Impact of Healthy Nursery Project on Hospital visit for Influenza Like Illness, Hand Foot and Mouth Disease, and Food and Waterborne Diseases in Thailand.
DOI:
https://doi.org/10.14456/dcj.2014.11Keywords:
Healthy Nursery Project, Influenza Like Illness, Hand Foot and Mouth Disease, Food and Waterborne DiseaseAbstract
This observational retrospective cohort study was conducted on 148 nurseries across the country to evaluate the impact of the Healthy Nursery Project and its interventions on hospital visit for Influenza Like Illness (ILI), Hand Foot and Mouth Disease, and Food and Waterborne Diseases. Hospital administrative data were collected to identify infected children and simple logistic regression, using "nursery evaluation score" as a single predictor variable, was conducted to evaluate its impact on diseases. The study revealed that for one "nursery evaluation score" increase, children in the nursery would have 0.90% percent reduction in the odds of developing ILI which require hospital visit (OR = 0.991 (95.00% Cl 0.984-0.998). However, no significant reduction of Hand Foot and Mouth Disease or Food and Waterborne Diseases were observed. Among 35 interventions under Healthy Nursery scheme, proper caregiver-children ratio, proper patient isolation, proper toys cleaning, and sufficient tap water outlet showed significant reduction of hospital visit for ILI with adjusted OR 0.88 (95.00% Cl 0.83-0.95), 0.76 (95.00% Cl 0.67-0.87), 0.86 (95.00% Cl 0.75-0.99) and 0.85 (95.00% Cl 0.76-0.95), respectively. In conclusion, the Healthy Nursery Project and some of its interventions e.g. proper caregiver-children ratio, patient isolation, proper toys cleaning, and sufficient tap water outlet could reduce hospital visit for ILI.
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