ความสัมพันธ์ระหว่างคุณภาพการดูแลสุขภาพโดยศูนย์เด็กเล็กและผู้ปกครองต่อภาวะสุขภาพเด็กปฐมวัย ณ ศูนย์พัฒนาเด็กเล็กองค์การบริหารส่วนตำบลองครักษ์ จังหวัดนครนายก Relations of Health-Care Quality Provided by the Child Care Center and Parents with Health Status of

Abstract

Objective: To determine health care quality provided by the child carecenter and parents at the Ongkarak Subdistrict Administration OrganizationChild Development Center, Nakhonyayok province, and to examinerelationships between care quality with preschool children health status.Method: In this descriptive survey study, subjects were 7 parents and 7child caregivers, and 137 preschool children from purposive sampling.Research instruments included preschool children quality evaluation formand opened-end questionnaires for focus group. Health status wasassessed using the 10-position health assessment sheet. Descriptive andSpearman correlation analyses were applied. Results: Preschool childrenhad an average age of 4 years and 9 months. Regarding body mass index(BMI), half of them had normal BMI (47.45%), 15.89% had BMI lower thanstandard, and 30.66% were obese (mild to severe level). One third of them(29.9%) had health problems. Most common health problems were dentalcaries (73.7%), unclean body (55.5%), pediculosis (20.4%), skin lesion(7.3%), allergy (3.6%), and otitis media (2.9%). Two health-care qualitymeasures met standards; age-matched development of more than 85%(90.5%) and well-developed height and proper figure of more than 70%(75.2%). The others two measures not meeting the standards includingdental caries more than 57% (73.7%), and having referral system forevaluation and treatment (none found). Teeth-care quality by the ChildDevelopment Center and health informatics management among parentswere statistically negatively related with proper figure (ρ = -0.170, P =0.005 and ρ = -0.227, P = 0.001, respectively). Conclusion: Teeth-carequality of the Ongkarak Subdistrict Administration Organization ChildDevelopment Center and health informatics management among parentshad a negative association with health status of preschool children.Keywords: health-care quality, child care center, parents, health status,preschool-children