„MOCHA – Models of Child Health Appraised: Children’s health affects the future of Europe – children are citizens, future workers, parents and carers. Children are dependent on society to provide effective health services (UN Convention on the Rights of the Child). Models of child primary health care vary widely across Europe based on two broad alternatives (primary care paediatricians or generic family doctors), and a variety of models of school health and adolescent direct access services. There is little research to show which model(s) are best, implying that some are inefficient or ineffective, with sub-optimal outcomes. MOCHA will draw on networks, earlier child health projects and local agents to model and evaluate child primary care in all 30 EU/EEA countries. Scientific partners from 11 European countries, plus partners from Australia and USA, encompassing medicine, nursing, economics, informatics, sociology and policy management, will:

  • categorise the models, and school health and adolescent services;
  • develop innovative measures of quality, outcome, cost, and workforce of each, and apply them using policy documents, routine statistics, and available electronic data sets • Assess effects on equality, and on continuity of care with secondary care;
  • systematically obtain stakeholder views;
  • indicate optimal future patterns of electronic records and big data to optimise operation of the model(s). The results will demonstrate the optimal model(s) of children’s primary care with a prevention and wellness focus, with an analysis of factors (including cultural) which might facilitate adoption, and indications for policy makers of both the health and economic gains possible.” The project is funded by the European Commission, Horizon2020 programme.

The project is led by a team from Imperial College London. The team of the Department of International Health at Maastricht University is involved in several workpackages. Among other things, we will help to place the models and other findings into political and constitutional contexts and work on aspects of transferability of models of child health.

More information on the project: