Research On Evaluation System Of Indicators Of Children's Health In Chongqing

BackgroundPeople's health is not only the sign of a country's social development but also be part of country's competitiveness in the world. It ensures country have a sustainable development. As the country's future, children's health level is a very important indicator to measure the level of a country's social and economic development and social civilization. The first step to improve the children's health level of an area is to find out health situation of child in that area. We must ask these questions: How to measure children's health objectively and comprehensively? What kind of evaluation system is consistent with biological - psychological - social medical model? What things we can do to improve it? All these questions point to a problem: Learn about the area of children's health situation, and thus identify the risk factors. Then establish a scientific, comprehensive, systematic evaluation of child health indicators. ObjectiveThe objective was to understand the children under six's physical health, mental health, living social environment health which are living in Chongqing, and find out the health deficiencies and problems, and get the main factors that influencing children's health. From the personal health information, the research can give comprehensive health promotion recommendations to health department. After Evaluate the domestic and international standards for children's health and experience, we can establish an indicator system for health sector to monitoring and evaluating of child health in Chongqing.Methods1. To analyze the children's health indicators in Chongqing from 2005 to 2009, compare them with other cities'indicators to find out the problems. Analyze the incidence of birth defects, cause of infant mortality and variation tendency of them, to find out the children are under 5 years in our city's health problems and give advises for improving health situation.2. Chose three kindergartens in each Yuzhong district, Banan district and Yongchuan district to investigate. 1943 children of 0~6 years old randomly were selected from six kindergartens in three districts of Chongqing and investigated with questionnaire. The investigating is about the information of physical, vaccination, feeding and diet, sleep, family situation, behavior language and mental development. 3. To analyze the result of Europe and developed countries research on child health indicators, and consult with experts of child health, child physical development and the psychology. On the basis of child health situation in Chongqing, establish the health indicator system suitable for children in Chongqing.Results1. Compared with the surrounding cities,physical health of children under five in Chongqing is good. But there are some problems such as rising of Birth defects rate, lack of emphasis on premarital check-up and maternal care, lack of normalization of diagnosis and treatment of common aliments.2. The educational level of parents, economic condition and children's health education influence children's good living habit. Hearing screening rate and oral examination rate of child are low. Some living habits like eating habit, communication with parents need to improve.3.After the investigation of Chongqing's child health situation, on the basis of research result of child health evaluation indicators in domestic and international, we establish the evaluating indicator system of child. It contains the index of child's physical situation, developmental, psychological situation, and social environment level.Conclusion1. We should increase the rate of premarital checks and prenatal and postnatal care to promote children's health. Establishment of child care center in the country and research of child's serious disease are significant.2. Children's health level, well living habit of children is influenced by parents'education level, health education to children and so on. Parents should help children to have good living habit in daily life and Concern about the child's physical, developmental, psychological, social environment, life and other aspects of health.3. The results of our study establish the evaluation indicators for children from 0 to 12 months, 1 to 3 years and 4 to 6 years old.