Reach Dr Caroline Pickstone , ScHARR, Professor P'H'Hannon

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ReachDr Caroline Pickstone , ScHARR,
Professor P.H.Hannon Dr Rupert
SucklingUniversity of Sheffield South
Yorkshire Strategic Health Authority
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(No Transcript)
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Do families use Sure Start?

• promote participation of local families in the
  design and working of the programme
• Expectation of high participation, local
  services within pram pushing distance
• Expected growth in up take over time (SEU, 2004),
  uptake lower than expected
• Mature thinking about programmes asks What works
  for whom and why? (korfmacher, 2001)

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Issues raised by low reach

• Terminology, NESS continuum of access Reach
  Use
• Head Start reaches 13 eligible (Werner, 2000) or
  35 (Horton Bowman, 2001)
• Families who refuse may be those most likely to
  benefit (Chaffin, 2004)
• Same factors may preclude involvement in
  screening and intervention (Barnes, 2003)
• May serve to weaken programme effects (Glasgow,
  1999)

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Case study Headlines

• Overall 41.5 eligible families used services
• 0-12mth old group 62.3 (non mobile) 16.3
  (mobile)
• Plan to use (registrations/consents) 90 best
  estimate
• Significant differences
• Material deprivation (Townsend Scores)
• Economically inactive
• Geographic distance