Child  Health  Indicators  in the Context of Child Wellbeing
Download
1 / 20

Child Health Indicators in the Context of Child Wellbeing The EU CHILD Project - PowerPoint PPT Presentation


  • 256 Views
  • Uploaded on

Child Health Indicators in the Context of Child Wellbeing The EU CHILD Project. Michael Rigby Professor of Health Information Strategy Keele University, UK. Health and Wellbeing. Health is essential for wellbeing Wellbeing is essential for health

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Child Health Indicators in the Context of Child Wellbeing The EU CHILD Project' - bailey


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
Slide1 l.jpg

Child Health Indicators in the Context of Child Wellbeing

The EU CHILD Project

Michael Rigby

Professor of Health Information Strategy

Keele University, UK


Health and wellbeing l.jpg
Health and Wellbeing

  • Health is essential for wellbeing

  • Wellbeing is essential for health

  • Health domain needs to move beyond ‘health’ as ‘illness’, and recognise it is ‘physical, mental, and social wellbeing’ [WHO]

  • Child wellbeing domain needs to see health as integral


Child project l.jpg
CHILD Project

  • 2000 – 2002

  • 17 Countries

    • 15 Member States (EU15)

    • + Norway, Iceland


Child philosophy l.jpg
CHILD Philosophy

  • Health Status, Outcome

    • Death, illness, etc. - important; too late

  • Health Determinants

    • Preventive, more important

  • Burden of Illhealth

    • Illness, social cost, loss of education

    • Determining Priority


Core principles of child l.jpg
Core Principles of CHILD

  • Topics must be important health issues

  • Must be underlying scientific evidence

  • Comparability between countries

  • Routine data sources preferable

  • Ability for continuity and time series


Breadth of determinants l.jpg

Lack of influence and participation

Lack of

day-care

Harmful environment

Negative market forces

Deficient law

Day-care

School

Social services

Disease and injury

Parenting Conditions for Positive

Child Health and Development

Unemployment

Health care

Social life

Negative media

Child-oriented culture

Financial support to families

Socially isolated living

Adverse cultural development

Poverty

Uncertain future prospects

Adapted by Gunnlaugsson G and Rigby M from Skolhälsovården 1998. Underlag för egen kontroll och tillsyn. Stockholm: Socialstyrelsen, 1998.

Breadth of Determinants


Structure of child health determinants l.jpg
Structure of CHILD Health Determinants

  • Demographic and Socio-economic

  • Health Status and Well-being

  • Determinants of Health, Risk, and Protective Factors

  • Health Systems and Policy


Topics l.jpg
Topics

·    Demography

·    Socio-Economic

·    Marginalised Children

·    Well-being, Quality of Life 

·    Mental Health 

·    Lifestyles

·    Nutrition and Physical Growth

·    Development (inc. Intellectual and Social

·    Mortality, Morbidity, Injuries

·    Environment 

·    Health Promoting Policies

·    Access and Utilisation of Services 


Short listing criteria l.jpg
Short-Listing Criteria

  • Significance of Burden to Society

  • Significance of Burden to Family

  • Significance of Burden to Individual

  • Objective, based on research

  • Representative of Large Population Groups

  • Regularity and Repeatability (trend analysis)

  • Amenable to Effective Action

  • Data Availability

  • Understandable to broad audience


Child results l.jpg
CHILD Results

38 indicators - some traditional

some novel

thematic spread

17 areas need research - current evidence not adequate


Spread of child indicators l.jpg

Aspects Measured

C 12

Environmental

Determinants

D 7, D 8, D 9, D 10

A 1, A 2, A 3, A 4, A 5, D 5

Social

Determinants

D 6

C 3

C 9

C 11

Family

Determinants

C 1

C 2

D 1

1o Prevention

D 3

D 2

2o Prevention

Outcome : Process : Determinants

D 4

3o Prevention

B 8, B 9, B 10

Personal

Behaviour

B 11

C 5, C 7

Well-being

C 6

C 4

C 8

B 7

B 7

B 3, B 4, B 5, B 6

C 10

Illness

Disability

B 1, B 2

Death

(Birth)

10 years

1year

5 years

1week

18 years

6 months

15

years

Age

Spread of CHILD Indicators


Child indicators l.jpg
CHILD Indicators

A. Demographic & Socio-Economic

A 1 Socio-economic Circumstances

A 2 Children in Poverty

A 3 Parental Educational Attainment

A 4 Child in Single Parent Households

A 5 Asylum Seekers

B. Child Health Status, Well-being

Child Mortality

B 1 Child Mortality Rates

B 2 Selected Cause-specific Mortality

Child Morbidity

B 3 Cancer

B 4 Diabetes

B 5 Asthma

B 6 Infectious Diseases

B 7 Dental Morbidity

Injuries to Children

B 8 Burns Necessitating Admission

B 9 Poisoning Necessitating Admission

B 10 Fracture of Long-bones

Mental Health of Children

B 11 Attempted Suicide

C. Health Determinants, Risk,

and Protective Factors

Parental Determinants

C 1 Breastfeeding

C 2 Household Environmental Tobacco

C 3 Parental Support

Child Lifestyle Determinants

C 4 Physical Activity

C 5 Tobacco Smoking

C 6 Alcohol Abuse

C 7 Substance Misuse

Other Factors

C 8 Overweight and Obesity

C 9 Children in Care

C 10 Early School Leavers

C 11 Educational Enrolment

C 12 Air Pollution Exposure

D. Child Health Systems & Policy

Health Systems Policy

D 1 Marginalised Children’s Health Care

D 2 Parental Inpatient Accompaniment

Health System Quality

D 3 Immunisation Coverage

D 4 Leukaemia 5-year Survival

Social Policy Indicators

D 5 Physical Punishment

D 6 Anti-bullying policies in schools

Physical Protection Policy

D 7 Child Transportation Safety

D 8 Exposure to Lead

D 9 Exposure to Hazardous Noise

D 10 Environmental Tobacco Smoke


Child further research areas l.jpg
CHILD Further Research Areas

Child Abuse

Childhood Behaviour Disorders

Learning Disorders/Intellectual Disability

Educational Development

Perceived Well-being, Quality of Life and Positive Mental Health

Children with Permanent or Severe Disability

Family Cohesion and Social Cohesion

Nutritional Habits

Health Care Access

Inpatient Service Quality

Health Service Access for Socially Restricted Children

Medication

Play and Leisure

Assessment of Children with Special Needs

Integration of Children with Special Needs

Healthy Parenting

Mental Health Education


Application of child indicators l.jpg
Application of CHILD Indicators

  • EU ECHIM data set

    • Small use except mortality and other published items

  • Countries

    • Not coordinated; use through literature

    • Hungary; Sweden; NOMESCO; Ireland; UK; etc.

  • WHO

    • European Health Report 2005


Who compilation of child data l.jpg

Hospital admissions for burns, per 100 000, 5-9 years olds

<= 50

<= 40

<= 30

<= 20

<= 10

EUROPE

No data

No data

2000

Min = 0

WHO Compilation of CHILD Data


Slide16 l.jpg

25.0-49.9

50.0-74.9

75.0-99.9

>=100

Burns and scalds necessitating hospital admission in 2000:

HUNGARY by County

Incidence per 100.000 individuals


Slide17 l.jpg

A

100,00

A

A

A

A

A

A

75,00

A

A

A

A

Incidence of burns and scalds

A

A

A

50,00

A

A

A

A

A

25,00

A

1000

1500

2000

2500

GDP

National Institute of Child Health


Slide18 l.jpg

A

100,00

A

A

A

A

A

A

75,00

A

A

A

A

Incidence of burns and scalds

A

A

A

50,00

A

A

A

A

A

25,00

A

1000

1500

2000

2500

GDP

National Institute of Child Health


Other european health indicators l.jpg
Other European Health Indicators

  • Perinatal Health (PERISTAT)

  • Child Safety (CSAP)

  • Children and Environment (CEHAPE)

  • Nutrition and Exercise Behaviour

  • Inter-personal Violence


Contact and references l.jpg
Contact and References

[email protected]

  • Rigby M, Köhler L (editors). Child Health Indicators of Life and Development (CHILD): Report to the European Commission; Centre for Health Planning and Management, Keele, UK, for European Commission Health and Consumer Protection Directorate; 2002 (98pp). (also available on http://www.europa.eu.int/comm/health/ph/programmes/monitor/fp_monitoring_2000_frep_08_en.pdf)

  • Rigby MJ, Köhler LI, Blair ME, Mechtler R. Child Health Indicators for Europe – A Priority for a Caring Society; European Journal of Public Health, 2003, 13, 3, Supplement, 38-46.


ad