Children Attending Research Articles

A Comparative Study of AEFI (Adverse Events Following Immunization) in BCG Vaccinated Children at Birth and at 6 Weeks

Background: Adverse Events Following Immunization (AEFI) is not uncommon following BCG vaccination. However, incidence of post vaccination adverse event in relation of time of administration are not elucidated yet in our perspective. Therefore, the study was designed to observe AEFIs following BCG vaccination at birth and at 6 weeks. Methods: This hospital based Comparative observational study was conducted at the EPI center, Department of Paediatrics in Shaheed Suhrawardy Medical College & Hospital, for a period of 12 months from January 2019 to December 2019. Child attending in the EPI center for vaccination was approached for inclusion following consenting their parents. Results: Among the child who received BCG vaccination at birth there were 65.3% males and 34.7% were female while at 6 weeks group-male vs female was 57.3 vs 42.7%. No significant difference was noted across the group (p>0.05). Development of redness, ulceration and scarring at inoculation site were almost present in all cases in both groups but these developed earlier who took at 6th week. No incidence of post vaccination abscess, lymphadenitis, osteomyelitis and disseminated BCG disease in both groups. Conclusion: This study found no adverse effects following BCG immunization but redness, ulceration and scarring appeared earlier in 6th week group. However, further studies are needed to establish and use the findings.

The effects of Covid-19 pandemic on Turkish children’s school readiness

ABSTRACT The aim of this study is to examine the primary school readiness of preschool children receiving hybrid education in Turkıye during the Covid-19 pandemic. In order to make a comprehensive evaluation parent and teacher opinions were reviewed in addition to the school readiness assessment. A triangulation design and convenience sampling method were used for the present study which has a mixed methods model. The results revealed that most of the participating children were ready for the primary school and that school readiness scores differed by child technology use, child attendance to distant education and child duration of preschool attendance.

Role of public schools in education decisions in rural India

AbstractEducation is a fundamental pillar of human development, and India's Right to Education Act 2009 established it as a basic right for children aged 5–14. Despite this, many children in rural India still struggle to access basic schooling, which affects their ability to continue their education. In this paper, we explore factors influencing school participation and continuation of children aged 5–16 years in rural India, with a specific focus on the role of having an appropriate public school within the village after the Act's implementation. An ‘appropriate school’ is defined based on the last class a child attended. Using data from the nationally representative Annual Survey of Education Report (ASER), our analysis employs a pooled cross‐section logistical model. The findings reveal that the presence of an appropriate public school in the village significantly increases the likelihood of a child attending school. This effect is particularly pronounced for girls, highlighting the importance of accessible schooling in fulfilling the Right to Education Act's objectives.The results underscore the need for policy makers to ensure the availability of appropriate public schools at all educational levels within villages, as this is crucial for enhancing school attendance and reducing dropout rates, especially among girls. Context and implications Rationale of the study: To understand how inadequate and unequal access to school infrastructure, especially the absence of government schools, explains a significant proportion of children in India not completing their schooling. Why the new findings matter: The findings strongly underscore the importance of ensuring access to a school within the village, particularly for girls. Implications: There is a need to view school education as one composite goal to enhance participation and reduce dropout rates across all levels, aligning with the Samagra Shiksha scheme's principles of equitable access to all levels of education and inclusion of disadvantaged groups. Achieving these goals requires investment in existing school infrastructure to support expansion and resource provision for higher levels of schooling. With educational spending at approximately 3% of GDP between 2010 and 2020, much lower than the 6% recommended by the National Education Policy 2020, addressing this gap presents an opportunity to improve educational outcomes nationwide.

Predictors of school attendance among children with cerebral palsy in Bangladesh.

To determine school attendance and its predictors among children with cerebral palsy (CP) in Bangladesh using population-based data. This study utilized data from the Bangladesh Cerebral Palsy Register (BCPR), a population-based register of children with CP aged less than 18 years in Bangladesh. Sociodemographic, clinical, and educational data were documented, and descriptive statistics and multivariate regression analyses were used to identify potential predictors of school attendance. Between January 2015 and January 2019, 2725 children with CP were registered into BCPR of which 1582 were school-aged children (i.e. aged 6-18 years). The majority of those children had not attended school (73.9%); 50% (n = 239) children in Gross Motor Function Classification System (GMFCS) levels I to II did not attend schools. Adjusted odds ratios (OR) showed significantly higher odds of school attendance among children whose mothers had completed secondary education or higher (adjusted OR: 2.2; 95% confidence interval [CI]: 1.2-4.0) and received rehabilitation (adjusted OR: 2.1; 95% CI: 1.4-3.1). Conversely, lower odds of school attendance were observed among children aged 15 to 18 years (adjusted OR: 0.4; 95% CI: 0.2-0.8), those with bilateral CP (adjusted OR: 0.5; 95% CI: 0.3-0.8), GMFCS levels III to V (adjusted OR: 0.3; 95% CI: 0.2-0.5), Manual Ability Classification System levels III to V (adjusted OR: 0.5; 95% CI: 0.4-0.8), and speech impairment (adjusted OR: 0.3; 95% CI: 0.2-0.6). A large number of children with CP in Bangladesh, including half of those with milder forms, do not attend schools. These findings underscore a deficiency in awareness and support, encompassing the provision of resources and trained teachers, highlighting the necessity for policy-level changes. Sociodemographic and clinical predictors should be taken into account when devising educational programmes to enhance school attendance for children with CP in Bangladesh.

Factors affecting school enrolment and attendance for children with disabilities in Bangladesh: Evidence from a cross-sectional survey

In Bangladesh, many disabled children are not attending school. Despite the country’s special policies, laws, and services, most disabled children face a barrier to enrollment in school. To increase the school attendance of children, particularly disabled children, research on barriers to school attendance is essential. It will help to ensure that all children, including those with disabilities, receive an education. This paper will investigate the factors associated with children with disabilities missing school. This study will utilize data from a large sample based on Nationally representative multiple indicator cluster survey 2019 in Bangladesh. The study group included 5024 disabled children ranging in age from 6 to 17 years. To determine the significant covariates for the multivariate analysis, a bivariate analysis was performed. The findings indicate that age of the child, gender, household head sex, education of the household head, area (urban/rural), husband age, whether the husband has more wives, and disability types are all associated with disabled children being absent from school. Using these findings, the government of Bangladesh and other stakeholders should advocate for policies and programs that reduce barriers to education and ensure that all disabled children attend school.

Growing up with juvenile idiopathic arthritis: Social issues

IntroductionJuvenile idiopathic arthritis is a chronic inflammatory condition interfering with daily activities, social integration, and school attendance in children because of pain and joint inflammation during disease flares. Online resources might help children with JIA improve their social interactions and enhance their knowledge about their disease and the available therapeutic strategies. ObjectiveThis study aims to reveal the social issues encountered by teenagers prone to JIA and determine their perception of the impact of social media on their daily life. Material and methodsWe conducted this study using inductive qualitative methods to describe the sociocultural perception and experience of adolescents with JIA aged between 8 and 16 years. ResultsIndividual interviews were held with 22 adolescents diagnosed with JIA. Fifty-two percent felt like outcasts and rejected by their peers because of their illness. Most of the participants expressed a need for their friends to be informed about their JIA diagnosis. Twenty-two-point-seven percent stated that they played sports for more than 5h a week. A total of 31.8% found their physical performance was not affected by their disease. Ninety-seven of the participants confirmed that they use social media on average 3h a day. YouTube and Facebook were ranked respectively as the first and the second preferred platforms. Seventeen percent of the children viewed these platforms as positive and helpful in dealing with JIA, especially by taking their minds off the pain, dealing with the stress resulting from the lack of mobility, and facilitating interactions with others. ConclusionSocial integration in children with JIA is still challenging. Social media is helpful in managing JIA and improving social interactions, and in gaining useful information.

Free Summer Programming and Body Mass Index Among Schoolchildren From Low-Income Households

Children experience accelerated gains in body mass index (BMI) during the summer months when school is not in session. Children from low-income households are most susceptible. Accelerated BMI gain in summer may be due to the removal of the health-promoting structure provided by schools. During summer, a common form of health-promoting structure is summer day camps (SDCs). Summer day camps are predominately fee for service, which creates a financial barrier for children from low-income households. One solution to mitigate accelerated BMI gain is providing free access to an existing SDC. To investigate whether providing free access to an existing community SDC can mitigate accelerated BMI z score (zBMI) gain in elementary school-age children. This randomized clinical trial was conducted during the summers of 2021, 2022, and 2023 in the southeastern United States. Participants were children (kindergarten through fourth grade) from predominantly low-income households who were randomized to attend an SDC operated by a parks and recreation commission or continue summer as usual (control). Free SDC every weekday (Monday through Friday) for 8 to 10 weeks. The primary outcome was between-group differences in change of zBMI measured before school ended (May) and on return to school from summer (late August). Secondary analyses examined the dose response of zBMI change with parent-reported child attendance at SDCs during the summer for all children (intervention and control). A total of 422 children (mean [SD] age, 8.2 [1.5] years; 202 [48%] female, 220 [52%] male, 292 [69%] at or below 200% federal poverty level, 127 [30%] with food insecurity) were randomized to 1 of 2 conditions: summer as usual (control, n = 199) or free SDC (n = 223). Intent-to-treat analysis indicated mean (SE) change in zBMI at the end of the summer was 0.046 (0.027) for the control and -0.048 (0.025) for the intervention group, representing a significant between-group difference of -0.094 (95% CI, -0.166 to -0.022). Dose-response analyses indicated that every 1 day per week increase in attending an SDC resulted in a -0.034 to -0.018 zBMI reduction, which translates to a gain of 0.046 to 0.080 zBMI for children never attending summer programming vs -0.09 to -0.04 zBMI reduction for children attending summer programming every weekday. Providing children free access to existing community summer programming can have a meaningful effect on children's zBMI gain during the summer. Future studies should replicate these findings across different regions and identify the optimal dose of programming to mitigate unhealthy zBMI gains. ClinicalTrials.gov Identifier: NCT04072549.

Persistent and Resistant: Middle Class Advantage in Schooling

AbstractThis commentary applies Martin Thrupp’s long-term research interest in the practices of persistent middleclass advantage to a discussion of parents’ apparent freedom to choose the State school their child attends, and the effects of this parental choice on educational equality. In a highly unequal society such as Aotearoa New Zealand, parents’ capabilities to act, consume, self-maximise and choose freely in the schooling marketplace are also highly unequal. The commentary then draws on Axel Honneth’s version of recognition theory to examine underlying assumptions among advantaged groups that effectively frame parental choice as: (i) natural (i.e. all parents promote their own children’s best interests); (ii) unobjectionable (i.e. parents can choose or decide not to as they wish); and (iii) harmless to others (i.e. parents’ schooling choices affect only their own children). This family or household view of best interests is contrasted with one that focuses on the collective schooling interests of the neighbourhood.

Prevalence of spine pain among Tunisian children and adolescents and related factors

BackgroundThe prevalence of back and neck pain is common in children and adolescents, and in some series the numbers are alarming. Various risk factors have been identified, although some are controversial.ObjectiveTo determine the prevalence of neck and back pain in children and adolescents and to investigate the potential association with various risk factors identified in the literature.MethodsWe established a questionnaire targeting parents of children and adolescents aged between 6 and 18 years old in Tunisia. The recruitment of participants was done online using the Google Forms application. The questionnaire was divided into 2 parts: Part one collected the sociodemographics characteristics of the participants : age, gender, body mass index (BMI), exposure to passive smoking, the practice of a physical activity, puberty status and age at puberty if applicable, type and weight of the schoolbag, mean daily time spent on electronic devices, type of school the child attends (private/public), mode of transport from home to school, parental history of neck and/or back pain (mid or low back pain (LBP)), posture of the sitting position of the child, and finally whether the child reports neck/ back pain. The second part was aimed at parents whose child reported neck and/or back pain. We asked about the weekly frequency of neck/back pain, school absenteeism due to neck/back pain, whether it prevented the child from practicing physical activity and, finally, whether the child had ever seen a doctor/chiropractor/physiotherapist for their neck/back pain.ResultsEighty-eight children (45 females, 43 males) were enrolled. Mean age was 11.9 ± 3.8 years [6–18]. Mean BMI was 18.8 ± 4.2 [15.8–35.5]. Thirty-four (38.6%) were pubescent. Twenty-five (28.4%) children were exposed to passive smoking. Parental history of spine pain was found in 58% of cases. A poor sitting position was noted in n = 49 (55.7%). Mean daily screen time was 88.3 ± 75.56 min [0-360]. Prevalence of spine pain was 44% (n = 39) distributed as follows: neck pain (n = 21, 23.8%), mid back pain (n = 15, 17%), LBP (n = 26, 29.5%), neck, mid back and low back pain (n = 4, 4.5%) Professional help seeking for spine pain in children was reported by 15 participants (25.3%). Among them, 20.3% visited a physician and 5% consulted a chiropractor or physiotherapist. A significant correlation was found between spine pain and age (p = 0.006) and BMI (p = 0.006). A significant association was found between LBP and exposure to passive smoking, puberty status, type of school bag and poor posture. A positive parental history of spine pain was significantly associated with the presence of spine pain in their children with p = 0.053 (neck pain), p = 0.013 (back pain) and p < 0.00 (LBP) respectively. A significant association was found between the presence of spine pain and school absenteeism, participation in sports, consultation with a doctor or physiotherapist/chiropractor (p < 0.0001 respectively).ConclusionThe prevalence of spinal pain was frequent in our series. A positive parental history of spinal pain, a bad posture while sitting, passive smoking, use of backpack, higher age and higher BMI were potential associated factors.

School Perceptions and Attendance for Children With Medical Complexity During COVID-19 Over Time.

Disparities in school attendance exist for children with medical complexity (CMC) due to COVID-19. Longitudinal changes in family-reported school safety perceptions and predictors of full-time, in-person school attendance are unknown. This was a prospective, longitudinal cohort study with 3 survey waves (June 2021-June 2022) among English- and Spanish-speaking families of CMC aged 5 to 17 years and pre-pandemic school attendance. Changes in Health Belief Model perceptions and full-time in-person school attendance were estimated using multivariate generalized linear modeling with repeated measures. Among 1601 respondents (52.9% of 3073 invited), 86.8% participated in all 3 surveys. School safety perceptions improved with time; however, perceived susceptibility to COVID-19 increased. Full-time in-person school attendance rose from 48.4% to 90.0% from wave 1 to 3 (p < .0001), and was associated with motivation, benefits, and cues. For example, families with low compared to high motivation for in-person attendance had 76% versus 98% predicted probability for child's school attendance, respectively at wave 3 (p < .0001). Probability of full-time in-person school attendance was associated with several health belief model perceptions. School health policy and programs may benefit from promoting family motivation, benefits, and cues during future respiratory illness epidemics including COVID-19. In-person school attendance improved for CMC over time. Opportunities exist to continue optimizing in-person attendance and family-perceived safety for CMC at school.

Utilizing the Summer Treatment Program Model to Promote School Readiness in Young Children Living in Urban Poverty: An Initial Effectiveness Open Trial

ABSTRACT Access to, and engagement in, quality mental health care for young children with externalizing behavior problems (EBPs) who are living in urban poverty is limited. Innovative efforts to engage families in early intervention are needed to ensure school success. The goals of the current study were to transport the Summer Treatment Program for Prekindergartners (STP-PreK, an adaptation of the Children’s Summer Treatment Program and evaluate the implementation and initial program promise for children living in urban poverty via an open trial. Participants were 115 preschool children (68.7% male; 84.3% Black) with EBPs and their caregivers. Nearly all the participating families were living with low to extremely low incomes. Participants received a 7-week STP-PreK, including a daily school readiness program and weekly behavioral parenting training. Implementation outcomes were measured via attendance records, satisfaction ratings, and fidelity measures. Program promise was measured via caregiver ratings and child assessments, collected pre-, post-, and at 6 months following the intervention. On average, results demonstrate strong feasibility and acceptability with high child attendance (90.56%) and caregiver satisfaction with services. Intervention effects across domains of child functioning reveal medium-to-large effects on academics (d’s = 0.46–1.95), overall impairment (d = 0.79), behavioral functioning (d’s = 0.38 – 0.84), and executive functioning (d = 0.58). Effects were largely maintained at 6-month follow-up (d’s = 0.13–1.86). Overall, the results support the promise of the STP-PreK model in enhancing school readiness outcomes for young children at-risk. Directions for continued adaptation and future research are discussed.

Sistem Informasi Monitoring Orang Tua Terhadap Kehadiran Anak di Sekolah Berbasis Website

Student attendance at school is very important to ensure that they get a good education and are successful in the future. Parents are an important part in supporting their children's education, communication between parents and schools is very important in supporting children's education. Currently, there are still many schools that use attendance books as a medium for recording student attendance. This makes it difficult for parents to monitor their child's attendance regularly, especially if they are at work or unable to visit school every day. The purpose of writing this Final Project (TA) is to create a website-based application to monitor student attendance at SMP Negeri 13 Sungai Raya, which is in Kabupaten Kubu Raya. The method used in developing this software uses the waterfall method and data collection methods. With this web-based application, it can assist parents in monitoring their children's attendance at school and increase parental involvement in children's education by providing accurate and up-to-date information about children's attendance at school

Extremes of Weather Conditions and Child Health

Background: The number of people exposed to extreme heat is growing exponentially due to climate change worldwide. Heat-related mortality for people over 65 years of age and young children has increased by 85% between 2000–2004 and 2017–2021. World Meteorological Organization announced that there’s an 80% chance that the world will exceed the 1.5 °C temperature limit in at least one of the next 5 years. Aim: To review the impact of extremes of climate changes on Children’s health based on cases managed and reported in media. Methods: Material &amp; Methods: This article is a review of the impact of extremes of heat &amp; Cold weather on children, based on personal handling of cases and media reports of the adverse effects of heat this summer, exercising /punishing children in hot and cold weather. Key findings: Most children experience increased thirst, weakness, headache, dizziness or fainting, muscle cramps, nausea and/or vomiting, irritability, prickly heat &amp; heavy sweating. Dehydration in children is more than just being thirsty, as it is a condition where there isn’t enough fluid in the body because children lose more water than they take in. High heat stress also reduces physical work capacity and motor-cognitive performances, with consequences for school attendance for children. The cold weather itself doesn’t cause illness, but it weakens the immune system, making it a lot harder for the child to fight off infections. Conclusion: Temperatures above long-term averages during summer months and heatwaves are associated with cardiorespiratory and other diseases and mental health issues. Very young children are particularly vulnerable to the effects of heat, irrespective of income level or geographical region. Most heat-related mortality and morbidities are preventable with individual efforts like avoidance of exposure, improved community preparedness, and Public Health Advisory.

Impact of free school lunch program on nutritional status and academic outcomes among school children in India: A systematic review

IntroductionMid-day meal programmes (MDM) were introduced in India to improve school attendance, nutritional status and educational outcomes of school children. Numerous primary studies have examined the impact of the MDM...

Two minus one road equals improved quality of life

BackgroundSundbyberg municipality (part of greater Stockholm) has reconstructed a traditional two-lane road, with an allowed speed limit of 30 km/h, into a road with one car lane and two bicycle lanes, one on either side of the car lane (a “two minus one road”). The aim was to increase traffic safety and accessibility, especially for bicyclists and pedestrians MethodThe design used was a before- an after-study including both subjective and objective measures. To collect subjective data a survey measuring quality of life was used by asking residents and travellers how they experienced the road and their neighbourhood. The collection of objective data was done with the help of video cameras recording traffic conflicts, vehicle speed and position on the road ResultsThe reconstruction of the road had positive effects on quality of life in general, specifically safety, security, and accessibility for bicyclists and pedestrians. Something which was achieved without reducing car drivers’ experience of accessibility. Subsequent analyses were conducted to increase the understanding of different ‘sub-groups’. Specifically, analyses assessed: if responses could be linked to modal choice; whether the reconstruction of the road resulted in a modal shift; and whether it was any differences between respondents who had or had not a child attending any of the local schools. Overall, the responses from the ‘sub-groups’ were not significantly different from each other (except for respondents with children). The video analyses on traffic safety showed no differences in conflicts before and after the reconstruction. The only negative result was that car drivers’ speed increased by 3 km/h ConclusionThe reconstruction of roads with a traffic intensity, equivalent to the selected road is suitable for a two minus one road. Traffic safety, security, and accessibility will increase, but not at the expense of car drivers’ accessibility.

Edukasi Inovasi Peningkatan Minat Anak Sekolah Minggu Melalui Animasi Super Book The Lost Sheep di BNKP Jemaat Persiapan Moria Sidikalang Kecamatan Sidikalang, Kabupaten Dairi

The low attendance of congregational children in participating in Sunday school worship activities, childhood is a time where the complexity of abilities in both the fields of knowledge and religion must be emphasized and formed from the start. The aim of this community service activity aims to increase Sunday school interest in worship attendance. Sunday school Sunday school children. This activity will discuss the importance of the role of students in making positive contributions to society through community service for Sunday school children. Through this service, the team hopes to provide new insight into children who are lacking in participating in Sunday school children's services, and can improve children's interest in attending Sunday school Keywords: ,

Dyslipidemia in insulin dependent diabetic children

Background: Children and adolescents with insulin-dependent diabetes mellitus (IDDM) are at high risk of metabolic disorders that may interfere with lipid metabolism and predispose to dyslipidemia. Objective: To detect the incidence of dyslipidemia and associated factors in children with IDDM in Diyala. Patients and Methods: This was a case-control study that included a total of 100 children with type 1 diabetes mellitus(T1DM) and 100 age- and gender-matched non-diabetic children who presented to the Pediatric Department/Al-Batool Teaching Hospital during the period from April 2022 to April 2023. Demographic data included the child's age, gender, weight, mother’s educational level, mother's job, child's educational level, school attendance, and physical activity. Clinical data included systolic and diastolic blood pressure, HbA1c, family history of illness, disease duration, type of insulin, and insulin dose. Fasting lipid profile and hemoglobin A1c investigations were done for the study groups, and the data were statistically analyzed. Results: The overall dyslipidemia in IDDM children and controls was 46% and 8%, respectively, with a highly significant difference. The mean age and weight in diabetic patients with dyslipidemia were 8.23±3.63 years and 28.96±13.31 kg, respectively, which was higher than that of normolipidemic diabetic patients (10.72±3.23 years and 34.22±12.14 kg, respectively) with significant differences. Furthermore, 28.26% of mothers of dyslipidemia-.diabetic patients were employed, compared with only 11.11% of normolipidemic-diabetic patients, a significant difference. A family history of DM was reported in 47.83% and 27.78% of dyslipidemic and normolipidemic diabetic patients, respectively, with a significant difference. Conclusion: The incidence of dyslipidemia among diabetic children in Diyala is 46%. Older age, increased body weight, and a mother’s job as an employer are significantly associated with the development of dyslipidemia in insulin-dependent diabetes mellitus patients. Keywords: Dyslipidemia, Diabetes mellitus, Children, Diyala.

Dyslipidemia in insulin dependent diabetic children

Background: Children and adolescents with insulin-dependent diabetes mellitus (IDDM) are at high risk of metabolic disorders that may interfere with lipid metabolism and predispose to dyslipidemia. Objective: To detect the incidence of dyslipidemia and associated factors in children with IDDM in Diyala. Patients and Methods: This was a case-control study that included a total of 100 children with type 1 diabetes mellitus(T1DM) and 100 age- and gender-matched non-diabetic children who presented to the Pediatric Department/Al-Batool Teaching Hospital during the period from April 2022 to April 2023. Demographic data included the child's age, gender, weight, mother’s educational level, mother's job, child's educational level, school attendance, and physical activity. Clinical data included systolic and diastolic blood pressure, HbA1c, family history of illness, disease duration, type of insulin, and insulin dose. Fasting lipid profile and hemoglobin A1c investigations were done for the study groups, and the data were statistically analyzed. Results: The overall dyslipidemia in IDDM children and controls was 46% and 8%, respectively, with a highly significant difference. The mean age and weight in diabetic patients with dyslipidemia were 8.23±3.63 years and 28.96±13.31 kg, respectively, which was higher than that of normolipidemic diabetic patients (10.72±3.23 years and 34.22±12.14 kg, respectively) with significant differences. Furthermore, 28.26% of mothers of dyslipidemia-.diabetic patients were employed, compared with only 11.11% of normolipidemic-diabetic patients, a significant difference. A family history of DM was reported in 47.83% and 27.78% of dyslipidemic and normolipidemic diabetic patients, respectively, with a significant difference. Conclusion: The incidence of dyslipidemia among diabetic children in Diyala is 46%. Older age, increased body weight, and a mother’s job as an employer are significantly associated with the development of dyslipidemia in insulin-dependent diabetes mellitus patients.

The Day-Level Association Between Child Care Attendance and 24-Hour Movement Behaviors in Preschool-Aged Children.

Twenty-four hour movement behaviors (ie,physical activity [PA], screen time [ST], and sleep) are associated with children's health outcomes. Identifying day-level contextual factors, such as child care, that positively influence children's movement behaviors may help identify potential intervention targets, like improving access to child care programs. This study aimed to examine the between- and within-person effects of child care on preschoolers' 24-hour movement behaviors. Children (N = 74, 4.7 [0.9]y, 48.9% girls, 63.3% White) wore an Axivity AX3 accelerometer on their nondominant wrist 24hours per day for 14days to measure PA and sleep. Parents completed surveys each night about their child's ST and child care attendance that day. Linear mixed effects models predicted day-level 24-hour movement behaviors from hours spent in child care. Children spent an average of 5.0 (2.9)hours per day in child care. For every additional hour of child care above their average, children had 0.3hours (95%CI,-0.3 to -0.2) less ST that day. Between-person effects showed that compared with children who attended fewer overall hours of child care, children who attended more hours had less overall ST (B = -0.2h; 95% CI, -0.4 to 0.0). Child care was not significantly associated with PA or sleep. Child care attendance was not associated with 24-hour PA or sleep; however, it was associated with less ST. More research utilizing objective measures of ST and more robust measures of daily schedules or structure is necessary to better understand how existing infrastructure may influence preschool-aged children's 24-hour movement behaviors. In addition, future research should consider how access to child care may influence child care attendance.

Participants’ Compliance to Pantawid Pamilyang Pilipino Program: Implications on Their Living Conditions

Aims: Compliance with program guidelines can pave the way for positive changes in people's lives. This study examined the influence of the characteristics of the 4Ps program beneficiaries and their compliance with program conditions and their living conditions. Study Design: Descriptive – Correlational Quantitative Study Place and Duration of Study: This study was conducted in a local Community in the Province of Agusan del Norte, Region Caraga, Philippines. Methodology: This study employed the descriptive-correlational research design. Program Compliance refers to the participants’ faithful observance to the program conditions specifically on the health and education components such as the vaccination of children, natal care for pregnant mothers; and regular attendance (at least 85% in a month) of children 5-18 years old. Living Conditions refers to the education, occupation, and income status that program participants achieved while receiving and utilizing the cash grants given by the program. These constructs were measured through indicators that are contained in a researcher-made questionnaire, such as the study by Salva et al. (2023) and the Social Welfare and Development Indicators (SWDI) Booklet. The 370 out of 4,378 participants were chosen among the 4Ps beneficiaries in a local community in the Province of Agusan del Norte, who were selected through systematic random sampling. The data gathered for this study were tallied, statistically treated, analyzed, and interpreted. The statistical tools used to organize the data were descriptive statistics and multiple regression. Results: Results show that 51.4 % of the participants belong to a family size of 5 members and below; 31.9 % are high school graduates; and 58.9 % earn an income ranging from Php 1,000.00- Php 5,000.00 monthly. Health outcomes is generally high (M=4.0); and Educational outcome is generally very high (M=4.79). All the components of the Living Condition are generally high, specifically the Health and Nutrition Component (M=4.24); Education (M=4.36) and Financial Management (4.21). Regression analysis reveal that the whole model is significant (F= 22.77, p = .000), with compliance as specifically having a significant influence on the participants’ living conditions, rejecting the null hypothesis. Conclusion: Compliance to the program contributes to better living conditions.