 | The 131st Annual Meeting (November 15-19, 2003) of APHA |
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| The 131st Annual Meeting (November 15-19, 2003) of APHA |
Jane A. Bernzweig, PhD1, Joanna Farrer, BA1, Patricia Isbell2, Jill kerr2, Eric Savage, MA3, Kim To, MHS1, Mimi Wolff, MSW1, Abbey Alkon, RN, PhD4, and Jonathan Kotch, MD, MPH5. (1) Family Health Care Nursing, University of California, San Francisco, California Child Care Health Program, 1322 Webster St. Suite 402, Oakland, CA 94612, 510 281-7926, bernz@itsa.ucsf.edu, (2) Department of Maternal and Child Health, University of North Carolina at Chapel Hill, CB# 7445 Rosenau Hall , NC., University of North Carolina, Chapel Hill, NC 27599-7445, (3) Frank Porter Graham Child Development Institute, University of North Carolina at Chapel Hill, CB# 8185 Sheryl Mar Bldg., University of North Carolina, Chapel Hill, NC 27599-8185, (4) Department of Family Health Care Nursing, University of California, San Francisco, 2 Kirkham Street, Box 0606 Room N411Y, San Francisco, CA 94143-0606, (5) Department of Maternal and Child Health, School of Public Health, University of North Carolina, Chapel Hill, CB# 7445 Rosenau Hall, University of North Carolina, Chapel Hill, NC 27599-7445
The Child Care Health Consultant (CCHC) is a new role for health professionals to improve health and safety in child care and link child care and health communities. A collaborative study between California and North Carolina tracks the activities of CCHCs who participated in a Training Institute and documents changes in child care compliance with health and safety standards. In California, First 5 California funds the Child Care Health Linkages Project and in North Carolina, the Division of Child Development funds the Quality Enhancement Project (QEP) for Infants and Toddlers. Both programs train CCHCs, provide health consultation services and fund the evaluation of the training and services. Twenty CCHCs in California serve approximately 20,000 children in 1847 child care facilities. Thirteen CCHCs in North Carolina serve approximately 3463 children in 202 child care facilities. Data collection includes Daily Encounter Forms that document the activities of CCHCs, including on-site consultation, health education, telephone consultation, screening and direct health services, and administration. Baseline data indicates that administration accounts for 35% and 20% of CCHCs°¯ activity in California and North Carolina, respectively. Health education and on-site consultation accounts for 25% and 26% of California and North Carolina consultation, respectively. Follow-up data from North Carolina indicate that, with continuing support and training with regular feedback, administration takes less time (12%), and on-site, on-line and telephone consultation occupy 34% of consultants°¯ time. Tracking CCHC services in two states provides substantial data to observe change in activities as CCHCs integrate their services into child care programs.
Learning Objectives:
Keywords: Child Care, Child Health
Related Web page: www.ucsfchildcarehealth.org
Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.