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Screening for developmental problems at primary care level: a field programme in San Isidro, Argentina
Horacio Lejarraga1, Ana Maria Menendez, Enrique Menzano
1Crecimiento y Desarrollo, Hospital Garrahan, Buenos Aires, Argentina. hlejarraga@garrahan.gov.ar
Paediatric and Perinatal Epidemiology
|February 27, 2008
Summary
A screening test identified significant problems in psychomotor development (PPD) in 20% of children. Many families faced barriers to follow-up care, highlighting the need for improved healthcare access and further research.
Area of Science:
- Pediatrics
- Developmental Psychology
- Public Health
Background:
- Information on psychomotor development problems (PPD) is crucial for targeted care programs.
- Screening for PPD in early childhood is essential for timely intervention.
Purpose of the Study:
- To determine the prevalence and types of PPD in children aged 0-5 years.
- To assess the feasibility of implementing a PPD screening tool in primary healthcare settings.
Main Methods:
- The Prueba Nacional de Pesquisa (PRUNAPE) screening test was administered to 839 children in three health centers.
- Paediatricians conducted the screening, and referred children underwent multidisciplinary assessment.
Main Results:
- Overall, 20% of children failed the screening test (24% in center A, 19% in B, 16% in C).
- Of 170 referred children, only 96 completed diagnostic studies.
- Global Developmental Delay (GDD) was diagnosed in 60 children, with co-morbidity in 22.
Conclusions:
- Significant social and family barriers impede diagnostic follow-up for children with PPD.
- Methodological limitations, including non-random sampling and low compliance, necessitate cautious interpretation of prevalence data.
- Further research and improved healthcare system integration are needed to effectively address PPD in Argentina.
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