Abstract
Poor attendance at a health centre pre-school child screening clinic (total default rate 41·2 per cent) raises the question of whether selective screening would be a more realistic alternative to comprehensive screening. Furthermore, an analysis of the outcome of screening over one year has shown a low prevalence of abnormalities and underlines the need to justify such programmes as worthwhile screening tests.
The most efficient method of detecting child-hood abnormalities at an early a stage as possible remains an open question, but with present financial restrictions and staff shortages, whatever programmes are used, rigorous continuing evaluation is essential.
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Selected References
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