The core process is responsible for internal business development and is the process that runs through the organization and the results which creates a value for the customer. Some research suggests that identification of the client's conscious or unconscious needs clarifying the so-called core process in the organization and operations can thus be more effective. The study aims to identify and analyze the experience of the core process within child health care. The method has been interviews with nine managers and 10 clinic nurses in a county. The results show a lack of knowledge regarding core process and process work. However, the respondents have a sense of what the core process is, although the experience of the core process differs between managers and child health nurses in the study. The discussion describes the obstacles and supporting factors for a common core process.   Keywords: core process, child health care, core process management, process in health care, process management / Kärnprocessen står för verksamhetens inre utveckling och är den process som löper tvärs igenom organisationen och vars resultat skapar ett värde för kunden. Det finns forskning som tyder på att identifikation av kundens medvetna eller omedvetna behov tydliggör den så kallade kärnprocessen i organisationen. Genom processledning får medarbetarna en helhetssyn och kunskap om både interna och externa kunders behov. Det har en positiv inverkan på medarbetarnas arbetstrivsel och verksamhetens utveckling. Syftet med studien är att identifiera och analysera upplevelsen av kärnprocessen inom barnhälsovården. Metoden har varit kvalitativa intervjuer med nio verksamhetschefer och 10 BVC-sköterskor i ett av landets län. Resultatet visar på en kunskapsbrist beträffande kärnprocess och processarbete. Däremot har respondenterna en upplevelse av vad kärnprocessen är, även om upplevelsen av kärnprocessen skiljer sig mellan verksamhetscheferna och BVC-sköterskorna i studien. I diskussionen beskrivs hindrande och stödjande faktorer för en gemensam kärnprocess.

Thesis (MPH) -- University of Limpopo, 2011.

Thesis (M.S.)--Wisconsin. / Includes bibliographical references (leaves 78-80).

No description available.

MPH, Faculty of Haelth Sciences, University of the Witwatersrand, 2009 / The Integrated Management of Childhood Illness (IMCI) strategy was introduced in Zimbabwe in 1996 to integrate vertical child health care programmes. It has since expanded to cover over 300 first level health facilities out of 897 in 23 districts out of a total of 59 districts in the country. This survey was conducted to measure the quality of care delivered to sick children aged 2 months up to 5 years at first level health facilities implementing IMCI. The management of sick children was observed for 226 children aged 2 months up to 5 years who were brought to primary level health facilities. 226 interviews with child caretakers were conducted, all children included in the survey were re-examined by an experienced IMCI practitioner to ascertain the classification (diagnosis) of child’s illness and the appropriate treatment needed. Finally facilities, services and supplies were assessed in the 35 facilities visited. Seventy one percent of cases were children under 2 years old. The majority of caretakers (88%) were mothers of the sick children. All children were systematically checked for the four main symptoms, 80% of children were checked for general danger signs. About 70% of cases classified as having pneumonia received correct treatment for pneumonia. Almost 50% of cases observed received correct treatment for malaria. Half of the children observed (50%) received their 1st dose at the facility. Just less than half (48%) of the children who needed vaccines left the health facilities with all the needed vaccines. Eighty five percent of caretakers were advised on drug treatment. As a result of the advice received, almost two third (65%) of the caretakers who had been prescribed an antibiotic/antimalarial were able to correctly describe how to give the antibiotic to the iv child. The large majority of caretakers (78%) were satisfied with the health services provided. Over half (54%) of facilities visited had at least 60% of health workers trained in IMCI; 88% of children were managed by health workers who had been trained in IMCI. Drugs were available with the exception with oral rehydration salts (ORS) or sugar salt solution (SSS). Most facilities had supplies and equipment for vaccination, and most had other basic supplies and materials; IMCI chart booklets were found in 91% of facilities. Health facilities which received at least one supervisory visit that included observation of -case management in the last 6 months was only 11% indicating that supervision is not carried out on a regular basis. The management of sick children seen by providers trained in IMCI followed a systematic approach in most cases but there is room for further improvement. Drugs were used rationally. Key supportive elements of the health system were in place in the facilities visited with the exception of regular supervision. However only 38% needing urgent referral were identified and prescribed urgent referral. Weaknesses were also observed in the management of diarrhea, fever and in counseling the caretaker. Only 15% of caretakers were given or shown the mothers card as a job aid and only 23% of caretakers were told on when to return immediately. The IMCI strategy has the potential to act as a powerful channel to improve the quality of services. As the survey was unable to determine reasons for poor performance observed, further research is required to investigate the factors leading to poor health worker performance.

In this study, I study the relationship between the use of the child home care allowance and second and third births among women aged 19-44 in Finland. I use register data from the Finnish Census Panel (FCP) on 254 465 women who had a second or third child during 1993 to 2007. I apply discrete-time event-history analysis to examine whether women using the child home care allowance while their previous child was under the age of three have a higher risk to proceed to subsequent childbearing – second and third births – than those not using the allowance while their previous child was under the age of three. The analysis is conducted separately for second and third births. The results show that the use of the child home care allowance has an effect on the risk of subsequent child, and that women using the child home care allowance have a higher risk of having a second and a third child than women not using the allowance. Also, the risk of having a second child is found to be higher than having a third child. According to the findings, timing matters. There are differences in how soon women get their subsequent child, and not only whether they get a second and third child or not. These differences are not explained by the control variables. However, the analysis does not demonstrate any causality between the use of the allowance and subsequent childbearing. The impact of the use of the allowance on childbearing may be due to selection effects.

Bakgrund Sömn och matproblem är vanliga hos små barn. Bekymren kan vara stora och föräldrarna i behov av professionell hjälp. Barnavårdscentralerna har stor stöd- och hjälpfunktion men inte alltid resurser för detta. I Uppsala län finns en specialbarnavårdscentral som erbjuder råd och stöd vid dessa problem. Syfte med studien var att studera föräldrarnas bedömning av barnets sömn- eller matproblem före och efter kontakt med Special-BVC, samt om det fanns ett samband mellan antal kontakter och föräldrarnas bedömning av barnets situation efter avslutat kontakt. Metod Designen var en deskriptiv, komparativ studie där 67 av 102 (66 %) föräldrar besvarade frågor om förhållanden före och efter kontakt med Special-BVC. Resultat Inom flera områden minskade barnens sömn- eller matproblem efter kontakten med enheten. Emellertid bedömde föräldrar till barn med matproblem att dessa fortfarande var ett problem för barnet men inte för familjen medan barns problem gällande sömn minskat både för barnet och familjen. Diskussion Kvalitetssäkring av vårdverksamheters resultat är viktigt. Studien visade att Special-BVCs arbete ledde till en förbättrad situation för familjerna. Barnen hade haft sina problem länge, i genomsnitt tio månader. Många familjer borde kunna få hjälp på sin ordinarie BVC genom primärprevention eller genom tidiga sekundärpreventiva åtgärder. Special-BVCs arbetsmetodik borde därför spridas till den ordinarie BVC-verksamheten. / Background Sleeping and feeding problems are common in young children. The problem can be large and the parents need professional help. The Child Health Clinics aim to give help but hasn’t always enough resources. In Uppsala, a Specialist Child Health Team (Special-BVC) provides help to families with special needs. Aim was to study parents’ assessment of their child’s sleep or feeding problems before and after contact with "Special-BVC" and the relation between number of contacts and the child’s situation after the contact. Method The design was a descriptive, comparative study where 67 of 102 (66%) parents answered two questionnaires measuring the situation before and after contact with Special-BVC. Results In many areas the children's sleep or feeding problems decreased after the contact. Parents to children with food problems thought the child’s situation still was a problem for the child but not for the family, whereas parents to children with sleeping problems thought the problematic situation hade improved both for the child and the family. Discussion Quality assurance of care is important. The study showed the work done by Special-BVC improved the situation for the families. The children had had their problems a long time, an average of ten months. Many families should be help from their regular child health clinics through primary prevention or earlier secondary prevention. The working methods used at the Special-BVC should be disseminated to the regular child health clinics.

Att adoptera och att bli adopterad kan vara en påfrestande livserfarenhet så stöd och hjälp frånbarnhälsovården, socialtjänsten, sjukvården och barnpsykiatrin kan bli nödvändig. Föreliggandestudie är en registerstudie och omfattar 50 221 barn, varav 440 adopterade, som är födda mellan1994-2007 och folkbokförda i Uppsala län. Syftet med studien är att undersöka om det finnsnågra skillnader i kontakten med BVC för adoptivbarn jämfört med biologiska barn vad gällerantal mottagningsbesök, antal hembesök, MPR vaccinationer, skickade remisser till barnläkare,psykolog, ortoptist, audiolog och logoped samt om barnen genomfört syn-, hörsel ochspråkscreening och utfallet på dessa screeningar. Logistiska- och linjära regressionsanlysergjordes och en del korrigerades för ålder. Adoptivbarnen fick både färre hembesök och färremottagningsbesök. Det var också lägre andel adoptivbarn som blev vaccinerade mot MPR. Vadgäller remisser skickades för adoptivbarnen högre andel remisser till BHV-psykolog, ortoptistoch till logoped. De biologiska barnen genomförde synscreening i högre grad. Adoptivbarnenfick i högre grad utfall på syn- och hörselscreening. Adoptivbarnen får i lägre utsträckning änbiologiska barn ta del av viktiga komponenter i svensk barnhälsovård vilket kan leda till sämrehälsa för gruppen på lång sikt. Vården behöver bli mer jämlik för adoptivbarnen och för attkomma till insikt om varför dessa skillnader finns behövs fler studier på området. / To adopt and to be adopted can be a distressing experience of life, and support from child healthcare, social services, health care and child psychiatry may be necessary. This study is aregister study and covers 50,221 children, of which 440 are adopted, born between 1994-2007 and registered in Uppsala län. The purpose of the study is to investigate if there areany differences in the contact with child health care for adopted children compared withbiological children as regards to the number of clinic visits, number of home visits, children whoare vaccinated with MMR, referrals to pediatricians, psychologists, orthoptist and speechtherapist and if the children perform the visual-, auditory-, and language screening and theoutcome of these screenings. Logistic- and linear regression analyzes were made and some werecorrected for age. The adoptees had both significantly fewer home visits and office visits than thebiological children. There were also a lower proportion of adopted children who were vaccinatedagainst MMR. The adopted children had significantly more referrals sent to the BHVpsychologist,the orthoptist and the speech therapist. Adopted children take a lesser part inimportant childcare components than biological children. This could lead to a worse health forthis group in the long term. The healthcare need to be more equal amongst children, and to getcloser to the cause of these differences more studies is needed.

Thesis (M.A. (Hons.)) -- University of Western Sydney, 2003. / "A masters honours thesis submitted to the University of Western Sydney" Includes bibliography.

Thesis--Ohio State University. / Vita. eContent provider-neutral record in process. Description based on print version record. Bibliography: leaves 148-158.