INCIDENCE RATE OF CHILDREN ATTENDING CRECHES IN PLEVEN MUNICIPALITY: CAUSES AND TAKING REDUCTION MEASURES

Abstract

Purpose: The aim of the report is to study the incidence rate among children attending crèches on the territory of the municipality of Pleven, defining the reasons and suggesting measures for its decrease. Materials and methods: The study was conducted between March 2015 and August 2017. A total of 533 people (83 nurses working in crèches and creche groups in integrated childcare facilities (ICF) on the territory of the Pleven municipality; 360 parents whose children attended children's establishments and 90 newly admitted children) were included. Used means: Two types of survey questionnaires were conducted on the two groups - nurses and parents. There had been conducted over a period of one year an outdoor overt panel observation in natural conditions of 90 new children in “Happy Childhood”, “Asen Halachev” and “Chaika” creches. Survey data was processed with STATGRAPHICS software packages; SPSS 19 and EXCEL for Windows. Results: There has been established a high incidence rate of children attending creches in Pleven municipality. According to parents and health care professionals, the major causes of that incidence rate are lack of sustained immunity, contact with many children, and in the opinion of some - poor control over morning admission. An insufficiently effective morning filter and nurses indecisiveness on decision making, as well as on taking adequate measures related to children's health. Conclusion: The study found a high incidence rate among children attending creches on the territory of the Pleven municipality.

Keywords

• children attending crèches
• nurses working in crèches
• health care