Table 4 Policy and outcomes for child health care
Policy | Sweden | Netherlands | Canada | United States | Cuba |
|---|---|---|---|---|---|
Acute care | General practitioners, paediatricians | Family physicians, paediatricians | Family physicians, paediatricians, nurse practitioners, emergency physicians | Family physicians, paediatricians, nurse practitioners, emergency physicians | Polyclinics |
Preventive care | Public health nurses, general practitioners, paediatricians | Public health physicians and specialized nurses | Family physicians, paediatricians, nurse practitioners, public health nurses | Paediatricians, family physicians, nurse practitioners | Polyclinics |
Number of recommended preventive care visits and approximate cost per child per year (USD) [41] | 20 visits in the first 18Â months ($275-1000) | 10 visits in the first 18Â months ($150) | 6 recommended and 4 optional in the first 18Â months ($140) | 8 recommended visits in the first 18Â months (costs vary based on health insurance plan co-payments and whether preventive visits are included in the deductible) | Children receive between 104 and 208 stimulation and development monitoring sessions up to the age of 2Â yearsNo data on costs |
Outcomes | |||||
Service coverage rate preventive visits (Sweden 2008; Netherlands 2007) [42, 43] | 99% | 95% | No equivalent data | No equivalent data | No equivalent data |
Under 5Â years mortality per 1000 live births (2010) [44] | 3 | 4 | 6 | 8 | 6 |
Vaccination coverage (2010) [44] | Â | Â | Â | Â | Â |
DPT1 | 99% | 99% | 92% | 99% | 98% |
DPT3 | 98% | 97% | 80% | 95% | 96% |
Polio3 | 98% | 97% | 80% | 93% | 99% |
Measles | 96% | 96% | 93% | 92% | 99% |
Hib3 | 98% | 97% | 80% | 93% | 96% |