Situation of child developmental promotion

บทคัดย่อ

Objective To track the situation of child development promotion.

Materials and methods Childrenborn in 2012 were selected purposively. Among 1,159 cases being screened by Anamai 55, 663 children were normal and 496 were suspected delay development. Purposive sampling to be interviewed, 1,159 caregivers and 173 health personnel were selected. Analysis was done with descriptive.

Results The children still had age-appropriate development 80.5% and 19.5% were suspected delay development. Among the children with suspected delay development in 2012, we found that 29.6% had much better development and 70.4% of them still had suspected delay development. Factors associated with the developmental progression include gestational age, childbirth situation, problem during neonatal period, and caregivers. Regarding the early intervention services, the ratio of staffs to children is 1:10 in well child clinics of Sub-district health promoting hospitals. Every staff conducted the developmental screening by using Anamai 55, but the percentage of staffs who only advised parents / caregivers, both reassessed the children’s development by using Thai Developmental Skills Inventory (TDSI) and advised parents/ caregivers and the percentage of staffs who referred the children that still had suspected delay developmentafter the follow up assessment to district hospitals 32.9, 75.1,
13.9 and 40.5% respectively.

Conclusion There were 80.5% children who still had age-appropriate development and only 29.6% of suspected delay developmenthad better development in 2013. Factors associated with non progression of developmental include preterm, abnormal delivery, neonatal problem, and non parental caregivers.