Quality Improvement of the Well-Child Clinic Care Model on Parental Health Literacy and Child Health Outcomes


  • Sasithorn Lerdpiromluk Pranangklao Hospital
  • Sumana Youdyoung Pranangklao Hospital
  • Wanid Duangdech Faculty of Nursing, Srinakharinwirot University


Well-child clinic, Early childhood, Parental health literacy, Child health outcome, Breastfeeding


The Well-Child Clinic plays an important role in promoting good health and development during early childhood. Providing a Learning process for parents in the clinic can enhance the knowledge, understanding, and ability of parents to raise their children correctly and appropriately. This developmental research aimed to develop a care model on parental health literacy and child health outcomes, for a well-child clinic at a tertiary hospital. The Department of Health’s (Ministry of Public Health) guidelines for implementing a well-baby clinic and Nutbeam and Pengchan’s concepts of promoting health literacy were used as the guidelines for developing the model. The purposive sampling consisted of 30 parents of early childhood-aged children, and 30 early childhoods. The research was conducted in four phases: 1) analyzing the situation, 2) developing the service model, 3) implementing the developed model, and 4) evaluating the results. The research instruments consisted of the well-child clinic care model and a program to promote parental health literacy. The data collection tools consisted of a demographic form, a focus group interview form, a health literacy questionnaire, a breastfeeding record form, a child health record form, a growth chart, and a Developmental Surveillance and Promotion Manual (DSPM). Data were analyzed using descriptive statistics and paired t-test.

The results show that parents' health literacy improved. The mean overall health literacy score after the experiment (Mean = 172.03, SD = 18.23) was significantly higher than before the experiment (Mean = 154, SD = 14.02) (t = -7.08, p < 0.001). All infants received continuous breastfeeding. After parents participated in the program, however, child health outcomes including nutritional status, oral health, and development remained the same as before participation.

Well-Child Clinic Care Model development could increase parental health literacy in raising their children which may have a positive impact on early childhood health outcomes.


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How to Cite

Lerdpiromluk, S., Youdyoung, S., & Duangdech, W. (2024). Quality Improvement of the Well-Child Clinic Care Model on Parental Health Literacy and Child Health Outcomes. Nursing Journal CMU, 51(1), 204–222. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/265747



Research Article