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[The health determinants in young children: testing a new surveillance system in Italy]

Enrica Pizzi1, Angela Spinelli2, Serena Battilomo3

  • 1Centro nazionale per la prevenzione delle malattie e la Promozione della salute, Istituto superiore di sanità, Roma; enrica.pizzi@iss.it.

Epidemiologia E Prevenzione
|May 22, 2019
PubMed

Insights

Investing in the first 1,000 days of life is crucial for lifelong health. A pilot surveillance system effectively monitored key child health determinants from conception to age two.

Area of Science:

  • Public Health
  • Child Development
  • Health Surveillance

Background:

  • The first 1,000 days (conception to 2nd birthday) are critical for establishing lifelong health foundations.
  • Health during this period can impact future generations.
  • There is a need for robust health surveillance systems for young children.

Purpose of the Study:

  • To test a surveillance system for key child health determinants in the first 1,000 days.
  • To evaluate the feasibility and potential for national extension of the system.
  • To inform the National Programme "GenitoriPiù".

Main Methods:

  • A pilot surveillance system was designed, tested, and evaluated between January 2014 and August 2016.
  • Data were collected via questionnaires completed by mothers in vaccination centers.
  • Key determinants included folic acid use, substance abstinence, breastfeeding, sleep position, vaccination attitudes, and early reading.

Main Results:

  • The surveillance system proved feasible for collecting important child health information.
  • The system identified favorable conditions and potential challenges for implementation.
  • Indicators were produced for territorial and intertemporal comparisons.

Conclusions:

  • The pilot project demonstrated the viability of a national health surveillance system for the first 1,000 days.
  • The system can provide valuable data for public health initiatives.
  • The methodology is repeatable over time and suitable for national extension.

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