Department of Epidemiology, High Institute of Public Health, Alexandria University, Alexandria, Egypt.
Pediatr Res. 2018 Jul;84(1):57-61. doi: 10.1038/s41390-018-0008-x. Epub 2018 May 23.
In developing countries, obtaining reliable prevalence rates for children with special health care needs (CSHCN) is challenging. One of the tools used to identify CSHCN is the CSHCN Screener (not available in Arabic). The aim is to test the feasibility of using an Arabic version of CSHCN screener in identifying CSHCN in the Egyptian setup and to estimate their prevalence in Alexandria.
A community-based survey was conducted among a representative sample of children using a multistage cluster sampling technique. A pre-designed interviewing questionnaire and the Arabic translation of CSHCN screener were used.
The prevalence of CSHCN was 12.2% and 91.8% of them had the three domains of health care needs. The most prevalent conditions requiring special health care were sensory and cognitive impairments and impaired mobility. Type of family was the only significant factor associated with special health care needs.
It is concluded that the screener can easily be used and help in identifying the majority of children that need to be the focus of the National health care services. It is recommended that the school health services add the screener to assist depicting the existing gaps in the health care system.
在发展中国家，获得有特殊医疗需求的儿童（CSHCN）的可靠患病率是具有挑战性的。用于识别 CSHCN 的工具之一是 CSHCN 筛查器（阿拉伯语不可用）。目的是测试在埃及环境中使用阿拉伯语版本的 CSHCN 筛查器来识别 CSHCN 的可行性，并估计其在亚历山大港的患病率。
采用多阶段聚类抽样技术，对代表性儿童样本进行了一项基于社区的调查。使用了预先设计的访谈问卷和 CSHCN 筛查器的阿拉伯语翻译。
CSHCN 的患病率为 12.2%，其中 91.8%的儿童有三个医疗需求领域。需要特殊医疗保健的最常见疾病是感官和认知障碍以及行动障碍。家庭类型是唯一与特殊医疗需求相关的重要因素。
可以得出结论，筛查器可以轻松使用，并有助于确定大多数需要成为国家医疗保健服务重点的儿童。建议学校卫生服务机构增加筛查器，以帮助描绘医疗保健系统中存在的差距。
