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Pediatrics Paper

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The Child-Friendly Healthcare Initiative (CFHI): Healthcare Provision in Accordance With the UN Convention on the Rights of the Child

"ABSTRACT. Objective. Although modern medical technology and treatment regimens in well-resourced countries have improved the survival of sick or injured children, most of the world’s families do not have access to adequate health care. Many hospitals in poorly resourced countries do not have basic water and sanitation, a reliable electricity supply, or even minimal security. The staff, both clinical and nonclinical, are often underpaid and sometimes undervalued by their communities. In many countries there continues to be minimal, if any, pain control, and the indiscriminate use of powerful antibiotics leads to a proliferation of multiresistant pathogens. Even in well-resourced countries, advances in health care have not always been accompanied by commensurate attention to the child’s wider well-being and sufficient concerns about their anxieties, fears, and suffering. implementation of the pilot scheme in 6 countries. In hospitals providing maternity and newborn infant care, the program will be closely linked with the Baby Friendly Hospital Initiative of WHO/UNICEF that aims to strengthen support for breastfeeding. Pediatrics 2000; 106:1054 - 1064; United Nations Children's Fund, United Nations Convention on the Rights of the Child, child protection, breastfeeding, pain control, palliative care, child abuse. ABBREVIATIONS. UNICEF, United Nations Children's Fund; WHO, World Health Organization; BFHI, Baby Friendly Hospital Initiative; CFHI, Child Friendly Healthcare Initiative; UNCRC, United Nations Convention on the Rights of the Child; CAI, Child Advocacy International; EACH, European Association for Children in Hospital."

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Paediatric Nursing Paper

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How 'Child Friendly' are you?

The Child Friendly Healthcare Initiative is developing tools to help you answer this question, as Andrew Clarke and Sue Nicholson explain:

"Although progress has been made in the surgical and medical management of many childhood conditions,particularly in those countries with better resources,this has not always been accompanied by a similar consideration for the emotional and psychological wellbeing of the child and family. This lack of attention often results in unnecessary pain,anxiety and suffering.The Child Friendly Healthcare Initiative (CFHI)is a two-year pilot project with a multi-agency base which seeks to promote child and family-friendly standards,establish a straight forward and universal assessment tool to guide practice development,and improve the care received by children and their families,wherever possible within the bounds of existing resources.The International Grants Section of the National Lotteries Charities Board is funding the implementing agency, Child Advocacy International."

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Word formatDownload the full Paediatric Nursing paper (pdf file 97KB)

Kind en ziekenhuis (September 2003)

The Child Friendly Healthcare Initiative (CFHI): An opportunity to improve the experience of health care for children and families everywhere

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"For the last two and a half years, a small team has been developing and piloting a project to improve the physical, psychological and emotional care of children and families. The Child Friendly Healthcare Initiative (CFHI) was designed to build upon the global success of the UNICEF/WHO Baby Friendly Hospital Initiative, and has been developing methods of helping health workers to assess and improve the care they give to children and families (including the breastfeeding promotion of the Baby Friendly Initiative). Standards that cover all aspects of care have been developed and promoted that are applicable to all children anywhere in the world.