Health in Child Day Care: The Physician—Child-Care-Provider Relationship

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1062-1063
Author(s):  
Howard L. Taras
Keyword(s):  
Child Care ◽  
Health Professionals ◽  
Day Care ◽  
Health And Safety ◽  
Child Care Providers ◽  
Health Issues ◽  
Care Providers ◽  
Gastrointestinal Infections ◽  
Child Day Care ◽  
Care Givers

Health promotion and disease prevention strategies for child day-care have not kept pace with the needs of children. One example is the inconsistent interaction between community physicians and child-cane providers. Although there isn't yet data documenting benefits of increased communication between health practitioners and child-care professionals, there is speculation by many that these sorts of physician-community liaisons will help to close serious gaps in current health-care practices.1-3 This paper reviews how increased physician involvement could improve the health situation in child day care and explores ways physicians can become more involved. THE HEALTH NEEDS Need for Consultants There are basic and predictable health issues that arise from grouping young children together. They are topics for research and discussion among epidemiologists, medical investigators, and other health professionals. The issues include exclusion criteria for attendance in day care, spread of respiratory and gastrointestinal infections,4 the potential for childhood viruses to affect unborn children of pregnant care givers,5 medication policies,6 and the pros and cons of "sick-care" centers.7 Other health issues such as child development and emotional, behavioral, and nutritional health of children are also under study.8 This body of literature has served to define most health consultation needs of child day-care programs. Few day-care centers on family day-care homes actually use a health consultant.9 It is hoped that publication of the American Public Health Association's and American Academy of Pediatrics' (APHA/AAP's) National Health and Safety Performance Standards10 and its distribution to health professionals and child-care providers will help to change that. Its success depends partly on whether health professionals will be available, willing, and trained to serve as health consultants.

Occupational Health and Safety Issues for Child-Care Providers

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1072-1074
Author(s):  
Judith Calder
Keyword(s):  
Child Care ◽  
Occupational Health ◽  
Day Care ◽  
Health And Safety ◽  
Work Force ◽  
Child Care Providers ◽  
Care Providers ◽  
Safety Issues ◽  
Care Givers ◽  
Health And Safety Issues

This paper reviews the occupational health and safety issues for child-care providers. Specifically, it answers the following questions: Who are the care givers? What are their risks of occupational illness and injury? What are the risks to children from care givers? Who pays to reduce the risk? What future research is needed to identify potential risks to and strategies for this work force and their clients? WHO ARE THE CARE GIVERS? Out-of-home child care is provided in two ways: in child-care centers (larger facilities designed especially for the care of children) and in family day-care homes. Persons who obtain day care know the care givers personally. They are the people who make it possible for parents to be dependable, productive, and worry-free employees or students. More importantly, they are the ones entrusted to care for children for as much as 50 hours a week. Parents expect their children to be safe, treated with respect, and nurtured in ways that are specific, familiar, and compatible with the family's child-rearing beliefs. Parents also expect care givers to be adroit in addressing their concerns as well as their children's. Despite all of this personal interaction, few parents are aware of the characteristics of the child-care work force, the conditions under which they work, and their impact on quality child-care services. The Child-Care Employee Project (CCEP), a national non-profit resource organization devoted to addressing adult needs associated with child care, developed a profile of child-care workers by compiling and examining data on center-based child care as part of the National Child-care Staffing Study (NCCSS).1

Attitudes of Russian Immigrant and Israeli-Born Women toward Child-Care Services

1994 ◽  
Vol 74 (3) ◽  
pp. 880-882
Author(s):  
Richard E. Isralowitz ◽  
Ismael Abu Saad
Keyword(s):  
Child Care ◽  
Day Care ◽  
Child Care Providers ◽  
Care Providers ◽  
Family Day Care ◽  
Care Services ◽  
Child Care Services

Israel, like most other societies, has a variety of subgroups differentiated by ascribed attitudes or characteristics which are imputed to individuals. These differences may be reflected by attitudes which are evaluative statements concerning objects, people, or events. In this study the attitudes of Israeli women—30 veterans and 30 newly arrived from the Soviet republics—toward family day-care services were examined. A number of significant differences between the study cohorts, such as amount of interaction between parents and child-care providers, were found and have implications for provision of service and absorption of immigrants.

Validity and Reliability of a Mainstreaming Attitude Inventory for Child-Care Providers

1995 ◽  
Vol 80 (3_suppl) ◽  
pp. 1113-1114 ◽  
Author(s):  
Sherry L. Folsom-Meek
Keyword(s):  
Child Care ◽  
Day Care ◽  
Reliability And Validity ◽  
Child Care Providers ◽  
Care Providers ◽  
Validity And Reliability ◽  
Attitude Inventory

Preliminary estimates of reliability and validity for the Mainstreaming Attitude Inventory for Day Care Providers.

scholarly journals CHILD CARE OR CHILD SCARE: ENHANCING THE LEGAL REQUIREMENTS ON HEALTH AND SAFETY IN CHILD CARE CENTRES LAWS AND REGULATIONS IN MALAYSIA

2021 ◽  
Vol 6 (24) ◽  
pp. 177-185
Author(s):  
Mashitah Abdul Mutalib ◽  
Nik Salida Suhaila Nik Saleh ◽  
Nurfadhilah Mohamad Ali
Keyword(s):  
Child Care ◽  
Child Protection ◽  
Health And Safety ◽  
Structural Quality ◽  
Child Care Providers ◽  
Care Providers ◽  
Care Centre ◽  
Child Care Centre ◽  
Legal Requirements ◽  
Laws And Regulations

Health and safety are the required legal requirements that need to be regulated in-laws and regulations of child care centres. These legal requirements are categorised as structural quality features which are often translated into laws and regulations in ensuring quality child care for children. This paper examines the question of whether the health and safety legal requirements necessitate improvements in the legislative framework of Malaysian child care. The laws and regulations in Malaysia on health and safety requirements as stated in the Child Care Centre Act 1984 and Child Care Centre Regulation 2012 are evaluated according to the relevant sections and regulations. Recommendations are made in enhancing laws and regulations in child care centres in Malaysia regarding health and safety. The qualitative method was used in this study using document analysis especially the related laws in Malaysia. Cross-reference to other jurisdictions’ laws and regulations such as Australia and Singapore was also conducted. In conclusion, enhancement on health and safety features need to be made especially with regards to knowledge on child protection law amongst child care providers, prohibition of employment, laws, and regulations on incidents, injury and trauma, and medicine and drugs administration.

Ensuring Quality, Affordable Child Care: Mobilizing for Action

PEDIATRICS ◽  
1993 ◽  
Vol 91 (1) ◽  
pp. 244-247
Author(s):  
Patricia Schroeder ◽  
Nancy D. Reder
Keyword(s):  
Child Care ◽  
Health And Safety ◽  
Child Care Providers ◽  
Care Providers ◽  
Federal Programs ◽  
Safety Standards ◽  
Department Of Health ◽  
Draft Model ◽  
Affordable Child Care ◽  
Quality Child

In October 1990, Congress passed legislation authorizing two new major federal programs to subsidize child care for low- and moderate-income families and to improve the quality of care. The provisions were included in the Omnibus Budget Reconciliation Act of 1990,1 a multilayered funding and taxing measure enacted by Congress in the waning days of the 101st Congress. The battle to secure federal financial support for affordable, quality child care took nearly 20 years. The new law is significant, not just because it will provide hundreds of millions of federal dollars to help financially strapped families pay for child care, but because it represents an acknowledgment of the need for a federal child care policy. The legislation that ultimately passed, however, reflects a substantial compromise with the Act for Better Child Care (the "ABC bill") as it was originally drafted, particularly with respect to the provisions that address the aspects of child care concerned with quality. (The legislation was originally introduced in the 100th Congress as the Act for Better Child Care of 1987 by Senator Dodd (D-CT) and Rep Dale Kildee (D-MI). It was reintroduced in the 101th Congress (S 5/HR 30) but was folded into the Budget Reconciliation Act as Congress rushed to finish work on the bill and ensure its passage as part of the more comprehensive funding measure.) Proponents of the ABC bill had originally hoped that the legislation would include federal health and safety standards for child care providers. However, the Bush administration opposed federal standards, even provisions that would have required the Department of Health and Human Services (HHS) to draft model standards that states would then be encouraged to use as guidelines.

The Potential Health Benefits of Child Day Care

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1050-1052
Author(s):  
Linda A. Randolph
Keyword(s):  
Child Care ◽  
Head Start ◽  
Day Care ◽  
Health Benefits ◽  
Well Being ◽  
Political Support ◽  
Care Providers ◽  
Potential Health ◽  
Health Maintenance ◽  
Child Day Care

Child day-care programs are a part of an ecologic formulation of the contribution of family and the community to improved children's health. How does the promise of the possible become a reality? Head Start may provide some clues. As a large-scale national child-development program with integrated health, education, social services, and parent involvement components, Head Start assumes a responsibility for assuring access to needed health knowledge, health maintenance skills, and health services. It has standards for each component, a training and technical assistance capacity, and funding through bipartisan political support. It is not perfect; quality is uneven and it evolves as health standards are revised on the basis of new scientific information. Head Start places emphasis on community health advocacy. The needs of children and families will largely determine the combination of functions child care might assume. Until this nation recognizes that access to primary health care for all its citizens, especially its children, is non-negotiable, all child-care programs including Head Start are still at a significant disadvantage in realizing their potential.16 As the nation embraces the Education 2000 goal of all children being ready to learn when they enter school, child-care programs can play a significant role in helping children attain the health benefits that will foster that success in school.17 This cannot be accomplished by the programs alone, however. Health professionals must form partnerships with child-care providers to assist them in using their considerable expertise to promote the health and well-being of families who use their services.

Infectious Disease in Child Day Care: An Overview

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 987-990
Author(s):  
Michael T. Osterholm
Keyword(s):  
Public Health ◽  
Child Care ◽  
Infectious Diseases ◽  
Day Care ◽  
Health And Safety ◽  
Health Science ◽  
American Public Health Association ◽  
Child Day Care ◽  
Health Association ◽  
Care Health

In the early 1980s, the Minnesota Department of Health began to address the growing concern of the risk of infectious diseases in child day care by initiating a planning process that resulted in the first national symposium on infectious diseases in child day care. That symposium, which was held in June 1984 in Minneapolis, highlighted the fact that different vocabularies and points of reference would need to be bridged if day-care providers and regulators, clinicians, and public health practitioners are to work side-by-side in defining the risk of infectious diseases in day care and in developing appropriate prevention strategies.1 As a result of this meeting, the Minnesota Public Health Association submitted a resolution to the American Public Health Association (APHA) in the fall of 1984, stating that child-care standards, especially in the area of prevention of infectious diseases, were needed. This resolution, together with a simultaneous recommendation from the APHA's Maternal and Child Health Section for the development of health and safety standards for out-of-home child-care facilities, began a process which eventually led to the monumental effort now known as the American Public Health Association/American Academy of Pediatrics, National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs.2 In June, 1992, the Centers for Disease Control and Prevention sponsored the "International Conference on Child Day Care Health: Science, Prevention and Practice," a historic meeting bringing together concerned individuals from many disciplines to further define and set the future agenda for the science, prevention and practice of child day-care health.

Concurrent Session on Health Promotion: A Summary

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1070-1071
Author(s):  
Howard L. Taras ◽  
Cristine M. Trahms ◽  
Pamela B. Mangu ◽  
Faye L. Wong
Keyword(s):  
Health Promotion ◽  
Child Care ◽  
Health Education ◽  
Day Care ◽  
Essential Elements ◽  
Preventive Health ◽  
Preschool Age ◽  
Health Practices ◽  
Care Providers ◽  
Child Day Care

Health promotion in child care encompasses components of environmental health and safety, individual and group preventive health practices, medical care, and health education. Child-care providers, children in child day care, and their families have all been appropriate targets for such efforts. It is not surprising, therefore, that goals for health promotion have been vast, complex, and difficult to reach. The purposes of this session are to outline specific and essential elements of health promotion in child day care and to identify realistic ways to make progress toward achieving them. HEALTH EDUCATION AND CHILD DAY CARE To achieve a healthier environment in child day care, it is essential to raise the sense of awareness about the importance of preventive health practices. This is important for child day-care providers, parents of children attending child care, and children. Packaged health curricula for preschool-age children and toddlers have been designed specifically for child day-care settings. Although their ability to improve child health practices is still under investigation, these curricula serve to intensify awareness among children and providers about the importance of safety and hygiene. Health education for preschoolers can also be taught more informally and without a set curriculum. Child day-care providers can add a health component to other activities during the day. A few extra words added to statements made to preschoolers can transform routine instructions into health-promotion messages. "Let's wash our hands before we eat, so that we don't eat the germs that are on our hands after playing outside" is an example.

Black Child Care Practices in the Midwest

PEDIATRICS ◽  
1988 ◽  
Vol 82 (5) ◽  
pp. 789-790
Author(s):  
JOHN N. WALBURN ◽  
JEANNETTE M. PERGAM ◽  
SAMUEL H. PERRY ◽  
JANE JENSEN
Keyword(s):  
Child Care ◽  
Medical Center ◽  
Cultural Beliefs ◽  
Black Child ◽  
Child Rearing ◽  
First Year ◽  
Child Care Providers ◽  
Care Providers ◽  
Care Givers ◽  
Institutional Review

A recent incident involving a shocked first-year pediatric resident who observed a black teenage mother chewing part of a tuna sandwich and feeding the resultant "mush" to her 8-month-old infant stimulated us to look for documentation of various child-rearing practices that were familiar to us from our work with mothers of various ethnic groups. There is ample literature describing cultural beliefs about disease causation and cure; however, we could find little that described day-to-day parenting behaviors. We surveyed 68 black child care providers in Omaha, concerning their knowledge and use of child-rearing practices for infants (Table). METHODS A questionnaire approved by the University of Nebraska Medical Center Institutional Review Board was administered nonrandomly to black care givers by personnel in our pediatric clinics or by public health nurses during home visits.

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