Prioritized Surveillance of Young At-risk South African Children: An Evaluation of the PEDS Tools Referral and Response Characteristics

Prioritization of referrals following developmental screening is essential to ensure early intervention in resource-constrained settings. To evaluate the referral criteria and response characteristics of the PEDS tools to determine its applicability in at-risk South African children. A retrospective...

Full description

Saved in:
Bibliographic Details
Published in:Journal of health care for the poor and underserved 2019-05, Vol.30 (2), p.668-679
Main Authors: Maleka, Boledi K, Van Der Linde, Jeannie, Swanepoel, De Wet, Glascoe, Frances Page
Format: Article
Language:English
Subjects:
Acquired immune deficiency syndrome
Age Factors
AIDS
Alcohol
At risk youth
Caregivers
Child development
Child, Preschool
Children
Children & youth
Criteria
Developing Countries
Developmental Disabilities - diagnosis
Developmental Disabilities - epidemiology
Developmentally delayed young children
Early intervention
Female
Health care
HIV
Human immunodeficiency virus
Humans
Infant
Male
Mass Screening - methods
Medical referrals
Parents & parenting
Pediatrics
Population Surveillance - methods
Primary care
Prioritizing
Referral and Consultation
Referrals
Retrospective Studies
Risk
Risk Factors
Social isolation
South Africa - epidemiology
Speech therapy
Surveillance
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Prioritization of referrals following developmental screening is essential to ensure early intervention in resource-constrained settings. To evaluate the referral criteria and response characteristics of the PEDS tools to determine its applicability in at-risk South African children. A retrospective analysis of the PEDS tools data for 406 participants at risk of developmental delays between the age of five and 36 months in a primary health care setting. The PEDS in isolation had a referral rate of 41% (n=168) and the PEDS:DM had a slightly higher referral rate of 54% (n=213). Referral criteria of the PEDS:DM in isolation as well as of the PEDS tools combined prioritizing moderately to severely affected children were modelled from the data. The PEDS tools must be evaluated for applicability in low-and-middle-income countries. Referral criteria must be sensitive to the demands on under-resourced health care systems.
ISSN:1049-2089
1548-6869
1548-6869
DOI:10.1353/hpu.2019.0049