family centres in sweden in a public health perspective · family centres in sweden in a public...
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Family Centres in Sweden in a public health perspective
Everything in one place - accessible for each child
Vibeke Bing
13/06/2013
There is a strong link between the well being of children and the living conditions of their parents.
Vibeke Bing [email protected]
Family Centre is defined as a fully integrated centre with
Maternity health care services (antenatal) Child health care services (well baby clinic) Open nursery school (open kindergarten)
Social welfare preventive activities and operations
The Swedish National Board of Health and Welfare
Swedish Child Public Health policy Welfare model - Low risk strategy
Target groups :
every single unborn baby, every single preschool child and their
parents
The objective is: To offer a meeting place in the neighbourhood To strengthen the social network of parents and children Providing ways of learning and developing skills Offering social support Serving as a centre of knowledge and information
To encourage and support parents to have a good time and enjoy their children
1. Do Family centres do a better child health work?
(compared to traditional Child Health care) 2. What kind of families visit the Family Centres? 3. How do the activities influence children and parents? 4. Is it possible to identify groups to which Family Centres
are more favourable? 5. How do the results explain and mirror aspects of simple
and late modernity?
Mandatory child health monitoring Traditional units compared to Family centres
Matching
Traditional Family Units Centres + home visits + EPDS
screening + parent group
participation
Care Need Index (CNI)
Strong correlation to morbidity and health risk factors
- Parents born abroad - Unemployment - Single parents - New comers - Low education
CNI
the wholeness
Maternity health care
Child health care
Open kindergarten Social
services
Unemployment Low education Immigrants Single parents Number of
children in family
Child poverty index
0
10
20
30
40
50
60
Municipalities Suburbs
FCFCFCFCFCFC
Lowest ranking
Socioeconomic profiles of the catchment areas where the family centres studied are located
RESULTS Families who visit the open kindergarten
at the family centres studied accurately reflect the socioeconomic profile of the catchment areas !
Logic of replication cases used as links in a chain
The procedure 1. Interviewing all
personnel regularly working in every day practice
2. Interviewing parents 3. Group interview
parents and staff
4. Dialogue-circle all personnel
1 2 3 4 5 6 5
Programme theory summary
Result Investment in services Explanation
Parents perceptions Content leading to results Context of family centre open pre-school
-Development of parental identity
-Towards being a parent just like ant other parent
-Social network and friends for both parents and children
-Greater security through social support readily at hand
- Knowledge necessary for parenting
- Creating framework for child centered social intercourse and good atmosphere where parents support one another
- Greeting visitors so that they are unafraid to cross threshold - Furthering parent-child bonding - Supplying service and social counselling -Creating opportunity for conversation and active listening to promote growth as parent
Flexible and dynamic facilitating: - social interaction - personal development - learning
----------------------------- - Life situation for parents with infants:
- society at large
- socio-economic - parents life situation; life history and situation as new parent
Explanations Society The only place ”to become a parent” ……. The setting itself Psychological and social recourses are accessible if and
when parents need support. The inner atmosphere A child oriented place with warm feelings. Parents could
relax, be close to the child, learn and get relations.
13/06/2013 Vibeke Bing [email protected]
Professional advice Expert
Sharing experiences with other parents Facilitator
Living room Host
Play centre Organizer
Bing Folkhälsokonsult [email protected]
Investment in services Content leading to results
Results Parents perceptions
Explanations Mechanisms
linking results to input in
the context
Programme theory
What is possible to attain, how is it possible and how could it be explained
13/06/2013 Vibeke Bing [email protected]