Abstract
The aim of this study was to determine whether to continue the recommendations given by the doctors of the Maternal and Infant Protection (PMI) service within the medical check-ups given to nursery school children in the Vaucluse department in France. This was a longitudinal study conducted based on an observation grid from January to June 2009. A total of 2079 files were retained. This study revealed that more than one-quarter of the children for whom recommendations had been given no longer had care 3 months later; the main cause was the absence of adherence on the part of the family. This result emphasizes the limitation of the mass screenings conducted by the PMI in nursery schools: it raises the problem of access to healthcare for certain children and opens an opportunity for reflection on professional practices to optimize the mission of prevention and the promotion of health.
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