scholarly journals Efforts for early detection of child abuse - Actual condition survey of infant dental checkups at health centers

2020 ◽  
Vol 6 (2) ◽  
Author(s):  
Shigeru Watanabe ◽  
Hiromi Ohthuka ◽  
Aiko Hoshiai ◽  
Yukiko Yamamura ◽  
Eri Sambuichi ◽  
...  
2020 ◽  
Author(s):  
Wonjeong Chae ◽  
Jieun Jang ◽  
Eun-Cheol Park ◽  
Sung-In Jang

Abstract Background: A victim of child abuse can often develop mental illness. The early detection of mental illness of children could be supported by observing sleep quality. Therefore, we examined the relationship between sleep quality and the changes in child abuse by the child’s own parents over the study period. Methods: Data from the 2011-2013 Korean Children and Youth Panel Survey was used and 2012 was set as the baseline. Adolescents who had poor sleep quality in 2011 were excluded from the analysis to obtain the final study population of 1,276 adolescents aged 14 and 15 years. The generalized estimating equation model (GEE) was used for statistical analysis.Results: Children who had experienced and/or were currently experiencing child abuse showed significantly poorer sleep quality (current year abuse only: odds ratio [OR] = 0.57, 95% confidence interval [CI] = 0.41, 0.79; prior year abuse only: OR = 0.72, 95% CI = 0.52, 0.99; continuous abuse: OR = 0.56, 95% CI = 0.39, 0.80) compared to children who had no experience of child abuse. Conclusion: Child abuse remains a traumatic experience that influences the quality of sleep and hinders the child’s proper psychological development. We suggest approaching this issue at both the community and national levels to protect the victims.


2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Jillian N. Printz ◽  
Aaron Baker ◽  
Michele Carr

Limited reports of oropharyngeal trauma exist in the literature even though this type of injury is extremely common in pediatric populations. There are no widely agreed upon diagnostic and management tools for such injuries in abuse cases, emphasizing the importance of reporting rare cases of orofacial trauma. This case report of a soft palate laceration demonstrates an instance of initially unrecognized potential child abuse. We aim to clarify understanding of such injuries. Furthermore, the report highlights the need for recognition of oral signs of child abuse in order to promote early detection, reporting, and appropriate management.


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 135s-135s ◽  
Author(s):  
B. Ntacyabukura

Background and context: Over 250,000 new pediatric cancer cases are diagnosed yearly worldwide. Health care providers (mainly nurses) at health centers (HC) level are the children´s first opportunity for correctly recognizing and responding to early signs and symptoms of childhood cancers by appropriately referring them to district hospitals but studies show that 83% of nurses did not receive training on pediatric cancers. Insufficient knowledge about the warning signs and symptoms of pediatric cancer usually leads to improper diagnosis or delay to diagnosis and hence loss of many lives of these children. After realizing that majority in our community lack information on childhood cancers, our efforts since 2017 has been concentrated on training primary healthcare providers to recognize early signs and symptoms of childhood cancers. Aim: Improve survival of children with cancer by early detection of symptoms and signs and prompt referral by nurses at health centers. Strategy/Tactics: The program is consisted of trainings in selected regions of Rwanda. The first step is a “train the trainer workshop” where volunteering medical students and doctors are trained to train the nurses and community health workers. A two days workshop is organized subsequently in each province bringing together at least with one nurse from each selected health center. These trained nurses go back with materials to train their colleagues. They are followed up every three months with a survey to assess how much they retain the learned knowledge and the impact made. Prior to trainings, RCCR and pediatric oncologists develop training materials that include training curriculum for both the trainers and for the trainees (nurses), educational and awareness material (posters, fliers, brochures). Trained nurses are kept in RCCR database for their follow-up and track any case of a childhood cancer at their health facilities. Program/Policy process: The program is run in 4 phases, Phase 1: Develop training materials materials Phase 2: Recruitment and train the trainer phase Phase 3: Selection of health center and recruitment of healthcare providers Phase 4: The execution phase. Trainings are carried out in selected health centers. Phase 5: Post training follow-up. Outcomes: In 2017, the program was conducted in 4 health centers and around 90 health care providers were trained with more than 800 posters, 950 brochures and 300 flyers distributed. According to reports, after the training, the number of referrals from health centers increased and the posttraining showed how accurate nurses were in stating their differential diagnoses. What was learned: Childhood cancers are curable when detected and treated early, there is a need to build strong partnerships with private and public sectors to address the challenge of early detection and late presentation at the hospital because the program of training primary healthcare providers showed a good impact.


Author(s):  
Murtadha Kadhim Yasir ◽  
Ali Jern Hasson ◽  
Alaa Hussein Abed

One of the main important public health objectives is the prevention of childhood asthma. Evaluating the effectiveness of early detection of childhood asthmatic symptoms, followed by a counseling intervention at preventive child health centers is the corn stone of this study. Early detection and counseling is expected to reduce the prevalence of asthma symptoms and improve health quality in general. This study aimed to evaluate the early detection program of asthma through structure or preconditions of early detection program of asthma, process to be carried out to deliver this program, outcome (Intermediate and ultimate indicators) and lastly opinion of consumers and providers. Evaluation type of study had been conducted all over the 2016. Nine health care centers were involved since the 1st week of January 2016, where an early detection tool had been applied at age groups 1, 2-5, 6 and more than 6 years at the intervention centers. Children who met the intervention criteria received counseling intervention (personal advice to parents to prevent the child from exposure to smoking, and/or referral to the general practitioner or asthma nurse). The primary outcome was asthma diagnosis at age 6 years. Secondary outcomes included frequency and severity of asthma symptoms, health-related quality of life at age 6 years. Analysis was done according to the intention-to-treat principle. Data collection was completed at the 1st of November 2016. Evaluation of the present input, process of PHC for early detection program resulted in: Providing most of the human resources in terms of laboratory assistants and coordinators of the program. Providing most of the material resources such as pressure gauges, medical handset and scales and tape measure height and waist needed to work in the laboratory with the availability of a suitable place for the work program staff to do their job and appliances. The percentage for input was 60% for all PHCs. While regarding consumer satisfaction: Most of consumer are highly satisfied 149 (80.1%) while not satisfied only 8 (4.3%) and high numbers gave the reason due to good services 97 (52.5%) and no comments 71 (38.2%). Regarding the proportion of the detected cases for different non communicable diseases was 44.1% of the whole population that have alarming sign and symptoms of NCD. The lack of doctors of all spatiality (GP, graduted doctors and specialist), lack of some essential tools, following wrong guidelines for this program by general health department by abolishment many ministerial guidelines, human mistakes and lack of training of staff of program, there no feedback mechanism for referral patient from hospital to PHC, lack of some treatment and investigations and some services not free.


2013 ◽  
Vol 3 (1) ◽  
pp. 39-44 ◽  
Author(s):  
M. V. Greiner ◽  
V. J. Palusci ◽  
B. R. Keeshin ◽  
S. C. Kearns ◽  
S. H. Sinal

SOEPRA ◽  
2019 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Ni Luh Gede Wira Yanti ◽  
Endang Widyorini ◽  
Bernadeta Resti Nurhayati

Every child had the rights to survive, grow, and well develop to perfect adulthood.However, many children with special needs were factually ignored by their families even theywere often considered as family’s disgrace. The government, through midwives, could play arole in minimising the risks experienced by children with special needs by doing stimulation,early detection and intervention to child’s growth disruption.This research usedsocio‐legal approach with the analytical‐descriptive specification. Primarydata were obtained from interviews with Head of Health Centers (Puskesmas) of Mergangsan,Jetis and Tegalrejo beside with midwives, integrated service post (posyandu) cadres, and fiveparents of children with special needs. Secondary data were obtained from books and legalmaterials related to the research. The data were then qualitatively analysed.The results showed that the three Health Centers (Puskesmas), namelyMergangsan, Jetis andTegalrejo, had implemented the Health Minister’s Regulation Nr. 66 of 2014. The HealthCenters had programs having relations with child’s growth that was SDIDTK (stimulation, earlydetection and intervention of growth disruption). Midwives had performed their roles instimulation, early detection and intervention of growth disruption thorough examination thatwas monthly conducted together with posyandu’s activities at the Health Centers.Supporting factors of the monitoring implementation of a child’s growth, development anddevelopment disruption included health care facilities, adequate human resources (healthworkers), affordable posyandu’s costs and cross‐sectorial cooperation. The inhibiting factorswere low‐income family’s supports, unfavourable social and economic conditions and mother'sknowledge that remained poor.


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 143s-143s
Author(s):  
L.M.F. Sirait ◽  
L.A. Anggreni ◽  
W.E. Prasetyo ◽  
W. Kendar Susantyo ◽  
R.K. Priharto

Background and context: According to GLOBOCAN data 2012, cervical cancer in Indonesia was in 2nd rank of cancer incidence for women in Indonesia. Aim: To raise public awareness toward cervical cancer and to increase the number of citizens who go through the early detection procedure of cervical cancer in Jakarta. Strategy/Tactics: In January 2017, Department of Health of Special Capital Region of Jakarta issued a new policy to increase the rate of cervical cancer screening in the city. The new policy includes: 1. A new reporting system in which all the patients who are subjected to cervical cancer screening to be recorded in a special form, so it can be well reported and traced. 2. The changes in the conventional way of cervical cancer screening in primary health centers into mobile service to make the medical staffs able to easily reach patients who live in peripheral areas in Jakarta. Program/Policy process: The enhancement of health education on cervical cancer and health promotion regarding the importance of cervical cancer screening using public transportation (Transjakarta bus), Papanicolaou test, and VIA test socialization in primary health centers. The results were obtained and assessed between January 2017-December 2017. Early detection rates were expected to increase by 50% compared with 2016. Outcomes: The results obtained include: 1. The new reporting system works as expected, tracing the patient with a positive VIA value becomes easier to monitor. 2. Medical teams are more active on introducing the early detection cervical cancer screening to society. 3. Various innovations were carried out, among others, by using public transportation, motorcycles to carry the medical tools and devices, a modified car that is equipped with mobile health services, and a house of citizens and the community hall that were turned into a place for examination. The number of people who have started to realize to do early detection after being educated with the knowledge of VIA test and cervical cancer is increased. The number of citizens who joined the cervical cancer early detection in 2016 was 48,960. After the policy and innovation was applied, the number increased into 105,060 citizens (increased by 114% from the previous year). What was learned: The increase of early detection rate of cervical cancer is quite significant from the previous year. For patients with positive result in their VIA test, cryotherapy was included as the part of treatment and follow-up. Costs incurred due to the treatment of cervical cancer can be reduced. With the result of this study, we can learn that there is an improvement in the quality of health services so that the number of deaths and morbidity from cervical cancer in Jakarta can be reduced.


2020 ◽  
Vol 8 (1) ◽  
pp. 90-101
Author(s):  
Siti Masitoh ◽  
Mardeyanti Mardeyanti

The high incidence of cervical cancer in Indonesia is up to almost 80%. The cause of action is needed early detection through examination visual inspection with acetic acid/pap smear as a precaution to handling this disease. Women have avoided early detection through pap smear due to a lack of knowledge.  The study's purpose was to determine the effect of health education with the module and video testimonials on increasing knowledge, attitude, and behavior in the early detection of cervical cancer by pap smear in Community Health Centers District Cipayung.  This study uses a Quasi Experiment with pretest-posttest design in two groups, consisting of groups with a module method and groups by watching testimonial videos. Data obtained from questionnaires for knowledge, attitude, and behavior. The total samples are 70. Each group is 35 respondents.  The results showed in the module group, and there were differences in knowledge before and after health education (p-value 0,000) and behavior (0.029). There are differences in knowledge (p-value 0.046) and behavior (0,000). This study also shows differences in behavior after getting health education between modules and video testimonials (p-value 0.003). Education of respondents influences knowledge (p-value 0,000).  Health education using video testimonials increases attitudes and behaviors towards the early detection of cervical cancer.


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