American Public Health Association/American Academy of Pediatrics National Health and Safety Guidelines for Child-Care Programs: Featured Standards and Implementation

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1110-1112
Author(s):  
Debra Hawks ◽  
Joan Ascheim ◽  
G. Scott Giebink ◽  
Stacey Graville ◽  
Albert J. Solnit

In response to the potential for illness and injury in group care for children and a growing need for national guidance on health and safety aspects of child care, the American Public Health Association (APHA) and the American Academy of Pediatrics (AAP) developed national health and safety guidelines for child-care programs. This collaborative effort culminated in the publication, Caring for Our Children—National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs.1 The APHA/AAP guidelines address the following technical content areas: • environmental quality; • prevention and control of infectious diseases; • injury prevention and control; • general health; • nutrition; • prevention and management of child abuse; • staff health; • children with special needs; • health concerns related to social environment and child development; • health and safety organization and administration. While all of these content areas are important in terms of health and safety, some tend to receive more attention. Certain standards in each of the featured content areas are highlighted on the basis of the perceived significance to care givers and health professionals; the reflection of new knowledge and state of the art; possible controversy; on considerations for implementation. HEALTH CONCERNS RELATED TO SOCIAL ENVIRONMENT AND CHILD DEVELOPMENT This technical area describes the standards on social environment and child development in the service of promoting physical and mental health. One of the most substantial achievements was to describe the qualifications, numbers, and availability of adults caring for young children in out-of-home settings.1 The National Research Council in its report, Who Cares for America's Children?

PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1101-1104
Author(s):  
Susan S. Aronson

THE DEVELOPMENT OF THE APHA/AAP STANDARDS In 1992, the American Public Health Association (APHA) and the American Academy of Pediatrics (AAP) published the long-awaited Caring for Our Children—National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs.1 This publication was the product of a 4-year effort involving many experts in child health and safety and day-care providers. The standards document provides a national consensus on approaches to reducing diseases and injury and promoting prevention among children and providers in group-care settings. Consumer protection initiatives are needed because market-place forces are inadequate to ensure a health environment for children in child care. Over the past two decades, a growing number of investigators have documented the increased occurrence of infectious diseases2-4 and injuries,5-7 and missed opportunities for health protection and promotion in child care.8 Despite the tendency to focus on reports of negative health outcomes, children and families thrive in early childhood programs that provide safe, nurturing care and developmentally appropriate education. Day-to-day excellence in child care depends on committed, well-educated care givers who work in a child-friendly and staff-friendly environment. In the US, good child care is limited. Few parents can afford the full cost of care. Most lack the knowledge, skills, or objectivity to critically evaluate the care they choose for their children. Convenience, availability, and affordability motivate parents when they choose child care. Parents are pressured to meet occupational expectations, and tend to overlook significant risks in their children's child-care arrangements. Even parents who are pediatricians (who are expected to be well-versed in child development, health, and safety) ignore hazards and poor quality when rating convenient and available child-care arrangements (Aronson S, unpublished data).


PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 1107-1108
Author(s):  
Albert Chang

Caring for Our Children represents a model collaboration of government, voluntary health associations, and individuals in a national aspiration to create in every child-care setting a safe, healthful, and nurturing environment for our children, our most valuable resource and our future.


2010 ◽  
Vol 7 (s1) ◽  
pp. S108-S119 ◽  
Author(s):  
Angie L.I. Cradock ◽  
Emily M. O'Donnell ◽  
Sara E. Benjamin ◽  
Elizabeth Walker ◽  
Meghan Slining

Background:As interventions increasingly emphasize early child care settings, it is necessary to understand the state regulatory context that provides guidelines for outdoor physical activity and safety and sets standards for child care environments.Methods:Researchers reviewed regulations for child care facilities for 50 states, the District of Columbia and the Virgin Islands. We compared state regulations with national standards for 17 physical activity- and safety-related items for outdoor playground settings outlined in Caring for Our Children: National Health and Safety Performance Standards: Guidelines for Out-of-Home Child Care Programs (CFOC). State regulations were coded as fully, partially or not addressing the CFOC standard and state-level summary scores were calculated.Results:On average, state regulations fully addressed one-third of 17 CFOC standards in regulations for centers (34%) and family child care homes (27%). Data suggest insufficient attention to outdoor play area proximity and size, equipment height, surfacing, and inspections.Conclusions:Considerable variation exists among state regulations related to physical activity promotion and injury prevention within outdoor play areas. Many states' regulations do not comply with published national health and safety standards. Enhancing regulations is one component of a policy approach to promoting safe, physically active child care settings.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (6) ◽  
pp. 987-990
Author(s):  
Michael T. Osterholm

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.


2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Daviq Chairilsyah

The golden age is a critical period where parents must provide discipline as an initial foundation for children to be able to apply discipline early on. The formation of this initial discipline will influence and also determine the discipline of children at a later stage of development. Cultivation of discipline needs to start as early as possible starting from within the family, the educational environment, and the community environment. Through discipline, children can learn to behave in a way that is approved by the social environment. Discipline is defined as compliance with regulations or subject to supervision and control as an exercise that aims to develop themselves to behave in an orderly manner. The things that can be done by parents and teachers is by practising the discipline of children routinely and consistently, getting used to behaving by values based on moral standards, and the need for parental control to develop internalized children. Besides, also recognize the age and stage of child development, invite children to talk from heart to heart, apply the consequences they receive when doing an action and finally give praise to the child when it is disciplined.


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