Background and aims UN Convention on the Rights of the Child (UNCRC) is an essential part of child health promoting policies. Several studies were carried out on the implementation of UNCRC in secondary and tertiary health care levels but not in primary paediatric care (PPC) settings. PPC model heterogeneity in Europe is related to socioeconomic/demographic factors, paediatric education/training and child health care policies. PPC is either provided by paediatricians or family doctors/GPs.
The study aim was to assess under a social paediatrics perspective UNCRC knowledge/implementation in European PPC settings.
Methods As to profile UNCRC in PPC, a questionnaire (Q1) was designed including 23 specific questions regarding rights of protection, provision and participation. The questionnaire was launched as a "monkey survey” to individual paediatricians practicing in PPC settings through the Council of PPC European national societies participating in the study. Specific country data (Excel table) and total merge data were analysed using SPSS tool.
Results 1342 responses received from 10 participating European PPC societies:
-Not enough knowledge: 52%–71%
-Implementation:Partly implemented 30%–67%, fully implemented 33–66%
-Equal access to health care: Provided 84%–99,5%
-Right to information: Available 90%.
Conclusions The knowledge/implementation of UNCRC in PPC varies significantly among European countries. Deep gaps on UNCRC knowledge were found. Equal access to health care is provided in urban areas. UNCRC should be included in paediatric education as well as addressed in PPC planning policies. Further research on UNCRC in various European PPC models/health care providers is needed (Study Phase 2).