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Background Childcare facilities are a factor that lowers the established association of mother’s postnatal psychiatric symptoms with children's behavioral problems. However, no studies have considered the prenatal psychiatric symptoms yet. This study examined whether the use of childcare facilities moderates the association of maternal psychological distress in early pregnancy and at two years postpartum with behavioral problems in children aged four years. Methods The present study was based on the data from 23,130 mother–child pairs participating in the Tohoku Medical Megabank Project Birth and Three-Generation Cohort Study. K6 was used to classify maternal psychological distress in early pregnancy and at two years postpartum into four categories: none in both prenatal and postnatal periods (none), only the prenatal period (prenatal only); only the postnatal period (postnatal only); both prenatal and postnatal periods (both). The children's behavioral problems were assessed using the Child Behavior Checklist for Ages 1½–5 (CBCL) aged four years. The clinical range of the externalizing, internalizing, and total problem scales of the CBCL was defined as having behavioral problems. To examine whether availing childcare facilities moderates the association between maternal psychological distress and children's behavioral problems, we conducted a stratified analysis based on the use of childcare facilities or not, at two years of age. The interaction term between maternal psychological distress and use of childcare facilities was included as a covariate in the multivariate logistic regression analysis to confirm the p -value for the interaction. Results The prevalence of the clinical ranges of externalizing problems, internalizing problems, and clinical range of total problems were 13.7%, 15.4%, and 5.8%, respectively. The association of maternal psychological distress with a high risk of children's behavioral problems was significant; however, the association between prenatal only psychological distress and externalizing problems in the group that did not use childcare facilities was not significant. Interactions between the use of childcare facilities and maternal psychological distress on behavioral problems in children were not significant. Conclusions Use of childcare facilities did not moderate the association of maternal psychological distress in early pregnancy and at two years postpartum with behavioral problems in children aged four years.

Effective transition of youth out of care has been a concern for social workers, policymakers, residential facilities, and other related stakeholders. This paper reports on the livelihood strategies and transition experiences of adolescent girls in and out of two institutions in Harare, Zimbabwe. Using the sustainable livelihood approach, this qualitative research explored and compared the livelihood strategies of 16 girls still in care with 16 who had exited. Framework analysis was used to interpret the data. The findings show that girls in institutions mainly rely on institutional support for their livelihoods, while those who leave employ a wider range of strategies including support from relatives, foster parents, institutions, and spouses. Social networks emerged as a key strategy for both financial and social security. However, differences in the resources available through these networks significantly impacted the girls’ livelihood outcomes, either positively or negatively. Overall, many adolescent girls remained unable to sustain themselves or cope with the challenges of transitioning to adulthood and life beyond institutional care. The study recommends that transition programmes that address early marriage as a means of security, expanding family and fostering care options, reducing institutional dependency, tackling economic exclusion and unemployment be developed.

Infants and toddlers are constantly exposed to toys at childcare facilities. Toys are made of a variety of plastics that often use endocrine-disrupting chemicals such as bisphenol-A (BPA) and phthalates as their building blocks. The goal of this study was to assess the non-dietary exposure of infants and toddlers to BPA and phthalates via leaching. We have successfully developed wipe tests to evaluate the leachability of BPA and phthalates from toys used at several day care facilities in Philadelphia. Our studies have shown an average leaching of 13–280 ng/cm 2 of BPA and phthalates. An estimate of total exposure of infants to BPA and phthalates is reported. The leaching of the chemicals was observed to be dependent on the washing procedures and the location of the day care facilities. Using bleach/water mixture two or more times a week to clean the toys seems to reduce the leaching of chemicals from the toys. There is a huge data gap in the estimated intake amounts and reported urinary concentrations; this is the first study that provides valuable information to address these data gaps in the existing literature.

In order to characterize the status of indoor air pollution in some important facilities, a list of key criteria pollutants [particulate matter (PM 10 ), carbon dioxide (CO 2 ), carbon monoxide (CO), formaldehyde (HCHO), and bioaerosol] was measured from a total of 91 randomly selected sites in 18 different cities, Korea (February 2006 to December 2009). The target facilities include 43 child care facilities, 38 medical facilities, 6 elementary schools, and 4 postnatal care centers. The results showed that some air pollutants (e.g., CO and HCHO) did not exceed the recommended guideline [e.g., the Korean indoor air standard (KIAS) values of 10 ppm and 100 ppb, respectively]. However, concentration of PM 10 , CO 2 , and bioaerosol occasionally exceeded their respective guidelines (e.g., seven, three, and two cases). Discrete seasonalities were observed from indoor pollutants because of varying ventilation practice (e.g., summer time dominance of PM 10 , HCHO, and bioaerosol or winter dominance of CO 2 and CO). However, as the concentrations of the indoor pollutants were scarcely above the recommended guideline level, more diversified approaches are desirable to diagnose the status of indoor pollution and to provide a realistic strategy for the improvement of IAQ.

Governments have an ethical imperative to safeguard children in residential care institutions at all times, including in the aftermath of an emergency. Yet, a lack of accurate data about how the magnitude and characteristics of this population may change due to an emergency impedes leaders' ability to formulate responsive policies and services, mobilize resources and foster accountability. The purpose of this study was therefore to determine the feasibility of evaluating movement of children into residential care following an emergency. The pilot study took place in Les Cayes commune in the Sud Department of Haiti in April 2017. Six months prior to the pilot, the area was severely affected by Hurricane Matthew, with widespread devastation to property, livestock and livelihoods. Using a two-stage process, the team created a comprehensive list of residential care institutions in Les Cayes. At each facility, the data collectors attempted to administer four separate tools: a group count tool, a record review tool, interviews with staff, and interviews with children 10 years of age and older. Out of 27 known institutions in Les Cayes, 22 institutions consented to participate in the research. Within these 22 institutions, the prevalence of new arrivals to residential care since Hurricane Matthew varied significantly across the four tools, ranging from 0.69% according to the aggregated child interviews to 20.96% according to the aggregated staff interviews. Record availability and quality was very poor and child participation was difficult to arrange due to travel and scheduling constraints.

Governments have an ethical imperative to safeguard children in residential care institutions at all times, including in the aftermath of an emergency. Yet, a lack of accurate data about how the magnitude and characteristics of this population may change due to an emergency impedes leaders' ability to formulate responsive policies and services, mobilize resources and foster accountability. The purpose of this study was therefore to determine the feasibility of evaluating movement of children into residential care following an emergency. The pilot study took place in Les Cayes commune in the Sud Department of Haiti in April 2017. Six months prior to the pilot, the area was severely affected by Hurricane Matthew, with widespread devastation to property, livestock and livelihoods. Using a two-stage process, the team created a comprehensive list of residential care institutions in Les Cayes. At each facility, the data collectors attempted to administer four separate tools: a group count tool, a record review tool, interviews with staff, and interviews with children 10 years of age and older. Out of 27 known institutions in Les Cayes, 22 institutions consented to participate in the research. Within these 22 institutions, the prevalence of new arrivals to residential care since Hurricane Matthew varied significantly across the four tools, ranging from 0.69% according to the aggregated child interviews to 20.96% according to the aggregated staff interviews. Record availability and quality was very poor and child participation was difficult to arrange due to travel and scheduling constraints.

The creation of child-friendly communities has become a key goal in sustainable global development. However, South Korea continues to experience a shortage of childcare facilities, resulting in gaps in the public care system and a growing reliance on private educational resources. Ensuring spatial spaces and implementing rational planning for children’s spaces have become critical tasks in building child-friendly cities. This study analyzed the accessibility of childcare facilities by housing type in Seongbuk-gu, Seoul, using the two-step floating catchment area (2SFCA) method, focusing on children residing in the district. It also evaluated whether these facilities were spatially and equally distributed. The findings are as follows. First, the overall accessibility to childcare facilities in Seongbuk-gu is limited, with significant disparities in accessibility depending on housing type. Second, the spatial equity assessment revealed high inequality indices for most facilities, particularly for those in apartment areas, which showed relatively higher levels of inequality. In conclusion, childcare facilities in Seongbuk-gu require substantial improvements in terms of both accessibility and equity. This study provides a policy framework for creating child-friendly communities and promoting equal access to care services for children by analyzing the spatial accessibility and equity of childcare facilities.

The increasing demand for childcare facilities in Dubai, UAE, which is driven by urban expansion and workforce growth, calls for a focus on establishing standardized environmental and safety benchmarks. This study evaluated 28 daycare centers categorized by size (large, medium, and small), focusing on indoor environmental quality (IEQ), cleanliness, safety, and space utilization. Findings revealed that while air pollutants like carbon monoxide (0.57 ppm) and formaldehyde (45.8 µg/m3) remained within acceptable limits, carbon dioxide levels (averaging 1048.2 ppm, particularly in large centers) exceeded regulatory standards due to high occupancy rates and inadequate ventilation. Large facilities demonstrated better compliance with kitchen safety (8.8/10) and lighting efficiency, while small centers scored higher in restroom cleanliness (20.8/24, evaluated using eight criteria on a structured 3-point scale). However, spatial accessibility remained a critical challenge across all facility sizes, particularly regarding accommodations for individuals with disabilities. Additionally, excessive lighting levels (717.2 lux) and high indoor temperatures (27–28 °C) further highlighted the need for tailored guidelines. The study emphasizes improving ventilation systems, promoting universal design principles, and targeted investments to address these disparities. By aligning regulatory frameworks with actionable recommendations, this study provides insights for policymakers to enhance the safety, inclusivity, and environmental quality of daycare infrastructure in Dubai.

This pocket book is for use by doctors, senior nurses and other senior health workers who are responsible for the care of young children at the first referral level in developing countries. It presents up-to-date clinical guidelines which are based on a review of the available published evidence by subject experts, for both inpatient and outpatient care in small hospitals where basic laboratory facilities and essential drugs and inexpensive medicines are available. In some settings, these guidelines can be used in the larger health centres where a small number of sick children can be admitted for inpatient care.