[The importance of systematic examination of preschool children in new organization of primary health care in B&H and RS].
A systematic examination of 391 children at school age was performed, at age from 1st to 4th grade of grammar school, among which there was 183 boys and 208 girls. Examination was done by the responsible pediatric service of the Primary health care Center Sokolac with help of the humanitarian organization World Vision from Taiwan. The goal of the examination was to get an insight in the general health state of this population, including the risk factor for development of cardiovascular disease (CVD), to suggest appropriate preventive measures, and determine further justification of these examinations within the new organization of health care in RS and B&H. Satisfactory hygiene status of these children, eradication of lousiness and scabies, high percentage of vaccinated children (95%) according to current national program, evaluation of most common congenital anomalies speaks in favor of adequate pediatric care at early age. Higher percent of weak vision (10.23%), "flat feet" (36.57%) and chronic tonsillitis (34.52%), as well as occasional cases of herniations, criptochrism, spine and thorax deformities, and one hearth anomaly indicates on insufficient systematic examination "within critical period" from 3 to 7 years of age. Most often pathological substrate during the examination was caries (69.30%) which indicated the poor prevention of this illness. Percentage of 10.74% obese children and 8.95% children with systolic blood pressure above 95 for this age justify the attitude of WHO on early prevention of CVD. The necessity of pediatric care is indicated at age up to 7 years and regular systematic examinations of the school children according to the program of Health Care Fund by the consultancy pediatric service, as well importance of cooperation with the teams of family medicine. Urgent prevention and treatment of caries is recommended at the referral health care centers and more strict control by the responsible Health Care Fund of RS for the signed contracts on caries prevention. It is recommended to establish the national standards for systematic examinations and programs for fight against risk factors in childhood.
Cajić
Dragan
D
Dom zdravlja Sokolac.
Cirić
Dara
D
Cajić
Milijana
M
Sokolac
Dom zdravlja
Dz
D017522:Bosnia and Herzegovina; D002648:Child; D002662:Child Health Services; D002669:Child Welfare; D005260:Female; D006801:Humans; D008297:Male; D011314:Preventive Health Services; D011320:Primary Health Care