Current Paediatrics
Volume 13, Issue 4 , Pages 308-314, August 2003

Evidence-based child health surveillance for the National Child Health Promotion Programme

  • Mitch Blair

      Affiliations

    • Consultant and Reader in Paediatrics and Child Public Health, Imperial College London, UK
    • Corresponding Author InformationCorrespondence to: MB. Tel.: +44(0)208 869 3330; fax: +44(0)208 869 2927
  • ,
  • Austin Isaacs

      Affiliations

    • Specialist Registrar, Department of Paediatrics, Imperial College, Northwick Park Hospital, Harrow, Middlesex HAI 3UJ, UK

Abstract 

This article outlines key aspects of evidence-based child health surveillance, screening and prevention. The fourth edition of Health for All Children has recently reviewed this area in detail and proposed an evidence-based universal child health programme. Current programmes include frequent fixed-point reviews of growth and development, but many aspects do not fulfil screening criteria. There is a spectrum of methods of early detection including screening, opportunistic detection, parental concern and targeting of high-risk groups. The benefits and harms of universal versus targeted screening are discussed, as well as evidence-based interventions for three current child public health issues; obesity, developmental and behavioural problems, and injury.

Keywords:  screening, evidence based, child health surveillance, health promotion

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PII: S0957-5839(03)00055-1

doi:10.1016/S0957-5839(03)00055-1

Current Paediatrics
Volume 13, Issue 4 , Pages 308-314, August 2003