Abstract:
An environment occupied by children has a strong influence on their health and well-being. Childcare facilities that are poorly built and poorly maintained pose a health risk to children. This study assessed the structural conditions including the aspects and challenges that influence regulatory compliance of childcare establishments in the Free State (n=62). The criterion used to assess compliance was aligned with municipal by-laws and guidelines that regulate childcare facilities within South Africa. The survey revealed infrastructural defects such as holes in walls and ceilings, cracked walls and peeling paint in a majority of the facilities (81%). Thirty two percent of the facilities had hand wash basins were not functioning as required by law. Majority (85%) did not have appropriate diaper changing stations and equipment. All the facilities that participated were in possession of health certificates. Sixty five percent of the facilities were conditionally registered of which 25% had exceeded the two year probation period for conditional registration. Thirty eight percent deviated from the registration terms and conditions stipulated on their health compliance certificates whereby the facilities accommodated more children as opposed to the numbers that were stated on the health compliance certificates. Inherent requirements such as training on childcare guidelines and regulation had not been received by a majority of the respondents (89%). Financial constraints and poor knowledge of childcare regulations appeared to have been the reasons behind partial compliance and failure to implement necessary upgrades for full compliance.
