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在安得拉邦的一家地区医院,向地区早期干预中心转诊的接受干预的 0 至 18 岁儿童发病概况。

Morbidity profile of children from birth to 18 years of age referred for intervention to the district early intervention centre in a District Hospital, Andhra Pradesh.

机构信息

Assistant Professor, Department of Community Medicine, Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India.

Professor, Department of Community Medicine, Apollo Institute of Medical Sciences and Research, Chittoor, Andhra Pradesh, India.

出版信息

Indian J Public Health. 2020 Jan-Mar;64(1):55-59. doi: 10.4103/ijph.IJPH_11_19.

Abstract

BACKGROUND

The "Child Health Screening and Early Intervention Services" program aims at early detection and management of the four dimensions prevalent in children-defects at birth, diseases in children, deficiency conditions, and developmental delays, including disabilities.

OBJECTIVE

The objective of the study was to assess the morbidity profile of children from birth to 18 years of age screened in the district early intervention center (DEIC).

METHODS

A record-based descriptive study was done in the DEIC in Chittoor, Andhra Pradesh. The data were retrieved for 1-year from April 2017 to March 2018 into the excel sheet, and the combined master sheet was prepared for analysis. The analysis was done with SPSS 21.0 Version.

RESULTS

A total of 10571 children were screened and referred to the DEIC during the period. Out of them, 5679 (53.7%) were male and 4892 (46.3%) were female. Among all the four types of morbidities screened, majority 4847 (45.9%) were having the childhood diseases, 4177 (39.5%) had developmental delays including disabilities, 1067 (10.1%) had different deficiencies, and 361 (3.4%) had birth defects. Among the adolescent health issues, 119 (1.1%) were screened and sent for the early intervention to the district hospital.

CONCLUSIONS

A huge number of children were screened and referred to the DEIC every year for intervention. The health sector has to focus more on the resources like workforce, training of peripheral health workers at regular intervals about the different morbidities screened, that would help in identifying the morbidities at the earliest possible time and receive the intervention at the best center.

摘要

背景

“儿童健康筛查和早期干预服务”计划旨在早期发现和管理儿童的四个方面的问题——出生缺陷、儿童疾病、营养缺乏和发育迟缓,包括残疾。

目的

本研究旨在评估在地区早期干预中心(DEIC)筛查的 0-18 岁儿童的发病情况。

方法

在安得拉邦奇图尔的 DEIC 进行了一项基于记录的描述性研究。从 2017 年 4 月至 2018 年 3 月,将为期 1 年的数据录入电子表格中,并为分析编制了综合主表。使用 SPSS 21.0 版进行分析。

结果

在此期间,共有 10571 名儿童接受了筛查并被转介至 DEIC。其中,5679 名(53.7%)为男性,4892 名(46.3%)为女性。在筛查的所有四种疾病中,4847 名(45.9%)患有儿童疾病,4177 名(39.5%)患有包括残疾在内的发育迟缓,1067 名(10.1%)患有不同的营养缺乏症,361 名(3.4%)患有出生缺陷。在青少年健康问题中,有 119 名(1.1%)接受了筛查,并被转介到地区医院进行早期干预。

结论

每年都有大量的儿童接受筛查并被转介到 DEIC 进行干预。卫生部门必须更加关注资源,如劳动力,定期对基层卫生工作者进行关于筛查出的不同疾病的培训,这将有助于尽早发现疾病,并在最佳中心接受干预。

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