Challenge to Pediatricians • 1. All Families have to access adequate perinatal, preschool, and family planning services • 2. The need for reducing unintended injuries and environmental risks • 3. The need for research in biomedical and behavioral science, in the particular problems of mothers and children Need for Quality Improvement • There is a significant quality gap between known and recommended evidence-based care, and the actual care that is delivered. • 50% in adult, only 46% in pediatrics Ethics in Pediatrics Care • A branch of bioethics that analyzes moral aspects of decisions made relating to the health care of children. • The autonomy driven framework of adult medical ethics is replaced by a beneficent paternalism in pediatrics. • In older children the concept of assent suggest that the voice of the patient must be heard. Maximizing Children’s Health • Screening • Anticipatory guidance • Counseling Task of well child care • Disease detection • Disease prevention • Health promotion • Anticipatory guidance • Thank You