Martin O'Connor
Moody Bible Institute
BACKGROUND: South Africa has the highest prevalence of Fetal Alcohol Spectrum Disorders in the world yet many women have no access to clinic care or to physicians in their communities. The shortage of physicians trained in the diagnosis of FASD is even more severe. Thus there is a need to train community workers to assist in the delivery of health care.OBJECTIVES: This study reports on the effectiveness of training community workers to screen for a possible diagnosis of a FASD.METHODS: Community workers in Cape Town, South Africa were trained to screen for FASD in 139, 18-month-old toddlers with prenatal alcohol exposure. Children were assessed according to the salient characteristics of individuals with PAE using height, weight, head circumference, philtrum, and lip measurements according to criteria set forth by the Institute of Medicine. Screen-positive children were referred for diagnostic assessment to a pediatrician reliably trained in the diagnosis of FASD.RESULTS: Of the screen-positive children, 93% received an FASD diagnosis suggesting that the screening procedure was highly sensitive. Diagnoses included 15% with fetal alcohol syndrome, 23% with Partial FAS, and 62% with Alcohol Related Neurodevelopmental Disorder.CONCLUSION: The use of community workers to screen for FASD represents a promising approach to effective diagnosis of children affected by PAE in areas lacking adequate medical resources.
Keywords No keywords specified (fix it)
Categories (categorize this paper)
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy

Upload a copy of this paper     Check publisher's policy     Papers currently archived: 64,261
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Fetal Alcohol Spectrum Disorders.Rida Usman Khalafzai - 2008 - Chisholm Health Ethics Bulletin 14 (2):9.
Fetal Alcohol Spectrum Disorder: The Hidden Harm.Kerri Anne Brussen - 2013 - Chisholm Health Ethics Bulletin 18 (3):5.
Autistic Spectrum Disorders and Asian Children.Paul Marchant, Anwar Hussain & Kathy Hall - 2006 - British Journal of Educational Studies 54 (2):230-244.


Added to PP index

Total views
3 ( #1,329,914 of 2,455,894 )

Recent downloads (6 months)
1 ( #449,366 of 2,455,894 )

How can I increase my downloads?


My notes