Organizzazione sanitaria
Sviluppo e valutazione di interventi di prevenzione primaria nel campo della salute infantile
EVALUATION OF THE EFFECTIVENESS OF A HEALTH PROMOTION CAMPAIGN ON 6 MAJOR PREVENTATIVE ACTIONS FOR INFANT HEALTH: AN OPERATIONAL RESEARCH PROJECT
PIERPAOLO MASTROIACOVO1 GIORGIO TAMBURLINIsup>2,per il Gruppo di Lavoro Prevenzione primaria del bambino3
1Istituto di Pediatria, Università Cattolica, Roma
2Unità di Ricerca sui Servizi Sanitari, IRCCS “Burlo Garofolo”, Trieste
3Regione Basilicata, Assessorato alla Sanità, coordinamento Dipartimenti Materno-Infantili (dott. Nicola D’Andrea), Regione Piemonte, Assessorato alla Sanità, Servizi Materno-Infantili, (dott.ssa Paola Ghiotti); Regione Friuli-Venezia Giulia, Agenzia Regionale per la Sanità (dott Giulio Borgnolo); Centro per la Salute del Bambino (Prof. Giancarlo Biasini)
Maggio 2000 - pagg. 306 -309
Abstract
A study aimed at evaluating the effectiveness of a health promotion campaign on 6 major
preventative actions for infant health is presented. The study is financed by the italian Ministry
of Health within the National Health Plan 1998-2000 research framework. The 6 preventative
actions were chosen as those where the evidence for the effect of behavioural
change is stronger and include: periconceptional administration of folic acid, avoidance of
smoking during pregnancy and at home, back to sleep position, exclusive and prolonged
breast feeding, safe transport in car and immunizations. Young couples and parents are
addressed through both health professionals (family doctors and perinatal health services)
and the media. The study design is based on a comparison of the prevalence of preventative
behaviours among the target population before and after the intervention. The study
area includes three different italian Regions for a total population of almost 3 millions. Expected
outcomes of the study include information on baseline attitudes and behaviours of
parents and on health promotion strategies which address infant and child health.
Parole chiave
Acido folico
allattamento al seno
Back to sleep
Behaviour change
Breast feeding
cambiamento comportamentale
Environmental tobacco smoke
Evaluation
Folic acid
Fumo di tabacco ambientale
Health promotion
Immunizations
Immunizzazioni
Modificazione del comportamento
Promozione della salute
Safe transport
trasporto sicuro
Valutazione
Suggerite dall'AI
Classificazione MeSH
Bibliografia
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2. Pediatrics 1994; 93:814-819.
3. WHO. Protecting, promoting and supporting breastfeeding: the special role of maternity services. WHO, Geneva, 1989.
4. de Walle HE, de Jong-van den Berg LT, Cornel MC. Periconceptional folic acid intake in the northern Netherlands. Lancet 1999;353:1187.
5. Cornel MC, Erickson JD. Comparison of national policies on periconceptional use of folic acid to prevent spina bifida and anencephaly. Teratology 1997;55:134-7.
6. Hall DMB. Health for all, 3a ed. Oxford Univ Press 1996.
7. Kallen K. Maternal smoking and congenital malformations. PhD Thesis, Lund University, 1999.
8. American Academy of Pediatrics. Environmental Tobacco smoke: A hazard to children. Pediatrics 1997; 99:639-42.
9. Etzel RA. Active and passive smoking: hazards for children. Eur J Public Health 1997; 5:54-6.
10. Dwyer T e Ponsonby AL. SIDS after the back to sleep campaign. BMJ 1996;313:180-1.
