some length the parents who have failed the child, and the breakup of family life. In Chapter Two Dr. Bowley deals with the children themselves, beginning with the Reception Centre to which they are admitted, and here emphasis is laid on the desired shortness of stay and the facilities for expert assessment. This is controversial ground and might merit a lengthier discussion, for example, regar...

BACKGROUND AND OBJECTIVE The Patient Protection and Affordable Care Act established the Maternal, Infant, and Early Childhood Home Visiting Program, which provides $1.5 billion to states over 5 years for home visiting program models serving at-risk pregnant women and children from birth to age 5. The act stipulates that 75% of the funds must be used for programs with evidence of effectiveness b...

OBJECTIVE To analyze child health care and the defense of their rights from the perspective of adolescent mothers. METHODS An exploratory study with qualitative thematic analysis of data, based on conceptual aspects of care and the right to health, from semi-structured interviews with 20 adolescent mothers ascribed by Family Health teams. RESULTS Maternal reports indicate that child health ...

BACKGROUND Across the developing world, countries are increasingly adopting the integrated community case management of childhood illnesses (iCCM) strategy in efforts to reduce child mortality. This intervention's effectiveness is dependent on community adoption and changes in care-seeking practices. We assessed the implementation process of a theory-driven community dialogue (CD) intervention ...

BACKGROUND Between 1999 and 2007, the Ministry of Health and Population in Egypt scaled up the Integrated Management of Childhood Illness (IMCI) strategy in 84% of public health facilities. OBJECTIVES This retrospective analysis, using routinely available data from vital registration, aimed to assess the impact of IMCI implementation between 2000 and 2006 on child mortality. It also presents ...

Currently, more than two-thirds of the population in Africa must leave their home to fetch water for drinking and domestic use. The time burden of water fetching has been suggested to influence the volume of water collected by households as well as time spent on income generating activities and child care. However, little is known about the potential health benefits of reducing water fetching d...

The fi rst phase of the Community Child Care Research Project consisted of gathering information about the child care contexts of four Indiana communities: Marion, Lake, Allen, and St. Joseph counties. To provide an initial picture of these four communities in relation to child care, we examined existing community data and child care indicators available for the communities, conducted qualitati...

OBJECTIVE To examine toddlers' full-day patterns of cortisol production on child care days and non-child care days, with a particular focus on whether the mid-afternoon elevations at child care persist into the evening or decrease to typical levels observed on non-child care days. DESIGN A prospective observational study. SETTING Four child care centers in a suburban, mid-Atlantic area. P...