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Child care health consultation programs: barriers and recommendations
Joanna Farrer1, Abbey Alkon, Kim To
1Department of Family Health Care Nursing, University of California, San Francisco School of Nursing, California Childcare Health Program, 1333 Broadway, Suite 1010, Oakland, CA 94612, USA. jfarrer@ucla.edu
Maternal and Child Health Journal
|October 13, 2006
Summary
Child care health consultants (CCHCs) face significant barriers in implementing health programs, including program management and professional support challenges. Understanding these obstacles is crucial for developing effective consultation services in early care and education settings.
Area of Science:
- Public Health
- Early Childhood Education
- Health Services Research
Background:
- Early care and education (ECE) settings require robust health services.
- Child care health consultants (CCHCs) play a vital role in ECE health.
- Barriers to implementing CCHC programs are not well-documented.
Purpose of the Study:
- To identify and describe barriers encountered by CCHCs during program implementation.
- To provide insights for developing and improving child care health consultation programs.
Main Methods:
- Focus groups were conducted with 44 CCHCs in California.
- Participants discussed challenges in establishing county-wide health consultation programs.
- Barriers were themed, quantified, and analyzed for trends.
Main Results:
- Four general themes of barriers emerged: Program Management, Child Care Culture, Geography, and Community Services.
- Twenty sub-themes were identified, including multi-agency involvement, chaos, travel time, and fragmentation.
- Program Management was the most frequent general theme, and Professional Support was the most frequent sub-theme.
Conclusions:
- Identified barriers offer valuable guidance for establishing and developing CCHC programs.
- Administrators and clinicians should anticipate unique challenges in child care health consultation.
- Program managers must provide flexibility and support for CCHCs.
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