The health goals of Project Head Start were not accomplished in the Rochester, NY, 1969 Summer Head Start Medical Program. There are few available data to indicate whether these goals are being reached elsewhere. These failures and failures in reaching educational and social goals led to elimination of the Summer Head Start program in Rochester and to expansion of the year-round program. Health goals of Head Start programs and the methods of reaching them need alteration to increase prospects for success. The elimination of routine periodic physical examinations and the utilization of professional nurses as health care coordinators for children and their families is proposed as a means to conserve scarce medical manpower and to provide a mechanism for improved health care within Head Start programs and elsewhere.
Hoekelman RA. A 1969 Head Start Medical ProgramImplications for Change, Rochester, NY. JAMA. 1972;219(6):730–733. doi:10.1001/jama.1972.03190320036012