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Papers Topic - Comprehensive Systems of ECI Advancing Comprehensive Early Childhood Intervention
Session 6
P6.01 Early Childhood Development in Primary Health Care in Salvador, Bahia, Brazil Presenting Author: Zelma Soares (Brazil) Affiliation: Municipal Health Department, Municipal Government of Salvador, Brazil Co-Authors: Cristiane Ribeiro da Silva Castro, Eduarda do Val, Fernanda Meireles, Darci Neves Santos, Mércia Sacramento dos Santos, Jessica Vieira This study aimed to characterize the development of children aged 0 to 5 years, with the goal of developing a transdisciplinary care protocol for primary health care in the city of Salvador, Bahia, Brazil. A quasi-experimental quantitative study was conducted in four public health units. Developmental milestones and health data of 201 children were obtained from health records, direct observation, and interviews with caregivers. Descriptive statistics were performed using IBMSPSS Statistics 21. Prematurity and low birth weight were observed in 11.0% of children, 30.3% had incomplete vaccination schedules, 36.8% were exposed to food insecurity, and 18.4% lacked neonatal tests. Additionally, 60.0% did not receive dental follow- up. Early signs of delays in motor, socio-emotional, cognitive, and language development were identified, with greater impairment in the second year of life. Primary health care can integrate transdisciplinary actions to promote proper care in early childhood. P6.02 The Role of Health Care in the Portuguese System of Early Intervention, SNIPI Presenting Author: José Boavida (Portugal) Affiliation: SNIPI, National Portuguese System of Early Childhood Intervention The Portuguese Health System represents the most common entry point for developmental assessment and services for children. Current National Child and Youth Program recommendations call for no fewer than 11 health care visits by a child’s third birthday. These recommended clinical visits for children and their parents can provide access to developmental surveillance, screening for developmental delays, and referrals to developmental services within the health system, as well as local ECI teams. When screening and evaluation detect developmental problems or delays, a referral to the local ECI team is very important. In some more complex situations, referrals for specialized evaluation and assessment are needed when additional evaluation is important. In these cases, services are provided in secondary or tertiary health care, often in pediatric hospitals. Hosting local ECI teams and providing physicians and nurses as team members are two other important roles of primary healthcare.
P6.03 A Survey Study on Access to Early Intervention Services in Ireland Presenting Author: Huichao Xie (Republic of Ireland)
Affiliation: University College Dublin Co-Authors: Niamh Haughton, Ke Ren
This study aims to describe how young children and their families access early intervention services in Ireland. Timely delivery of high-quality intervention is crucial for the development and well-being of young children with disabilities (American Academy of Pediatrics, AAP, 2020). However, research highlights issues in the early identification system, such as long waiting lists (e.g., McGill et al., 2022). In the Republic of Ireland, despite the provisions for assessment services in the Disability Act 2005, the number of children overdue for assessment has reached a record high (Cunningham, 2024). It is urgent to understand how families of young children, whose development raises concerns, navigate and access these services to inform future improvements (Darmody et al., 2022). The study aims to recruit 200 families, with data collection to be completed by June 2025.
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