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05). The findings suggest that using a home-based record may have a long-term impact on child health and development. It is also possible that home-based records are more likely to be used by parents of relatively healthy children. Further work is needed to consider if home-based records need to be modified for parents of children with health/development problems. Nurses and other primary care providers at forefront of family health should ensure proper use of child health home-based records as well as promote its use by parents and care