Thai Early Child Development in Regional Health Service 4
Keywords:
situation, influence factors, early child developmentAbstract
The objective of this research was to study the situation and factors related to children and had influence to child development. This is a cross-sectional study and three-stage cluster sampling was used to recruit children from the age of 9 months to 5 years old. The data was collected by interview and records from mother and child notebooks and was evaluated child development by using Denver II during June-August 2014. Data was analyzed by descriptive statistics, frequency, cross tabulation and Logistic regression.
The results found that 80% of children have appropriate development and 20% suspected delayed development. The most delayed development was language which accounted for 21.9%. Children ages of 42 months suspected delayed language development more than children ages of 30, 18 and 9 months. Children of ages 0-2 years had appropriate development more than children 3-5 years. The more delayed development when the age was older.
The factors that related to child development were sex, age and weight per height, maternal occupation, education of fathers, family characteristics. By logistic regression analysis, children ages between 3-5 years were suspected delayed development more than children 0-2 years 2.5 times. Male children had delayed development more than female children 2 times and children in family income less than 10,000 Baht found suspected delayed development more than children in family income more than 20,000 Baht 1.1 times. Therefore, we should follow up routine child development by encouraging baby-sitters to mother and child record booklets. This will help increase skills in raising children, increase knowledge and evaluate child development skill for health personnel and every level of workers. Moreover, day care center shall prepare high nutritional food for children so they can reach proper child development.
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