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Journal of Child Health Care current issue

PRIFAM: a shared experience leading to the transformation of everyone involved
Pelchat, D. This article presents the PRIFAM, an interdisciplinary family intervention program co-constructed with parents of children with a disability. The PRIFAM’s theoretical foundations, clinical model of the adaptation/transformation process and tools have enabled professionals to conceptualize many years’ worth of research, clinical observations, and professional and personal experience. Through its relational foundations, the partnership forged between families and professionals contributes extensively to the adaptation of families and the well-being of professionals, by acknowledging their reciprocal resources and mutual competencies. The birth of a child with a disability triggers severe stress and plunges parents and families into a grieving process, but this process also leads to learning that generates transformation of the bereavement experience. A number of evaluative studies of the PRIFAM have demonstrated the importance of the close reciprocal relationship between research and clinical practice, which enables family intervention practices to evolve.
Improving caregivers' home management of common childhood illnesses through community level interventions
Ebuehi, O. M., Adebajo, S. The study obtained information using quantitative and qualitative techniques, on key home management practices of common childhood illnesses in Community-Integrated Management of Childhood Illnesses (C-IMCI) and non-C-IMCI implemented local government areas (LGAs) in Osun state, to determine if any differences existed between them. Data analysis was done using Epi-info version 6.0 for the quantitative survey and content analysis method for the qualitative survey. Findings revealed better key home management practices in the C-IMCI compliant LGA than in the non-CIMCI compliant LGA. The proportion of caregivers who gave appropriate home treatment for malaria during their children’s illnesses differed significantly (p = 0.000) between the two LGAs. Similarly, caregivers from the compliant LGA demonstrated better treatment practices for diarrhoea and cough. Community Resource Persons (CORPs) were the major source of information on these key practices in the compliant LGA; while in the non-compliant LGA, the traditional healers, elders, and to a lesser extent, health workers gave information. Findings showed that the C-IMCI strategy improved caregivers’ home management of common childhood illnesses.
Continuity and coordination of care during and after neonatal intensive care
Labree, W., Foets, M., Weisglas-Kuperus, N. To assess parental experiences regarding the continuity and coordination of care in children suffering from long-lasting health problems during and after treatment at a Neonatal Intensive Care Unit (NICU), a cross-sectional survey was performed, using a validated tool to obtain continuity and coordination scores. Scores were collected among parents of four age groups: newborns at the NICU (n = 51), ex-NICU preschool children (n = 50), ex-NICU children in primary school (n = 53), and ex-NICU children in secondary school (n = 57). Overall, parents are least satisfied with the consistency of care concerning the specific needs of their children. Parents of children in primary school experience most problems, followed by parents of children in secondary school. Furthermore, parents had a positive opinion towards other continuity and coordination aspects. Our findings implicate that regular neonatal follow-up care should not be restricted to the first years of life, but should be extended to both primary school age, and secondary school age. In particular, health care providers have to be attentive to the changing needs of children during their development.

NPR Topics: Children's Health

5 Big Health Issues On Campus
Wed, 01 Sep 2010 17:02:00 -0400
Dropping off your wide-eyed 18-year-old on campus for the first time? Here's what college health officials say students and their parents need to keep in mind for a healthy school year.
Slightly Premature Babies At Risk For Cerebral Palsy
Tue, 31 Aug 2010 14:59:00 -0400
Scientists have long known about the link between severely premature birth and cerebral palsy, a condition that limits mobility and movement.  But a new study shows that children born just two or three weeks before term also have a higher risk o Subscribe to Child_Health RSS feed