scholarly journals Cross-sectional study of a child health care programme at one family practice centre in Saudi Arabia

2000 ◽  
Vol 6 (2-3) ◽  
pp. 246-259
Author(s):  
M. S. Khattab

We randomly selected 100 mothers with children under 2 years attending an immunization clinic to measure satisfaction with and the effects of a child health care programme. Mean duration of breastfeeding was 10.7 +/- 6.9 months; 37% of children were exclusively breastfed, 16% artificially fed and 47% mixed fed. Breastfeeding knowledge scores were good or fair for most mothers. Only 26% used effective contraception and 46% had a child-spacing of < 12 months. We found 78.6% of lactating mothers had well or fairly balanced diets. Process of care was satisfactory in 73% of records reviewed, programme structure was satisfactory and 91% of mothers were satisfied with the programme

2012 ◽  
Vol 9 (1) ◽  
Author(s):  
Hashima E Nasreen ◽  
Margaret Leppard ◽  
Mahfuz Al Mamun ◽  
Masuma Billah ◽  
Sabuj Kanti Mistry ◽  
...  

Author(s):  
Catharina P B Van der Ploeg ◽  
Manon Grevinga ◽  
Iris Eekhout ◽  
Eline Vlasblom ◽  
Caren I Lanting ◽  
...  

Abstract Background Little is known about costs and effects of vision screening strategies to detect amblyopia. Aim of this study was to compare costs and effects of conventional (optotype) vision screening, photoscreening or a combination in children aged 3–6 years. Methods Population-based, cross-sectional study in preventive child health care in The Hague. Children aged 3 years (3y), 3 years and 9 months (3y9m) or 5–6 years (5/6y) received the conventional chart vision screening and a test with a photoscreener (Plusoptix S12C). Costs were based on test duration and additional costs for devices and diagnostic work-up. Results Two thousand, one hundred and forty-four children were included. The estimated costs per child screened were €17.44, €20.37 and €6.90 for conventional vision screening at 3y, 3y9m and 5/6y, respectively. For photoscreening, these estimates were €6.61, €7.52 and €9.40 and for photoscreening followed by vision screening if the result was unclear (combination) €9.32 (3y) and €9.33 (3y9m). The number of children detected with amblyopia by age were 9, 14 and 5 (conventional screening), 6, 13 and 3 (photoscreening) and 10 (3y) and 15 (3y9m) (combination), respectively. The estimated costs per child diagnosed with amblyopia were €1500, €1050 and €860 for conventional vision screening, €860, €420 and €1940 for photoscreening and €730 (3y) and €450 (3y9m) for the combination. Conclusions Combining photoscreening with vision screening seems promising to detect amblyopia in children aged 3y/3y9m, whereas conventional screening seems preferable at 5/6y. As the number of study children with amblyopia is small, further research on the effects of these screening alternatives in detecting children with amblyopia is recommended.


2018 ◽  
Vol 46 (20_suppl) ◽  
pp. 80-86 ◽  
Author(s):  
Johanna Tell ◽  
Ewy Olander ◽  
Peter Anderberg ◽  
Johan Sanmartin Berglund

Aim: The aim of this study was to investigate child health-care coordinators’ experiences of being a facilitator for the implementation of a new national child health-care programme in the form of a web-based national guide. Methods: The study was based on eight remote, online focus groups, using Skype for Business. A qualitative content analysis was performed. Results: The analysis generated three categories: adapt to a local context, transition challenges and led by strong incentives. There were eight subcategories. In the latent analysis, the theme ‘Being a facilitator: a complex role’ was formed to express the child health-care coordinators’ experiences. Conclusions: Facilitating a national guideline or decision support in a local context is a complex task that requires an advocating and mediating role. For successful implementation, guidelines and decision support, such as a web-based guide and the new child health-care programme, must match professional consensus and needs and be seen as relevant by all. Participation in the development and a strong bottom-up approach was important, making the web-based guide and the programme relevant to whom it is intended to serve, and for successful implementation. The study contributes valuable knowledge when planning to implement a national web-based decision support and policy programme in a local health-care context.


2020 ◽  
Vol 13 (1) ◽  
pp. 1748845 ◽  
Author(s):  
Fisseha Ashebir ◽  
Araya Abrha Medhanyie ◽  
Afework Mulugeta ◽  
Lars Åke Persson ◽  
Della Berhanu

BMJ ◽  
1988 ◽  
Vol 296 (6626) ◽  
pp. 906-907 ◽  
Author(s):  
K S Joseph ◽  
K N Brahmadathan ◽  
S. Abraham ◽  
A. Joseph

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Juan-José Zamora-Sánchez ◽  
Edurne Zabaleta-del-Olmo ◽  
Vicente Gea-Caballero ◽  
Iván Julián-Rochina ◽  
Gemma Pérez-Tortajada ◽  
...  

Abstract Background The Frail-VIG frailty index has been developed recently. It is an instrument with a multidimensional approach and a pragmatic purpose that allows rapid and efficient assessment of the degree of frailty in the context of clinical practice. Our aim was to investigate the convergent and discriminative validity of the Frail-VIG frailty index with regard to EQ-5D-3L value. Methods We carried out a cross-sectional study in two Primary Health Care (PHC) centres of the Catalan Institute of Health (Institut Català de la Salut), Barcelona (Spain) from February 2017 to January 2019. Participants in the study were all people included under a home care programme during the study period. No exclusion criteria were applied. We used the EQ-5D-3L to measure Health-Related Quality of Life (HRQoL) and the Frail-VIG index to measure frailty. Trained PHC nurses administered both instruments during face-to-face assessments in a participant’s home during usual care. The relationships between both instruments were examined using Pearson’s correlation coefficient and multiple linear regression analyses. Results Four hundred and twelve participants were included in this study. Frail-VIG score and EQ-5D-3L value were negatively correlated (r = − 0.510; P < 0.001). Non-frail people reported a substantially better HRQoL than people with moderate and severe frailty. EQ-5D-3L value declined significantly as the Frail-VIG index score increased. Conclusions Frail-VIG index demonstrated a convergent validity with the EQ-5D-3L value. Its discriminative validity was optimal, as their scores showed an excellent capacity to differentiate between people with better and worse HRQoL. These findings provide additional pieces of evidence for construct validity of the Frail-VIG index.


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