Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.
Ghana Med J. 2020 Jun;54(2):93-99. doi: 10.4314/gmj.v54i2.7.
Early years schools by their nature present peculiar challenges for infection control and injuries. This study aimed at assessing the health and safety practices of these institutions and find explanations to challenges faced in meeting the recommended standards.
Sequential explanatory mixed methods design was used in the study.
The quantitative data was collected using a questionnaire. The study involved all early years schools in Cape Coast Metropolis totalling 160. Follow-up interview was conducted using eight Heads and Coordinators of these schools.
Early years schools met majority of the health and safety practices. Chi-square analysis revealed that, school auspices was associated with keeping records of doctor's report [χ (1, N = 160) = 7.27, = .007, φ = .227, odds ratio = 2.79, 95% CI (1.4, 5.7)] and having immunization records up to date [χ (1, N = 160) = 4.35, = .037, φ = .184, odds ratio = 2.88, 95% CI (1.2, 7.7)]. Private early years' schools were almost 3 times likely to meet recommended health and safety practices. Two themes identified as explanations to why most early years schools were not requiring copies of doctor's reports were: "We don't bother to ask" and "Rare cases, they do bring".
Though early years schools were meeting the recommended standards; they were not previewed to doctor's report of children's previous illnesses. This implies that these institutions may not be readily prepared to assist in meeting certain health care needs of the children in their care.
None declared.
幼儿园本身就存在着特殊的感染控制和伤害问题。本研究旨在评估这些机构的健康和安全实践，并找到解释在达到推荐标准时所面临挑战的原因。
本研究采用了顺序解释性混合方法设计。
使用问卷收集定量数据。研究涉及到开普敦大都市地区的所有幼儿园，共有 160 所。对这些学校的 8 位校长和协调员进行了后续访谈。
幼儿园在大多数健康和安全实践中都达到了要求。卡方分析显示，学校的管理与保存医生报告记录有关[χ(1, N=160)=7.27, P=.007, φ=.227, 优势比=2.79, 95%可信区间(1.4, 5.7)]和保持疫苗接种记录的最新[χ(1, N=160)=4.35, P=.037, φ=.184, 优势比=2.88, 95%可信区间(1.2, 7.7)]。私立幼儿园更有可能符合推荐的健康和安全实践。确定了两个主题作为为什么大多数幼儿园不要求医生报告儿童以前疾病的原因：“我们不麻烦去问”和“罕见病例，他们确实会带来”。
尽管幼儿园达到了推荐的标准，但它们并没有预先了解儿童以前的疾病。这意味着这些机构可能无法随时准备好帮助满足其照顾的儿童的某些医疗保健需求。
无。
