Accessibility Skip to Global Navigation Skip to Local Navigation Skip to Content Skip to Search Skip to Site Map Menu

CHHE 701 Community Child Health

Overview

This paper forms one of the requirements for the University of Otago's Postgraduate Diploma in Child Health (DCH), and is also available to a wider range of postgraduate students in health sciences and postgraduate students from allied health professions.

The paper is available every semester and is worth 30 points.

This is a distance-taught paper covering community aspects of child health and child health services. The paper includes a written course book , recommended readings, and approximately 17 one-hour video-conference sessions on the following topics.

^ Top of page

1: Epidemiology of Childhood Disease

Dr Mavis Duncanson teaches this module.

Dr Duncanson is based in the Department of Women's and Children's Health, Dunedin School of Medicine and is a senior clinical epidemiologist.

In this module the material covered includes the following:

  • Appreciating the role of epidemiology in determining the distribution of disease and determinants of disease
  • Understanding the need to describe the occurrence of the disease in terms of incidence rates and prevalence
  • Describing the distribution of a common childhood condition in terms of time, person and place and appreciating why care must be taken in comparing disease rates
  • Understanding the basis of case control and cohort studies undertaken to determine aetiology and appreciating the importance of considering bias and confounding in the design and analysis of case control and cohort studies

 

^ Top of page

2: Developmental Delay and Early Intervention

Dr Paul Trani teaches this module.

Dr Trani is based in the Department of Women's and Children's Health, Dunedin School of Medicine and is a Paediatrician with the Southern District Health Board.

In this module the material covered includes the following:

  • Understanding and describing the roles of the professionals in a multidisciplinary child development team
  • Understanding and describing the process of developmental surveillance and the indications for and process of a formal developmental assessment
  • Understanding and describing the nature of early developmental intervention and the evidence that supports its effectiveness

^ Top of page

3: Child Health Promotion

Dr Russell Wills teaches this module.

Dr Wills is the former New Zealand's Children's Commissioner and works with the Hawke's Bay District Health Board as a community paediatrician.

In this module the material covered includes the following:

  • An understanding of the overarching concept of child health promotion, and knowing how examples of the different activities are involved in this process
  • Understanding the working definition and knowing appropriate examples of child health screening and surveillance
  • Have an understanding of the structure and rationale for the Well Child/Tamaraki Ora programme in New Zealand, including being able to describe the social, cultural and economic determinants of child health in New Zealand

^ Top of page

4: Dental Issues in Paediatrics

This module is taught by staff in Paediatric Dentistry, Department of Oral Sciences, School of Dentistry, University of Otago.

In this module the material covered includes the following:

  • Understanding and describing the epidemiology of dental health in children
  • Knowing what services are available in New Zealand and how to access them
  • Understanding and describing the management of dental trauma and be able to describe the indications for dental referral and the impact of dental health problems

^ Top of page

5: Behavioural and Emotional Problems

This module is taught by Adell Cox, Clinical Psychologist, Southern District Health Board.

In this module the material covered includes the following:

  • Understanding the relationship between child development and child behaviour
  • Being aware of the wider family, educational, and community factors which influence referrals to health professionals
  • Understanding the epidemiology of child behaviour problems and have a working knowledge of the assessment process for these children including the range of management options: behavioural, pharmacological, and educational and social support

 

^ Top of page

6: Children's Rights and Advocacy in Relation to Child Health

In this module the material covered includes the following:

  • Defining the rights and present a rationale for children's rights
  • Explaining the purpose, historical background and nature of the United States Convention on the Rights of the Child (UNCROC), including the difference between protection, provision and participation rights
  • Defining child advocacy and explain how it can be used and misused
  • Identifying why issues of consent in child health are a child advocacy issue and explain what the implications of Articles 12 and 13 are for child health policy and practice
  • Identifying elements of best practice in managing conflict that may arise in negotiating consent with children and their parents

^ Top of page

7: Nutrition

This module is taught by Associate Professor Roland Broadbent, Paediatrician and Senior Lecturer, University of Otago and Sophie Nation, Department of Human Nutrition, University of Otago.

In this module the material covered includes the following:

  • Understanding the importance of nutrition in clinical practice and having a good working know ledge of common nutritional problems in childhood
  • Understand the benefits of breastfeeding and to be aware of the World Health Organisation's International Code of Marketing of Breast-milk Substitutes (1981)

^ Top of page

8: Attention Deficit Hyperactivity Disorder

Dr Paul Trani teaches this module.

Dr Trani is based in the Department of Women's and Children's Health, Dunedin School of Medicine, and is a Paediatrician with the Southern District Health Board.

In this module the material covered includes the following:

  • Defining and describing the basic epidemiology of ADHD
  • Understanding how to and carry out an appropriate preliminary clinical assessment Understand the role and management of possible comorbid conditions
  • Know how to make an appropriate referral, including appropriate behavioural, educational, and pharmacological management

^ Top of page

9: Autism Spectrum Disorder

Dr Andrew Marshall teaches this module.

Dr  Andrew Marshall is based in Wellington and is a Paediatrician with the Capital Coast District Health Board.

In this module the material covered includes the following:

  • Defining and describing the basic epidemiology of autism spectrum disorder
  • Understanding and carrying out an appropriate preliminary clinical assessment and making an appropriate referral
  • Understanding the role and management of possible comorbid conditions
  • Understanding and describing appropriate behavioural, educational, and pharmacological management

^ Top of page

10: Sudden Unexpected Death in Infancy

Professor Barry Taylor teaches this module.

Professor Taylor is the Dean, Dunedin School of Medicine, University of Otago.

In this module the material covered includes the following:

  • Understanding and describing the epidemiology of SUDI (sudden unexpected death in infancy) in New Zealand
  • Understanding and be able to discuss possible aetiologies of this condition
  • Understanding and being able to discuss current health promotion aimed at preventing SUDI in New Zealand
  • Understanding the process that should be followed and being able to provide appropriate family support when SIDS (sudden infant death syndrome) occurs in the community

^ Top of page

11: Enuresis and Encopresis

Dr Paul Trani teaches this module.

Dr Trani is based in the Department of Women's and Children's Health, Dunedin School of Medicine and is a Paediatrician with the Southern District Health Board.

In this module the material covered includes the following:

  • Understanding and be able to describe the basic epidemiology of these conditions
  • Being fluent in the clinical assessment and need for appropriate investigations of these children
  • Understanding and being able to describe appropriate management and describe the financial and social cost of these conditions

^ Top of page

12: Immunisation

Dr Mavis Duncanson teaches this module.

Dr Duncanson is based in the Department of Women's and Children's Health, Dunedin School of Medicine and is a senior clinical epidemiologist.

In this module the material covered includes the following:

  • Be familiar with the current immunisation schedule for New Zealand infants and children
  • Understanding the nature of the vaccines and their efficacy and being aware of the reported adverse effects or "clinical reactions" associated with the vaccines
  • Knowing about other vaccines which may be introduced in the future
  • Having an appreciation and understanding of the arguments against immunisation, and be able to discuss these with interested parents

^ Top of page

13: Health of Māori Children in New Zealand

Dr Liza Edmonds teaches this module.

Dr Edmonds is based in the Department of Women's and Children's Health, Dunedin School of Medicine and is a Paediatrician with the Southern District Health Board. Her iwi affiliations are Ngā Puhi and Ngāti Whātua.

In this module the material covered includes the following:

  • Appreciating the position of children in Māori society today and having an appreciation of the health status and health disparities of Māori children
  • Developing an initial understanding of the determinants of health and well-being for Māori children and being aware of resource networks in the Māori community for Māori children

^ Top of page

14: Child Abuse and Child Protection

Professor Dawn Elder teaches this module.

Professor Elder is the Head of Department in Paediatrics and Child Health, University of Otago, Wellington.

In this module the material covered includes the following:

  • Being able to define different kinds of child abuse and neglect and understanding the basic epidemiology
  • Understanding and being able to describe the features of the history, examination and investigations which lead to a diagnosis of child abuse and neglect
  • Understanding and being able to describe appropriate management as a health professional and being able to describe the role of other professional agencies, and the laws that are important in the child protection process in New Zealand
  • Understanding child abuse and neglect as part of the domestic violence spectrum

^ Top of page

15: Care of Seriously Ill Children in the Community

Dr Emily Chung and Karyn Bycroft teach this module.

Dr Chung is based at Starship Children's Hospital, Auckland and is a Paediatric Palliative Care Specialist. Karyn Bycroft works at Starship Children's Hospital and is a Paediatric Palliative Specialist Care Nurse Specialist.

In this module the material covered includes the following:

  • Understanding and being able to describe the basic epidemiology of serious childhood illnesses in New Zealand and the role of the hospital and community support agencies
  • Understand and be able to describe the effect on families of a child with a chronic disability and being able to describe the palliative care services for children
  • Understanding and being able to describe the grief process following the death of a child and how to assist appropriately with this

^ Top of page

16: Adolescent Health

Dr Sue Bagshaw teaches this module.

Dr Bagshaw is the Director of 198 Youth Health, a youth specialty service based in Christchurch.

In this module the material covered includes the following:

  • Understanding the process and stages of adolescence , and the implications for the health and status of young people
  • Understanding the specific issues for teenagers such as mental health, substance abuse, and sexuality
  • Understanding and carrying out appropriate assessment of an adolescent using the HEADSS method, and make referrals as indicated

^ Top of page

17: Unintentional Injury

Rebbeca Lilley teaches this module.

Dr Simpson is based in the Department of Women's and Children's Health, and is the Director of the Child and Youth Epidemiology Service, University of Otago.

In this module the material covered includes the following:

  • Understanding and being able to describe the basic epidemiology of unintentional injury in children
  • Understanding and being able to describe a range of options designed to prevent injury and being able to describe barriers to prevention

^ Top of page

Assessment

Assignments

The assignments will contribute to 40% of the final mark.

There are two main assignments due throughout the paper. The word count is 1500 for each.

Diary of Community Visits

The Community Diary will contribute to 60% of the final mark.

Candidates will be expected to take part in community visits to gain an understanding of facilities catering to the health needs of children outside hospitals. The community diary exercise can be cross-credited to the Community Paediatrics component of the FRACP training course.

Students are expected to visit 8 health, education and child social service facilities. Provide a written report from each visit within a Community Diary

Examination

There is no longer an examination for CHHE701, beginning semester 1, 2019

Terms requirements

In order to gain terms for CHHE 701, you must:

  • Two assignments submitted by due date
  • A community diary sunbmitted by the due date

Absence from more than two audio-conferences is permissible only by prior arrangement with the Course Director.

^ Top of page