The 130th Annual Meeting of APHA

3118.0: Monday, November 11, 2002 - 10:35 AM

Abstract #47723

Evaluation of child care health consultation: The first 12 months

Jonathan Kotch, MD MPH1, Lisa Mason-Faison, BA2, Emily Lu, MPH2, June Locklear3, Eric Savage, MA4, and Natalie Cheung4. (1) Department of Maternal and Child Health, University of North Carolina at Chapel Hill, CB# 7445 Rosenau Hall, University of North Carolina, Chapel Hill, NC 27599-7445, 919-966-5976, jonathan_kotch@unc.edu, (2) Department of Maternal and Child Health, University of North Carolina, CB# 8126, 116A Merritt Mill Rd., University of North Carolina, Chapel Hill, NC 27599-8126, (3) Division of Child Development, 319 Chapanoke Rd., Raleigh, NC 27699-2201, (4) Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill, CB# 8185 Sheryl Mar Bldg., University of North Carolina, Chapel Hill, NC 27599-8185

The Quality Enhancement Project for Infants and Toddlers is funded with Child Care and Development Block Grant funds through a contract from the NC Division of Child Development to the University of North Carolina. Fourteen child care health consultants serve approximately 276 child care centers and homes and nearly 5000 children. Data collection includes daily encounter forms documenting the activities of the child care health consultants, and evaluation summary forms worksheets completed every 6 months. The summary forms document changes in child care health policies and observable health and safety issues. The evaluation worksheets record access to medical care and health status data for individual children in child care facilities being served. Data for the six month followup indicate that the average health policy score rose from 0.9 to 1.41 and observed health and safety issue scores went from 2.3 to 2.67, both on a scale of 0-3. The percentage of children having a medical home increased from 89.1 to 91.6, and the percentage of children up to date on immunizations went from 72.7 to 75.6. Absences decreased from 6187 to 4787, and medically attended injuries decreased from 69 to 10 over six months. A 12 month round of followup data will be completed by June 30, 2002, and the data presented in this paper. Implications for implementation of statewide systems of child care health consultation will be discussed.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

Keywords: Child Care, Child Health

Related Web page: None

Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Healthy Child Care America

The 130th Annual Meeting of APHA