228385 Preschool type and child health outcomes in urban and rural Karnataka, India

Wednesday, November 10, 2010

Angela Lloyd, MEd, MSPH , Division of Management, Policy and Community Health, The University of Texas School of Public Health, Houston, TX
Norbert Wagner, MD, PhD , Department of Environmental and Occupational Health, University of South Florida, Tampa, FL
Ricardo Izurieta, MD , Global Health, Univeristy of South Florida, Tampa, FL
Naveen Ramesh, MBBS , Department of Community Health, St. John's Medical College, Bangalore, India
This cross-sectional, community-based study compares health outcomes among children of four different preschool scenarios in urban and rural India (Bangalore). Maternal knowledge, attitudes and practices (KAP) toward acute diarrheal disease (ADD) and acute respiratory infections (ARI), and health outcomes of their 2 - 5 year-old children (two-week health recall) were collected using a pre-tested questionnaire. Anthropometric measurements of the children (weight, height, upper-arm circumference) were taken. From March through May of 2009, 125 urban and 130 rural mothers were interviewed by a local social worker and a community health worker, respectively, proceeding door-to-door through their communities.

Results were analyzed in terms of setting (urban vs. rural) as well as type of preschool the child attended: no preschool, government preschool (anganwadi), anganwadi receiving health check-ups from a medical college (SJMC), or “other” preschool. Mean composite child health scores were calculated based on the ADD and ARI health recall for the children (lower scores indicated better overall health): urban (10.2), rural (10.8); no preschool (11.1), anganwadi (9.9), SJMC (10.9), other (9.9). Underweight was most prevalent among children not attending preschool (44.4%) and least prevalent among those in other preschools (26.7%). Mean attitude scores were highest among mothers of anganwadis with health check-ups.

Children attending preschool, regardless of category, demonstrated better health outcomes than those not in preschool. Investigating this correlation further would inform policy and programs about the importance of promoting preschool attendance, especially among families not sending their children to preschool.

Learning Areas:
Assessment of individual and community needs for health education
Planning of health education strategies, interventions, and programs
Public health or related education
Public health or related public policy
Public health or related research

Learning Objectives:
Compare the health outcomes of children in four different preschool scenarios in urban and rural Karnataka, India.

Keywords: Child Health, International MCH

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a public health student and the submitted abstract describes my thesis research project.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.