Does anyone know of any standard checklist I can use to observe the delivery of healthcare to preschool children at the community level of care?

All Answers (11) Show full discussion

• 
  Kadiyali Srivatsa

  I was involved in conducting pre-school and school leavers medical in 1980-1994. This was very rewarding and I learnt a lot from children. I seen this service offered in Germany as my wife is the lead who organize this. Unfortunately this service and care offered to children was abandoned because the doctors who believe in evidence based medicine think it is is not cost effective and scientifically not useful. To tell you frankly, providing good care and assessment of pre-school children is very useful not only to children buts also parents. I have produced a tool that may be of interest. We are working on this hypothesis to provide the best primary care advice to one and every fellow human mainly children. Please check this out www.call111.com

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  I was involved in conducting pre-school and school leavers medical in 1980-1994. This was very rewarding and I learnt a lot from children. I seen this service offered in Germany as my wife is the lead who organize this. Unfortunately this service and care offered to children was abandoned because the doctors who believe in evidence based medicine think it is is not cost effective and scientifically not useful. To tell you frankly, providing good care and assessment of pre-school children is very useful not only to children buts also parents.
  I have produced a tool that may be of interest. We are working on this hypothesis to provide the best primary care advice to one and every fellow human mainly children.
  Please check this out www.call111.com

  school entry medical exam 1986.pdf ×

  Feb 10, 2012
• 
  Nantiya Psk · Mahidol University

  Actually, I do not directly involve in primary prevention/care. My majority is renal that more related in tertiary part. However, this link below and its references, somehow, might be benefit. http://pediatrics.aappublications.org/content/115/Supplement_3/1139.full.pdf+html It is not checklist but hopefully you may get the idea, and create your new one for your study.

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  Actually, I do not directly involve in primary prevention/care. My majority is renal that more related in tertiary part.
  However, this link below and its references, somehow, might be benefit.
  
  http://pediatrics.aappublications.org/content/115/Supplement_3/1139.full.pdf+html
  
  It is not checklist but hopefully you may get the idea, and create your new one for your study.

  Feb 11, 2012
• 
  Kadiyali Srivatsa

  Thank you for the comment, this helps me to explain the problem of delivery and prevention of healthcare in UK. I worked for a long time in hospital (tertiary) centers and have seen serious renal problems referred late. This was partly because of technical problem (collecting urine for investigation), lack of knowledge and awareness of initial presenting symptoms. Missed UTI, failure to thrive, vomiting or anemia are some of the common symptoms that I have seen resulting in serious renal problem due to delay in diagnosis. I hope you will be able to highlight these problems to make sure early detection of illness is mandatory in preventing complication as we seldom offer any cure.

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  Thank you for the comment, this helps me to explain the problem of delivery and prevention of healthcare in UK. I worked for a long time in hospital (tertiary) centers and have seen serious renal problems referred late. This was partly because of technical problem (collecting urine for investigation), lack of knowledge and awareness of initial presenting symptoms.
  
  Missed UTI, failure to thrive, vomiting or anemia are some of the common symptoms that I have seen resulting in serious renal problem due to delay in diagnosis. I hope you will be able to highlight these problems to make sure early detection of illness is mandatory in preventing complication as we seldom offer any cure.

  Feb 11, 2012
• 
  Nantiya Psk · Mahidol University

  Yeah, everybody should all involve in primary care (even partly), and accept that once we do deeply involve in our field, we do not go through the community. Fortunately, once you realize of this problem, we should look back to our teaching/education system that "why can't we teach our younger doctor to do more concern of these conditions?". At least,we do know more what the problems are. Similar to the research, we can not conclude something or someone with only one point. Do you know of their or its confounding factor? You know only their name, it doesn't mean you know them or their system, and get all your own conclusion. Is it enough to validate? \(-^- )/ Glad to know you in good mean............

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  Yeah, everybody should all involve in primary care (even partly), and accept that once we do deeply involve in our field, we do not go through the community. Fortunately, once you realize of this problem, we should look back to our teaching/education system that "why can't we teach our younger doctor to do more concern of these conditions?". At least,we do know more what the problems are.
  Similar to the research, we can not conclude something or someone with only one point. Do you know of their or its confounding factor? You know only their name, it doesn't mean you know them or their system, and get all your own conclusion. Is it enough to validate? \(-^- )/
  Glad to know you in good mean............

  Feb 11, 2012
• 
  Nantiya Psk · Mahidol University

  Thank you for your suggestion as well :-)

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  Thank you for your suggestion as well :-)

  Feb 11, 2012
• 
  Anwar Kazi Selim · Asian Institute of Medicine, Science and Technology

  Firstly, standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care would vary dependening on some socio-demographic characterisitcs like socio-cultural norms of the catchment community, its economic strata, etc. However, major public health drives which a program like delivery of healthcare to preschool children should cover comprehensively, remain: i) assesssemnt of personal hygiene: nail triming, hair cut, using shoes, wearing clean dresses, etc., daefecation habit, places, housing status and living environment, etc. ii) assesssemnt of water and sanitation level which the schoolers utilizes: hand washing practices- post -deafecation, before & after eating naything, washing & bathing practices (with soap, etc.), iii) food habit and food hygiene: assessing if the schoolers have a balanced diet/food intake iv) Anthropometric measurement to check schooler's nutritional status(including overweight in affluent urban towns) v) Quaterly stool micropy (using formol ether conc. method) to detect intestinal parasitosis and thus to introduce periodic deworming using a broad spectrum antihelminthic among the wormy children (+ mass deworming) vi) Biannual blood check up to screen NAID (nutritional anaemia & iron deficiency) in all schoolers with particular emphasis on pre/ adolescent school girls (simple Hb estimation may not be enough at times) vii) If these schoolers comes out from resource constraint/poor communities then they should be provided micro- nutrient-rich (protein, vitamins, Iodine, iron, calcium, etc.) buiscuits or lunch (cooked food) as possible viii) if, possible development milestones, cognity, IQs, inttecetuality & attentiveness in school, etc. be screened out bi-annually in junior schoolers, in particular That's the 8 main points I can remember so far, instanly (based on my previous experiences of working with pre/school children in an urban slums in Dhaka long back and in some Bangladeshi rural communites in mid-2000s) - which one should consider most while preparing such ''standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care'' Moreover, adding the following two points would definitely increase the sensitivity/ and effectiveness of such check list as a whole: ix) If practicable, familes/households of schoolers lagging behind in performances be visited to find out if there is family row/conflicts/querrlings and most importantly if there is any sort of violence against women (VAW)- the mothers of such schoolers; and thus try to counselling such parents to mitigate thsuch situations if arosed. x) Regular monitoring of health, nutrition & psychological profile of all these shoolers by the school health program, doctors, dentists & child-psychologists at least biannually. Anyway, thanks for asking feedbacks in this topic and I...

  Cancel Save

  Firstly, standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care would vary dependening on some socio-demographic characterisitcs like socio-cultural norms of the catchment community, its economic strata, etc. However, major public health drives which a program like delivery of healthcare to preschool children should cover comprehensively, remain:
  i) assesssemnt of personal hygiene: nail triming, hair cut, using shoes, wearing clean dresses, etc., daefecation
  habit, places, housing status and living environment, etc.
  ii) assesssemnt of water and sanitation level which the schoolers utilizes: hand washing practices- post
  -deafecation, before & after eating naything, washing & bathing practices (with soap, etc.),
  iii) food habit and food hygiene: assessing if the schoolers have a balanced diet/food intake
  iv) Anthropometric measurement to check schooler's nutritional status(including overweight in affluent urban towns)
  v) Quaterly stool micropy (using formol ether conc. method) to detect intestinal parasitosis and thus to introduce
  periodic deworming using a broad spectrum antihelminthic among the wormy children (+ mass deworming)
  vi) Biannual blood check up to screen NAID (nutritional anaemia & iron deficiency) in all schoolers with particular
  emphasis on pre/ adolescent school girls (simple Hb estimation may not be enough at times)
  vii) If these schoolers comes out from resource constraint/poor communities then they should be provided micro-
  nutrient-rich (protein, vitamins, Iodine, iron, calcium, etc.) buiscuits or lunch (cooked food) as possible
  viii) if, possible development milestones, cognity, IQs, inttecetuality & attentiveness in school, etc. be screened out
  bi-annually in junior schoolers, in particular
  
  That's the 8 main points I can remember so far, instanly (based on my previous experiences of working with pre/school children in an urban slums in Dhaka long back and in some Bangladeshi rural communites in mid-2000s) - which one should consider most while preparing such ''standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care''
  
  Moreover, adding the following two points would definitely increase the sensitivity/ and effectiveness of such check list as a whole:
  ix) If practicable, familes/households of schoolers lagging behind in performances be visited to find out if there is family row/conflicts/querrlings and most importantly if there is any sort of violence against women (VAW)- the mothers of such schoolers; and thus try to counselling such parents to mitigate thsuch situations if arosed.
  x) Regular monitoring of health, nutrition & psychological profile of all these shoolers by the school health program, doctors, dentists & child-psychologists at least biannually.
  
  Anyway, thanks for asking feedbacks in this topic and I... [more]

  Firstly, standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care would vary dependening on some socio-demographic characterisitcs like socio-cultural norms of the catchment community, its economic strata, etc. However, major public health drives which a program like delivery of healthcare to preschool children should cover comprehensively, remain:
  i) assesssemnt of personal hygiene: nail triming, hair cut, using shoes, wearing clean dresses, etc., daefecation
  habit, places, housing status and living environment, etc.
  ii) assesssemnt of water and sanitation level which the schoolers utilizes: hand washing practices- post
  -deafecation, before & after eating naything, washing & bathing practices (with soap, etc.),
  iii) food habit and food hygiene: assessing if the schoolers have a balanced diet/food intake
  iv) Anthropometric measurement to check schooler's nutritional status(including overweight in affluent urban towns)
  v) Quaterly stool micropy (using formol ether conc. method) to detect intestinal parasitosis and thus to introduce
  periodic deworming using a broad spectrum antihelminthic among the wormy children (+ mass deworming)
  vi) Biannual blood check up to screen NAID (nutritional anaemia & iron deficiency) in all schoolers with particular
  emphasis on pre/ adolescent school girls (simple Hb estimation may not be enough at times)
  vii) If these schoolers comes out from resource constraint/poor communities then they should be provided micro-
  nutrient-rich (protein, vitamins, Iodine, iron, calcium, etc.) buiscuits or lunch (cooked food) as possible
  viii) if, possible development milestones, cognity, IQs, inttecetuality & attentiveness in school, etc. be screened out
  bi-annually in junior schoolers, in particular
  
  That's the 8 main points I can remember so far, instanly (based on my previous experiences of working with pre/school children in an urban slums in Dhaka long back and in some Bangladeshi rural communites in mid-2000s) - which one should consider most while preparing such ''standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care''
  
  Moreover, adding the following two points would definitely increase the sensitivity/ and effectiveness of such check list as a whole:
  ix) If practicable, familes/households of schoolers lagging behind in performances be visited to find out if there is family row/conflicts/querrlings and most importantly if there is any sort of violence against women (VAW)- the mothers of such schoolers; and thus try to counselling such parents to mitigate thsuch situations if arosed.
  x) Regular monitoring of health, nutrition & psychological profile of all these shoolers by the school health program, doctors, dentists & child-psychologists at least biannually.
  
  Anyway, thanks for asking feedbacks in this topic and I wish the author all the bests in his/her endeavour. We would be happy if any one needs such assistance in operations-research or service delivery activites through our organization(s).
  
  Dr. Kazi Selim Anwar
  MD (USSR), M.Phil (England), Pub Hlth Res Dip (Japan)
  Public Health Physician and Microbiologist
  
  Copy for inormation to:
  Dr. Rashidul Hoque, PhD, Scientist & Head, Parasitology, ICDDR, B
  Prof. MA Abid Hossain Mollah, FCPS, MRCP (UK), FACP (USA), Head, Dept. of Pediatrics, DMCH

  Feb 11, 2012
• 
  Anwar Kazi Selim · Asian Institute of Medicine, Science and Technology

  Firstly, standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care would vary dependening on some socio-demographic characteristics like socio-cultural norms of the catchment community, its economic strata, etc. However, major public health drives which a program like delivery of healthcare to preschool children should cover comprehensively, remain: i) assessment of personal hygiene: nail trimming, hair cut, using shoes, wearing clean dresses, etc., defecation habit, places, housing status and living environment, etc. ii) assessment of water and sanitation level which the schoolers utilizes: hand washing practices- post -defecation, before & after eating anything, washing & bathing practices (with soap, etc.), iii) food habit and food hygiene: assessing if the schoolers have a balanced diet/food intake iv) Anthropometric measurement to check schooler's nutritional status(including overweight in affluent urban towns) v) Quarterly stool microscopy (using formol ether conc. method) to detect intestinal parasitosis and thus to introduce periodic deworming using a broad spectrum antihelminthic among the wormy children (+ mass deworming) vi) Biannual blood check up to screen NAID (nutritional anemia & iron deficiency) in all schoolers with particular emphasis on pre/ adolescent school girls (simple Hb estimation may not be enough at times) vii) If these schoolers comes out from resource constraint/poor communities then they should be provided micro- nutrient-rich (protein, vitamins, Iodine, iron, calcium, etc.) biscuits or lunch (cooked food) as possible viii) if, possible development milestones, cognition, IQs, intellectuality & attentiveness in school, etc. be screened out bi-annually in junior schoolers, in particular That's the 8 main points I can remember so far, instantly (based on my previous experiences of working with pre/school children in an urban slums in Dhaka long back and in some Bangladeshi rural communities in mid-2000s) - which one should consider most while preparing such ''standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care'' Moreover, adding the following two points would definitely increase the sensitivity/ and effectiveness of such check list as a whole: ix) If practicable, families/households of schoolers lagging behind in performances be visited to find out if there is family row/conflicts/quarreling and most importantly if there is any sort of violence against women (VAW)- the mothers of such schoolers; and thus try to counseling such parents to mitigate such situations if arose. x) Regular monitoring of health, nutrition & psychological profile of all these shoolers by the school health program, doctors, dentists & child-psychologists at least biannually. Anyway, thanks for asking feedbacks in this topic and...

  Cancel Save

  Firstly, standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care would vary dependening on some socio-demographic characteristics like socio-cultural norms of the catchment community, its economic strata, etc. However, major public health drives which a program like delivery of healthcare to preschool children should cover comprehensively, remain:
  i) assessment of personal hygiene: nail trimming, hair cut, using shoes, wearing clean dresses, etc., defecation
  habit, places, housing status and living environment, etc.
  ii) assessment of water and sanitation level which the schoolers utilizes: hand washing practices- post
  -defecation, before & after eating anything, washing & bathing practices (with soap, etc.),
  iii) food habit and food hygiene: assessing if the schoolers have a balanced diet/food intake
  iv) Anthropometric measurement to check schooler's nutritional status(including overweight in affluent urban towns)
  v) Quarterly stool microscopy (using formol ether conc. method) to detect intestinal parasitosis and thus to introduce
  periodic deworming using a broad spectrum antihelminthic among the wormy children (+ mass deworming)
  vi) Biannual blood check up to screen NAID (nutritional anemia & iron deficiency) in all schoolers with particular
  emphasis on pre/ adolescent school girls (simple Hb estimation may not be enough at times)
  vii) If these schoolers comes out from resource constraint/poor communities then they should be provided micro-
  nutrient-rich (protein, vitamins, Iodine, iron, calcium, etc.) biscuits or lunch (cooked food) as possible
  viii) if, possible development milestones, cognition, IQs, intellectuality & attentiveness in school, etc. be screened out
  bi-annually in junior schoolers, in particular
  
  That's the 8 main points I can remember so far, instantly (based on my previous experiences of working with pre/school children in an urban slums in Dhaka long back and in some Bangladeshi rural communities in mid-2000s) - which one should consider most while preparing such ''standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care''
  
  Moreover, adding the following two points would definitely increase the sensitivity/ and effectiveness of such check list as a whole:
  ix) If practicable, families/households of schoolers lagging behind in performances be visited to find out if there is family row/conflicts/quarreling and most importantly if there is any sort of violence against women (VAW)- the mothers of such schoolers; and thus try to counseling such parents to mitigate such situations if arose.
  x) Regular monitoring of health, nutrition & psychological profile of all these shoolers by the school health program, doctors, dentists & child-psychologists at least biannually.
  
  Anyway, thanks for asking feedbacks in this topic and... [more]

  Firstly, standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care would vary dependening on some socio-demographic characteristics like socio-cultural norms of the catchment community, its economic strata, etc. However, major public health drives which a program like delivery of healthcare to preschool children should cover comprehensively, remain:
  i) assessment of personal hygiene: nail trimming, hair cut, using shoes, wearing clean dresses, etc., defecation
  habit, places, housing status and living environment, etc.
  ii) assessment of water and sanitation level which the schoolers utilizes: hand washing practices- post
  -defecation, before & after eating anything, washing & bathing practices (with soap, etc.),
  iii) food habit and food hygiene: assessing if the schoolers have a balanced diet/food intake
  iv) Anthropometric measurement to check schooler's nutritional status(including overweight in affluent urban towns)
  v) Quarterly stool microscopy (using formol ether conc. method) to detect intestinal parasitosis and thus to introduce
  periodic deworming using a broad spectrum antihelminthic among the wormy children (+ mass deworming)
  vi) Biannual blood check up to screen NAID (nutritional anemia & iron deficiency) in all schoolers with particular
  emphasis on pre/ adolescent school girls (simple Hb estimation may not be enough at times)
  vii) If these schoolers comes out from resource constraint/poor communities then they should be provided micro-
  nutrient-rich (protein, vitamins, Iodine, iron, calcium, etc.) biscuits or lunch (cooked food) as possible
  viii) if, possible development milestones, cognition, IQs, intellectuality & attentiveness in school, etc. be screened out
  bi-annually in junior schoolers, in particular
  
  That's the 8 main points I can remember so far, instantly (based on my previous experiences of working with pre/school children in an urban slums in Dhaka long back and in some Bangladeshi rural communities in mid-2000s) - which one should consider most while preparing such ''standard checklist that can be used to observe the delivery of healthcare to preschool children at the community level of care''
  
  Moreover, adding the following two points would definitely increase the sensitivity/ and effectiveness of such check list as a whole:
  ix) If practicable, families/households of schoolers lagging behind in performances be visited to find out if there is family row/conflicts/quarreling and most importantly if there is any sort of violence against women (VAW)- the mothers of such schoolers; and thus try to counseling such parents to mitigate such situations if arose.
  x) Regular monitoring of health, nutrition & psychological profile of all these shoolers by the school health program, doctors, dentists & child-psychologists at least biannually.
  
  Anyway, thanks for asking feedbacks in this topic and I wish the author all the bests in his/her endeavour. We would be happy if any one needs such assistance in operations-research or service delivery activates through our organization(s).
  
  Dr. Kazi Selim Anwar
  MD (USSR), M.Phil (England), Pub Hlth Res Dip (Japan)
  Public Health Physician and Microbiologist
  
  Copy for inormation to:
  Dr. Rashidul Hoque, PhD, Scientist & Head, Parasitology, ICDDR, B
  Prof. MA Abid Hossain Mollah, FCPS, MRCP (UK), FACP (USA), Head, Dept. of Pediatrics, DMCH

  Feb 11, 2012
• 
  Radhanath Satpathy · Ispat General Hospital

  It is a very important issue but standard guidelines or protocols are not available with us. What is known and available is in India we have a very novel system of delivery of both health/nutrition and socialization care to preschool children through INTEGRATED CHILD DEVELOPMENT SCHEME(ICDS). The Unit to administer this care at community level is known as ANGANWADI Center. Depending upon the location of villages/communication between 500-1000 population are cared here, mainly children and pregnant women. Children between 3-6 years of age come to the school(Anganwadi center). Here a female trained worker takes care of them for 3-4 hours everyday except sunday. They take their weight, measure their hight, grade them accoding to the grade of nutrition, administer routine immunization, refer them to medical officer on sickness and also keep the money and medicine when needed for their care. Their working pattern is a standard process accepted and implementated in India. If this serves your purpose as a tool for working and reference, let me know and I will send you detals. You can also find from net"ICDS" India etc.

  Cancel Save

  It is a very important issue but standard guidelines or protocols are not available with us.
  
  What is known and available is in India we have a very novel system of delivery of both health/nutrition and socialization care to preschool children through INTEGRATED CHILD DEVELOPMENT SCHEME(ICDS). The Unit to administer this care at community level is known as ANGANWADI Center. Depending upon the location of villages/communication between 500-1000 population are cared here, mainly children and pregnant women. Children between 3-6 years of age come to the school(Anganwadi center). Here a female trained worker takes care of them for 3-4 hours everyday except sunday. They take their weight, measure their hight, grade them accoding to the grade of nutrition, administer routine immunization, refer them to medical officer on sickness and also keep the money and medicine when needed for their care.
  
  Their working pattern is a standard process accepted and implementated in India. If this serves your purpose as a tool for working and reference, let me know and I will send you detals. You can also find from net"ICDS" India etc.

  Feb 11, 2012
• 
  Ranti Ekpo · University of Leicester

  Many thanks for your suggestion. I have looked up the ICDS India and it is interesting. I would like to see the tools used to carry out an evaluation of the services. It would be a good guide

  Cancel Save

  Many thanks for your suggestion. I have looked up the ICDS India and it is interesting. I would like to see the tools used to carry out an evaluation of the services. It would be a good guide

  Feb 11, 2012
• 
  Radhanath Satpathy · Ispat General Hospital

  Next time when I meet a Child Development Project Officer(CDPO), the controller of this ICDS system in the field, I will try to collect the tools of evaluation of community workers (Anganwadi workers) services. Need some time.

  Cancel Save

  Next time when I meet a Child Development Project Officer(CDPO), the controller of this ICDS system in the field, I will try to collect the tools of evaluation of community workers (Anganwadi workers) services. Need some time.

  Feb 12, 2012
• 
  Nisha Malhotra · University of British Columbia - Vancouver

  I have a list of guidelines from the ICDS - It mentions what tools would be needed.

  Cancel Save

  I have a list of guidelines from the ICDS - It mentions what tools would be needed.

  IPHS_for_SUBCENTRES.pdf ×

  Oct 29, 2012