tailieunhanh - Transforming The U.S. Child Health System

PSI began working in Cambodia in 1993 and has successfully social marketed a number of health products over the past 14 years. PSI/Cambodia and the MOH jointly decided to address the gaps in appropriate diarrhea treatment by launching a diarrhea treatment kit (DTK), a prepackaged product consisting of two sachets of low-osmolarity ORS and 10 tablets of zinc sulfate. PSI received funding from USAID and support PSI/Cambodia selected Siem Reap and Pursat as the targeted provinces for the pilot due to their higher mortality rates for children under five (94 per 1,000 and 106 per 1,000, for Siem Reap and. | Transforming Transforming The . Child Health System Business as usual will not help us achieve the health care system that our children deserve. by Neal Halfon Helen DuPlessis and Moira Inkelas ABSTRACT This paper presents a vision and rationale for reform of the . child health system based on paradigmatic changes in the conceptualization of child health development. Reviewing well-known and well-documented accounts of how this system is underperforming we suggest that a bold well-defined transformative and long-term reform strategy is needed to address intractable problems in the underlying operating logic organization and financing of the current child health system. We conclude by considering an optimistic long-term policy transformation agenda building up emerging opportunities and changing realities in the United States and abroad. Health Affairs 26 no. 2 2007 315330 There is an emerging scientific consensus that health is not endowed at birth but instead develops over time this reality poses new challenges for the current and future performance and organization of the . health system. Because the scaffolding for physical cognitive and socio-emotional health is built in the early years of life early investments in prevention and health promotion can greatly improve long-term health behavior economic and civic An increasing body of literature also documents how many health disparities have their origins during childhood and compound over time underscoring the potential significance of early investments and raising expectations for what the health care system can and should Even as expectations increase we are faced with the reality of major performance gaps in the . health care Many common system shortcomings such as failure to deliver preventive services could be more detrimental to children than other age groups given the potential of early investments to establish optimal trajectories for .