LEADING ARTICLE

Preventive children's services

From health surveillance to health promotion: the changing focus in preventive children’s services

M Blair¹, D Hall²

¹ Consultant Reader in Paediatrics and Child Public Health, Imperial College London, Harrow, London, UK
² Institute of General Practice, ScHARR, University of Sheffield, Northern General Hospital, Sheffield, UK

Correspondence to:
Correspondence to:
Prof. D Hall
Storrs House Farm, Storrs Lane, Sheffield S6 6GY, UK; d.hall@sheffield.ac.uk

Accepted 17 June 2005

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The shift from surveillance to promotion requires paediatricians to play several roles in a larger multidisciplinary and multi-agency team

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Keywords: child health surveillance; child health promotion; prevention; health visiting; Sure Start

The first 150 words of the full text of this article appear below.

Child health surveillance programmes aim to prevent disease, detect physical and developmental abnormalities, and promote optimum health and development. There is growing evidence over the past decade that early intervention can change the life course for disadvantaged children. The emphasis has shifted from detecting developmental problems to preventing them and, in recognition of this change, the term "child health surveillance programme" has given way to "child health promotion programme". Putting this programme into practice calls for awareness of the evidence as to what works. The evidence supports the need for a universal preschool service for all families and targeted intensive home visiting for high risk children. Preschool intervention and education benefit all children but particularly those at risk of educational failure. Children’s Centres may offer the opportunity to provide a more effective integrated service. The shift from surveillance to promotion requires paediatricians to play several roles in . . . [Full text of this article]

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• Brothers, K. B., Glascoe, F. P., Robertshaw, N. S. (2008). PEDS: Developmental Milestones--An Accurate Brief Tool for Surveillance and Screening. CLIN PEDIATR 47: 271-279 [Abstract]  
• Ertem, I. O., Dogan, D. G., Gok, C. G., Kizilates, S. U., Caliskan, A., Atay, G., Vatandas, N., Karaaslan, T., Baskan, S. G., Cicchetti, D. V. (2008). A Guide for Monitoring Child Development in Low- and Middle-Income Countries. Pediatrics 121: e581-e589 [Abstract] [Full Text]  
• Chang, D. I., Bultman, L., Drayton, V. L., Knight, E. K., Rattay, K. T., Barrett, M. (2007). Beyond Medical Care: How Health Systems Can Address Children's Needs Through Health Promotion Strategies. Health Aff (Millwood) 26: 466-473 [Abstract] [Full Text]  
• Zuckerman, B. (2007). Re: From health surveillance to health promotion: the changing focus in preventive children's service. Arch. Dis. Child. 92: 184-184 [Full Text]  

eLetters:

Read all eLetters

Re From health surveillance to health promotion: the changing focus in preventive children’s service

Barry Zuckerman

ADC Online, 12 Sep 2006 [Full text]

Children's services: Author's response to Zuckerman

Mitch E Blair

ADC Online, 5 Oct 2006 [Full text]