcome these barriers if they believed MHS were necessary for their children. Caregivers who had not linked to services also expressed concerns about MHS being re-traumatizing and stigmatizing. Interventions to increase MHS linkage should focus on improving communication with caregivers about the specific benefits of MHS for their children and proactively addressing caregiver concerns about MHS. PMID:26602155

  15. Risk assessment of parents' concerns at 18 months in preventive child health care predicted child abuse and neglect

    NARCIS (Netherlands)

    I.I.E. Staal; J.M.A. Hermanns; A.J.P. Schrijvers; H.F. van Stel

    2013-01-01

    Objective: As child maltreatment has a major impact, prevention and early detection of parenting problems are of great importance. We have developed a structured interview which uses parents’ concerns for a joint needs assessment by parents and a child health care nurse, followed by a professional j

  16. [QOL research in child health. Present state and issues].

    Science.gov (United States)

    Matsuda, Tomohiro; Noguchi, Makiko; Umeno, Yuko; Kato, Noriko

    2006-11-01

    The evaluation of QOL (Quality of Life) in the medical field has revolved around the development of self-measurement scales comprising two or more questions based on psychometric theory. QOL research in the field of child health progressed in the latter half of the 80s in the United States, and aspects of ambiguity and adaptation to the environment of children were recognized. Objective health and subjective health differ significantly among children and are strongly influenced by environmental factors. In addition, QOL in early life anticipates the later health status in adolescence and youth. For these reasons, QOL research in the field of child health is very important. More than 20 scales, exemplified by CHQ, PedsQL, TACQOL/TAPQOL, and COOP charts, exist as standard generic QOL indices for children. Disease-specific scales cover epilepsy, asthma, and allergic disease, as discussed in a number of early studies. Diabetes, skin disease, and cancer are also major research subjects. Self-evaluation is one of the principles of QOL research; it is stated that children in the age group of 5-6 years are already capable of expressing pain and their physical condition and that the competency to describe abstract concepts such as pride and happiness matures around the age of 9-10 years. Sources of information such as the computer have developed and spread remarkably in recent years. The use of such technology facilitates the evaluation of young children with a high level of accuracy. The problems currently faced are the low reliability of responses of children, difficulties in cross-cultural comparison, and transformation of the sense of values according to growth. In conclusion, the development of QOL research in the field of child health should allow realization of an improved health situation in which children's points of view are included in the decision-making process for required treatments and health care policy. Further, health administration can be expected to

  17. The impact of parental health on child labor: the case of Bangladesh

    OpenAIRE

    Bazen, Stephen; Salmon, Claire

    2010-01-01

    In recent years, there has been a marked increase in the number of studies that examine the economics of child labor and more particularly the determinants of children's labor supply in developing countries. This paper provides a new angle on the causes of child labor force participation by showing that parents' health affects child labor through family labor supply decisions. Using a survey with detailed information on health matters for Bangladesh, we find that child labor supply is sometim...

  18. The Influence of Child and Parent Health Literacy Status on Health Outcomes from a Childhood Obesity Treatment Program

    OpenAIRE

    Lowery, Kamilan Aurielle

    2016-01-01

    While limited health literacy has been associated with poorer health decisions and poorer health outcomes, there remains a gap in the literature related to the influence of health literacy on weight and weight-related behaviors. The primary aim of this study is to examine the influence of child and parent health literacy status on childs body mass index (BMI) and health behaviors, within an adapted evidence-based family-based childhood obesity intervention, iChoose, implemented in the medical...

  19. Exposure to child abuse and risk for mental health problems in women.

    Science.gov (United States)

    Schneider, Renee; Baumrind, Nikki; Kimerling, Rachel

    2007-01-01

    Risk for adult mental health problems associated with child sexual, physical, or emotional abuse and multiple types of child abuse was examined. Logistic regression analyses were used to test study hypotheses in a population-based sample of women (N = 3,936). As expected, child sexual, physical, and emotional abuse were independently associated with increased risk for mental health problems. History of multiple types of child abuse was also associated with elevated risk for mental health problems. In particular, exposure to all three types of child abuse was linked to a 23-fold increase in risk for probable posttraumatic stress disorder (PTSD). Findings underscore relations between child emotional abuse and adult mental health problems and highlight the need for mental health services for survivors of multiple types of child abuse. PMID:18064973

  20. Prioritizing Child Health Interventions in Ethiopia: Modeling Impact on Child Mortality, Life Expectancy and Inequality in Age at Death

    OpenAIRE

    Onarheim, Kristine Husøy; Tessema, Solomon; Johansson, Kjell Arne; Eide, Kristiane Tislevoll; Norheim, Ole Frithjof; Miljeteig, Ingrid

    2012-01-01

    Background: The fourth Millennium Development Goal calls for a two-thirds reduction in under-5 mortality between 1990 and 2015. Under-5 mortality rate is declining, but many countries are still far from achieving the goal. Effective child health interventions that could reduce child mortality exist, but national decision-makers lack contextual information for priority setting in their respective resource-constrained settings. We estimate the potential health impact of increasing coverage of 1...

  1. PDF for Healthcare and Child Health Data Forms.

    Science.gov (United States)

    Zuckerman, Alan E; Schneider, Joseph H; Miller, Ken

    2008-01-01

    PDF-H is a new best practices standard that uses XFA forms and embedded JavaScript to combine PDF forms with XML data. Preliminary experience with AAP child health forms shows that the combination of PDF with XML is a more effective method to visualize familiar data on paper and the web than the traditional use of XML and XSLT. Both PDF-H and HL7 Clinical Document Architecture can co-exist using the same data for different display formats. PMID:18999257

  2. Child Physical Abuse : Characteristics, Prevalence, Health and Risk‐taking

    OpenAIRE

    Annerbäck, Eva-Maria

    2011-01-01

    The home is supposed to provide support and safety for children but can also be the place where children suffer abuse and other adverse treatment by their parents. Violence against children in homes has been banned in Sweden for more than 30 years but it is still a considerable problem in the society and a threat to public health. The overall aim of this thesis was to create comprehensive knowledge of the phenomenon Child Physical Abuse (CPA) in Sweden after the ban on corporal punishment. Th...

  3. Status report on maternal and child health indicators.

    Science.gov (United States)

    Givens, S R; Moore, M L

    1995-06-01

    The health of pregnant women and children has improved substantially since the 1960s. In the past decade, however, progress in preventing infant deaths, reducing the incidence of low-birth-weight infants, and ensuring first trimester prenatal care has slowed. African-American infants suffer a significantly higher risk of poor pregnancy outcome. Immunization rates for preschoolers remain low. Changing social conditions including a rising child poverty rate, a high teenage birth rate, an increased rate of births to unmarried women, and higher levels of unintended pregnancy may be contributing to stalled progress. PMID:7745540

  4. Forced migration and child health and mortality in Angola

    OpenAIRE

    Avogo, Winfred Aweyire; Agadjanian, Victor

    2009-01-01

    This study investigates the effects of forced migration on child survival and health in Angola. Using survey data collected in Luanda, Angola, in 2004, just two years after the end of that country's prolonged civil war, we compare three groups: migrants who moved primarily due to war, migrants whose moves were not directly related to war, and non-migrants. First, we examine the differences among the three groups in under-five mortality. Using an event-history approach, we find that hazards of...

  5. 76 FR 13650 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-03-14

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  6. 78 FR 13359 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-02-27

    ... Institute of Child Health And Human Development, NIH, 6100 Executive Boulevard, Room 5B01, Bethesda, MD... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  7. 75 FR 61765 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-10-06

    ... Child Health and Human Development Special Emphasis Panel; ``Reproductive Panel''. Date: November 3-5... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  8. 77 FR 12601 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-03-01

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  9. 78 FR 47328 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-08-05

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  10. 78 FR 6127 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2013-01-29

    ... Children's Study, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory Committee Act,...

  11. 78 FR 70311 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-11-25

    ... Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  12. 78 FR 37232 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2013-06-20

    ... Officer, Division of Scientific Review, National Institute of Child Health and Human Development, 6100... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act,...

  13. 76 FR 64092 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-10-17

    ... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  14. 77 FR 58854 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-09-24

    ... Officer, Division of Scientific Review, National Institute of Child Health and Human Development, 6100... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  15. 78 FR 11658 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2013-02-19

    ..., Division of Scientific Review, National Institute of Child Health and Human Development, 6100 Executive... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act,...

  16. 77 FR 52338 - Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD); Notice of...

    Science.gov (United States)

    2012-08-29

    ...., Deputy Director, Eunice Kenney Shriver National Institute of Child Health and Human Development, NIH... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD); Notice of Meeting Pursuant to section 10(d) of the Federal Advisory...

  17. 76 FR 72957 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-11-28

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  18. 77 FR 17080 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-03-23

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  19. 78 FR 21382 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-04-10

    ... National Institute of Child Health And Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  20. 75 FR 36662 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-06-28

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  1. 76 FR 18566 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-04-04

    ... National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  2. 76 FR 71986 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-11-21

    ... Institute of Child Health And Human Development, NIH, 6100 Executive Blvd., Room 5B01, Rockville, MD 20852... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  3. 78 FR 23771 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-04-22

    ... Institute, of Child Health And Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  4. 78 FR 48880 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-08-12

    ... Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892, 301-451... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  5. 78 FR 23772 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-04-22

    ... Scientific Review, National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  6. 78 FR 11660 - Eunice Kennedy Shriver National Institute Of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-02-19

    ... Scientific Review, National Institute of Child Health, and Human Development, NIH, 6100 Executive Blvd., Room... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute Of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  7. 76 FR 71985 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-11-21

    ... National Institute of Child Health And Human Development, NIH, 6100 Executive Blvd., Room 5B01-G, Bethesda... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  8. 78 FR 4855 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-01-23

    ... Officer, Division of Scientific Review, National Institute of Child Health and Human Development, NIH... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  9. 77 FR 12599 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-03-01

    ... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5b01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  10. 76 FR 13649 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-03-14

    ..., Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  11. 78 FR 17419 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-03-21

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  12. 75 FR 36661 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-06-28

    ... National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  13. 76 FR 77544 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2011-12-13

    ... Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5C01... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory Committee Act,...

  14. 77 FR 12604 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-03-01

    ... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory...

  15. 77 FR 52337 - Eunice Kennedy Shriver National Institute of Child Health & Human Development Notice of Closed...

    Science.gov (United States)

    2012-08-29

    ..., National Institute of Child Health and Human Development, 6100 Executive Boulevard, Rockville, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  16. 76 FR 13651 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-03-14

    ... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01-G, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  17. 76 FR 11801 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-03-03

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  18. 75 FR 65496 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-10-25

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  19. 77 FR 58855 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-09-24

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  20. 78 FR 60294 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2013-10-01

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory Committee Act, as..., Program Analyst, National Children's Study, Eunice Kennedy Shriver National Institute of Child Health...

  1. 76 FR 11800 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-03-03

    ... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  2. 75 FR 66771 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-10-29

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  3. 76 FR 59708 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-09-27

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  4. 75 FR 5603 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-02-03

    ... Scientific Review, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  5. 76 FR 37132 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-06-24

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  6. 75 FR 54890 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-09-09

    ... Scientific Review, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  7. 76 FR 49780 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-08-11

    ... Scientific Review, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  8. 76 FR 20358 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-04-12

    ... Scientific Review, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  9. 76 FR 59415 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2011-09-26

    ... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5C01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory Committee Act,...

  10. 75 FR 5602 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-02-03

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  11. 75 FR 18217 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-04-09

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  12. 76 FR 59707 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-09-27

    ... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  13. 75 FR 8979 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-02-26

    ... of Scientific Review, Eunice Kennedy Shriver National Institute of Child Health and Human Development... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  14. 76 FR 58283 - Eunice Kennedy Shriver National Institute of Child Health & Human Development Notice of Closed...

    Science.gov (United States)

    2011-09-20

    ... Kennedy Shriver National Institute of Child Health And Human Development, NIH, 6100 Executive ] Blvd... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  15. 76 FR 59709 - Eunice Kennedy Shriver National Institute of Child Health & Human Development Notice of Closed...

    Science.gov (United States)

    2011-09-27

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  16. 75 FR 8978 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-02-26

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  17. 75 FR 54891 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2010-09-09

    ... Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory Committee Act,...

  18. 76 FR 43334 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-07-20

    ... Review, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory...

  19. 76 FR 40738 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-07-11

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee..., Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive...

  20. 77 FR 19676 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-04-02

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room...

  1. 76 FR 65516 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-10-21

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Rockville, MD...

  2. 77 FR 61419 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-10-09

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  3. 77 FR 37421 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-06-21

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  4. 78 FR 12767 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-02-25

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  5. 75 FR 10491 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-03-08

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  6. 75 FR 51827 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-08-23

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd.,...

  7. 75 FR 12244 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-03-15

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Scientific Review, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH,...

  8. 77 FR 37424 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2012-06-21

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory Committee Act, as... Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5C01, Bethesda, MD 20892, (703)...

  9. 77 FR 26020 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-05-02

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD...

  10. 76 FR 40737 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-07-11

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd.,...

  11. 75 FR 4577 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-01-28

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health and...

  12. 75 FR 55807 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-09-14

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01,...

  13. 75 FR 12243 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-03-15

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd. Room 5B01, Bethesda,...

  14. 76 FR 19999 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-04-11

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Review Officer, Division of Scientific Review, National Institute of Child Health and Human...

  15. 75 FR 34457 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-06-17

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee..., National Institute of Child Health, And Human Development, 6100 Executive Boulevard, Room 5B01,...

  16. 77 FR 61418 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-10-09

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5b01, Bethesda, MD...

  17. What Can Education Teach Child Mental Health Services? Practitioners' Perceptions of Training and Joint Working

    Science.gov (United States)

    Vostanis, Panos; O'Reilly, Michelle; Taylor, Helen; Day, Crispin; Street, Cathy; Wolpert, Miranda; Edwards, Ruth

    2012-01-01

    The importance of joint working between educational and child mental health professionals is well documented but there are numerous challenges and only limited training models. While the evidence base and training programmes for educationalists regarding child mental health is growing, training mental health professionals about education is more…

  18. 78 FR 18998 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2013-03-28

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... contact person listed below in advance of the meeting. Name of Committee: National Institute of Child Health and Human Development Special Emphasis Panel, Diet, Obesity, and Weight Change in...

  19. Addressing inequity to achieve the maternal and child health millennium development goals: looking beyond averages

    OpenAIRE

    Ruhago George M; Ngalesoni Frida N; Norheim Ole F

    2012-01-01

    Abstract Background Inequity in access to and use of child and maternal health interventions is impeding progress towards the maternal and child health Millennium Development Goals. This study explores the potential health gains and equity impact if a set of priority interventions for mothers and under fives were scaled up to reach national universal coverage targets for MDGs in Tanzania. Methods We used the Lives Saved Tool (LiST) to estimate potential reductions in maternal and child mortal...

  20. Health literacy and child health promotion: implications for research, clinical care, and public policy.

    Science.gov (United States)

    Sanders, Lee M; Shaw, Judith S; Guez, Ghislaine; Baur, Cynthia; Rudd, Rima

    2009-11-01

    The nation's leading sources of morbidity and health disparities (eg, preterm birth, obesity, chronic lung disease, cardiovascular disease, type 2 diabetes, mental health disorders, and cancer) require an evidence-based approach to the delivery of effective preventive care across the life course (eg, prenatal care, primary preventive care, immunizations, physical activity, nutrition, smoking cessation, and early diagnostic screening). Health literacy may be a critical and modifiable factor for improving preventive care and reducing health disparities. Recent studies among adults have established an independent association between lower health literacy and poorer understanding of preventive care information and poor access to preventive care services. Children of parents with higher literacy skills are more likely to have better outcomes in child health promotion and disease prevention. Adult studies in disease prevention have suggested that addressing health literacy would be an efficacious strategy for reducing health disparities. Future initiatives to reduce child health inequities should include health-promotion strategies that meet the health literacy needs of children, adolescents, and their caregivers. PMID:19861485

  1. Infant and Young Child Feeding: a Key area to Improve Child Health

    Directory of Open Access Journals (Sweden)

    Habibolah Taghizade Moghaddam

    2015-11-01

    Full Text Available Good nutrition is essential for survival, physical growth, mental development, performance, productivity, health and well-being across the entire life-span: from the earliest stages of fetal development, at birth, and through infancy, childhood, adolescence and on into adulthood. Poor nutrition in the first 1,000 days of children’s lives can have irreversible consequences. For millions of children, it means they are, forever, stunted. Every infant and child has the right to good nutrition according to the Convention on the Rights of the Child; so the World Health Assembly has adopted a new target of reducing the number of stunted children under the age of 5 by 40 percent by 2025. The first 2 years of a child’s life are particularly important, as optimal nutrition during this period lowers morbidity and mortality, reduces the risk of chronic disease, and fosters better development overall. Breastfeeding and complementary feeding are a critical aspect of caring for infants and young children.

  2. Prioritizing child health interventions in Ethiopia: modeling impact on child mortality, life expectancy and inequality in age at death.

    Directory of Open Access Journals (Sweden)

    Kristine Husøy Onarheim

    Full Text Available BACKGROUND: The fourth Millennium Development Goal calls for a two-thirds reduction in under-5 mortality between 1990 and 2015. Under-5 mortality rate is declining, but many countries are still far from achieving the goal. Effective child health interventions that could reduce child mortality exist, but national decision-makers lack contextual information for priority setting in their respective resource-constrained settings. We estimate the potential health impact of increasing coverage of 14 selected health interventions on child mortality in Ethiopia (2011-2015. We also explore the impact on life expectancy and inequality in the age of death (Gini(health. METHODS AND FINDINGS: We used the Lives Saved Tool to estimate potential impact of scaling-up 14 health interventions in Ethiopia (2011-2015. Interventions are scaled-up to 1 government target levels, 2 90% coverage and 3 90% coverage of the five interventions with the highest impact. Under-5 mortality rate, neonatal mortality rate and deaths averted are primary outcome measures. We used modified life tables to estimate impact on life expectancy at birth and inequality in the age of death (Gini(health. Under-5 mortality rate declines from 101.0 in 2011 to 68.8, 42.1 and 56.7 per 1000 live births under these three scenarios. Prioritizing child health would also increase life expectancy at birth from expected 60.5 years in 2015 to 62.5, 64.2 and 63.4 years and reduce inequality in age of death (Gini(health substantially from 0.24 to 0.21, 0.18 and 0.19. CONCLUSIONS: The Millennium Development Goal for child health is reachable in Ethiopia. Prioritizing child health would also increase total life expectancy at birth and reduce inequality in age of death substantially (Gini(health.

  3. Maternal and Child Health Data Book: The Health of America's Children.

    Science.gov (United States)

    Hughes, Dana; And Others

    This databook describes the status of maternal and child health in America; the nation's progress in reducing infant mortality, low birthweight babies, and the percentage of pregnant women who receive late or no prenatal care; patterns of teenage and out-of-wedlock childbearing; and the extent to which certain safety net programs, such as Aid to…

  4. Pediatric Health Assessments of Young Children in Child Welfare by Placement Type

    Science.gov (United States)

    Schneiderman, Janet U.; Leslie, Laurel K.; Arnold-Clark, Janet S.; McDaniel, Dawn; Xie, Bin

    2011-01-01

    Objectives: To describe health-related problems across placement types (unrelated foster, kin foster, in-home with birth parent); to examine the association of placement and demographic/child welfare variables (child gender, age, race/ethnicity; caregiver language; type of maltreatment, and length of time receiving services from child welfare)…

  5. The Knowledge of Staff in Day Nurseries about Some Basic Measures Which Promote Child Health

    Science.gov (United States)

    Cavalcante, Suzy S.; Nunes de Melo, Maria Clotildes; Carneiro, Nadya Bustani; Silva, Luciana Rodrigues

    2005-01-01

    Purpose: This paper aims to determine the knowledge that staff in day nurseries in Brazil had of basic measures to promote child health which are connected with high child mortality. These measures included breastfeeding, oral rehydration therapy, child growth follow-up, immunization and the identification of signs that indicate that the child…

  6. Impact of Play Therapy on Parent-Child Relationship Stress at a Mental Health Training Setting

    Science.gov (United States)

    Ray, Dee C.

    2008-01-01

    This study investigated the impact of Child-Centred Play Therapy (CCPT)/Non-Directive Play Therapy on parent-child relationship stress using archival data from 202 child clients divided into clinical behavioural groups over 3-74 sessions in a mental health training setting. Results demonstrated significant differences between pre and post testing…

  7. Spillover Effects of Maternal Education on Child's Health and Health Behavior

    OpenAIRE

    Kemptner, Daniel; Marcus, Jan

    2013-01-01

    This study investigates the effects of maternal education on child's health and health behavior. We draw on a rich German panel data set containing information about three generations. This allows instrumenting maternal education by the number of her siblings while conditioning on grandparental characteristics. The instrumental variables approach has not yet been used in the intergenerational context and works for the sample sizes of common household panels. We find substantial effects on hea...

  8. Reproductive health, and child health and nutrition in India: meeting the challenge

    OpenAIRE

    Paul, Vinod Kumar; Sachdev, Harshpal Singh; Mavalankar, Dileep; Ramachandran, Prema; Sankar, Mari Jeeva; Bhandari, Nita; Sreenivas, Vishnubhatla; Sundararaman, Thiagarajan; Govil, Dipti; Osrin, David; Kirkwood, Betty

    2011-01-01

    India, with a population of more than 1 billion people, has many challenges in improving the health and nutrition of its citizens. Steady declines have been noted in fertility, maternal, infant and child mortalities, and the prevalence of severe manifestations of nutritional deficiencies, but the pace has been slow and falls short of national and Millennium Development Goal targets. The likely explanations include social inequities, disparities in health systems between and within states, and...

  9. Leadership for child health in the developing countries of the Western Pacific

    Directory of Open Access Journals (Sweden)

    Rami Subhi

    2011-06-01

    Full Text Available The content and landscape of global child health is increasingly complex. There is strong evidence for the effectiveness of local, national and institutional leadership in reducing child mortality, but this has not been a focus of global health initiatives. Interventions to strengthen health systems should include support for local leadership: building-up institutions of training, empowering national paediatric professional associations, creating opportunities for contribution and leadership at national, provincial and local level, and networks of support for staff working in child health in remote areas. In the poorer high mortality burden countries of the Pacific, to meet the clinical and public health gaps, there is a need for increases in the education of child health nurse practitioners, and development of systems of continuing professional development for paediatric doctors and nurses. Involvement in local research, especially that which contributes directly to critical issues in child health policy or strengthening national data systems builds capacity for leadership.

  10. The significance of neighbourhood context to child and adolescent health and well-being: a systematic review of multilevel studies.

    Science.gov (United States)

    Sellström, Eva; Bremberg, Sven

    2006-01-01

    Growing up in a poor neighbourhood has negative effects on children and adolescents. In the literature it has been concluded that the risk of low birth weight, childhood injury and abuse, and teenage pregnancy or criminality double in poor areas. However, the validity of such studies has been questioned, as they have been associated with ecological or individualistic fallacies. Studies using multilevel technique might thus contribute important knowledge in this field. The present review clarifies the importance of neighbourhood contextual factors in child and adolescent health outcomes, through considering only studies using multilevel technique. Keyword searching of the Medline, ERIC, PsycInfo, Sociological Abstracts, and Social Citation Index databases was performed. Original studies using multilevel technique to examine the effect of neighbourhood characteristics on child and adolescent health outcomes, and focusing on populations in high-income countries were included. Neighbourhood socioeconomic status and social climate were shown to have small to moderate effects on child health outcomes, i.e. birth weight, injuries, behavioural problems, and child maltreatment. On average, 10% of variation in health outcomes was explained by neighbourhood determinants, after controlling for important individual and family variables. This review demonstrates that interventions in underprivileged neighbourhoods can reduce health risks to children, especially in families that lack resources. An analysis of methodological fallacies indicates that observed effects and effect sizes can be underestimated, and that interventions may well have greater impact than this review was able to establish. PMID:16990166

  11. Disparities in child health in the Arab region during the 1990s

    OpenAIRE

    Meyerson-Knox Sonya; Dawns Jesse; Khawaja Marwan; Yamout Rouham

    2008-01-01

    Abstract Background While Arab countries showed an impressive decline in child mortality rates during the past few decades, gaps in mortality by gender and socioeconomic status persisted. However, large socioeconomic disparities in child health were evident in almost every country in the region. Methods Using available tabulations and reliable micro data from national household surveys, data for 18 Arab countries were available for analysis. In addition to infant and child mortality, child he...

  12. THE SOCIAL AND OCCUPATIONAL HEALTH PROBLEMS OF CHILD LABOUR: A CHALLENGE THE WORLD IS FACING

    OpenAIRE

    Kapil Goel; Sartaj Ahmad; Rahul Bansal; Pawan Parashar; Bhawna Pant; Parul Goel

    2012-01-01

    Eliminating child labour is one of the biggest challenges that the world is facing. Child labour not only causes damage to a child’s physical and mental health but also keeps him deprived of his basic rights to education, development, and freedom. Children of lower socio-economic class are known to be inducted as child labour. The main causes of child labour include poverty, unemployment, excess population and urbanization. The construction sector is one of the most hazardous working environm...

  13. Poverty and child health in the UK: using evidence for action.

    Science.gov (United States)

    Wickham, Sophie; Anwar, Elspeth; Barr, Ben; Law, Catherine; Taylor-Robinson, David

    2016-08-01

    There are currently high levels of child poverty in the UK, and for the first time in almost two decades child poverty has started to rise in absolute terms. Child poverty is associated with a wide range of health-damaging impacts, negative educational outcomes and adverse long-term social and psychological outcomes. The poor health associated with child poverty limits children's potential and development, leading to poor health and life chances in adulthood. This article outlines some key definitions with regard to child poverty, reviews the links between child poverty and a range of health, developmental, behavioural and social outcomes for children, describes gaps in the evidence base and provides an overview of current policies relevant to child poverty in the UK. Finally, the article outlines how child health professionals can take action by (1) supporting policies to reduce child poverty, (2) providing services that reduce the health consequences of child poverty and (3) measuring and understanding the problem and assessing the impact of action. PMID:26857824

  14. Disparities in child health in the Arab region during the 1990s

    Directory of Open Access Journals (Sweden)

    Meyerson-Knox Sonya

    2008-11-01

    Full Text Available Abstract Background While Arab countries showed an impressive decline in child mortality rates during the past few decades, gaps in mortality by gender and socioeconomic status persisted. However, large socioeconomic disparities in child health were evident in almost every country in the region. Methods Using available tabulations and reliable micro data from national household surveys, data for 18 Arab countries were available for analysis. In addition to infant and child mortality, child health was measured by nutritional status, vaccination, and Acute Respiratory Infection (ARI. Within-country disparities in child health by gender, residence (urban/rural and maternal educational level were described. Child health was also analyzed by macro measures of development, including per capita GDP (PPP, female literacy rates, urban population and doctors per 100,000 people. Results Gender disparities in child health using the above indicators were less evident, with most showing clear female advantage. With the exception of infant and child survival, gender disparities demonstrated a female advantage, as well as a large urban advantage and an overall advantage for mothers with secondary education. Surprisingly, the countries' rankings with respect to disparities were not associated with various macro measures of development. Conclusion The tenacity of pervasive intra-country socioeconomic disparities in child health calls for attention by policy makers and health practitioners.

  15. The Trade-off between Family Size and Child Health in Rural Bangladesh

    OpenAIRE

    Christina Peters; Rees, Daniel I.; Rey Hernández-Julián

    2013-01-01

    Most of the work testing the quantity–quality model has concentrated on the trade-off between family size and educational attainment. We argue that child health is a plausible measure of child quality that has not been fully explored in the empirical literature. Using data from the Matlab Health and Socioeconomic Survey, we estimate the effect of family size on child mortality and several measures of child health. Our results suggest that even in rural Bangladesh there is little evidence of a...

  16. Risk assessment of parents' concerns at 18 months in preventive child health care predicted child abuse and neglect

    OpenAIRE

    Staal, I.I.E.; Hermanns, J.M.A.; Schrijvers, A.J.P.; Stel, van, H.F.

    2013-01-01

    Objective: As child maltreatment has a major impact, prevention and early detection of parenting problems are of great importance. We have developed a structured interview which uses parents’ concerns for a joint needs assessment by parents and a child health care nurse, followed by a professional judgment on the risk level of future parenting and developmental problems: the Structured Problem Analysis of Raising Kids (SPARK). Previous results have shown that the risk assessment of the SPARK ...

  17. Mother and child health project in Bragin district

    International Nuclear Information System (INIS)

    constituted 4.5 % (668 cases) in 2001 already 5.5 % (806 cases) from the total number of the children born. Further problems are:predominance of stationary assistance in primary health care; absence of interdisciplinary approach and of decentralization of medical treatment; lack of the main kinds of equipment, spare materials and medications, which are necessary for providing medical treatment; difficulty for rural population in accessing the available medical services: long distances, absence of information, low interaction with medical personnel; low sanitary culture among women (contraceptives are not used, the cases of unwanted pregnancies occur very often, STD problems, late notification of the doctor when the child is getting ill); giving birth to children as a means of getting state subsidy. In the framework of technical cooperation SDC supported Gomel' regional hospital some years ago with equipment for mother and child health care. The equipment (incubators, CO2 monitors) donated in 1996 to the delivery department and department for rehabilitation and intensive therapy are still in use and in good condition. This maternity hospital provides help to women from the Gomel' area with the most serious and difficult complications during the period of pregnancy. Sixty or seventy women come to this regional hospital from Bragin district every year, and it makes 40-50% of the whole number of deliveries in the district Bragin district in the very south of the Gomel area is one of the most contaminated areas in Belarus, where people still settle, hi order to help in solving the existing problems SDC in cooperation with local authorities is developing a mother and child health project for Bragin district. The aim of the project is to support and build up primary health care structures in the field of mother and child health. The duration of the project will be three years. The project consists of the following parts: community approach strategy to disseminate health messages on

  18. Association between Maternal and Child Dietary Diversity: An Analysis of the Ghana Demographic and Health Survey.

    Directory of Open Access Journals (Sweden)

    Dickson Abanimi Amugsi

    Full Text Available This study examined the association between maternal and child dietary diversity in a population-based national sample in Ghana.The data for this analysis are from the 2008 Ghana Demographic and Health Survey. We used data obtained from 1187 dyads comprised of mothers' ages 15-49 and their youngest child (ages 6-36 months. Maternal and child dietary diversity scores (DDS were created based on the mother's recall of her own and her child's consumption of 15 food groups, during the 24 hours prior to the in-home survey. The same food groups were used to compose both maternal and child DDS. Linear regression was used to assess the relationship between the predicted outcome--child DDS--and maternal DDS, taking into account child age and sex, maternal factors (age, education, occupation, literacy, empowerment, number of antenatal visits as an indicator of health care use, household Wealth Index, and urban/rural place of residence.There was a statistically significant positive association between child and maternal DDS, after adjusting for all other variables. A difference of one food group in mother's consumption was associated with a difference of 0.72 food groups in the child's food consumption (95% CI: 0.63, 0.82. Also, statistically significant positive associations were observed such that higher child DDS was associated with older child age, and with greater women's empowerment.The results show a significant positive association between child and maternal DD, after accounting for the influence of child, maternal and household level factors. Since the likely path of influence is that maternal DDS impacts child DDS, public health efforts to improve child health may be strengthened by promoting maternal DDS due to its potential for a widened effect on the entire family.

  19. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 2. March-April 2003

    Science.gov (United States)

    Zamani, Rahman, Ed.; Guralnick, Eva, Ed.; Kunitz, Judith Ed.

    2003-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  20. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 6, November-December 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  1. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 21, Number 1. January-February 2008

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Turner, Debra, Ed.

    2008-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  2. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 4. July-August 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Walsh, Eileen, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  3. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 23, Number 2, March-April 2010

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2010-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  4. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 21, Number 3, May-June 2008

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.

    2008-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all…

  5. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 2. March-April 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Lucich, Mardi, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  6. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 1. January-February 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Walsh, Eileen, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  7. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 3, May-June 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  8. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 2, March-April 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  9. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 2. March-April 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Walsh, Eileen, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  10. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 4. July-August 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  11. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 6, November-December 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all…

  12. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 23, Number 1, January-February 2010

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2010-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  13. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 6. November-December 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  14. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 3, May-June 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  15. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 4. July-August 2003

    Science.gov (United States)

    Zamani, Rahman, Ed.; Guralnick, Eva, Ed.; Kunitz, Judith Ed.

    2003-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  16. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 21, Number 6. November-December 2008

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.

    2008-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  17. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 5, September-October 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  18. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 4, July-August 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  19. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 21, Number 2. March-April 2008

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.

    2008-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  20. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 1, January-February 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  1. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 1. January-February 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Lucich, Mardi, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  2. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 21, Number 4, July-August 2008

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.

    2008-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  3. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 3. May-June 2003

    Science.gov (United States)

    Zamani, Rahman, Ed.; Guralnick, Eva, Ed.; Kunitz, Judith, Ed.

    2003-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  4. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 2, March-April 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  5. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 3, May-June 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  6. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 23, Number 3, May-June 2010

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2010-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all…

  7. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 1. January-February 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  8. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 5, September-October 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all…

  9. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 1. January-February 2002

    Science.gov (United States)

    Zamani, Rahman, Ed.; Guralnick, Eva, Ed.; Kunitz, Judith, Ed.

    2002-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  10. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 1. January-February 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  11. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 5. September-October 2003

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Jensen, Susan, Ed.; Lucich, Mardi, Ed.

    2003-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  12. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 3. May-June 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Kunitz, Judith, Ed.; Lucich, Mardi, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  13. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 20, Number 5, September-October 2007

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2007-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  14. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 6. November-December 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Lucich, Mardi, Ed.; Walsh, Eileen, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  15. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 23, Number 4, July-August 2010

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2010-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  16. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 4, July-August 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  17. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 5. September-October 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Lucich, Mardi, Ed.; Walsh, Eileen, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  18. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 19, Number 6, November-December 2006

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Calder, Judy, Ed.; Rose, Bobbie, Ed.; Leonard, Victoria, Ed.; Gendell, Mara, Ed.

    2006-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of this newsletter are to promote and support a healthy and safe environment for all…

  19. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 5. September-October 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Walsh, Eileen, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  20. Child Care Health Connections: A Health and Safety Newsletter for California Child Care Professionals. Volume 22, Number 2, March-April 2009

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Rose, Bobbie, Ed.; Calder, Judy, Ed.; Garakani, Tahereh, Ed.; Leonard, Victoria, Ed.

    2009-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  1. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 16, Number 6. November-December 2003

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Jensen, Susan, Ed.; Lucich, Mardi, Ed.

    2003-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  2. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 17, Number 4. July-August 2004

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Kunitz, Judith Ed.; Lucich, Mardi, Ed.; Walsh, Eileen, Ed.

    2004-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  3. Child Care Health Connections. A Health and Safety Newsletter for California Child Care Professionals. Volume 18, Number 3. May-June 2005

    Science.gov (United States)

    Zamani, A. Rahman, Ed.; Guralnick, Eva, Ed.; Calder, Judy, Ed.; Walsh, Eileen, Ed.

    2005-01-01

    "Child Care Health Connections" is a bimonthly newsletter published by the California Childcare Health Program (CCHP), a community-based program of the University of California, San Francisco School of Nursing, Department of Family Health Care Nursing. The goals of the newsletter are to promote and support a healthy and safe environment for all…

  4. 75 FR 32488 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Meeting

    Science.gov (United States)

    2010-06-08

    ... Child Health and Human Development ] Special Emphasis Panel, Maintenance of Child Health and... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory...

  5. Lessons Learned From the Whole Child and Coordinated School Health Approaches

    OpenAIRE

    Rasberry, Catherine N.; Slade, Sean; Lohrmann, David K.; Valois, Robert F.

    2015-01-01

    BACKGROUND The new Whole School, Whole Community, Whole Child (WSCC) model, designed to depict links between health and learning, is founded on concepts of coordinated school health (CSH) and a whole child approach to education. METHODS The existing literature, including scientific articles and key publications from national agencies and organizations, was reviewed and synthesized to describe (1) the historical context for CSH and a whole child approach, and (2) lessons learned from the imple...

  6. Child Care Practices, Resources for Care, and Nutritional Outcomes in Ghana: Findings from Demographic and Health Surveys

    OpenAIRE

    Amugsi, Dickson Abanimi

    2015-01-01

    Introduction: The overarching empirical question of this study is this: how are children growing in Ghana and how is childcare related to child growth? Child health is a fundamental public health issue, for children's sake AND because good child health sets one up for life long health and functioning, and well-being. In sub-Saharan Africa (SSA), child physical health is of particular concern due the high rates of illness and mortality in this region. The leading causes of chil...

  7. 75 FR 17150 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-04-05

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... clearly unwarranted invasion of personal privacy. Name of Committee: National Institute of Child...

  8. 76 FR 64091 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-10-17

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meetings Pursuant to section 10(d) of the Federal Advisory Committee... clearly unwarranted invasion of personal privacy. Name of Committee: National Institute of Child...

  9. 78 FR 17421 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-03-21

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... clearly unwarranted invasion of personal privacy. Name of Committee: National Institute of Child...

  10. 77 FR 8271 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-02-14

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... clearly unwarranted invasion of personal privacy. Name of Committee: National Institute of Child...

  11. 77 FR 19677 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-04-02

    ... & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Institute of Child Health and Human Development Special Emphasis Panel, ZHD1 DSG-H 53 1. Date: April 16-17... Kennedy Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd.,...

  12. 75 FR 71449 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2010-11-23

    ... & Human Development; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as... Child Health & Human Development, including consideration of personnel qualifications and performance... Institute of Child Health and Human Development, NIH, 9000 Rockville Pike, Building 31, Room 2A50,...

  13. 78 FR 54255 - Single-Case Deviation From Competition Requirements: Maternal and Child Health (MCH) Bureau's...

    Science.gov (United States)

    2013-09-03

    ... Requirements: Maternal and Child Health (MCH) Bureau's Research Network on Pregnancy-Related Care Program..., Diabetes during pregnancy, Obesity, Nausea and vomiting of pregnancy); Studies based on newly or soon-to-be...); Studies that assess the maternal-child health workforce (e.g., Racial and gender differences in...

  14. Adolescent Tobacco and Cannabis Use: Young Adult Outcomes from the Ontario Child Health Study

    Science.gov (United States)

    Georgiades, Katholiki; Boyle, Michael H.

    2007-01-01

    Background: This study examines the longitudinal associations between adolescent tobacco and cannabis use and young adult functioning. Methods: Data for analysis come from the Ontario Child Health Study (OCHS), a prospective study of child health, psychiatric disorder and adolescent substance use in a general population sample that began in 1983,…

  15. Child Health-Related Quality of Life and Parental Social Capital in Greece: An Exploratory Study

    Science.gov (United States)

    El-Dardiry, Giulia; Dimitrakaki, Christine; Tzavara, Chara; Ravens-Sieberer, Ulrike; Tountas, Yannis

    2012-01-01

    In this paper, we examined dimensions of child health-related quality of life in Greece in relation to parental assessments of neighbourhood social capital and social support networks. For the analysis, two main measures were used: (1) child self-reported health-related quality of life in ten dimensions, as measured by the KIDSCREEN questionnaire;…

  16. Applying the Recovery Approach to the Interface between Mental Health and Child Protection Services

    Science.gov (United States)

    Duffy, Joe; Davidson, Gavin; Kavanagh, Damien

    2016-01-01

    There is a range of theoretical approaches which may inform the interface between child protection and adult mental health services. These theoretical perspectives tend to be focused on either child protection or mental health with no agreed integrating framework. The interface continues to be identified, in research, case management reviews and…

  17. Caregivers' Endorsement of Barriers to Mental Health Services for Children and Youth in Child Welfare

    Science.gov (United States)

    Villagrana, Margarita; Palinkas, Lawrence A.

    2012-01-01

    The purpose of this study was to examine the three most common types of caregivers in the child welfare system (birth parents, relative caregivers, and foster parents), an active child welfare case, caregivers' endorsement of barriers to mental health services and mental health service use by caregivers for the children under their care. The…

  18. Mental Health Screening in Child Care: Impact of a Statewide Training Session

    Science.gov (United States)

    Gleason, Mary Margaret; Heller, Sherryl Scott; Nagle, Geoffrey A.; Boothe, Allison; Keyes, Angela; Rice, Janet

    2012-01-01

    Child care settings may provide an optimal setting for identification of early childhood mental health problems. However, little is known about child care providers' attitudes or knowledge about screening for children's mental health problems. Both attitudes and perceived knowledge could affect the successful implementation of mental health…

  19. Maternal-Child Health Data from the NLSY: 1988 Tabulations and Summary Discussion.

    Science.gov (United States)

    Mott, Frank L.; Quinlan, Stephen V.

    This report uses data from the 1983 through 1988 rounds of the National Longitudinal Survey of Youth (NLSY) to provide information about prenatal, infant, and child health. Objectives of the report are to present statistics which should be of value to maternal and child health policymakers, and to provide NLSY users with baseline information about…

  20. 77 FR 58855 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-09-24

    ... Development Special Emphasis Panel; Child Health Research Career Development Award (CHRCDA) Program. Date... & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Shriver ] National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room...

  1. 76 FR 40737 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-07-11

    ... Development Special Emphasis Panel, Child Health Research Career Development Program. Dates: July 29, 2011... & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B0G, MSC 7510,...

  2. Health-e-Child a grid platform for european paediatrics

    CERN Document Server

    Skaburskas, K; Shade, J; Manset, D; Revillard, J; Rios, A; Anjum, A; Branson, A; Bloodsworth, P; Hauer, T; McClatchey, R; Rogulin, D

    2008-01-01

    The Health-e-Child (HeC) project [1], [2] is an EC Framework Programme 6 Integrated Project that aims to develop a grid-based integrated healthcare platform for paediatrics. Using this platform biomedical informaticians will integrate heterogeneous data and perform epidemiological studies across Europe. The resulting Grid enabled biomedical information platform will be supported by robust search, optimization and matching techniques for information collected in hospitals across Europe. In particular, paediatricians will be provided with decision support, knowledge discovery and disease modelling applications that will access data in hospitals in the UK, Italy and France, integrated via the Grid. For economy of scale, reusability, extensibility, and maintainability, HeC is being developed on top of an EGEE/gLite [3] based infrastructure that provides all the common data and computation management services required by the applications. This paper discusses some of the major challenges in bio-medical data integr...

  3. Association between maternal health literacy and child vaccination in India: a cross-sectional study

    OpenAIRE

    Johri, Mira; Subramanian, S. V.; Sylvestre, Marie-Pierre; Dudeja, Sakshi; Chandra, Dinesh; Koné, Georges K; Sharma, Jitendar K; Pahwa, Smriti

    2015-01-01

    Background Education of mothers may improve child health. We investigated whether maternal health literacy, a rapidly modifiable factor related to mother's education, was associated with children's receipt of vaccines in two underserved Indian communities. Methods Cross-sectional surveys in an urban and a rural site. We assessed health literacy using Indian child health promotion materials. The outcome was receipt of three doses of diphtheria-tetanus-pertussis (DTP3) vaccine. We used multivar...

  4. Multidimensional profiles of welfare and work dynamics: development, validation, and associations with child cognitive and mental health outcomes.

    Science.gov (United States)

    Yoshikawa, H; Seidman, E

    2001-12-01

    This prospective longitudinal study addresses the research gap in the literature regarding multidimensional variation in welfare use and employment patterns, and relationships of such variation with parent earnings and child development outcomes. This study also aims to address the limitations of welfare dynamics studies that do not examine how multiple dimensions of welfare receipt and employment co-occur Cluster analysis was utilized, using monthly welfare and employment data from the National Longitudinal Survey of Youth, to examine variation within the welfare population in their welfare and work patterns across the first 5 years of children's lives. Six cluster profiles of welfare and work dynamics were found: Short-Term, Short-Term Work Exit, Working Cyclers, Nonworking Cyclers, Cycle to Long-Term Exit, and Long-Term. The clusters were validated using mother's 6th-year earnings as the criterion. The clusters' associations with child development outcomes in the cognitive and mental health domains (at ages 6 and 7) were then explored. Work following short-term welfare use was associated with higher child reading scores than that following long-term use (a moderate-size effect). Cycling on and off welfare in the context of high levels of employment was associated with higher child internalizing symptoms than cycling accompanied by low levels of employment (a moderate-size effect). Implications for evaluation of TANF welfare-to-work policies are discussed. PMID:11800512

  5. An overview of multicentric training workshops for public health professionals on reproductive and child health programme in India.

    Science.gov (United States)

    Biswas, R; Ray, S K; Dobe, M; Dasgupta, S; Mandal, A

    2002-01-01

    The major emphasis of Reproductive and Child Health (RCH) programme in India is delivery of client-oriented, demand driven and broader ranges of high quality, safe and effective services for children, adolescents, mothers and reproductive age group population at large. Increased client satisfaction is considered as main determinant for improved acceptance of the services. Thus, well trained and motivated health personnel are necessary to deal with highly sensitive, personal health issues of the clients, like contraception, abortion, infertility services etc. The Indian Public Health Association organized total 10 workshops in several places of India (A total 322 members, composed of Medical Administrators (54.7%), Faculty members of Medical Colleges (24.5%), Sociologist and Nutritionists (13.9%) and also public health personnel (6.9%) participated in the workshop). Learning objectives and lesson plans etc. were formulated. Accordingly the contents were incorporated in a module, validated and pretested. The training sessions were conducted by briefing, discussion, group exercise and VIPP method and were evaluated by semi structured. The pre/post assessment schedule and scored scale of feedback from participantsAE were used for evaluation. The pre-post assessment scores revealed wide variations of mean score among the participants of several places. Significant post workshop improvement of knowledge was quite evident, with few exceptions. The group variants of pre and post score of results was considered to be due to heterogeneous groups of participants. Review of objectivity and quality of the questionnaire were felt as necessary. PMID:12653007

  6. Determinants of Regional Variation in Health Expenditures in Germany.

    Science.gov (United States)

    Göpffarth, Dirk; Kopetsch, Thomas; Schmitz, Hendrik

    2016-07-01

    Health care expenditure in Germany shows clear regional differences. Such geographic variations are often seen as an indicator for inefficiency. With its homogeneous health care system, low co-payments and uniform prices, Germany is a particularly suited example to analyse regional variations. We use data for the year 2011 on expenditure, utilization of health services and state of health in Germany's statutory health insurance system. This data, which originate from a variety of administrative sources and cover about 90% of the population, are enriched with a wealth of socio-economic variables, data on pollutants, prices and individual preferences. State of health and demography explains 55% of the differences as measured by the standard deviation while all control variables account for a total of 72% of the differences at county level. With other measures of variation, we can account for an even greater proportion. A higher proportion of variation than usually supposed can thus be explained. Whilst this study cannot quantify inefficiencies, our results contradict the thesis that regional variations reflect inefficiency. Copyright © 2015 John Wiley & Sons, Ltd. PMID:25962986

  7. Relationships of Shared Decision Making with Parental Perceptions of Child Mental Health Functioning and Care.

    Science.gov (United States)

    Butler, Ashley M; Weller, Bridget; Titus, Courtney

    2015-11-01

    Experts encourage parents and practitioners to engage in shared decision making (SDM) to provide high quality child mental health care. However, little is known regarding SDM among families of children with common mental health conditions. The objectives of this study were to examine associations between parental report of SDM and parental perceptions of (a) receiving child mental health care and (b) child mental health functioning. We analyzed cross-sectional data on children with a common mental health condition (attention-deficit hyperactivity disorder, oppositional-defiant or conduct disorder, anxiety, or depression) from the 2009/2010 National Survey of Children with Special Healthcare Needs (N = 9,434). The primary independent variable was parent-reported SDM, and the dependent variables were parental perception of (a) their child receiving all needed mental health care (b) their children's impairment in school attendance and extracurricular activity participation, and (c) severity of their children's mental health condition. Multivariate logistic and multinomial regression analyses were conducted. Greater parent-reported SDM was associated with parental perceptions of receiving all needed child mental health care and children not having school or extracurricular impairment. Greater SDM was also associated with perceptions of children having a mild mental health condition compared to children having a moderate or severe condition. Findings provide a basis for future longitudinal and intervention studies to examine the benefit of SDM for improving parental perceptions of the quality of child mental health care and mental health functioning among children with common mental health conditions. PMID:25577238

  8. For-Profit/Nonprofit Differences in Center-Based Child Care Quality: Results from the National Institute of Child Health and Human Development Study of Early Child Care and Youth Development

    Science.gov (United States)

    Sosinsky, Laura Stout; Lord, Heather; Zigler, Edward

    2007-01-01

    In secondary analyses of National Institute of Child Health and Human Development Study of Early Child Care and Youth Development data, multiple indicators of quality (caregiver wages and turnover; child/staff ratio; caregiver education and professionalism; positive caregiving) were compared between child care centers by sector…

  9. 42 CFR 68c.1 - What is the scope and purpose of the National Institute of Child Health and Human Development...

    Science.gov (United States)

    2010-10-01

    ... Institute of Child Health and Human Development (NICHD) Contraception and Infertility Research Loan... purpose of the National Institute of Child Health and Human Development (NICHD) Contraception and... payments under the National Institute of Child Health and Human Development (NICHD) Contraception...

  10. Can health-insurance help prevent child labor? An impact evaluation from Pakistan.

    Science.gov (United States)

    Landmann, Andreas; Frölich, Markus

    2015-01-01

    Child labor is a common consequence of economic shocks in developing countries. We show that reducing vulnerability can affect child labor outcomes. We exploit the extension of a health and accident insurance scheme by a Pakistani microfinance institution that was set up as a randomized controlled trial and accompanied by household panel surveys. Together with increased coverage the microfinance institution offered assistance with claim procedures in treatment branches. We find lower incidence of child labor, hazardous occupations and child labor earnings caused by the innovation. Boys are more often engaged in child labor in our sample, but also seem to profit more from the insurance innovation. PMID:25461898

  11. Child Physical Abuse and concurrence of other types of Child Abuse : associations with health and risk behaviors

    OpenAIRE

    Annerbäck, Eva-Maria; Sahlqvist, L.; Svedin, Carl Göran; Wingren, Gun; Gustafsson, Per

    2012-01-01

    Objective: To examine the associations between child physical abuse and health problems/risk-taking behaviors among teen-agers. Further to evaluate concurrence of other types of abuse and how these alone and in addition to child physical abuse were associated with bad health status and risk-taking behaviors. Methods: A population-based survey was carried out in 2008 among all the pupils in two different grades (15 respectively 17 years old) in Södermanland County, Sweden (N=7 262). The respon...

  12. The Prevalence of Mental Health Problems in Ethiopian Child Laborers

    Science.gov (United States)

    Fekadu, Daniel; Alem, Atalay; Hagglof, Bruno

    2006-01-01

    Background: Child labor refers to a state when a child is involved in exploitative economical activities that are mentally, physically, and socially hazardous. There are no prevalence studies on the magnitude of psychiatric disorders among child laborers. Methods: A cross-sectional population survey was conducted in Addis Ababa using the…

  13. Parental investment in child health in sub-Saharan Africa: a cross-national study of health-seeking behaviour

    OpenAIRE

    Uggla, Caroline; Mace, Ruth

    2016-01-01

    Parents face trade-offs between investing in child health and other fitness enhancing activities. In humans, parental investment theory has mostly been examined through the analysis of differential child outcomes, with less emphasis on the actions parents take to further a particular offspring’s condition. Here, we make use of household data on health seeking for children in a high mortality context where such behaviours are crucial for offspring survival. Using Demographic and Health Survey ...

  14. School based health-education programmes, health-learning capacity and child oral health-related quality of life

    OpenAIRE

    Freeman, R.; Gibson, B.; Humphris, G.; Leonard, H.; Yuan, S.; Whelton, H.

    2015-01-01

    Objective To use a model of health learning to examine the role of health-learning capacity and the effect of a school-based oral health education intervention (Winning Smiles) on the health outcome, child oral health–related quality of life (COHRQoL). Setting Primary schools, high social deprivation, Ireland/Northern Ireland. Design Cluster randomised controlled trial. Method A total of 383, 7- to 8-year-old children were invited to participate and randomly allocated into intervention and co...

  15. Commonalities and challenges: a review of Australian state and territory maternity and child health policies.

    Science.gov (United States)

    Schmied, Virginia; Donovan, Jenny; Kruske, Sue; Kemp, Lynn; Homer, Caroline; Fowler, Cathrine

    2011-12-01

    Nurses and midwives play a key role in providing universal maternal, child and family health services in Australia. However, the Australian federation of states and territories has resulted in policy frameworks that differ across jurisdictions and services that are fragmented across disciplines and sectors. This paper reports the findings of a study that reviewed and synthesised current Australian service policy or frameworks for maternity and child health services in order to identify the degree of commonality across jurisdictions and the compatibility with international research on child development. Key maternity and child health service policy documents in each jurisdiction were sourced. The findings indicate that current policies were in line with international research and policy directions, emphasising prevention and early intervention, continuity of care, collaboration and integrated services. The congruence of policies suggests the time is right to consider the introduction of a national approach to universal maternal, child health services. PMID:22545909

  16. Integrating mental health screening into routine community maternal and child health activity: experience from Prevention of Mother-to-child HIV transmission (PMTCT) trial in Nigeria

    OpenAIRE

    Iheanacho, Theddeus; Obiefune, Michael; Ezeanolue, Chinenye O.; Ogedegbe, Gbenga; Nwanyanwu, Okey C.; Ehiri, John E.; Ohaeri, Jude; Echezona E Ezeanolue

    2014-01-01

    Purpose Although the prevalence of mental health disorders in Nigeria is comparable to most developed countries, access to mental health care in Nigeria is limited. Improving access to care requires innovative approaches that deliver mental health interventions at the community level. The aim of this study was to determine the feasibility and acceptability of integrating mental health screening into an existing community-based program for prevention of mother-to-child transmission of HIV targ...

  17. Epidemiology of child injuries in Uganda: challenges for health policy

    Directory of Open Access Journals (Sweden)

    Renee Yuen-Jan Hsia

    2011-02-01

    Full Text Available Globally, 90% of road crash deaths occur in the developing world. Children in Africa bear the major part of this burden, with the highest unintentional injury rates in the world. Our study aims to better understand injury patterns among children living in Kampala, Uganda and provide evidence that injuries are significant in child health. Trauma registry records of injured children seen at Mulago Hospital in Kampala were analysed. This data was collected when patients were seen initially and included patient condition, demographics, clinical variables, cause, severity, as measured by the Kampala trauma score, and location of injury. Outcomes were captured on discharge from the casualty department and at two weeks for admitted patients. From August 2004 to August 2005, 872 injury visits for children <18 years old were recorded. The mean age was 11 years (95% CI 10.9–11.6; 68% (95% CI 65–72% were males; 64% were treated in casualty and discharged; 35% were admitted. The most common causes were traffic crashes (34%, falls (18% and violence (15%. Most children (87% were mildly injured; 1% severely injured. By two weeks, 6% of the patients admitted for injuries had died and, of these morbidities, 16% had severe injuries, 63% had moderate injuries and 21% had mild injuries. We concluded that, in Kampala, children bear a large burden of injury from preventable causes. Deaths in low severity patients highlight the need for improvements in facility-based care. Further studies are necessary to capture overall child injury mortality and to measure chronic morbidity owing to sequelae of injuries.

  18. Parental Education and Child Health - Understanding the Pathways of Impact in Pakistan

    OpenAIRE

    Monasa Aslam; Geeta Kingdon

    2010-01-01

    This study investigates the relationship between parental schooling on the one hand, and child health outcomes (height and weight) and parental health-seeking behaviour (immunisation status of children), on the other. While establishing a correlational link between parental schooling and child health is relatively straightforward, confirming a causal relationship is more complex. Using unique data from Pakistan, we aim to understand the mechanisms through which parental schooling promotes bet...

  19. Transformation of the Title V Maternal and Child Health Services Block Grant

    OpenAIRE

    Lu, Michael C.; Lauver, Cassie B.; Dykton, Christopher; Michael D. Kogan; Lawler, Michele H.; Raskin-Ramos, Lauren; Watters, Kathy; Wilson, Lee A.

    2015-01-01

    This paper describes the transformation of the Title V Maternal and Child Health (MCH) Services Block Grant. The Maternal and Child Health Bureau of the Health Resources and Services Administration led a 21-month visioning process to engage input from MCH stakeholders and other national, state and local MCH leaders, families and other partners to improve, innovate, and transform the Title V MCH Services Block Grant. The process has helped inform the development of a new grant guidance for the...

  20. Child health nurses in the Solomon Islands: lessons for the Pacific and other developing countries

    OpenAIRE

    Colquhoun Samantha; Ogaoga Divi; Tamou Mathias; Nasi Titus; Subhi Rami; Duke Trevor

    2012-01-01

    Abstract Objectives To understand the roles of nurses with advanced training in paediatrics in the Solomon Islands, and the importance of these roles to child health. To understand how adequately equipped child health nurses feel for these roles, to identify the training needs, difficulties and future opportunities. Design Semi-structured interviews. Settings Tertiary hospital, district hospitals and health clinics in the Solomon Islands. Participants Twenty-one paediatric nurses were intervi...

  1. Mental health disorders in child and adolescent survivors of post-war landmine explosions

    OpenAIRE

    Hemmati, Mohammad Ali; Shokoohi, Hamid; Masoumi, Mehdi; Khateri, Shahriar; Soroush, Mohammadreza; MODIRIAN, EHSAN; Poor Zamany Nejat Kermany, Mahtab; HOSSEINI, Maryam; Mousavi, Batool

    2015-01-01

    Background To describe the mental health status of 78 child and adolescent survivors of post-war landmine explosions. Methods Child and adolescent survivors of landmine explosions who were younger than 18 years old at the time of the study were identified and enrolled in this study. The mental health status of the participants was assessed by general health assessment and psychiatric examinations. Psychiatric assessment and diagnosis were undertaken using the Diagnostic and Statistical Manual...

  2. Swedish Child Health Care nurses conceptions of overweight in children: a qualitative study

    OpenAIRE

    Isma Gabriella E; Bramhagen Ann-Cathrine; Ahlstrom Gerd; Östman Margareta; Dykes Anna-Karin

    2012-01-01

    Abstract Background Registered Sick Children’s Nurses and District Nurses employed at Child Health Care centres are in a position to help prevent childhood overweight and obesity. Prevention of this challenging public health threat could be improved through having a better understanding of how this group of nurses perceives childhood obesity. The aim of this study was to elucidate the conceptions of childhood overweight, including obesity, among nurses working in Child Health Care. Method A q...

  3. Accessing maternal and child health services in Melbourne, Australia: Reflections from refugee families and service providers

    OpenAIRE

    Riggs Elisha; Davis Elise; Gibbs Lisa; Block Karen; Szwarc Jo; Casey Sue; Duell-Piening Philippa; Waters Elizabeth

    2012-01-01

    Abstract Background Often new arrivals from refugee backgrounds have experienced poor health and limited access to healthcare services. The maternal and child health (MCH) service in Victoria, Australia, is a joint local and state government operated, cost-free service available to all mothers of children aged 0–6 years. Although well-child healthcare visits are useful in identifying health issues early, there has been limited investigation in the use of these services for families from refug...

  4. A Framework for Addressing the Global Obesity Epidemic Locally: The Child Health Ecological Surveillance System (CHESS)

    OpenAIRE

    Ronald C. Plotnikoff, PhD; Penny Lightfoot, MHSA; Linda Barrett, MSc; Carla Spinola, MA; Gerry Predy, MD, FRCPC

    2008-01-01

    Childhood obesity has reached epidemic levels in the developed world. Recent research and commentary suggest that an ecological approach is required to address childhood obesity, given the multidimensional nature of the problem. We propose a Canadian prototype, the Child Health Ecological Surveillance System, for a regional health authority to address the growing obesity epidemic. This prototype could potentially be used in other jurisdictions to address other child health issues. We present ...

  5. Eleven years epidemiological investigation health effects among Chernobyl child victims

    Energy Technology Data Exchange (ETDEWEB)

    Korol, N.; Dukhota, T. [Scientific Centre for Radiation Medicine, Kiev (Ukraine)

    1998-07-01

    Epidemiological register of Chernobyl child victims was created in 1986 in Scientific Centre for Radiation Medicine. It includes most important, risk groups: evacuated children from Chernobyl's zone; children who were exposed with doses on thyroid gland more than 2 Gy; children who were exposed in utero; children who were born from clean-up workers. The annual clinical observation program includes: physical examination, biochemical and hematological analysis, ultrasound of thyroid gland and abdomen, psychological tests for children, social observation for parents. For coding ICD-9 was used. The observations indicate a deterioration of health status among the children victims of the Chernobyl disaster. The healthy children's number decreased from 31 % in 1987 to 8 % in 1997. The number of the invalids more than 4 times higher in comparison Ukrainian children. The annual prevalence all diseases including incidence, new cases, dramatically increased (from 5890.6 0/00 in 1989 to 9148.3 0/00 in 1997). The annual amount all diseases increased from 27100 0/00 in 1989 to 51971 0/00 in 1997. Most important increasing was in such part as digestive tract (from 5294 0/00 in 1989 to 10782 0/00 in 1997), blood diseases (from 927 0/00 in 1989 to 1471 0/00 in 1997), diseases nervous system (from 2373 0/00 in 1989 to 4152 0/00 in 1997). Relative risk was calculated in comparison with same age Ukrainian children for most important disorders: peptic (6.4), cardiovascular (5.3), nervous system (6.2), immune (5.3). Such diseases as digestion organ diseases, nervous system, skin and cardiovascular diseases are more prevalent among victims with psychological impact. All children victims Chernobyl disaster are at risk for psychosomatic disorders. Psychosomatic health promotion program will minimize significantly population health impact after Chernobyl as for children as for Ukrainian adult people. (authors)

  6. Eleven years epidemiological investigation health effects among Chernobyl child victims

    International Nuclear Information System (INIS)

    Epidemiological register of Chernobyl child victims was created in 1986 in Scientific Centre for Radiation Medicine. It includes most important, risk groups: evacuated children from Chernobyl's zone; children who were exposed with doses on thyroid gland more than 2 Gy; children who were exposed in utero; children who were born from clean-up workers. The annual clinical observation program includes: physical examination, biochemical and hematological analysis, ultrasound of thyroid gland and abdomen, psychological tests for children, social observation for parents. For coding ICD-9 was used. The observations indicate a deterioration of health status among the children victims of the Chernobyl disaster. The healthy children's number decreased from 31 % in 1987 to 8 % in 1997. The number of the invalids more than 4 times higher in comparison Ukrainian children. The annual prevalence all diseases including incidence, new cases, dramatically increased (from 5890.6 0/00 in 1989 to 9148.3 0/00 in 1997). The annual amount all diseases increased from 27100 0/00 in 1989 to 51971 0/00 in 1997. Most important increasing was in such part as digestive tract (from 5294 0/00 in 1989 to 10782 0/00 in 1997), blood diseases (from 927 0/00 in 1989 to 1471 0/00 in 1997), diseases nervous system (from 2373 0/00 in 1989 to 4152 0/00 in 1997). Relative risk was calculated in comparison with same age Ukrainian children for most important disorders: peptic (6.4), cardiovascular (5.3), nervous system (6.2), immune (5.3). Such diseases as digestion organ diseases, nervous system, skin and cardiovascular diseases are more prevalent among victims with psychological impact. All children victims Chernobyl disaster are at risk for psychosomatic disorders. Psychosomatic health promotion program will minimize significantly population health impact after Chernobyl as for children as for Ukrainian adult people. (authors)

  7. Mental Health Need and Access to Mental Health Services by Youths Involved with Child Welfare: A National Survey.

    Science.gov (United States)

    Burns, Barbara J.; Phillips, Susan D.; Wagner, H. Ryan; Barth, Richard P.; Kolko, David J.; Campbell, Yvonne; Landsverk, John

    2004-01-01

    Objective: This study assessed the relationship between the need for and use of mental health services among a nationally representative sample of children who were investigated by child welfare agencies after reported maltreatment. Method: Data were collected at study entry into the National Survey of Child and Adolescent Well-Being and were…

  8. Differences in health care utilization between parents who perceive their child as vulnerable versus overprotective parents.

    Science.gov (United States)

    Thomasgard, M; Metz, W P

    1996-06-01

    While a parental perception of child vulnerability to illness/injury is often used interchangeably with parental overprotection, research suggests that they are independent constructs. We hypothesized more frequent pediatric nonwell-child visits for perceived child vulnerability, but not for parental overprotection. The parents of 300 children, ages 2-5 years, enrolled in a health maintenance organization, were sampled. For children without medical conditions, there were no differences in nonwell-child care visits between the high perceived vulnerability and high parental protection groups (Wilcoxon Rank Sum Test, WRST, P = .31). As expected, high parental protection was not significantly associated with increased nonwell-child care visits compared with the low parental protection group (WRST, P = .14). These findings suggest that markers other than health care utilization are required to identify these forms of parent-child relationship disorders. PMID:8782954

  9. The relevance of U.S. Ratification of the Convention on the Rights of the Child for Child Health: a matter of equity and social justice.

    Science.gov (United States)

    Kasper, Jennifer

    2010-01-01

    The United Nations Convention on the Rights of the Child (CRC) is a universally accepted tool to understand the social underpinnings of child health that medicine alone cannot address. Injustices plague U.S. society: Child poverty has been increasing since 2000, and the gap between the wealthiest and poorest is growing. Poverty is a toxic stress on child health and well-being. Three articles from the CRC help frame how to address this: nondiscrimination, the right to enjoy the highest attainable standard of health and access to health care, and the right to a standard of living adequate for complete development. PMID:21361155

  10. Associations between birth health, maternal employment, and child care arrangement among a community sample of mothers with young children.

    Science.gov (United States)

    Chiao, Chi; Chyu, Laura; Ksobiech, Kate

    2014-01-01

    Although a large body of literature exists on how different types of child care arrangements affect a child's subsequent health and sociocognitive development, little is known about the relationship between birth health and subsequent decisions regarding type of nonparental child care as well as how this relationship might be influenced by maternal employment. This study used data from the Los Angeles Families and Neighborhoods Survey (L.A.FANS). Mothers of 864 children (ages 0-5) provided information regarding birth weight, maternal evaluation of a child's birth health, child's current health, maternal employment, type of child care arrangement chosen, and a variety of socioeconomic variables. Child care options included parental care, relative care, nonrelative care, and daycare center. Multivariate analyses found that birth weight and subjective rating of birth health had similar effects on child care arrangement. After controlling for a child's age and current health condition, multinomial logit analyses found that mothers with children with poorer birth health are more likely to use nonrelative and daycare centers than parental care when compared to mothers with children with better birth health. The magnitude of these relationships diminished when adjusting for maternal employment. Working mothers were significantly more likely to use nonparental child care than nonemployed mothers. Results suggest that a child's health early in life is significantly but indirectly related to subsequent decisions regarding child care arrangements, and this association is influenced by maternal employment. Development of social policy aimed at improving child care service should take maternal and family backgrounds into consideration. PMID:24188296

  11. Ethical Issues in Maternal and Child Health Nursing: Challenges Faced By Maternal and Child Health Nurses and Strategies for Decision Making

    OpenAIRE

    Aderemi R.A

    2016-01-01

    Background: Health care givers, particularly midwives, perinatal and neonatal nurses, face ethical issues possibly because of their interactions with patients and clients in the reproductive age groups. These issues are multiple and quite complex. Aim: To identify the ethical issues related to maternal and child care, the challenges faced by the nurses and to profer strategies for decision making. Methods: This is a literature review on ethical issues in maternal and child heal...

  12. Maternal and child health in India: a critical review.

    Science.gov (United States)

    Sinha, N K

    1995-10-01

    The Lady Dufferin Fund, founded in 1885 in India, had by 1940 established 400 hospitals to alleviate diseases and mortality related to childbirth. After independence 2328 community health centers and 21254 primary health centers were created in the country. During 1974-94 more than 131,000 subcenters were set up and about 620,000 auxiliary nurse midwives (ANMs) had been trained. The Ministry of Health introduced four health prevention schemes in 1969: 1) immunization of children against diphtheria, pertussis, and tetanus; 2) immunization of pregnant women against tetanus; 3) prophylaxis of mothers and children against nutritional anemia; and 4) prophylaxis of children against blindness caused by vitamin A deficiency. As a result, infant mortality declined from 146/1000 live births to 74/1000 in 1993; but maternal mortality still stayed around 4-5/1000. In 1993 an estimated 117,356 maternal deaths occurred out of a total of 26,057,000 births, equalling 4.5 deaths per 1000 live births. The main causes of maternal deaths are hemorrhage, anemia, abortion, toxemia, and puerperal sepsis. Only about 411 first referral units in community health centers are functioning properly. Prenatal care of mothers includes the administration of tetanus toxoid and iron-folic acid tablets. However, the prenatal coverage reached only about 50% of mothers; and the coverage was only 21.4% in Bihar, 23.8% in Nagaland, 29.3% in Rajasthan, and 29.6% in Uttar Pradesh. In these areas administrative inefficiency is widespread with nonavailability of essential drugs for malaria, infections, sepsis, dysentery, and colds. During 1992-93 the rate of hospital deliveries ranged from 6.1% in Nagaland to 88.4% in Kerala, with a national average of only 25.6%. 71% of deliveries in rural areas and 30% in urban areas were conducted by untrained assistants. Although there are 450 ANM training schools in the country, the level of training has deteriorated. The major causes of infant deaths are respiratory

  13. Factors contributing to reduced caregiver strain in a publicly-funded child mental health system

    OpenAIRE

    Accurso, Erin C.; Garland, Ann F; Haine-Schlagel, Rachel; Brookman-Frazee, Lauren; Baker-Ericzén, Mary J.

    2014-01-01

    This study examined caregiver strain in families who initiated mental health services for their child. Predictors of strain and the bidirectional relation between strain and child symptoms were examined. Participants included 218 children ages 4–13 with disruptive behavior problems and their caregivers, plus 96 psychotherapists, recruited from six publicly-funded clinics. Child disruptive behavior severity and caregiver strain were assessed at baseline, four, and eight months. Multilevel mode...

  14. Modeling The Effects of Mother’s Age at First Birth on Child Health at Birth

    OpenAIRE

    Mbu Daniel Tambi

    2014-01-01

    This study models the impact of mother’s age at first birth on child health at birth in Cameroon. The objectives are: (1) investigate the implication of mother’s age at first birth on child health at birth; (2) examine the impact of mother’s age groups on birth weight, and (3) suggest economic policies to ameliorate the mother’s age – child health relationship. We make used of the control function approach to determine the relationship between mother’s age at first birth and birth...

  15. 76 FR 71987 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Meeting

    Science.gov (United States)

    2011-11-21

    ... Institute of Child Health & Human Development, National Institutes of Health, Department of Health and Human... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory...

  16. A systematic review of existing national priorities for child health research in sub-Saharan Africa

    Directory of Open Access Journals (Sweden)

    Macharia William M

    2005-11-01

    Full Text Available Abstract Background We systematically reviewed existing national child health research priorities in Sub-Saharan Africa, and the processes used to determine them. Methods Collaborators from a purposive sample of 20 WHO-AFRO Region countries, assisted by key informants from a range of governmental, non-governmental, research and funding organisations and universities, identified and located potentially eligible prioritisation documents. Included documents were those published between 1990 and 2002 from national or nationally accredited institutions describing national health research priorities for child health, alone or as part of a broader report in which children were a clearly identifiable group. Laboratory, clinical, public health and policy research were included. Two reviewers independently assessed eligibility for inclusion and extracted data. Results Eight of 33 potentially eligible reports were included. Five reports focused on limited areas of child health. The remaining three included child-specific categories in reports of general research priorities, with two such child-specific categories limited to reproductive health. In a secondary analysis of Essential National Health Research reports that included children, though not necessarily as an identifiable group, the reporting of priorities varied markedly in format and numbers of priorities listed, despite a standard recommended approach. Comparison and synthesis of reported priorities was not possible. Conclusion Few systematically developed national research priorities for child health exist in sub-Saharan Africa. Children's interests may be distorted in prioritisation processes that combine all age groups. Future development of priorities requires a common reporting framework and specific consideration of childhood priorities.

  17. The postponement of motherhood and its child health consequences: birth weight and weight gain during the first year of life

    OpenAIRE

    2006-01-01

    The postponement of motherhood is one of the most important trends in fertility behaviour in the last few decades. The consequences of late motherhood for child health are not well understood, however. One reason is that in the study of child health, the focus is either on birth (e.g., risk factors for low birth weight), or on child health after birth (e.g., child health consequences of low birth weight). The comprehensive view to child health underlying this paper is that both sides are clos...

  18. Perinatal Maternal Mental Health, Fetal Programming and Child Development

    Directory of Open Access Journals (Sweden)

    Andrew J. Lewis

    2015-11-01

    Full Text Available Maternal mental disorders over pregnancy show a clear influence on child development. This review is focused on the possible mechanisms by which maternal mental disorders influence fetal development via programming effects. This field is complex since mental health symptoms during pregnancy vary in type, timing and severity and maternal psychological distress is often accompanied by higher rates of smoking, alcohol use, poor diet and lifestyle. Studies are now beginning to examine fetal programming mechanisms, originally identified within the DOHaD framework, to examine how maternal mental disorders impact fetal development. Such mechanisms include hormonal priming effects such as elevated maternal glucocorticoids, alteration of placental function and perfusion, and epigenetic mechanisms. To date, mostly high prevalence mental disorders such as depression and anxiety have been investigated, but few studies employ diagnostic measures, and there is very little research examining the impact of maternal mental disorders such as schizophrenia, bipolar disorder, eating disorders and personality disorders on fetal development. The next wave of longitudinal studies need to focus on specific hypotheses driven by plausible biological mechanisms for fetal programming and follow children for a sufficient period in order to examine the early manifestations of developmental vulnerability. Intervention studies can then be targeted to altering these mechanisms of intergenerational transmission once identified.

  19. Health-e-Child: a grid platform for european paediatrics

    International Nuclear Information System (INIS)

    The Health-e-Child (HeC) project [1], [2] is an EC Framework Programme 6 Integrated Project that aims to develop a grid-based integrated healthcare platform for paediatrics. Using this platform biomedical informaticians will integrate heterogeneous data and perform epidemiological studies across Europe. The resulting Grid enabled biomedical information platform will be supported by robust search, optimization and matching techniques for information collected in hospitals across Europe. In particular, paediatricians will be provided with decision support, knowledge discovery and disease modelling applications that will access data in hospitals in the UK, Italy and France, integrated via the Grid. For economy of scale, reusability, extensibility, and maintainability, HeC is being developed on top of an EGEE/gLite [3] based infrastructure that provides all the common data and computation management services required by the applications. This paper discusses some of the major challenges in bio-medical data integration and indicates how these will be resolved in the HeC system. HeC is presented as an example of how computer science (and, in particular Grid infrastructures) originating from high energy physics can be adapted for use by biomedical informaticians to deliver tangible real-world benefits

  20. Adaptive Interventions in Child and Adolescent Mental Health.

    Science.gov (United States)

    Almirall, Daniel; Chronis-Tuscano, Andrea

    2016-01-01

    The treatment or prevention of child and adolescent mental health (CAMH) disorders often requires an individualized, sequential approach to intervention, whereby treatments (or prevention efforts) are adapted over time based on the youth's evolving status (e.g., early response, adherence). Adaptive interventions are intended to provide a replicable guide for the provision of individualized sequences of interventions in actual clinical practice. Recently, there has been great interest in the development of adaptive intervenions by investigators working in CAMH. The development of such replicable, real-world, individualized sequences of decision rules to guide the treatment or prevention of CAMH disorders represents an important "next step" in interventions research. The primary purpose of this special issue is to showcase some recent work on the science of adaptive interventions in CAMH. In this overview article, we review why individualized sequences of interventions are needed in CAMH, provide an introduction to adaptive interventions, briefly describe each of the articles included in this special issue, and describe some exciting areas of ongoing and future research. A hopeful outcome of this special issue is that it encourages other researchers in CAMH to pursue creative and significant research on adaptive interventions. PMID:27310565

  1. Sierra Leone's Former Child Soldiers: A Longitudinal Study of Risk, Protective Factors, and Mental Health

    Science.gov (United States)

    Betancourt, Theresa S.; Brennan, Robert T.; Rubin-Smith, Julia; Fitzmaurice, Garrett M.; Gilman, Stephen E.

    2010-01-01

    Objective: To investigate the longitudinal course of internalizing and externalizing problems and adaptive/prosocial behaviors among Sierra Leonean former child soldiers and whether postconflict factors contribute to adverse or resilient mental health outcomes. Method: Male and female former child soldiers (N = 260, aged 10 to 17 years at…

  2. The child health implications of privatizing Africa’s urban water supply:

    OpenAIRE

    Kosec, Katrina

    2013-01-01

    Can private-sector participation (PSP) in the urban piped water sector improve child health? The author uses child-level data from 39 African countries during 1986–2010 to show that introducing PSP decreases diarrhea among urban dwelling children under five years of age by 5.6 percentage points, or 35 percent of its mean prevalence.

  3. Best Practices for Mental Health in Child Welfare: Parent Support and Youth Empowerment Guidelines

    Science.gov (United States)

    Romanelli, Lisa Hunter; Hoagwood, Kimberly E.; Kaplan, Sandra J.; Kemp, Susan P.; Hartman, Robert L.; Trupin, Casey; Soto, Wilfredo; Pecora, Peter J.; LaBarrie, Theresa L.; Jensen, Peter S.

    2009-01-01

    This paper, the second in a series of two guideline papers emerging from the 2007 Best Practices for Mental Health in Child Welfare Consensus Conference, provides an overview of the key issues related to parent support and youth empowerment in child welfare and presents consensus guidelines in these important areas. The paper also discusses some…

  4. The Use of Health Transition Item in Health Inequalities Research: Annual Health Perception Variation Value (AHVV

    Directory of Open Access Journals (Sweden)

    Erhan Eser

    2015-12-01

    Full Text Available Purpose: The introduction of the “Annual Health Perception Variation Value (AHVV” that is developed by using Health Transition Item. Methods: The sample size of this representative study is 3397 (38.6% male with a mean age of 35.7 ± 22.5 years. The AHVV is developed by means of selfevaluated Health Transition Item of the SF-36 scale. AHVV is calculated for each of the 5 years age groups. The percentages of the positive responses are summed up and then subtracted from the sum of the percentages of the negative responses such as: AHVV= [(Much Better % + Somewhat Better %] – [(Somewhat Worse % + Worse %]. Fort he sake of making comparison with AHVV, “Current Self Rated Health Value (SRHV is also derived from a SRH question, calculated by a similar methodology. Results: Regardless of having any chronic illness, both SRHV and AHVV worsen as a person gets older and gets poorer. AHVV is affected by age (ß=0.36 more that that of SRHV (ß=0.08 whereas SRHV variance can be better explained by income level (ß =0.18 than AHVV (ß =0.05 in the multiple linear regression analyses. A significant linear trend in the mean AHV was observed by SRH categories. Conclusion: AHVV can be regarded as a new population level parametric summary health transition index which can be used in health inequality research

  5. Continuing education for maternal child health nurses: a means to improve the health care of mothers and children.

    OpenAIRE

    Bolte, I M; Presler, E P

    1983-01-01

    The University of Kentucky College of Nursing is in the 7th year of implementing a 7-year federally funded continuing education project. The major goal of MCH (maternal child health) Project 969, which is scheduled to terminate Sept. 30, 1984, is to develop and offer a series of quality continuing education courses for three distinct populations--practicing maternal child health nurses, State nurse consultants, and nurse supervisors at county or district levels. The purpose of these courses i...

  6. Using relative and absolute measures for monitoring health inequalities: experiences from cross-national analyses on maternal and child health

    Directory of Open Access Journals (Sweden)

    Huisman Martijn

    2007-10-01

    Full Text Available Abstract Background As reducing socio-economic inequalities in health is an important public health objective, monitoring of these inequalities is an important public health task. The specific inequality measure used can influence the conclusions drawn, and there is no consensus on which measure is most meaningful. The key issue raising most debate is whether to use relative or absolute inequality measures. Our paper aims to inform this debate and develop recommendations for monitoring health inequalities on the basis of empirical analyses for a broad range of developing countries. Methods Wealth-group specific data on under-5 mortality, immunisation coverage, antenatal and delivery care for 43 countries were obtained from the Demographic and Health Surveys. These data were used to describe the association between the overall level of these outcomes on the one hand, and relative and absolute poor-rich inequalities in these outcomes on the other. Results We demonstrate that the values that the absolute and relative inequality measures can take are bound by mathematical ceilings. Yet, even where these ceilings do not play a role, the magnitude of inequality is correlated with the overall level of the outcome. The observed tendencies are, however, not necessities. There are countries with low mortality levels and low relative inequalities. Also absolute inequalities showed variation at most overall levels. Conclusion Our study shows that both absolute and relative inequality measures can be meaningful for monitoring inequalities, provided that the overall level of the outcome is taken into account. Suggestions are given on how to do this. In addition, our paper presents data that can be used for benchmarking of inequalities in the field of maternal and child health in low and middle-income countries.

  7. Priority medicines for maternal and child health: a global survey of national essential medicines lists.

    Directory of Open Access Journals (Sweden)

    Suzanne Hill

    Full Text Available BACKGROUND: In April 2011, the World Health Organization (WHO published a list of "priority medicines" for maternal and child health based on 1 the global burden of disease and 2 evidence of efficacy and safety. The objective of this study was to examine the occurrence of these priority medicines on national essential medicines lists. METHODS AND FINDINGS: All essential medicines lists published since 1999 were selected from the WHO website collection. The most-up-to date list for each country was then selected, resulting in 89 unique country lists. Each list was evaluated for inclusion of medicines (chemical entity, concentration, and dosage form on the Priority Medicines List. There was global variation in the listing of the Priority Medicines. The most frequently listed medicine was paracetamol, on 94% (84/89 of lists. Sodium chloride, gentamicin and oral rehydration solution were on 93% (83/89 of lists. The least frequently listed medicine was the children's antimalarial rectal artesunate, on 8% of lists (7/89; artesunate injection was on 16% (14/89 of lists. Pediatric artemisinin combination therapy, as dispersible tablets or flexible oral solid dosage form, appeared on 36% (32/89 of lists. Procaine benzylpenicillin, for treatment of pediatric pneumonia and neonatal sepsis, was on 50% (45/89 of the lists. Zinc, for treatment of diarrhoea in children, was included on only 15% (13/89 of lists. For prevention and treatment of postpartum hemorrhage in women, oxytocin was more prevalent on the lists than misoprostol; they were included on 55 (62% and 31 (35% of lists, respectively. Cefixime, for treatment of uncomplicated anogenital gonococcal infection in woman was on 26% (23/89 of lists. Magnesium sulfate injection for treatment of severe pre-eclampsia and eclampsia was on 50% (45/89 of the lists. CONCLUSIONS: The findings suggest that countries need to urgently amend their lists to provide all priority medicines as part of the efforts to

  8. Variation in Acceptable Child Discipline Practices by Child Age: Perceptions of Community Norms by Medical and Legal Professionals.

    Science.gov (United States)

    Block, Stephanie D; Poplin, Ashlee Burgess; Wang, Eric S; Widaman, Keith F; Runyan, Desmond K

    2016-01-01

    Mandated child abuse reporters may judge specific disciplinary practices as unacceptable for young children, whereas child law professionals arbitrating allegations may be less inclusive. Do the views of these groups diverge, by child age, regarding discipline? Judgments of community norms across a wide range of children's ages were obtained from 380 medical and legal professionals. Because the Parent-Child Conflict Tactics Scale (PC-CTS) can be used to assess the epidemiology of child disciplinary behaviors and as a proxy to examine the incidence or prevalence of child abuse, the disciplinary practices described on the PC-CTS were presented as triggers for questions. Significant child age effects were found for disciplinary practices classified as "harsh." The consistencies between legal and medical professionals were striking. Both groups reflected changes in United States norms, as non-physical approaches were the most approved. We conclude that instruments estimating the prevalence of child maltreatment by parent-report should consider modifying how specific disciplinary practices are classified. Copyright © 2016 John Wiley & Sons, Ltd. PMID:27117603

  9. Attitudes of Health Professionals to Child Sexual Abuse and Incest.

    Science.gov (United States)

    Eisenberg, N.; And Others

    1987-01-01

    Results of surveying 299 professionals concerning their knowledge and attitudes about child sexual abuse and incest showed that the type of sexual activity involved influenced responses; the type of relationship between adult and child, less so. Estimates of incest were low but incest was considered to be harmful to the victim. (Author/DB)

  10. Community nurses' child protection role: views of public health nurses in Ireland.

    LENUS (Irish Health Repository)

    Kent, Susan

    2011-11-01

    Public health nurses in Ireland are generalist practitioners with a wide range of roles that address the needs of clients in the community across their lifespan. Child protection is one of many of the roles of Irish public health nurses. However, with increasing caseloads, birth rates and aging populations, their child protection role is becoming more difficult to define and practise safely. This paper presents a key finding of a qualitative study that explored the views of a group of public health nurses (n = 10) regarding their role with pre-school children. A significant theme following analysis of the interviews were the nurses\\' expressed concerns on their role in child protection. There is a need to define the role practised by public health nurses in child protection and to achieve a standard for this nationally.

  11. Child sexual abuse : Disclosure, social support and subjective health in adulthood

    OpenAIRE

    Jonzon, Eva MC

    2006-01-01

    Child sexual abuse (CSA) is a known risk factor for ill-health. It is assumed that the health consequences are worse if the abuse has been considered severe or if the child has been exposed to cumulative trauma, e.g. physical abuse or other stressful life events. However, symptom development seems to vary widely between individuals. According to developmental theories the dynamic interplay between environmental and individual conditions creates a course toward either healthy...

  12. Evaluation of cluster-randomized trials on maternal and child health research in developing countries

    OpenAIRE

    Handlos, Line Neerup; Chakraborty, Hrishikesh; Sen, Pranab Kumar

    2009-01-01

    To summarize and evaluate all publications including cluster-randomized trials used for maternal and child health research in developing countries during the last 10 years.METHODS:All cluster-randomized trials published between 1998 and 2008 were reviewed, and those that met our criteria for inclusion were evaluated further. The criteria for inclusion were that the trial should have been conducted in maternal and child health care in a developing country and that the conclusions should have b...

  13. Physical activity counseling in maternity and child health care – a controlled trial

    OpenAIRE

    Kinnunen Tarja I; Fogelholm Mikael; Pasanen Matti; Aittasalo Minna; Ojala Katriina; Luoto Riitta

    2008-01-01

    Abstract Background The purpose of the study is to examine the effects and feasibility of individual physical activity (PA) counseling in maternity and child health clinics in Finland. Methods Three clinics including both maternity and child health care signed up for the experimental (EXP) and three for the control group (CON). The participants were 132 pregnant and 92 postpartum primiparas. The nurses in EXP integrated a primary and four booster PA counseling sessions into routine visits. An...

  14. Children of Drought: Rainfall Shocks and Early Child Health in Rural India

    OpenAIRE

    Santosh Kumar; Ramona Molitor; Sebastian Vollmer

    2014-01-01

    Barker's fetal origins hypothesis suggests a strong relationship between in utero conditions, health, and overall child development after birth. Using a nationally representative population survey, this paper analyzes the impact of rainfall on early child health in rural India. We find that drought experienced in utero has detrimental effects on the nutritional status of children. Effects appear to be stronger for boys, low caste children, and children exposed to drought in the first trimeste...

  15. Mother's Labor Supply in Fragile Families: The Role of Child Health

    OpenAIRE

    Hope Corman; Kelly Noonan; Reichman, Nancy E.

    2005-01-01

    A growing body of research indicates that low socioeconomic status in early childhood sets the stage for increasing disadvantages in both health and educational capital over the child's life course and can cause low socioeconomic status to persist for generations. The study estimated the effects of poor child health on the labor supply of mothers with one-year-old children using a national longitudinal data set that oversampled unmarried parents in the post welfare reform era. It was found th...

  16. Social inequality, reproductive health and child development : a Chhattisgarh village study

    OpenAIRE

    Chanchani, Devanshi

    2015-01-01

    India’s gains in reproductive health and child development have been slower than anticipated, and significantly the country continues to bear a disproportionate share of the global undernutrition burden. Indian children do particularly poorly in the foundational foetal stage and in the first three years, and public programmes are especially ineffective in reaching this group. While it is recognised that reproductive health and child nutrition is determined complexly, having biomedical and soc...

  17. Parental Efficacy and Role Responsibility for Assisting in Child's Healthful Behaviors

    Science.gov (United States)

    Ice, Christa L.; Neal, William A.; Cottrell, Lesley

    2014-01-01

    The epidemic of childhood obesity, and its subsequent impact on negative health outcomes, continues to plague the United States. Better health outcomes have been linked to increased child achievement in school. Due to the strong influence parents have on children's healthful behaviors particularly in younger years, it's imperative to…

  18. 78 FR 19498 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2013-04-01

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Health And Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892,...

  19. 77 FR 61420 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-10-09

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Health And Human Development, NIH, 6100 Executive Boulevard, Room 5B01, Bethesda, MD 20892-7510,...

  20. 77 FR 37422 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-06-21

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Health and Human Development, NIH, 6100 Executive Boulevard, Room 5B01, Bethesda, MD 20892-7510,...

  1. 77 FR 33474 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-06-06

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892, 301-435-...

  2. 77 FR 33473 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-06-06

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Health And Human Development, NIH, 6100 Executive Boulevard, Room 5B01, Bethesda, MD 20892-7510,...

  3. The Impact of Household Participation in Community Based Organizations on Child Health and Education in Rural India

    DEFF Research Database (Denmark)

    Vaidya, Mugdha; Katoch, Meghna; Datta Gupta, Nabanita

    This paper explores whether rural Indian households’ membership in community based organizations (CBOs) affect child human capital formation in terms of health and education. Using the 2005 Indian Human Development Survey (IHDS), both OLS and IV models show that membership in one or more CBOs...... improves child educational performance. When considering specific CBOs, women’s groups (Mahila Mandal) emerge as being best at reducing child malnourishment while youth clubs are beneficial for both child health and education. Religious groups have a negative impact on child health but improve school...... performance. Caste associations have a detrimental effect on both health and education....

  4. Perspectives on child diarrhoea management and health service use among ethnic minority caregivers in Vietnam

    DEFF Research Database (Denmark)

    Rheinländer, Thilde; Samuelsen, Helle; Dalsgaard, Anders; Konradsen, Flemming

    2011-01-01

    investigates treatment seeking strategies for child diarrhoea among ethnic minority caregivers in Northern Vietnam in order to suggest improvements to health services for EMGs and other vulnerable groups. METHODS: The study obtained qualitative data from eight months of field work among four EMGs in lowland...... roles, long travelling distances for highland villagers, concerns about the indirect costs of treatment and a reluctance to use government health facilities due to feelings of being treated disrespectfully by health staff. However, ethnic minority caregivers all recognized the danger signs of child...... highland mothers from seeking health services and include family elders and fathers in future health promotion programs. Encouraging existing child health care practices, including continued breastfeeding during illness and the use of home-made rehydration solutions, also present important opportunities...

  5. Measuring health-related quality of life for child maltreatment: a systematic literature review

    Directory of Open Access Journals (Sweden)

    Prosser Lisa A

    2007-07-01

    Full Text Available Abstract Background Child maltreatment causes substantial morbidity and mortality in the U.S. Morbidity associated with child maltreatment can reduce health-related quality of life. Accurately measuring the reduction in quality of life associated with child maltreatment is essential to the economic evaluation of educational programs and interventions to reduce the incidence of child maltreatment. The objective of this study was to review the literature for existing approaches and instruments for measuring quality-of-life for child maltreatment outcomes. Methods We reviewed the current literature to identify current approaches to valuing child maltreatment outcomes for economic evaluations. We also reviewed available preference-based generic QOL instruments (EQ-5D, HUI, QWB, SF-6D for appropriateness in measuring change in quality of life due to child maltreatment. Results We did not identify any studies that directly evaluated quality-of-life in maltreated children. We identified 4 studies that evaluated quality of life for adult survivors of child maltreatment and 8 studies that measured quality-of-life for pediatric injury not related to child maltreatment. No study reported quality-of-life values for children younger than age 3. Currently available preference-based QOL instruments (EQ-5D, HUI, QWB, SF-6D have been developed primarily for adults with the exception of the Health Utilities Index. These instruments do not include many of the domains identified as being important in capturing changes in quality of life for child maltreatment, such as potential for growth and development or psychological sequelae specific to maltreatment. Conclusion Recommendations for valuing preference-based quality-of-life for child maltreatment will vary by developmental level and type of maltreatment. In the short-term, available multi-attribute utility instruments should be considered in the context of the type of child maltreatment being measured. However

  6. Child marriage and its impact on maternal and child health in Pakistan

    OpenAIRE

    Nasrullah, Muazzam

    2015-01-01

    BACKGROUND Child marriage, defined as marriage prior to 18 years of age is expected to become the reality of 100 million adolescent girls in the developing world during the next 10 years. Sub-Saharan Africa and South Asia regions have one of the highest rates of child marriages in the world. The practice is prevalent in Pakistan, which disproportionately affects young girls in rural, low income and low education households. Our study objectives were: To determine the association between ch...

  7. Somalia: supporting the child survival agenda when routine health service is broken.

    Science.gov (United States)

    Mirza, Imran Raza; Kamadjeu, Raoul; Assegid, Kebede; Mulugeta, Abraham

    2012-03-01

    Somalia, one of the most unstable countries in the world, has been without a permanent government for nearly 2 decades. With a health system in total disarray, coverage of basic health interventions remains low and, maternal and child mortality is among the highest in the world. Health partners jointly outlined an integrated package of critical child survival interventions to be delivered through a population-based delivery strategy known as Child Health Days (CHDs), to reduce child mortality. Using this strategy, key child survival interventions are delivered to the community with an objective of reaching children areas, and coverage disparity between the urban and rural areas was reduced from 17% (42% urban and 25% rural) to 10% (50% urban and 60% rural). In addition, infants were reached with a third dose of diphtheria-pertussis-tetanus vaccine, achieving 51% coverage during 2009 and 66% in 2010. This paper summarizes the challenges of scaling up child interventions in the troubled context of Somalia by reviewing the planning, implementation, and achievements of CHDs as well as reflecting on challenges for the future of child survival in Somalia. PMID:22315380

  8. Context matters: A community-based study of urban minority parents’ views on child health

    Science.gov (United States)

    Bolar, Cassandra L.; Hernandez, Natalie; Akintobi, Tabia Henry; McAllister, Calvin; Ferguson, Aneeqah S.; Rollins, Latrice; Wrenn, Glenda; Okafor, Martha; Collins, David; Clem, Thomas

    2016-01-01

    Background Among children, there are substantial ethno-racial minority disparities across a broad range of health-related behaviors, experiences, and outcomes. Addressing these disparities is important, as childhood and adolescence establish health trajectories that extend throughout life. Methods The current study employed a community-based participatory research approach to gain community insight on child health priorities and to frame an intervention aimed at improving the health of minority children. Eight focus groups were conducted among seventy-five African American parents in a Southeastern city. The current study was guided by an ecological theoretical framework. Results Although the focus of this investigation was on community identification of child health priorities, participants cited, as root determinants, contextual factors, which included lack of healthy food options, lack of spaces for physical activity, and community violence. These co-occurring factors were related to limited engagement in outdoor activities and physical activity, increased obesity, and poor mental health and coping. Poor parenting was cited as the most substantial barrier to improving child health outcomes, and quality parenting was identified as the most important issue to address for community programs focused on promoting the health and success of children. For improving health outcomes for children in their neighborhoods, establishment of positive social capital and constructive activities were also cited. Conclusions These results reinforce social determinants of health as influences on child health outcomes and describe how community engagement can address potential solutions through interventions that resonate with program participants. PMID:27275021

  9. Social and health behavioural determinants of maternal child-feeding patterns in preschool-aged children.

    Science.gov (United States)

    Moreira, Isabel; Severo, Milton; Oliveira, Andreia; Durão, Catarina; Moreira, Pedro; Barros, Henrique; Lopes, Carla

    2016-04-01

    Parental child-feeding attitudes and practices may compromise the development of healthy eating habits and adequate weight status in children. This study aimed to identify maternal child-feeding patterns in preschool-aged children and to evaluate their association with maternal social and health behavioural characteristics. Trained interviewers evaluated 4724 dyads of mothers and their 4-5-year-old child from the Generation XXI cohort. Maternal child-feeding attitudes and practices were assessed through the Child Feeding Questionnaire and the Overt/Covert Control scale. Associations were estimated using linear regression [adjusted for maternal education, body mass index (BMI), fruit and vegetables (F&V) intake and child's BMI z-score]. Principal component analysis defined a three-factor structure explaining 58% of the total variance of maternal child-feeding patterns: perceived monitoring - representing mothers with higher levels of monitoring, perceived responsibility and overt control; restriction - characterizing mothers with higher covert control, restriction and concerns about child's weight; pressure to eat - identifying mothers with higher levels of pressure to eat and overt control. Lower socioeconomic status, better health perception, higher F&V intake and offspring cohabitation were associated with more 'perceived monitoring' mothers. Higher maternal F&V intake and depression were associated with more 'restrictive' mothers. Younger mothers, less educated, with poorer health perception and offspring cohabiting, were associated with higher use of 'pressure to eat'. Maternal socioeconomic indicators and family environment were more associated with perceived monitoring and pressure to eat, whereas maternal health behavioural characteristics were mainly associated with restriction. These findings will be helpful in future research and public health programmes on child-feeding patterns. PMID:24697990

  10. Parental investment in child health in sub-Saharan Africa: a cross-national study of health-seeking behaviour.

    Science.gov (United States)

    Uggla, Caroline; Mace, Ruth

    2016-02-01

    Parents face trade-offs between investing in child health and other fitness enhancing activities. In humans, parental investment theory has mostly been examined through the analysis of differential child outcomes, with less emphasis on the actions parents take to further a particular offspring's condition. Here, we make use of household data on health-seeking for children in a high mortality context where such behaviours are crucial for offspring survival. Using Demographic and Health Survey (DHS) data from 17 sub-Saharan African countries, we examine whether maternal factors (age, health, marital status) and child factors (birth order, health, sex, age) independently influence parental investment in health-seeking behaviours: two preventative behaviours (malaria net use and immunization) and two curative ones (treating fever and diarrhoea). Results indicate that children with lower birth order, older mothers and mothers with better health status have higher odds of investment. The effects of a child's sex and health status and whether the mother is polygynously married vary depending on the type of health-seeking behaviour (preventative versus curative). We discuss how these results square with predictions from parental investment theory pertaining to the state of mothers and children, and reflect on some potential mechanisms and directions for future research. PMID:26998319

  11. Child Labor Variation by Type of Respondent: Evidence from a Large-Scale Study

    OpenAIRE

    Dammert, Ana C.; Galdo, Jose C.

    2013-01-01

    This study uses a nationally representative survey to analyze a key survey design decision in child labor measurement: self-reporting versus proxy interviewing. The child/proxy disagreement affects 20 percent of the sample, which translates into a 17.1 percentage point difference in the national rate of child labor by type of respondent. As a result, marginal effects from standard child labor supply functions show important child/proxy differences, particularly when the household experienced ...

  12. Variations of Infant and Under-five Child Mortality Rates around the World, the Role of Human Development Index (HDI)

    OpenAIRE

    Salman Khazaei; Erfan Ayubi; Shahrzad Nematollahi; Somayeh Khazaei

    2016-01-01

    Background: The Human Development Index (HDI) is a composite statistic of life expectancy, education, and income per capita indicators, which apart from measuring the socio-economic development of countries can predict health outcomes. The current study aimed at determination of the effects of HDI individual components on infant and child mortality. Materials and Methods: At a cross- sectional study,data on infant and child mortality rates and values for HDI individual components were obtaine...

  13. Linking Child Health, Maternal Labour Force Participation and Household Asset Endowments in Cameroon: What the People Say

    OpenAIRE

    Mbu Daniel TAMBI; Aloysius Mom NJONG; Menjo Francis BAYE

    2014-01-01

    This paper is targeted objectives: to document the determinants of child health as informed by focus group discussion, to analyze what the people say concerning the relationship between child health and maternal labour force participation, to explore the perception of the people on the effects of child health on asset accumulation and to suggest public policies on the basis of the findings. We used seven focus groups to explore what the people say based on different health domains: access to ...

  14. Fragmented implementation of maternal and child health home-based records in Vietnam: need for integration

    Directory of Open Access Journals (Sweden)

    Hirotsugu Aiga

    2016-02-01

    Full Text Available Background: Home-based records (HBRs are globally implemented as the effective tools that encourage pregnant women and mothers to timely and adequately utilise maternal and child health (MCH services. While availability and utilisation of nationally representative HBRs have been assessed in several earlier studies, the reality of a number of HBRs subnationally implemented in a less coordinated manner has been neither reported nor analysed. Objectives: This study is aimed at estimating the prevalence of HBRs for MCH and the level of fragmentation of and overlapping between different HBRs for MCH in Vietnam. The study further attempts to identify health workers’ and mothers’ perceptions towards HBR operations and utilisations. Design: A self-administered questionnaire was sent to the provincial health departments of 28 selected provinces. A copy of each HBR available was collected from them. A total of 20 semi-structured interviews with health workers and mothers were conducted at rural communities in four of 28 selected provinces. Results: Whereas HBRs developed exclusively for maternal health and exclusively for child health were available in four provinces (14% and in 28 provinces (100%, respectively, those for both maternal health and child health were available in nine provinces (32%. The mean number of HBRs in 28 provinces (=5.75 indicates over-availability of HBRs. All 119 minimum required items for recording found in three different HBRs under nationwide scale-up were also included in the Maternal and Child Health Handbook being piloted for nationwide scaling-up. Implementation of multiple HBRs is likely to confuse not only health workers by requiring them to record the same data on several HBRs but also mothers about which HBR they should refer to and rely on at home. Conclusions: To enable both health workers and pregnant women to focus on only one type of HBR, province-specific HBRs for maternal and/or child health need to be

  15. The Mexican version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ).

    Science.gov (United States)

    Duarte, C; Ruperto, N; Goycochea, M V; Maldonado, R; Beristain, R; De Inocencio, J; Burgos-Vargas, R

    2001-01-01

    We report herein the results of the cross-cultural adaptation and validation into the Mexican language of the parent's version of two health related quality of life instruments. The Childhood Health Assessment Questionnaire (CHAQ) is a disease specific health instrument that measures functional ability in daily living activities in children with juvenile idiopathic arthritis (JIA). The Child Health Questionnaire (CHQ) is a generic health instrument designed to capture the physical and psychosocial well-being of children independently from the underlying disease. The Mexican CHAQ was already published and therefore it was revalidated while the Mexican CHQ was derived from the European Spanish version with changing of the few words whose use is different in the 2 countries. A total of 182 subjects were enrolled: 89 patients with JIA (26% systemic onset, 47% polyarticular onset, 13.5% extended oligoarticular subtype, and 13.5% persistent oligoarticular subtype) and 93 healthy children. The CHAQ clinically discriminated between healthy subjects and JIA patients, with the systemic onset, and polyarticular onset subtypes having a higher degree of disability, pain, and a lower overall well-being when compared to their healthy peers. Also the CHQ clinically discriminated between healthy subjects and JIA patients, with the systemic onset, and polyarticular onset having a lower physical and psychosocial well-being when compared to their healthy peers. In conclusion the Mexican version of the CHAQ-CHQ is a reliable, and valid tool for the functional, physical and psychosocial assessment of children with JIA. PMID:11510311

  16. Addressing inequity to achieve the maternal and child health millennium development goals: looking beyond averages

    Directory of Open Access Journals (Sweden)

    Ruhago George M

    2012-12-01

    Full Text Available Abstract Background Inequity in access to and use of child and maternal health interventions is impeding progress towards the maternal and child health Millennium Development Goals. This study explores the potential health gains and equity impact if a set of priority interventions for mothers and under fives were scaled up to reach national universal coverage targets for MDGs in Tanzania. Methods We used the Lives Saved Tool (LiST to estimate potential reductions in maternal and child mortality and the number of lives saved across wealth quintiles and between rural and urban settings. High impact maternal and child health interventions were modelled for a five-year scale up, by linking intervention coverage, effectiveness and cause of mortality using data from Tanzania. Concentration curves were drawn and the concentration index estimated to measure the equity impact of the scale up. Results In the poorest population quintiles in Tanzania, the lives of more than twice as many mothers and under-fives were likely to be saved, compared to the richest quintile. Scaling up coverage to equal levels across quintiles would reduce inequality in maternal and child mortality from a pro rich concentration index of −0.11 (maternal and −0.12 (children to a more equitable concentration index of −0,03 and −0.03 respectively. In rural areas, there would likely be an eight times greater reduction in maternal deaths than in urban areas and a five times greater reduction in child deaths than in urban areas. Conclusions Scaling up priority maternal and child health interventions to equal levels would potentially save far more lives in the poorest populations, and would accelerate equitable progress towards maternal and child health MDGs.

  17. THE SOCIAL AND OCCUPATIONAL HEALTH PROBLEMS OF CHILD LABOUR: A CHALLENGE THE WORLD IS FACING

    Directory of Open Access Journals (Sweden)

    Kapil Goel

    2012-03-01

    Full Text Available Eliminating child labour is one of the biggest challenges that the world is facing. Child labour not only causes damage to a child’s physical and mental health but also keeps him deprived of his basic rights to education, development, and freedom. Children of lower socio-economic class are known to be inducted as child labour. The main causes of child labour include poverty, unemployment, excess population and urbanization. The construction sector is one of the most hazardous working environments especially for children. Children are exposed to dangerous machinery causing fatal and non-fatal injuries, while operating or working near them. Children are exposed to strenuous labour, which can affect the musculo-skeletal development of the children. In industries, child workers are exposed to various physical, mental, social occupational hazards resulting in lower growth and poor health status. Working long hours, child labourers are often denied a basic school education, normal social interaction, personal development and emotional support from their family. The Child Labour Act was implemented in India in 1986 that outlaws child labour in certain areas and sets the minimum age of employment at fourteen. Eradicating poverty is only the first step on the road for eliminating child labour. There is an urgent need for intensive focus and research along with political and practical decisions to improve the conditions of working children for the betterment of their health and development. Proper education of the children and banning child labor will help in boosting the success of the country.

  18. The Danish preventive child health examination should expand on mental health and the well-being of the family

    DEFF Research Database (Denmark)

    Nielsen, Kirsten Lykke; Graungaard, Anette Hauskov; Ertmann, Ruth;

    2015-01-01

    INTRODUCTION: In Denmark, around one in six children hassignificant somatic, psychological or social health problems,often in combination. The preventive child health examinationshave a high participation rate; and they produce significantfindings, predominantly concerning the child......’sphysical health. The aim of this study was to explore howthe child’s physical, cognitive and psychosocial health areexamined and assessed at the health examinations of childrenaged 0-5 years in general practice. METHODS: Our study employed observations of the consultationsas well as individual interviews. A total...... of ninedoctors from seven clinics participated. We included 21 casesin our study, each consisting of a consultation and subsequentinterviews with the child’s parents and with thedoctor. RESULTS: The examination of the child’s physical health anddevelopment is an important feature of the health examination...

  19. Filipino Child Health in the United States: Do Health and Health Care Disparities Exist?

    OpenAIRE

    Javier, Joyce R.; Huffman, Lynne C; Mendoza, Fernando S

    2007-01-01

    Introduction Filipinos are the second largest Asian subgroup in the United States, but few studies have examined health and health care disparities in Filipino children. The objectives of this review are 1) to appraise current knowledge of Filipino children's health and health care and 2) to present the implications of these findings for research, clinical care, and policy. Methods We identified articles for review primarily via a Medline search emphasizing the terms Filipino and United State...

  20. Factors influencing utilization of maternal and child health services among the postnatal mothers in hilly region

    OpenAIRE

    Priyanka Joshi; Gomathi Mahalingam; Dipti Y. Sorte

    2016-01-01

    Background: Maternal mortality is a global issue and WHO recommends the use of maternal health services to help improve the health of women and babies during pregnancy and childbirth. Use of maternal health services is an effective means for reducing the risk of maternal morbidity and mortality, especially in places where the maternal and child health (MCH services utilization was poor. The main objective of this study was to assess the factors affecting utilization of MCH services among post...

  1. Are Parental Perceptions of Child Activity Levels and Overall Health More Important than Perceptions of Weight?

    Science.gov (United States)

    Vangeepuram, Nita; Ramos, Michelle A; Fei, Kezhen; Fox, Ashley M; Horowitz, Carol R; Kleinman, Lawrence C; Galvez, Maida P

    2016-07-01

    Objectives To examine relationships between parental perceptions of child weight and overall health, reported lifestyle behaviors and measured body mass index (BMI). Methods Using community-partnered methods, we surveyed families residing in a two census tract area identified for targeted interventions to decrease diabetes related disparities. The survey included demographics, child dietary and physical activity behaviors, and parental perception of child's health and weight. We measured child BMI using a standardized protocol. Results We surveyed parents of 116 children with a mean age of 7 years (range 3-15) with 51 % boys, 74 % Hispanic, and 26 % Black. Over half of the children (55 %) were overweight or obese. Half (50 %) of the parents underestimated their children's weight. Reported daily hours of walking and/or running trended higher (3.6 vs. 2.6 h, p = 0.08) for children perceived to be of normal weight. Parents who correctly estimated their child's weight status reported more hours of daily walking/running than parents who underestimated child weight status, 4.5 versus 2.4 h, p = 0.0002. Parents of healthy weight children were more likely to report that children were in excellent or very good health compared to parents of overweight/obese children, 75 versus 56 % respectively (p = 0.04). We found significant racial/ethnic differences in reported diet and physical activity behaviors and perception of overall health. Conclusions for Practice Parental perceptions of child health and physical activity level may be related to perceptions of their child's weight status. Study findings informed community-based initiatives for reducing diabetes risk among children. PMID:27010551

  2. Mandates for Collaboration: Health Care and Child Welfare Policy and Practice Reforms Create the Platform for Improved Health for Children in Foster Care.

    Science.gov (United States)

    Zlotnik, Sarah; Wilson, Leigh; Scribano, Philip; Wood, Joanne N; Noonan, Kathleen

    2015-10-01

    Improving the health of children in foster care requires close collaboration between pediatrics and the child welfare system. Propelled by recent health care and child welfare policy reforms, there is a strong foundation for more accountable, collaborative models of care. Over the last 2 decades health care reforms have driven greater accountability in outcomes, access to care, and integrated services for children in foster care. Concurrently, changes in child welfare legislation have expanded the responsibility of child welfare agencies in ensuring child health. Bolstered by federal legislation, numerous jurisdictions are developing innovative cross-system workforce and payment strategies to improve health care delivery and health care outcomes for children in foster care, including: (1) hiring child welfare medical directors, (2) embedding nurses in child welfare agencies, (3) establishing specialized health care clinics, and (4) developing tailored child welfare managed care organizations. As pediatricians engage in cross-system efforts, they should keep in mind the following common elements to enhance their impact: embed staff with health expertise within child welfare settings, identify long-term sustainable funding mechanisms, and implement models for effective information sharing. Now is an opportune time for pediatricians to help strengthen health care provision for children involved with child welfare. PMID:26403650

  3. A Framework for Addressing the Global Obesity Epidemic Locally: The Child Health Ecological Surveillance System (CHESS

    Directory of Open Access Journals (Sweden)

    Ronald C. Plotnikoff, PhD

    2008-07-01

    Full Text Available Childhood obesity has reached epidemic levels in the developed world. Recent research and commentary suggest that an ecological approach is required to address childhood obesity, given the multidimensional nature of the problem. We propose a Canadian prototype, the Child Health Ecological Surveillance System, for a regional health authority to address the growing obesity epidemic. This prototype could potentially be used in other jurisdictions to address other child health issues. We present 8 guiding principles for the development and implementation of a regional framework for action.

  4. Air quality health index variation across British Columbia

    Energy Technology Data Exchange (ETDEWEB)

    Hasselback, P. [Interior Health Authority, Kelowna, BC (Canada); Taylor, E. [British Columbia Ministry of Health Living and Sport, Vancouver, BC (Canada)

    2010-09-15

    The new Air Quality Health Index (AQHI) is a tool aiming to present the health risks related to air pollution in Canada. This index can be used by individuals to help them reduce their health risk resulting from poor air quality. An assessment of the short term health risk induced by poor air quality is provided to Canadians through the AQHI. The AQHI is based on three factors: ambient concentrations of nitrogen dioxide, fine particulate matter and ozone, the local air quality information being presented on an hourly and daily basis and being calculated each hour for several locations across Canada. Pulmonary disorders and impacts on cardiac function are the more significant short term health risks. Longer term exposure to poor air quality is associated with increased rates of allergies and asthma, low birth weight, atherosclerosis, poorer lung development in children, lung cancer and ear infections. Information on the AQHI and on the variation across British Columbia of the health risk associated with this index are presented in this document. 19 refs., 5 tabs., 5 figs.

  5. Evaluating the Impact of School Nutrition and Physical Activity Policies on Child Health

    Science.gov (United States)

    Fernandes, Meenakshi M.

    2009-01-01

    This dissertation evaluates the impact of elementary school policies on child health behaviors and obesity in the United States. Two chapters address nutrition policies, two chapters address physical activity policies, and a final chapter estimates the health care cost savings associated with a decline in childhood obesity prevalence. The use of…

  6. 75 FR 29774 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2010-05-27

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... Development Initial Review Group Function, Integration, and Rehabilitation Sciences Subcommittee; Function, Integration and Rehabilitation Sciences Subcommittee. Date: June 21, 2010. Time: 8:30 a.m. to 5 p.m....

  7. Who cares for former child soldiers? Mental health systems of care in Sierra Leone

    NARCIS (Netherlands)

    S. Song; H. van den Brink; J. de Jong

    2013-01-01

    While numerous studies on former child soldiers (FCS) have shown mental health needs, adequate services are a challenge. This study aimed to identify priorities, barriers and facilitators of mental health care for Sierra Leonean FCS. Thematic analysis was done on 24 qualitative interviews with parti

  8. 77 FR 29675 - Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD); Notice of...

    Science.gov (United States)

    2012-05-18

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD); Notice of Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as amended (5 U.S.C. App.), notice is hereby given of a meeting of the National Advisory...

  9. The Development of a School-Based Measure of Child Mental Health

    Science.gov (United States)

    Deighton, Jessica; Tymms, Peter; Vostanis, Panos; Belsky, Jay; Fonagy, Peter; Brown, Anna; Martin, Amelia; Patalay, Praveetha; Wolpert, Miranda

    2013-01-01

    Early detection of child mental health problems in schools is critical for implementing strategies for prevention and intervention. The development of an effective measure of mental health and well-being for this context must be both empirically sound and practically feasible. This study reports the initial validation of a brief self-report…

  10. 76 FR 572 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2011-01-05

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory Committee Act, as... contact person listed below in advance of the meeting. Name of Committee: National Institute of...

  11. 75 FR 5601 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2010-02-03

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory Committee Act, as... Contact Person listed below in advance of the meeting. Name of Committee: National Institute of...

  12. Physical and Mental Health of Mothers Caring for a Child with Rett Syndrome

    Science.gov (United States)

    Laurvick, Crystal L.; Msall, Michael E.; Silburn, Sven; Bower, Carol; de Klerk, Nicholas; Leonard, Helen

    2007-01-01

    Objectives: Our goal was to investigate the physical and mental health of mothers who care for a child with Rett syndrome. Methods: We assessed maternal physical and mental health by using the SF-12 version 1 physical component summary and mental component summary scores as the outcome measures of interest. Mothers (n = 135) of children with Rett…

  13. 75 FR 2150 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting

    Science.gov (United States)

    2010-01-14

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory Committee Act, as... Human Development Council. The meeting will be open to the public, with attendance limited to...

  14. 76 FR 27651 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2011-05-12

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892, 301-435- 8382,...

  15. 77 FR 61421 - Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed...

    Science.gov (United States)

    2012-10-09

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892, 301-496-1487,...

  16. 78 FR 12765 - Eunice Kennedy Shriver National Institute of Child Health & Human Development Notice of Closed...

    Science.gov (United States)

    2013-02-25

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health & Human Development Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory Committee... and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892, 301-496-1487,...

  17. 76 FR 38401 - National Institute of Child Health and Human Development; Revision to Proposed Collection...

    Science.gov (United States)

    2011-06-30

    ... Disease Control and Prevention, the Environmental Protection Agency) to-- (1) plan, develop, and implement a prospective cohort study, from birth to adulthood, to evaluate the effects of both chronic and... HUMAN SERVICES National Institutes of Health National Institute of Child Health and Human...

  18. Impact of the 2008 economic and financial crisis on child health: A systematic review

    NARCIS (Netherlands)

    L. Rajmil (Luis); M.-J.F. de Sanmamed (María-José Fernandez); I. Choonara (Imti); T. Faresjö (Tomas); A. Hjern (Anders); A. Kozyrskyj (Anita); P.J. Lucas (Patricia); H. Raat (Hein); L. Séguin (Louise); N. Spencer (Nick); D. Taylor-Robinson (David)

    2014-01-01

    textabstractThe aim of this study was to provide an overview of studies in which the impact of the 2008 economic crisis on child health was reported. Structured searches of PubMed, and ISI Web of Knowledge, were conducted. Quantitative and qualitative studies reporting health outcomes on children, p

  19. Best Practices for Mental Health in Child Welfare: Screening, Assessment, and Treatment Guidelines

    Science.gov (United States)

    Romanelli, Lisa Hunter; Landsverk, John; Levitt, Jessica Mass; Leslie, Laurel K.; Hurley, Maia M.; Bellonci, Christopher; Gries, Leonard T.; Pecora, Peter J.; Jensen, Peter S.

    2009-01-01

    The Best Practices for Mental Health in Child Welfare Consensus Conference focused on developing guidelines in five key areas (screening and assessment, psychosocial interventions, psychopharmacologic treatment, parent engagement, and youth empowerment) related to children's mental health. This paper provides an overview of issues related to the…

  20. Preventable infant mortality and quality of health care: maternal perception of the child's illness and treatment

    Directory of Open Access Journals (Sweden)

    Hadad Salime

    2002-01-01

    Full Text Available This study used a qualitative methodology to analyze the discourse of mothers from Greater Metropolitan Belo Horizonte, Minas Gerais, Brazil, whose infant children had died from what were considered avoidable causes (diarrhea, malnutrition, and pneumonia, seeking to elucidate the factors associated with utilization of health care services. Identification of the illness by the mother was related to perception of specific alterations in the child's state of health. Analysis of the alterations helped identify the principal characteristics ascribed to each alteration and their relationship to the search for treatment. The authors also studied the mother's assessment of treatment received at health care facilities; 43.0% of the cases involved problems related to the structure of health care services or the attending health care professionals. In 46.0% of the cases, mothers associated the child's death with flaws in the health care service. The study group showed a variety of interpretations of illness, often distinct from the corresponding biomedical concepts. The fact that attending health care personnel overlooked or underrated the mother's perception of the illness and the lack of communications between health care personnel and the child's family had an influence on the child's evolution and subsequent death.

  1. Preventable infant mortality and quality of health care: maternal perception of the child's illness and treatment

    Directory of Open Access Journals (Sweden)

    Salime Hadad

    2002-12-01

    Full Text Available This study used a qualitative methodology to analyze the discourse of mothers from Greater Metropolitan Belo Horizonte, Minas Gerais, Brazil, whose infant children had died from what were considered avoidable causes (diarrhea, malnutrition, and pneumonia, seeking to elucidate the factors associated with utilization of health care services. Identification of the illness by the mother was related to perception of specific alterations in the child's state of health. Analysis of the alterations helped identify the principal characteristics ascribed to each alteration and their relationship to the search for treatment. The authors also studied the mother's assessment of treatment received at health care facilities; 43.0% of the cases involved problems related to the structure of health care services or the attending health care professionals. In 46.0% of the cases, mothers associated the child's death with flaws in the health care service. The study group showed a variety of interpretations of illness, often distinct from the corresponding biomedical concepts. The fact that attending health care personnel overlooked or underrated the mother's perception of the illness and the lack of communications between health care personnel and the child's family had an influence on the child's evolution and subsequent death.

  2. Evaluating the Impacts of School Nutrition and Physical Activity Policies on Child Health. PRGS Dissertation

    Science.gov (United States)

    Fernandes, Meenakshi Maria

    2010-01-01

    This dissertation evaluates the impact of elementary school policies on child health behaviors and obesity in the United States. Two chapters address nutrition policies, two chapters address physical activity policies, and a final chapter estimates the health care cost savings associated with a decline in childhood obesity prevalence. The use of…

  3. Scaling Up Child and Adolescent Mental Health Services in South Africa: Human Resource Requirements and Costs

    Science.gov (United States)

    Lund, Crick; Boyce, Gerard; Flisher, Alan J.; Kafaar, Zuhayr; Dawes, Andrew

    2009-01-01

    Background: Children and adolescents with mental health problems have poor service cover in low- and middle-income countries. Little is known about the resources that would be required to provide child and adolescent mental health services (CAMHS) in these countries. The purpose of this study was to calculate the human resources and associated…

  4. THE IMPACT OF PARENTAL HEALTH ON CHILD LABOR. EVIDENCE FROM BANGLADESH

    OpenAIRE

    Bazen, Stephen; Salmon, Claire

    2008-01-01

    Using data for Bangladesh we find evidence of added worker effects resulting from father's health problems on both children's and (to a lesser extent) spouse's labor supply. In particular, when illness is short-lived or if treatment is required (when there are "health shocks") children's participation tends to increase. Our results suggest that income replacement through sickness benefit could significantly reduce child labor.

  5. 78 FR 22893 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Meeting

    Science.gov (United States)

    2013-04-17

    ..., NCMRR, Eunice Kennedy Shriver National Institute of Child Health and Human Development, NIH, DHHS, 6100... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory...

  6. 78 FR 69857 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Meeting

    Science.gov (United States)

    2013-11-21

    ... National Institute, of Child Health and Human Development, NIH, DHHS, 6100 Executive Boulevard, Room 2A03... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Meeting Pursuant to section 10(a) of the Federal Advisory...

  7. 77 FR 32652 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2012-06-01

    ... Review, National Institute Of Child Health and Human Development, NIH, 6100 Executive Blvd. Room 5B01... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal...

  8. 78 FR 63995 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2013-10-25

    ... INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT, including consideration of personnel qualifications and... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal...

  9. 75 FR 78717 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2010-12-16

    ... Kennedy Shriver National Institute of Child Health & Human Development, 6100 Executive Blvd., Room 5B01... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal...

  10. 77 FR 12600 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2012-03-01

    ... Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Boulevard, Room 5b01... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal...

  11. 77 FR 32651 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2012-06-01

    ... Shriver National Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal...

  12. 78 FR 13363 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2013-02-27

    ... Shriver National Institute of Child Health And Human Development, NIH, 6100 Executive Blvd., Room 5B01... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal...

  13. 76 FR 71987 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2011-11-21

    ... Institute of Child Health And Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal...

  14. 75 FR 39030 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2010-07-07

    ... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health... clearly unwarranted invasion of personal privacy. Name of Committee: National Institute of Child Health... Structural Birth Defects. Date: July 19, 2010. Time: 2 p.m. to 5 p.m. Agenda: To review and evaluate...

  15. 75 FR 32957 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2010-06-10

    ... Institute of Child Health and Human Development, NIH, 6100 Executive Blvd., Room 5B01, Bethesda, MD 20892... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal...

  16. 75 FR 32959 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2010-06-10

    ... Review, National Institute of Child Health and Human Development, 6100 Executive Boulevard, Room 5B01... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal...

  17. 75 FR 35077 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2010-06-21

    ... Kennedy Shriver National Institute of Child Health and Human Development, 6100 Executive Blvd., Room 5B01... HUMAN SERVICES National Institutes of Health Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal...

  18. The Ghana essential health interventions program: a plausibility trial of the impact of health systems strengthening on maternal & child survival

    OpenAIRE

    Awoonor-williams, John Koku; Bawah, Ayaga A; Nyonator, Frank K; Asuru, Rofina; Oduro, Abraham; Ofosu, Anthony; Phillips, James F

    2013-01-01

    Background During the 1990s, researchers at the Navrongo Health Research Centre in northern Ghana developed a highly successful community health program. The keystone of the Navrongo approach was the deployment of nurses termed community health officers to village locations. A trial showed that, compared to areas relying on existing services alone, the approach reduced child mortality by half, maternal mortality by 40%, and fertility by nearly a birth — from a total fertility rate of 5.5 in o...

  19. Male involvement in reproductive, maternal and child health: a qualitative study of policymaker and practitioner perspectives in the Pacific

    OpenAIRE

    Davis, Jessica; Vyankandondera, Joseph; Luchters, Stanley; Simon, David; Holmes, Wendy

    2016-01-01

    Background The importance of involving men in reproductive, maternal and child health programs is increasingly recognised globally. In the Pacific region, most maternal and child health services do not actively engage expectant fathers and fathers of young children and few studies have been conducted on the challenges, benefits and opportunities for involving fathers. This study explores the attitudes and beliefs of maternal and child health policymakers and practitioners regarding the benefi...

  20. Mental health of the African girl child: challenges for nurses.

    Science.gov (United States)

    Uys, Leana

    2009-07-01

    In this paper, the ecological systems theory of child development is used as the framework for exploring research on the development of African children, especially girl children. The special problems faced by children and the challenges this raises for nurses also are described in this paper. PMID:19544126

  1. National Institute of Child Health and Human Development

    Science.gov (United States)

    ... investigates development throughout the entire life process, including fetal development and early childhood. This infog​​​raphic describes what ... in obstetrics, maternal and pediatric infectious diseases, child development, rehabilitation and vaccine research, will deliver lectures and ... Obstetricia​n/ Gynecologist, Maternal-Fetal Medicine Specialist, Researcher, Mom​ Enhancing our flexibility to ...

  2. Association between Maternal and Child Dietary Diversity: An Analysis of the Ghana Demographic and Health Survey

    OpenAIRE

    Amugsi, Dickson Abanimi; Mittelmark, Maurice B.; Oduro, Abraham

    2015-01-01

    Objective (s) This study examined the association between maternal and child dietary diversity in a population-based national sample in Ghana. Methods The data for this analysis are from the 2008 Ghana Demographic and Health Survey. We used data obtained from 1187 dyads comprised of mothers’ ages 15–49 and their youngest child (ages 6–36 months). Maternal and child dietary diversity scores (DDS) were created based on the mother’s recall of her own and her child’s consumption of 15 food groups...

  3. Association between maternal and child dietary diversity: An analysis of the Ghana Demographic and Health Survey

    OpenAIRE

    Amugsi, Dickson Abanimi; Mittelmark, Maurice B.; Oduro, Abraham

    2015-01-01

    Objective (s). This study examined the association between maternal and child dietary diversity in a population-based national sample in Ghana. Methods. The data for this analysis are from the 2008 Ghana Demographic and Health Survey. We used data obtained from 1187 dyads comprised of mothers’ ages 15–49 and their youngest child (ages 6–36 months). Maternal and child dietary diversity scores (DDS) were created based on the mother’s recall of her own and her child’s consumption of 15 food g...

  4. Care for overweight children attending the 5-year preventive child health examination in general practice

    DEFF Research Database (Denmark)

    Andersen, Merethe Kousgaard; Christensen, Bo; Søndergaard, Jens

    2013-01-01

    -assessed overweight at the 5-year preventive child health examination (PCHE).Results. Out of 1135 children attending the 5-year PCHE, 171 were assessed overweight by the GP. According to the Danish body mass index (kg/m(2)) growth charts, 147 children were overweight. The GPs addressed their concern about the child...... cases.Conclusion. Various care activities were carried out for most children with GP-assessed overweight at the 5-year PCHE. However, the GP did not raise concern about the child's weight with the parents in almost one third of the children. It seems that there is a potential for improving the...

  5. Child labour in Addis Ketema, Ethiopia : a study in mental health

    OpenAIRE

    Fekadu Wolde-Giorgis, Daniel

    2008-01-01

    Background: Child labour is a very common global problem. There are an estimated over 250 million in the world, and about 7.5 million child labourers in Ethiopia. Most of the studies available to date focus on the social, political, and economical issues, but very little on mental health or psychosocial problems of child labourers. There is no study describing the epidemiology of psychiatric disorders among this group of children. Aims: 1. to assess the level of awareness and attitude of an u...

  6. Quantifying Bias in Randomized Controlled Trials in Child Health: A Meta-Epidemiological Study

    OpenAIRE

    Lisa Hartling; Hamm, Michele P.; Fernandes, Ricardo M; Dryden, Donna M.; Ben Vandermeer

    2014-01-01

    OBJECTIVE: To quantify bias related to specific methodological characteristics in child-relevant randomized controlled trials (RCTs). DESIGN: Meta-epidemiological study. DATA SOURCES: We identified systematic reviews containing a meta-analysis with 10-40 RCTs that were relevant to child health in the Cochrane Database of Systematic Reviews. DATA EXTRACTION: Two reviewers independently assessed RCTs using items in the Cochrane Risk of Bias tool and other study factors. We used meta-epidemiolog...

  7. Public health strategies to minimize the global incidence of child abuse

    OpenAIRE

    Saurabh RamBihariLal Shrivastava; Prateek Saurabh Shrivastava; Jegadeesh Ramasamy

    2014-01-01

    Child abuse is an extremely complicated and a multi-faceted public health concern, significantly influenced by the victim's age, the settings in which the abuse occurs, and the relationship between the victim and perpetrator. The global estimates are just the tip of the iceberg as most of it takes place in the privacy of domestic life and often goes unreported and undetected. In fact, occurrence of child abuse can be best explained by exploring the complex interaction among multiple factors a...

  8. Long-term health and socioeconomic consequences of child labor: Evidence from Brazil

    OpenAIRE

    Zhang, Xuelian

    2012-01-01

    Child labor may impose positive and negative, direct and indirect effects on the long-term development of an individual. This study employs the Brazil Living Standards Measurement Study Survey to examine the long-run consequences of child labor on an adults income, health and educational attainment. When possible, the estimated models take into account of possible endogeneity and measurement error problems. The results suggest that early working has a negative and substantial income impact on...

  9. Parental investment in child health in sub-Saharan Africa: a cross-national study of health-seeking behaviour

    Science.gov (United States)

    2016-01-01

    Parents face trade-offs between investing in child health and other fitness enhancing activities. In humans, parental investment theory has mostly been examined through the analysis of differential child outcomes, with less emphasis on the actions parents take to further a particular offspring’s condition. Here, we make use of household data on health-seeking for children in a high mortality context where such behaviours are crucial for offspring survival. Using Demographic and Health Survey (DHS) data from 17 sub-Saharan African countries, we examine whether maternal factors (age, health, marital status) and child factors (birth order, health, sex, age) independently influence parental investment in health-seeking behaviours: two preventative behaviours (malaria net use and immunization) and two curative ones (treating fever and diarrhoea). Results indicate that children with lower birth order, older mothers and mothers with better health status have higher odds of investment. The effects of a child’s sex and health status and whether the mother is polygynously married vary depending on the type of health-seeking behaviour (preventative versus curative). We discuss how these results square with predictions from parental investment theory pertaining to the state of mothers and children, and reflect on some potential mechanisms and directions for future research. PMID:26998319

  10. Valuation of Child Health-Related Quality of Life in the United States.

    Science.gov (United States)

    Craig, Benjamin M; Greiner, Wolfgang; Brown, Derek S; Reeve, Bryce B

    2016-06-01

    Many economic analyses fail to incorporate evidence on child health-related quality of life because of a paucity of quality-adjusted life year (QALY) estimates. This health valuation study is the first to summarize the EQ-5D-Y on a QALY scale. Drawn from a nationally representative panel, 5207 adult respondents were asked to choose between two losses in child health-related quality of life. Based on their choices, a 1-year increase in child pain/discomfort from 'some' to 'a lot' equals a loss of 4 QALYs (95% CI, 3.8-4.4). Likewise, a 1-year increase in child anxiety/depression from 'a bit' to 'very worried, sad, or unhappy' equals a loss of 2 QALYs (95% CI, 1.9-2.2). These findings enable the integration of child-reported outcomes with adult preferences to inform economic analysis. Results inform both clinical practice and resource allocation decisions by enhancing understanding of difficult tradeoffs in child-reported outcomes. Copyright © 2015 John Wiley & Sons, Ltd. PMID:25926161

  11. A profile of children’s health services, child and adolescent mental health services and maternity services in England 2007/8.

    OpenAIRE

    Barnes, Di; Devanney, Carol; Parker, Ethna; Wistow, Richard

    2009-01-01

    This report is the third in a series of profiles produced to report the results of the annual child health, child and adolescent mental health services (CAMHS) and maternity services mapping exercise in England. The 2007 exercise was carried out between 1st November 2007 and 28th February 2008 and it marked the third child health and maternity service mapping data collection and the sixth CAMHS mapping exercise. The report summarises the findings at a national level with some refe...

  12. Trends in child labor and the impact on health in adulthood in Brazil from 1998 to 2008

    Directory of Open Access Journals (Sweden)

    Marislei Nishijima

    2015-05-01

    Full Text Available There is little evidence in Brazil on the impact of child labor on health status in adulthood. This study aimed to investigate trends in child labor in Brazil and estimate the long-term effects of child labor on the health of Brazilian adults, using nationally representative databases (Brazilian National Household Sample Survey from three different years (1998, 2003, and 2008. The models were based on a two-stage linear equation and Generalized Method of Moments (GMM. The results suggest that child labor has declined in Brazil, although the data still show patterns of early entry into the country’s labor market. Regardless of the type of work, child labor adversely affected health outcomes in adulthood, both directly (impacts on health outcomes and indirectly (losses in educational attainment. Child labor places a long-term burden on Brazilians, jeopardizing the formation of human capital through negative impacts on health outcomes in adulthood.

  13. The Ethiopian Health Extension Program and Variation in Health Systems Performance: What Matters?

    Directory of Open Access Journals (Sweden)

    Netsanet Fetene

    Full Text Available Primary health care services are fundamental to improving health and health equity, particularly in the context of low and middle-income settings where resources are scarce. During the past decade, Ethiopia undertook an ambitious investment in primary health care known as the Ethiopian Health Extension Program that recorded impressive gains in several health outcomes. Despite this progress, substantial disparities in health outcomes persist across the country. The objective of this study was to understand how variation in the implementation of the primary health care efforts may explain differences in key health outcomes.We conducted a qualitative study of higher-performing and lower-performing woredas using site visits and in-depth interviews undertaken in 7 woredas. We classified woredas as higher-performing or lower-performing based on data on 5 indicators. We conducted a total of 94 open-ended interviews; 12-15 from each woreda. The data were analyzed using the constant comparative method of qualitative data analysis. Substantial contrasts were apparent between higher-performing and lower-performing woredas in use of data for problem solving and performance improvement; collaboration and respectful relationships among health extension workers, community members, and health center staff; and coordination between the woreda health office and higher-level regulatory and financing bodies at the zonal and regional levels. We found similarities in what was reported to motivate or demotivate health extension workers and other staff. Additionally, higher-performing and lower-performing woredas shared concerns about hospitals being isolated from health centers and health posts. Participants from both woredas also highlighted a mismatch between the urban health extension program design and the urban-dwelling communities' expectations for primary health care.Data-informed problem solving, respectful and supportive relationships with the community, and

  14. Child care consultations held by nurses within the Family Health Strategy

    Directory of Open Access Journals (Sweden)

    Francisco Fagner Sousa Oliveira

    2013-09-01

    Full Text Available The study aimed at identifying initiatives taken by nurses during child care routine visits in Family Health Units. It is an observational, descriptive and quantitative research. Data collection took place from August to October 2011, through the observation of three consultations carried out by eight nurses (24 appointments for the Family Health Strategy Scheme in Picos - Piauí. During consultations, the following issues were more frequently observed: anthropometry, reflexes according to age, encouraging of exclusive breastfeeding and advice on child hygiene. The need for further nurse training through continuous education was verified, seeking to improve care in order to contribute to the improvement of nursing care quality focused on promoting child health thru childcare consultations.

  15. Evaluation of cluster-randomized trials on maternal and child health research in developing countries

    DEFF Research Database (Denmark)

    Handlos, Line Neerup; Chakraborty, Hrishikesh; Sen, Pranab Kumar

    2009-01-01

    To summarize and evaluate all publications including cluster-randomized trials used for maternal and child health research in developing countries during the last 10 years. METHODS: All cluster-randomized trials published between 1998 and 2008 were reviewed, and those that met our criteria for...... inclusion were evaluated further. The criteria for inclusion were that the trial should have been conducted in maternal and child health care in a developing country and that the conclusions should have been made on an individual level. Methods of accounting for clustering in design and analysis were......, and the trials generally improved in quality. CONCLUSIONS: Shortcomings exist in the sample-size calculations and in the analysis of cluster-randomized trials conducted during maternal and child health research in developing countries. Even though there has been improvement over time, further progress...

  16. Politics, Child Mortality, and Health System Development in Tanzania and Uganda, 1995-2009.

    OpenAIRE

    Croke, Kevin

    2011-01-01

    Sub-Saharan African countries have diverged sharply in health status in recent years: Some have reduced premature mortality rapidly while others have made little progress, despite significant health-oriented foreign aid. This article identifies political economy and institutional factors that help explain dramatic differences in the pace of child mortality reduction between Tanzania and Uganda from 1995-96 to 2006-07. The existing literature largely explains divergence in basic health outcome...

  17. The Homeless Child Health Care Inventory: assessing the efficacy of linkages to primary care.

    OpenAIRE

    Redlener, I.; Karich, K. M.

    1994-01-01

    Each year, the New York City homeless family shelter system provides transitional housing for nearly 20,000 homeless children. While the health care needs of these children are substantial, there is currently no system-wide mechanism for ensuring that they have access to appropriate medical care. This report analyzes information from the Homeless Child Health Care Inventory, a survey conducted by Montefiore Medical Center's Division of Community Pediatrics, to examine the adequacy of health c...

  18. Seasonal effects of water quality on infant and child health in India

    OpenAIRE

    Brainerd, Elizabeth; Menon, Nidhiya

    2012-01-01

    This paper examines the impact of fertilizer agrichemicals in water on infant and child health using data on water quality combined with data on the health outcomes of infants and children from the 1992-93, 1998-99, and 2005-06 Demographic and Health Surveys of India. Because fertilizers are applied at specific times in the growing season, the concentrations of agrichemicals in water vary seasonally and by cropped area as some Indian states plant predominantly summer crops while others plant ...

  19. The impact of occupation on child health in a Palestinian refugee camp.

    Science.gov (United States)

    Basak, Polly

    2012-12-01

    This article focuses on child health in the Palestinian refugee camp of Dheisheh in the West Bank region of the Occupied Palestinian Territories. Thirty in-depth interviews were carried out with parents to determine their perceptions of their children's health. The questions related to physical, mental and social well-being, access to health facilities, factors that were likely to hinder health and measures that could be implemented to improve child health. The study was carried out prior to and during the Gaza War in December 2008 that resulted in the deaths of 1380 Palestinians including 431 children and 112 women [1]. The effects of occupation, conflict and being a refugee had a detrimental impact on perceptions of health. Interviewees revealed that their perceptions of their children's health were determined by the camp's conditions, the current economic climate, past and current political conflict and financial and social restrictions. The understanding of being healthy incorporated physical and mental health as well as social well-being. As a result, 70% of interviewees deemed that their children were not in good health. This finding accelerated to 100% after the Gaza War, showing the negative effect war has on health perceptions. Findings showed that perceptions of physical health are very much interlinked with mental well-being and parents' perceptions of their children's health, and are closely related to their state of mental health. Consequently, a clear correlation can be discerned between the ongoing occupation and its detrimental effects on mental health. Therapeutic and preventive health programmes such as child therapy and stress management that have already been implemented by the Gaza Community Mental Health Programme would be highly beneficial to both children and adults in Dheisheh refugee camp. PMID:22491534

  20. Designing mental health interventions informed by child development and human biology theory: a social ecology intervention for child soldiers in Nepal.

    Science.gov (United States)

    Kohrt, Brandon A; Jordans, Mark J D; Koirala, Suraj; Worthman, Carol M

    2015-01-01

    The anthropological study of human biology, health, and child development provides a model with potential to address the gap in population-wide mental health interventions. Four key concepts from human biology can inform public mental health interventions: life history theory and tradeoffs, redundancy and plurality of pathways, cascades and multiplier effects in biological systems, and proximate feedback systems. A public mental health intervention for former child soldiers in Nepal is used to illustrate the role of these concepts in intervention design and evaluation. Future directions and recommendations for applying human biology theory in pursuit of public mental health interventions are discussed. PMID:25380194

  1. What factors increase Dutch child health care professionals' adherence to a national guideline on preventing child abuse and neglect?

    Science.gov (United States)

    Konijnendijk, Annemieke A J; Boere-Boonekamp, Magda M; Fleuren, Margot A H; Haasnoot, Maria E; Need, Ariana

    2016-03-01

    Guidelines to support health care professionals in early detection of, and responses to, suspected Child Abuse and Neglect (CAN) have become increasingly widely available. Yet little is known about professionals' adherence to these guidelines or the determinants that affect their uptake. This study used a cross-sectional design to assess the adherence of Dutch Child Health Care (CHC) professionals to seven key activities described in a national guideline on preventing CAN. This study also examined the presence and strengths of determinants of guideline adherence. Online questionnaires were filled in between May and July 2013 by 164 CHC professionals. Adherence was defined as the extent to which professionals performed each of seven key activities when they suspected CAN. Thirty-three determinants were measured in relation to the guideline, the health professional, the organisational context and the socio-political context. Bivariate and multivariate regression analyses tested associations between determinants and guideline adherence. Most of the responding CHC professionals were aware of the guideline and its content (83.7%). Self-reported rates of full adherence varied between 19.5% and 42.7%. Stronger habit to use the guideline was the only determinant associated with higher adherence rates in the multivariate analysis. Understanding guideline adherence and associated determinants is essential for developing implementation strategies that can stimulate adherence. Although CHC professionals in this sample were aware of the guideline, they did not always adhere to its key recommended activities. To increase adherence, tailored interventions should primarily focus on enhancing habit strength. PMID:26687328

  2. eRegistries: Electronic registries for maternal and child health

    OpenAIRE

    Frøen, J Frederik; Myhre, Sonja L.; Frost, Michael J.; Chou, Doris; Mehl, Garrett; Say, Lale; Cheng, Socheat; Fjeldheim, Ingvild; Friberg, Ingrid K; French, Steve; Jani, Jagrati V.; Kaye, Jane; Lewis, John; Lunde, Ane; Mørkrid, Kjersti

    2016-01-01

    Background The Global Roadmap for Health Measurement and Accountability sees integrated systems for health information as key to obtaining seamless, sustainable, and secure information exchanges at all levels of health systems. The Global Strategy for Women’s, Children’s and Adolescent’s Health aims to achieve a continuum of quality of care with effective coverage of interventions. The WHO and World Bank recommend that countries focus on intervention coverage to monitor programs and progress ...

  3. Child health care demand in a developing country

    OpenAIRE

    Hallman, Kelly

    1999-01-01

    This study examines how quality, price, and access to curative health care influence use of modern public, modern private, and traditional providers among 3,000 children age 0-2 years in Cebu, Philippines. The analysis relies on a series of household, community, and health facility surveys conducted in 33 rural and urban communities during 1983-1986. The inclusion of data on potential health care users and available providers makes it possible to investigate the impact of the health care envi...

  4. Working with women to improve child and community eye health

    Directory of Open Access Journals (Sweden)

    Gopa Kothari

    2009-06-01

    Full Text Available In the slums and rural areas of India, visual impairment, blindness, and childhood blindness are usually more prevalent.In order to improve the eye health of children and the community in these areas, it is important to understand the influence women and mothers have over children’s eye health and the eye health of the community as a whole.

  5. No Child Overlooked: Mental Health Triage in the Schools

    Science.gov (United States)

    Wilson, F. Robert; Tang, Mei; Schiller, Kelly; Sebera, Kerry

    2009-01-01

    Mental health problems among children in schools are on the increase. To exercise due diligence in their responsibility to monitor and promote mental health among our nation's children, school counselors may learn from triage systems employed in hospitals, clinics, and mental health centers. The School Counselor's Triage Model provides school…

  6. Pediatric Clinical Pharmacology and Child Health:A Canadian Perspective

    Institute of Scientific and Technical Information of China (English)

    Stuart Macleod

    2011-01-01

    @@ Introduction Canadian academic centres and children's hospitals have had a longstanding interest in the improvement of drug therapy for children through research conducted across the four pillars of activity identified as being of critical importance by the Canadian Institutes of Health Research(viz,basic research,clinical research,population health research,applied health and policy research)[1].

  7. Charting the use of electronic health records and other information technologies among child health providers

    Directory of Open Access Journals (Sweden)

    Brooks Robert G

    2006-07-01

    Full Text Available Abstract Background Previous studies regarding the use of information technologies (IT specifically among pediatricians and other physicians who treat children are lacking. As such, the objective of this study is to examine the use of electronic health record (EHR systems and other IT applications among pediatricians and other child health providers (CHPs in Florida. Methods We focus on pediatricians and other CHPs who responded to a state-wide physician survey of IT use. CHPs included general pediatricians, pediatric sub-specialists, and family physicians who self-reported a practice composition of at least 20% children. We compared general pediatricians to other CHPs and all CHPs (including pediatricians to other physicians with respect to computer and internet availability, and to the use of personal digital assistants and EHRs. Those with an EHR were also compared regarding the availability of key functions available in their system. Statistical analyses included chi-square analysis and logistic regression models which controlled for numerous factors. Results A total of 4,203 surveys (28.2% response including 1,021 CHPs, were returned. General pediatricians (13.7% were significantly less likely to be using an EHR than both CHP family physicians (26.1% and pediatric sub-specialists (29.6%; p Conclusion Physicians caring for children, and especially pediatricians, in Florida, are significantly slower than other doctors to adopt EHRs, and important electronic patient safety functionalities, into their office practices.

  8. Analysis of maternal and child health policies in Malawi: The methodological perspective.

    Science.gov (United States)

    Daire, J; Khalil, D

    2015-12-01

    The question of why most health policies do not achieve their intended results continues to receive a considerable attention in the literature. This is in the light of the recognized gap between policy as intent and policy as practice, which calls for substantial research work to understand the factors that improve policy implementation. Although there is substantial work that explains the reasons why policies achieve or fail to achieve their intended outcomes, there are limited case studies that illustrate how to analyze policies from the methodological perspective. In this article, we report and discuss how a mixed qualitative research method was applied for analyzing maternal and child health policies in Malawi. For the purposes of this article, we do not report research findings; instead we focus our dicussion on the methodology of the study and draw lessons for policy analysis research work. We base our disusssion on our experiences from a study in which we analyzed maternal and child health policies in Malawi over the period from 1964 to 2008. Noting the multifaceted nature of maternal and child health policies, we adopted a mixed qualitative research method, whereby a number of data collection methods were employed. This approach allowed for the capturing of different perspectives of maternal and child health policies in Malawi and for strengthening of the weaknesses of each method, especially in terms of data validity. This research suggested that the multidimensional nature of maternal and child health policies, like other health policies, calls for a combination of research designs as well as a variety of methods of data collection and analysis. In addition, we suggest that, as an emerging research field, health policy analysis will benefit more from case study designs because they provide rich experiences in the actual policy context. PMID:26955434

  9. Child health nurses in the Solomon Islands: lessons for the Pacific and other developing countries

    Directory of Open Access Journals (Sweden)

    Colquhoun Samantha

    2012-11-01

    Full Text Available Abstract Objectives To understand the roles of nurses with advanced training in paediatrics in the Solomon Islands, and the importance of these roles to child health. To understand how adequately equipped child health nurses feel for these roles, to identify the training needs, difficulties and future opportunities. Design Semi-structured interviews. Settings Tertiary hospital, district hospitals and health clinics in the Solomon Islands. Participants Twenty-one paediatric nurses were interviewed out of a total of 27 in the country. Results All nurses were currently employed in teaching, clinical or management areas. At least one or two nurses were working in each of 7 of the 9 provinces; in the two smaller provinces there were none. Many nurses were sole practitioners in remote locations without back-up from doctors or other experienced nurses; all had additional administrative or public health duties. Different types of courses were identified: a residential diploma through the University of Papua New Guinea or New Zealand and a diploma by correspondence through the University of Sydney. Conclusions Child health nurses in the Solomon Islands fulfill vital clinical, public health, teaching and administrative roles. Currently they are too few in number, and this is a limiting factor for improving the quality of child health services in that country. Current methods of training require overseas travel, or are expensive, or lack relevance, or remove nurses from their work-places and families for prolonged periods of time. A local post-basic child health nursing course is urgently needed, and models exist to achieve this.

  10. Child health nurses in the Solomon Islands: lessons for the Pacific and other developing countries

    Science.gov (United States)

    2012-01-01

    Objectives To understand the roles of nurses with advanced training in paediatrics in the Solomon Islands, and the importance of these roles to child health. To understand how adequately equipped child health nurses feel for these roles, to identify the training needs, difficulties and future opportunities. Design Semi-structured interviews. Settings Tertiary hospital, district hospitals and health clinics in the Solomon Islands. Participants Twenty-one paediatric nurses were interviewed out of a total of 27 in the country. Results All nurses were currently employed in teaching, clinical or management areas. At least one or two nurses were working in each of 7 of the 9 provinces; in the two smaller provinces there were none. Many nurses were sole practitioners in remote locations without back-up from doctors or other experienced nurses; all had additional administrative or public health duties. Different types of courses were identified: a residential diploma through the University of Papua New Guinea or New Zealand and a diploma by correspondence through the University of Sydney. Conclusions Child health nurses in the Solomon Islands fulfill vital clinical, public health, teaching and administrative roles. Currently they are too few in number, and this is a limiting factor for improving the quality of child health services in that country. Current methods of training require overseas travel, or are expensive, or lack relevance, or remove nurses from their work-places and families for prolonged periods of time. A local post-basic child health nursing course is urgently needed, and models exist to achieve this. PMID:23171144

  11. The Nurse-Family Partnership: evidence-based public health in response to child maltreatment.

    Science.gov (United States)

    Tonmyr, L

    2015-01-01

    Too many Canadian children are exposed to child maltreatment-neglect, emotional maltreatment, exposure to intimate partner violence, and physical and sexual abuse. Retrospective data indicates that 32% of Canadian adults have experienced childhood abuse. There is evidence that child maltreatment is associated with a wide array of negative health consequences across the life span. These consequences expand across physical, mental, developmental and social domains to include suicide, substance abuse, anxiety, depression and physical health problems. Experts have asked for coordinated national leadership in protecting children from maltreatment. They also envision broadening the mandate for injury prevention to include not only physical injury but also emotional injury and harm. PMID:26605562

  12. Partner Abuse of Mothers Compromises Children's Behavioral Functioning Through Maternal Mental Health Dysfunction: Analysis of 300 Mother-Child Pairs.

    Science.gov (United States)

    Maddoux, John A; Liu, Fuqin; Symes, Lene; McFarlane, Judith; Paulson, Rene; Binder, Brenda K; Fredland, Nina; Nava, Angeles; Gilroy, Heidi

    2016-04-01

    Partner violence is associated with numerous negative consequences for victims, especially poor mental health. Children who are exposed to partner violence are more likely to have behavior problems. Nevertheless, research on the relationship between severity of abuse, maternal mental health functioning following partner violence, and child behavior problems is limited. We explored the direct and indirect effects on the child's behavioral functioning of severity of maternal abuse and maternal mental health functioning following abuse. A sample of 300 mothers was recruited when they sought assistance for abuse for the first time at shelters for abused women or at the district attorney's office. Severity of abuse, mothers' mental health functioning, and child behavioral functioning were measured by maternal self-report at entry into the study and 4 months later. In SEM analysis, at both entry and 4 months, severity of abuse had a direct effect on maternal mental health functioning, which in turn had a direct effect on child behavioral functioning. The path from severity of abuse to child behavioral functioning also was significant but became non- significant once maternal mental health functioning was added to the equation, indicating that the path from severity of abuse to child behavioral functioning was indirect and occurred as a result of the mother's mental health functioning, which remained directly linked to child behavioral problems. Intergenerational interventions are needed to address both maternal mental health and child behavioral functioning when a mother reports partner violence and is experiencing mental health problems. PMID:26694769

  13. Parental decisions, child health and valuation of avoiding arsenic in drinking water in rural Bangladesh.

    Science.gov (United States)

    Aziz, Sonia N; Boyle, Kevin J; Crocker, Tom

    2015-03-01

    Arsenic contamination of groundwater in Bangladesh is a widespread public health hazard. Water sources without high arsenic levels are scarce, affecting people's availability for work and other activities when they have to seek safe water to drink. While children are particularly susceptible to chronic arsenic exposure, limited information and heavy constraints on resources may preclude people in developing countries from taking protective actions. Since parents are primary decision-makers for children, a model of stochastic decision-making analytically linking parent health and child health is used to frame the valuation of avoiding arsenic exposure using an averting behavior model. The results show that safe drinking water programs do work and that people do take protective actions. The results can help guide public health mitigation policies, and examine whether factors such as child health and time required for remediation have an effect on mitigation measures. PMID:25719475

  14. The Role of Public Health Insurance in Reducing Child Poverty.

    Science.gov (United States)

    Wherry, Laura R; Kenney, Genevieve M; Sommers, Benjamin D

    2016-04-01

    Over the past 30 years, there have been major expansions in public health insurance for low-income children in the United States through Medicaid, the Children's Health Insurance Program (CHIP), and other state-based efforts. In addition, many low-income parents have gained Medicaid coverage since 2014 under the Affordable Care Act. Most of the research to date on health insurance coverage among low-income populations has focused on its effect on health care utilization and health outcomes, with much less attention to the financial protection it offers families. We review a growing body of evidence that public health insurance provides important financial benefits to low-income families. Expansions in public health insurance for low-income children and adults are associated with reduced out of pocket medical spending, increased financial stability, and improved material well-being for families. We also review the potential poverty-reducing effects of public health insurance coverage. When out of pocket medical expenses are taken into account in defining the poverty rate, Medicaid plays a significant role in decreasing poverty for many children and families. In addition, public health insurance programs connect families to other social supports such as food assistance programs that also help reduce poverty. We conclude by reviewing emerging evidence that access to public health insurance in childhood has long-term effects for health and economic outcomes in adulthood. Exposure to Medicaid and CHIP during childhood has been linked to decreased mortality and fewer chronic health conditions, better educational attainment, and less reliance on government support later in life. In sum, the nation's public health insurance programs have many important short- and long-term poverty-reducing benefits for low-income families with children. PMID:27044710

  15. The effects of media on child health Review

    OpenAIRE

    Yılmaz, Gonca

    2007-01-01

    From birth on every child builds his world through what he hears and sees just like constructing a building from the base to the roof In the era we live in the majority of the data making up the building stones of the world originate from the media Contrary to adults children cannot understand the difference between set up and real so easily that is why they are so unprotected against the media For this reason the media must be very sensitive to childrens’ rights As social pediatricians we ar...

  16. Women's Migration, Urban Poverty and Child Health in Rajasthan

    OpenAIRE

    Unnithan, M; A. Castaldo; McNay, K

    2008-01-01

    The paper is concerned with the high levels of infant and child illness and death amongst poor urban slum communities in Rajasthan, a state with one of the highest infant mortality rates in India. Urban poverty is significant in Rajasthan with a fifth of the urban population living below the poverty line and in slums. Increasing numbers of poor migrants in search of employment contribute to the rising levels of urban poverty in cities such as Jaipur, where the present study is based. [Migrati...

  17. Child labour in footwear industry: Possible occupational health hazards

    OpenAIRE

    Tiwari Rajnarayan

    2005-01-01

    The constitution of India, as a part of the fundamental rights, has laid down that the State shall direct its policy towards protection of childhood and youth against exploitation and shall not be employed to work in any factory or mine or engaged in any hazardous employment. India has the largest number of urban and rural child workers in the world. The Government of India acknowledges at least 17.5 million working children.2 Footwear industry is also one of the major export oriented industr...

  18. How Public Health Nurses Identify and Intervene in Child Maltreatment Based on the National Clinical Guideline

    Directory of Open Access Journals (Sweden)

    Paavilainen Eija

    2014-01-01

    Full Text Available Objectives. To describe how Finnish public health nurses identify and intervene in child maltreatment and how they implement the National Clinical Guideline in their work. Design and Sample. Cross-sectional survey of 367 public health nurses in Finland. Measures. A web-based questionnaire developed based on the content areas of the guideline: identifying, intervening, and implementing. Results. The respondents reported they identify child maltreatment moderately (mean 3.38, intervene in it better (4.15, and implement the guideline moderately (3.43, scale between 1 and 6. Those with experience of working with maltreated children reported they identify them better P<0.001, intervene better P<0.001, and implement the guideline better P<0.001 than those with no experience. This difference was also found for those who were aware of the guideline, had read it, and participated in training on child maltreatment, as compared to those who were not aware of the guideline, had not read it, or had not participated in such training. Conclusions. The public health nurses worked quite well with children who had experienced maltreatment and families. However, the results point out several developmental targets for increasing training on child maltreatment, for devising recommendations for child maltreatment, and for applying these recommendations systematically in practice.

  19. Maternal sick leave due to psychiatric disorders following the birth of a child with special health care needs

    OpenAIRE

    Hauge, Lars Johan; Nes, Ragnhild Bang; Kornstad, Tom; Kristensen, Petter; Irgens, Lorentz M; Landolt, Markus A.; Eskedal, Leif Torvald; Vollrath, Margarete E.

    2015-01-01

    Objective Child-related stress following the birth of a child with special health care needs (SHCN) can take a toll on parental health. This study examined how the risk of sick leave due to psychiatric disorders (PD) among mothers of children with SHCN compares with that of mothers of children without SHCN during early motherhood.  Methods Responses from 58,532 mothers participating in the Norwegian Mother and Child Cohort Study were linked to national registries and monitored f...

  20. Explaining household socio-economic related child health inequalities using multiple methods in three diverse settings in South Africa

    OpenAIRE

    Doherty Tanya M; Chopra Mickey; Nkonki Lungiswa L; Jackson Debra; Robberstad Bjarne

    2011-01-01

    Abstract Background Despite free healthcare to pregnant women and children under the age of six, access to healthcare has failed to secure better child health outcomes amongst all children of the country. There is growing evidence of socioeconomic gradient on child health outcomes Methods The objectives of this study were to measure inequalities in child mortality, HIV transmission and vaccination coverage within a cohort of infants in South Africa. We also used the decomposition technique to...

  1. Trends in child labor and the impact on health in adulthood in Brazil from 1998 to 2008

    OpenAIRE

    Marislei Nishijima; André Portela Fernandes de Souza; Flávia Mori Sarti

    2015-01-01

    There is little evidence in Brazil on the impact of child labor on health status in adulthood. This study aimed to investigate trends in child labor in Brazil and estimate the long-term effects of child labor on the health of Brazilian adults, using nationally representative databases (Brazilian National Household Sample Survey) from three different years (1998, 2003, and 2008). The models were based on a two-stage linear equation and Generalized Method of Moments (GMM). The results suggest t...

  2. Child Health Disparities: What Can a Clinician Do?

    Science.gov (United States)

    Cheng, Tina L; Emmanuel, Mickey A; Levy, Daniel J; Jenkins, Renee R

    2015-11-01

    Pediatric primary and specialty practice has changed, with more to do, more regulation, and more family needs than in the past. Similarly, the needs of patients have changed, with more demographic diversity, family stress, and continued health disparities by race, ethnicity, and socioeconomic status. How can clinicians continue their dedicated service to children and ensure health equity in the face of these changes? This article outlines specific, practical, actionable, and evidence-based activities to help clinicians assess and address health disparities in practice. These tools may also support patient-centered medical home recognition, national and state cultural and linguistic competency standards, and quality benchmarks that are increasingly tied to payment. Clinicians can play a critical role in (1) diagnosing disparities in one's community and practice, (2) innovating new models to address social determinants of health, (3) addressing health literacy of families, (4) ensuring cultural competence and a culture of workplace equity, and (5) advocating for issues that address the root causes of health disparities. Culturally competent care that is sensitive to the needs, health literacy, and health beliefs of families can increase satisfaction, improve quality of care, and increase patient safety. Clinical care approaches to address social determinants of health and interrupting the intergenerational cycle of disadvantage include (1) screening for new health "vital signs" and connecting families to resources, (2) enhancing the comprehensiveness of services, (3) addressing family health in pediatric encounters, and (4) moving care outside the office into the community. Health system investment is required to support clinicians and practice innovation to ensure equity. PMID:26459644

  3. School absence and treatment in school children with respiratory symptoms in the Netherlands: Data from the Child Health Monitoring System

    NARCIS (Netherlands)

    Spee-van Der Wekke, J.; Meulmeester, J.F.; Radder, J.J.; Verloove-Vanhorick, S.P.

    1998-01-01

    Study objective - To assess the prevalence of respiratory problems, and the relation of these problems with school attendance, medicine use, and medical treatment. Design - The Child Health Monitoring System. Setting - Nineteen public health services across the Netherlands. Participants - 5186 schoo

  4. Child Sexual Abuse and Women's Sexual Health: The Contribution of CSA Severity and Exposure to Multiple Forms of Childhood Victimization

    Science.gov (United States)

    Lacelle, Celine; Hebert, Martine; Lavoie, Francine; Vitaro, Frank; Tremblay, Richard E.

    2012-01-01

    Research studies have provided increasing evidence for the potential adverse impact of child sexual abuse on women's sexual health. The present study examined the association between child sexual abuse and sexual health while controlling for various forms of childhood victimization. Self-report questionnaires were administered to 889 young women…

  5. Psychosocial problems in pre-school children : Recognition and strategy applied by doctors and nurses in child health care objective.

    NARCIS (Netherlands)

    Reijneveld, SA; Brugman, E; Verhulst, FC; Verloove-Vanhorick, SP

    2005-01-01

    Psychosocial problems in pre-school children: recognition and strategy applied by doctors and nurses in child health care Objective. To assess the degree to which preventive child health professionals (CHPs) identify and manage psychosocial problems among pre-school children in the general populatio

  6. Psychosocial problems in pre-school children: Recognition and strategy applied by doctors and nurses in child health care objective

    NARCIS (Netherlands)

    Reijneveld, S.A.; Brugman, E.; Verhulst, F.C.; Verloove-Vanhorick, S.P.

    2005-01-01

    Psychosocial problems in pre-school children: recognition and strategy applied by doctors and nurses in child health care Objective. To assess the degree to which preventive child health professionals (CHPs) identify and manage psychosocial problems among pre-school children in the general populatio

  7. 78 FR 56240 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Meeting

    Science.gov (United States)

    2013-09-12

    ... and Human Development; Notice of Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Child Health and Human Development Special Emphasis Panel; Further Investigation into the Causes of..., Division of Scientific Review, National Institute of Child Health and Human Development, 6100...

  8. 76 FR 65516 - Eunice Kennedy Shriver National Institute of Child Health and Human Development Notice of Meeting

    Science.gov (United States)

    2011-10-21

    ... and Human Development Notice of Meeting Pursuant to section 10(d) of the Federal Advisory Committee... Institute of Child Health & Human Development, including consideration of personnel qualifications and... National Institute of Child Health and Human Development, NIH, 9000 Rockville Pike, Building 31, Room...

  9. Influence of caregiver network support and caregiver psychopathology on child mental health need and service use in the LONGSCAN study

    OpenAIRE

    Lindsey, Michael A.; Gilreath, Tamika D.; Thompson, Richard; Graham, J. Christopher; Hawley, Kristin M.; Weisbart, Cindy; Browne, Dorothy; Kotch, Jonathan B.

    2012-01-01

    Using structural equation modeling, this study examined the relationship of caregiver network support on caregiver and child mental health need, as well as child mental health service use among 1075 8-year-old children participating in the LONGSCAN study. The final model showed acceptable fit (χ2 = 301.476, df = 136, p

  10. 75 FR 39031 - Eunice Kennedy Shriver National Institute of Child Health and Human Development; Notice of Closed...

    Science.gov (United States)

    2010-07-07

    ... and Human Development Special Emphasis Panel, Child Health Research Career Development Program. Date... and Human Development; Notice of Closed Meeting Pursuant to section 10(d) of the Federal Advisory... Scientific Review, Eunice Kennedy Shriver National Institute of Child Health and Human Development,...

  11. Disadvantaged but Different: Variation among Deprived Communities in Relation to Child and Family Well-Being

    Science.gov (United States)

    Barnes, Jacqueline; Belsky, Jay; Broomfield, Kate A.; Dave, Sapna; Frost, Martin; Melhuish, Edward

    2005-01-01

    Background: Disadvantaged communities are increasingly the target for interventions. Sure Start was launched in England in 1999 to tackle child poverty and improve child and family services, with Sure Start Local Programmes (SSLPs) targeted at relatively small areas of marked deprivation. However, they are located in a range of different types of…

  12. Mother’s perceptions of child mental health problems and services: A cross sectional study from Lahore

    Science.gov (United States)

    Imran, Nazish; Ashraf, Sania; Shoukat, Rabia; Pervez, Muhammad Ijaz

    2016-01-01

    Objective: To assess the perceptions of mothers regarding child mental health problems, its causes, preferred treatment options, and to determine whom they would consult, if their child had a psychiatric illness. Methods: Following informed consent, a questionnaire covering perceptions regarding various aspects of child mental illness was used for data collection from mothers. They were asked to identify the symptoms and behaviours they considered psychopathological in children, which treatments they would prefer, where they would turn for help with a mentally ill child, and their understanding of the causes of child psychiatric disorders in addition to ways to increase awareness of child psychiatric issues in the society. Results: Ninety one mothers participated in the study. They equally perceived emotional, behavioural and cognitive symptoms as suggestive of mental ill health in childhood. Mothers perceived multiple causes of child mental health problems, including family problems, economic difficulties, social adversity and possession by evil spirits. A substantial proportion preferred medication, recitation of Holy Quran and psychotherapy as the preferred treatment options. Overall, mothers preferred consulting health professionals than religious scholars and faith healers. They were keen for steps to increase mental health awareness within their society. Conclusion: Despite different cultural perspective, mothers exhibit good understanding of symptoms of child mental health issues and appear open to various services and treatment options. Understanding parental perceptions and expectations from child psychiatric services are crucial in increasing families’ engagement in treatment. PMID:27375732

  13. Non-participation in preventive child health examinations at the general practitioner in Denmark

    DEFF Research Database (Denmark)

    Søndergaard, Grethe; Biering-Sørensen, Sofie; Michelsen, Susan Ishøy;

    2008-01-01

    , and older siblings) and parental characteristics (age, educational level, attachment to labour market, ethnicity, household income, and number of adults in the household). Results. Children of young and single parents were less likely to receive a preventive child health examination. Increased odds...... identified through register linkage. Main outcome measures. Crude and mutually adjusted odds ratios for non-participation in scheduled preventive child health examinations at the GP (age 5 weeks, 5 months, 12 months, 4 years, and 5 years) according to child characteristics (sex, number of hospitalizations...... ratios for non-participation were found for children of parents outside the labour market, with low educational level, and especially for the combination of these. Non-participation increased with decreasing household income and with the number of older siblings. Conclusion. Despite the fact that Denmark...

  14. Physical Child Abuse and Teacher Harassment and Their Effects on Mental Health Problems Amongst Adolescent Bully-Victims in Taiwan.

    Science.gov (United States)

    Yen, Cheng-Fang; Ko, Chih-Hung; Liu, Tai-Ling; Hu, Huei-Fan

    2015-10-01

    This study compared physical child abuse and teacher harassment of bully-victims with other groups and examined their associations with mental health problems in bully-victims. For 6,160 adolescents, experiences of physical child abuse, teacher harassment, peer bullying, and six mental health problem indicators were assessed. Adolescents that had experienced physical child abuse and teacher harassment were more likely to be bully-victims but not neutral or pure victims. Adolescents who reported physical child abuse were more likely to be bully-victims but not pure bullies. Bully-victims that had experienced teacher harassment exhibited more severe depression and insomnia than did those without teacher harassment. Gender had moderating effects on the difference in physical child abuse between bully-victims and neutrals and on the association between physical child abuse and suicidality in bully-victims. Physical child abuse and teacher harassment should be considered when preventive and intervention programs are developed for adolescents. PMID:25300192

  15. Child Health Issues in New Zealand: An Overview

    Science.gov (United States)

    Simmons, Darlene R.

    2007-01-01

    International travel can provide the unique opportunity to experience other cultures. For nurses, it can also provide a window through which different health care structures and services can be viewed. Many similarities and differences can be found between the country visited and the United States in terms of health issues, nursing education,…

  16. To what extent do Australian child and youth health policies address the social determinants of health and health equity?: a document analysis study

    OpenAIRE

    Phillips, Clare; Fisher, Matt; Baum, Fran; MacDougall, Colin; Newman, Lareen; McDermott, Dennis

    2016-01-01

    Background There is a significant body of evidence that highlights the importance of addressing the social determinants of child and youth health. In order to tackle health inequities Australian governments are being called upon to take action in this area at a policy level. Recent research suggests that the health and well-being of children and youth in Australia is ‘middle of the road’ when compared to other OECD countries. To date, there have been no systematic analyses of Australian child...

  17. Health seeking behaviour on child morbidity among minority group of people of Chandranighapur VDC, Rautahat district, Nepal

    OpenAIRE

    Maginsh Dahal; Kushalata Baral

    2015-01-01

    Background and Objectives: Health seeking behavior is the behavior of seeking health care during diseased condition. Various studies from developing countries have reported that delay in seeking appropriate care and not seeking any care contributes to the large number can lead to large number of child deaths. The study was carried out to assess the health seeking behavior during child morbidity and availability of modern health care facilities among Minority groups of people. Methods: A descr...

  18. Ethnicity and child health in northern Tanzania: Maasai pastoralists are disadvantaged compared to neighbouring ethnic groups.

    Science.gov (United States)

    Lawson, David W; Borgerhoff Mulder, Monique; Ghiselli, Margherita E; Ngadaya, Esther; Ngowi, Bernard; Mfinanga, Sayoki G M; Hartwig, Kari; James, Susan

    2014-01-01

    The Maasai of northern Tanzania, a semi-nomadic ethnic group predominantly reliant on pastoralism, face a number of challenges anticipated to have negative impacts on child health, including marginalisation, vulnerabilities to drought, substandard service provision and on-going land grabbing conflicts. Yet, stemming from a lack of appropriate national survey data, no large-scale comparative study of Maasai child health has been conducted. Savannas Forever Tanzania surveyed the health of over 3500 children from 56 villages in northern Tanzania between 2009 and 2011. The major ethnic groups sampled were the Maasai, Sukuma, Rangi, and the Meru. Using multilevel regression we compare each ethnic group on the basis of (i) measurements of child health, including anthropometric indicators of nutritional status and self-reported incidence of disease; and (ii) important proximate determinants of child health, including food insecurity, diet, breastfeeding behaviour and vaccination coverage. We then (iii) contrast households among the Maasai by the extent to which subsistence is reliant on livestock herding. Measures of both child nutritional status and disease confirm that the Maasai are substantially disadvantaged compared to neighbouring ethnic groups, Meru are relatively advantaged, and Rangi and Sukuma intermediate in most comparisons. However, Maasai children were less likely to report malaria and worm infections. Food insecurity was high throughout the study site, but particularly severe for the Maasai, and reflected in lower dietary intake of carbohydrate-rich staple foods, and fruits and vegetables. Breastfeeding was extended in the Maasai, despite higher reported consumption of cow's milk, a potential weaning food. Vaccination coverage was lowest in Maasai and Sukuma. Maasai who rely primarily on livestock herding showed signs of further disadvantage compared to Maasai relying primarily on agriculture. We discuss the potential ecological, socioeconomic, demographic

  19. Ethnicity and child health in northern Tanzania: Maasai pastoralists are disadvantaged compared to neighbouring ethnic groups.

    Directory of Open Access Journals (Sweden)

    David W Lawson

    Full Text Available The Maasai of northern Tanzania, a semi-nomadic ethnic group predominantly reliant on pastoralism, face a number of challenges anticipated to have negative impacts on child health, including marginalisation, vulnerabilities to drought, substandard service provision and on-going land grabbing conflicts. Yet, stemming from a lack of appropriate national survey data, no large-scale comparative study of Maasai child health has been conducted. Savannas Forever Tanzania surveyed the health of over 3500 children from 56 villages in northern Tanzania between 2009 and 2011. The major ethnic groups sampled were the Maasai, Sukuma, Rangi, and the Meru. Using multilevel regression we compare each ethnic group on the basis of (i measurements of child health, including anthropometric indicators of nutritional status and self-reported incidence of disease; and (ii important proximate determinants of child health, including food insecurity, diet, breastfeeding behaviour and vaccination coverage. We then (iii contrast households among the Maasai by the extent to which subsistence is reliant on livestock herding. Measures of both child nutritional status and disease confirm that the Maasai are substantially disadvantaged compared to neighbouring ethnic groups, Meru are relatively advantaged, and Rangi and Sukuma intermediate in most comparisons. However, Maasai children were less likely to report malaria and worm infections. Food insecurity was high throughout the study site, but particularly severe for the Maasai, and reflected in lower dietary intake of carbohydrate-rich staple foods, and fruits and vegetables. Breastfeeding was extended in the Maasai, despite higher reported consumption of cow's milk, a potential weaning food. Vaccination coverage was lowest in Maasai and Sukuma. Maasai who rely primarily on livestock herding showed signs of further disadvantage compared to Maasai relying primarily on agriculture. We discuss the potential ecological

  20. Child labour in footwear industry: Possible occupational health hazards

    Directory of Open Access Journals (Sweden)

    Tiwari Rajnarayan

    2005-01-01

    Full Text Available The constitution of India, as a part of the fundamental rights, has laid down that the State shall direct its policy towards protection of childhood and youth against exploitation and shall not be employed to work in any factory or mine or engaged in any hazardous employment. India has the largest number of urban and rural child workers in the world. The Government of India acknowledges at least 17.5 million working children.2 Footwear industry is also one of the major export oriented industry employing a large number of children. The Footwear Industry is a significant segment of the Leather Industry in India. India ranks second among the footwear producing countries next to China. The industry is labour intensive and is concentrated in the small and cottage industry sectors. While leather shoes and uppers are concentrated in large-scale units, the sandals and Chappals are produced in the household and cottage sector. The major production centers India are Chennai, Ranipet, Ambur in Tamil Nadu, Mumbai in Maharashtra, Kanpur and Agra in Uttar Pradesh, Jalandhar in Punjab and Delhi. The processes in the footwear making include last making, pattern cutting, clicking, Sewing, Assembling and Finishing. Children between 10 and 15 years old are mainly employed in assembling shoes. Some 80 percent of the children work for contractors at home. Children work on soling (fixing upper portions of shoes to leather or rubber soles with glue. Children in cramped poorly lit rooms suffer from continuous skin contact with industrial adhesives and breathing vapors from glues. The children working in the footwear industry are exposed to physical factors like poor illumination, noise and poor ventilation, and chemicals like leather dust, benzene that is used as a solvent in glues and p-tert butyl phenols, which is used in neoprene adhesives. Thus most children suffer from respiratory problems, lung diseases and skin infections through constant exposure to glue and