Surveillance for Children Development in Age Group 0-5 Years, Region 5 Health Provider, The Office of Permanent Secretary, Ministry of Public Health

Abstract

Objective: To study and analyses surveillance for child The target population is children development in aged group 0-5 Region 5 Health Provider years and evaluate the development of screening for children aged 9, 18, 30 and 42 months with Developmental Surveillance and Promotion Manual (DSPM) and Thai Early Developmental Assessment for Intervention (TEDA4I).

Research design: This is a descriptive research focusing on child developmental surveillance at health region 5. The target population is children aged 0-5 years. The study conducted using DSPM between July – September 2017. The Microsoft Excel computer program was used for data analysis.

Results: The developmental evaluation using DSPM for 11,833 cases of children with normal delivery aged 9, 18, 30 and 42 months was performed accounting for 88.25 percent of target population. The samples of 8,986 cases (75.94%) were found to be at normal development state. There were 2,786 cases (23.54%) (diagnosed as children with delayed developmental outcomes) and 61 cases (0.52%) referred for advance care. The groups of children aged 9, 18, 30 and 42 months were assessed using TEDA4I. Among these 1,972 cases (70.7%) of children could followed up, 1,919 cases found to be normal development, and 53 cases of inactive children after received the developmental promote/ stimulate. Ten cases of children found to be with Gross Motor (GM), 17 cases of children found to be with Fine Motor (FM), 23 cases of children found to be with Receptive Language (RL), 33 cases found to be with Expressive Language (EL), 16 cases found to be with Personal and Social (PS), and 814 cases lost to follow up. At the end, 10,905 cases (91.36%) of the suspected developmental delayed children who were stimulated within 1 month found to be with normal development.

Conclusion: The assessment of early childhood developmental problems that help children improve their skills. Strong family nationally, reducing the cost of special education. The results of this study can be used to inform relevant authorities in other health region about the importance of this problem.