Health Statuses and Health Service Needs for Children Attending Child Care Centers in Korea

Tuesday, 14 July 2009

Hee Soon Kim, PhD, RN
Family and child health care, Yonsei University, Seoul, South Korea
Hyejung Lee, PhD, RNC, APRN
College of Nursing, Yonsei University, Seoul, South Korea

Learning Objective 1: to assess health statuses of children attending child care centers

Learning Objective 2: to identify health service needs for children perceived by mothers and child care providers.

Health Statuses and Health Service Needs for Children Attending Child Care Centers in Korea
Background

Increased children in Korea spend a part of their day in child care centers while their parents in work place. Objectives

The purposes of this study were to assess health statuses of children attending child care centers in Korea and to identify health service needs for children perceived by mothers and child care providers.Method

A cross sectional national mail survey was conducted. A total 431 mothers and 360 child care providers returned their completed questionnaires. Main outcome measures included health statuses of children such as immunization, health screening, health problems and health service needs for children in child care centers.Results

About 10.2%of children were underweight whereas 14.4% of children were at risk for overweight. Only one third of children had health screening such as vision and hearing screening during childhood. About 70% of children experienced absence for sickness. The most common infectious disease and injury that children experienced were a hand-foot-mouth disease (21.1%) and falling accident (11.4%). Although 71.4% of children care providers reported to have a standard how to manage an ill child in the centers, they sent the child to home for mild illness (36.1%) and urgent illness (19.4%). The health service that mothers reported to be most needed for their children was developmental assessment which was offered in only 46.1% of centers while physical examination such as urine and blood test was quite commonly offered by the centers. Conclusions

The survey found that comprehensive health assessments and illness preventive activities are lacking in child care centers in Korea. To improve health service for children, it is recommended to consider a child care health consultant service program in Korea.