Cad Saude Publica. 2014 Mar;30(3):461-72. doi: 10.1590/0102-311x00060613.
This article discusses significant changes in childcare policy and practice in Chile. We distinguish four specific periods of childcare history: child abandonment and the creation of foundling homes in the 19th century; efforts to reduce infant mortality and the creation of the health care system in the first half of the 20th century; an increasing focus on inequality and poverty and the consequences for child development in the second half of the 20th century; and, finally, the current focus on children's social and emotional development. It is concluded that, although Chile has achieved infant mortality and malnutrition rates comparable to those of developed countries, the country bears the mark of a history of inequality and is still unable to fully guarantee the health of children from the poorest sectors of society. Recent initiatives seek to improve this situation and put a strong emphasis on the psychosocial condition of children and their families.
本文探讨了智利儿童保育政策和实践的重大变化。我们将儿童保育历史分为四个特定时期:19 世纪的儿童遗弃和孤儿院的创建;20 世纪上半叶降低婴儿死亡率和创建医疗保健系统的努力;20 世纪下半叶对不平等和贫困的日益关注及其对儿童发展的影响;最后,当前关注儿童的社会和情感发展。结论是,尽管智利已经实现了与发达国家相当的婴儿死亡率和营养不良率,但该国仍带有不平等历史的烙印,仍然无法完全保障社会最贫困阶层儿童的健康。最近的举措旨在改善这种情况,并非常强调儿童及其家庭的社会心理状况。