Presentation on Child Care and Immunizationptx

Childcare

1. Child Care Program

2. INDICATORS Newborn Care (0-28 days) 1. Proportion of newborns/infants vaccinated with BCG antigen 2. Proportion of newborn vaccinated with Hepatitis B antigen within 24 hours after birth 3. Proportion of children protected at birth (CPAB) from neonatal tetanus

3. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Immunization Services) 4. Proportion of infants who completed 3 doses of DPT- HiB - HepB antigen 5. Proportion of infants who completed 3 doses of Oral Polio Vaccine (OPV) 6. Proportion of infants vaccinated with Inactivated Polio Vaccine (IPV)

4. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Immunization Services) 7. Proportion of infants given pneumococcal conjugate vaccine (PCV) dose 1,2, 3 8. Proportion of children vaccinated with 2 doses of Mumps Measles Rubella (MMR) antigen 9. Proportion of Fully Immunized Children (FIC) 10. Proportion of Completely Immunized Children (CIC)

5. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Immunization Services) 11. Proportion of Grade 1 and Grade 7 learners vaccinated with 1 dose of Tetanus diphtheria (Td) toxoid vaccine 12. Proportion of Grade 1 and Grade 7 learners vaccinated with 1 dose of Measles Rubella (MR) vaccine

6. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Nutrition Services) 13. Proportion of infants born pre-term or with low birth weight given iron supplements 14. Proportion on newborns who were initiated to breast feeding immediately after birth lasting 90 minutes or 1 hour and 30 minutes 15. Proportion of infants exclusively breastfed until 6th month 16. Proportion of infants who continued breastfeeding and were introduced to complementary feeding beginning at 6 months of age

7. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Nutrition Services) 17. Proportion of infants/children who completed Vitamin A supplementation - 6 to 11 months old with 1 dose of 100,000 IU of Vitamin A - 12 to 59 months old with 2 doses of 200,000 IU of Vitamin A

8. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Nutrition Services) 18. Proportion of infants 6 to 11 months old and children 12-23 months old who completed MNP supplementation - 6 to 11 months old who consumed 90 sachets of MNP over a period of 6 months - 12 to 23 months old who consumed 90 sachets every 6 months for a total of 180 sachets in a year

9. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Nutrition Services) 19. Proportion of 0-59 months old who are stunted, wasted overweight/obese

10. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Deworming Services) 20. Proportion of children/adolescents given 2 doses of deworming tablet Pre-school aged children (PSAC), 1 to 4 years old or 12-59 months old given 2 doses of deworming tablet School-aged children (SAC), 5 to 9 years old given 2 doses of deworming tablet Adolescents, 10-19 years old, given 2 doses of deworming tablet

11. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Oral Health Care Services) 21. Proportion of orally fit children, 1-4 years old (12- 59 months old), upon oral examination or after rehabilitation 22. Proportion of infants/children /adolescents provided with basic oral health care (BOHC) - 0 to 11 months old - 1 to 4 years old - 5 to 9 years old - 10 to 19 years old

12. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Oral Health Care Services) 23. Proportion of 5 years old and above with decay- missing filled teeth (DMFT)

13. INDICATORS Infants (29 days - 11 months old), Children and Adolescents (Management of Sick Infants and Children) 24. Proportion of high risk infants/children with measles and/or persistent diarrhea who received Vitamin A capsule aside from routine supplementation - 6-11 months old - 12 to 59 months old 25. Proportion of diarrhea cases 0-59 months old who received oral rehydration salt solution (ORS) with oral zinc drops/syrup 26. Proportion of pneumonia cases among infants and children aged 0-59 months old who received treatment Metadata

14. Masterlisting

15. Master Listing of School-Aged Children and Adolescents 1. Based on the completed HH Profiles in each barangay (Chapter 3), the BHS midwife with assistance from BHWs/NDPs/other volunteer workers shall summarize all those profiled belonging to the following age-groups: Part 1. List of School-Aged Children (5-9 years old) Part 2. List of Adolescents (10-19 years old) 2. Transfer the following information from the accomplished HH Profiles into the Master List of School-aged Children and Adolescents: - HH number/Family Serial Number - Name of Mother - Name of School-Aged Child, Adolescent - Address of Mother and child/adolescent - Age and Birthday of each child/adolescent - Sex - Socio-Economic Status: NHTS member or Non-NHTS - Educational status: in school or out of school

16. Master Listing of School-Aged Children and Adolescents 3. The existing TCLs for Immunization and Nutrition Services could serve as the initial Master List of the Newborns, Infants and Under-five Children. Validate if the names of children from the accomplished HH Profiles are already in the TCL for Immunization, Nutrition, Deworming and Oral Health Services. If not, include the names in the list. 4. The BHS midwife shall file and maintain this Master List. This Master List will be useful as reference during Mass Deworming Administration every January and July especially for out of school children aged 5 to 9 years old. Moreover, it will also be useful in providing services to adolescents aged 10 to 19 years old. 5. School-Based Immunization . Note that there is a separate Master List to be prepared by the local health staff in connection with the provision of TD and MR to school children, Grade 1 and Grade 7 learners every November. This will be prepared separately by the Midwife/Nurse in coordination with the school.

17. TCL for Children 0-11 and 12 mos old

18. Date of Registration . Write in this column the month, day and year a newborn/infant/child was seen at the clinic or at home for health services. Page 1

19. Date of Birth. Write in this column the month, day and year of birth of the newborn/infant/child. This column is important for the immunization schedule and timeliness of other services to be provided. Page 1

20. Family Serial Number. Indicate in this column the number that corresponds to the number of the family folder or envelope or individual treatment record. This column will help you facilitate retrieval of the client’s record during the return or follow-up visit. Page 1

21. Socio-Economic Status. Classify if the mother/child is a member of the NHTS or Non-NHTS. Write the corresponding code. Page 1

22. Name of Child. Write the complete name of the child (First Name, Middle Initial, Last Name) Page 1

23. Sex. Write under this Column M if the child is male, and F if female. Page 1

24. Complete Name of Mother. Write in this column the name of the mother (Last Name, First Name, Middle Initial). Page 1

25. Complete Address. Record the mother/child’s permanent place of residence. This column will help you to monitor or follow-up the child. Page 1

26. Child Protected at Birth. This has 2 sub-columns. Check whether the mother of the infant has received TT2/Td2 one month prior to delivery or TT3/Td3 was given any time prior to delivery. Page 1

27. Newborn (0-28 days old). Write the birth length and weight of the newborn and classify if the birth weight is low (L, < 2,500 gms ), normal (N, ≥2,500 gms ) or unknown (U) in Columns 10.3. Write the corresponding code. Page 2

28. Newborn (0-28 days old). Write the date when breastfeeding was initiated and when BCG and the HepB birth dose was given in the designated column. Page 2

29. 1-3 months old. Write in the designated columns the following: the age in months, the length in centimeters and weight in kilograms of the infant and the date when it was taken and classify if the weight for length is underweight (UW), stunted (S), wasted (W), obese/overweight (O) or normal (N); the date infant with low birth weight received Iron Page 2

30. 1-3 months old. Write in the date infant with low birth weight received Iron Page 2

31. 1-3 months old. Write in the designated columns the dates when the infant received the 1st, 2nd and 3rd dose of DPTHiB-HepB , OPV, PCV and 1 dose of IPV. Page 2

32. 1-3 months old. Place a check (√) mark if the mother/parent was given breastfeeding counseling and assess if the child is still being exclusively breastfed . . Page 2

33. Page 3 6-11 months old . Write in the designated columns the following: the age in months, the length in centimeters and weight in kilograms of the infant and the date when it was taken and classify if the weight for length is underweight (UW), stunted (S), wasted (W), obese/overweight (O) or normal (N) Note: To assess for wasting, please ensure weight for length for age or weight for height for age will be plotted using WHO Child Growth Standards.

34. Page 3 6-11 months old . Write Y if the infant is exclusively breastfed up to 6 months of age and N if not

35. Page 3 6 -11months old . Write Y if complementary feeding was initiated for the infant at 6 months of age and N if not; Write 1 if with continued breastfeeding and 2 if no longer breastfeeding or never breastfed

36. Page 3 6-11months old . Write the date when Vitamin A and Micronutrient Powder 198 (MNP) was given to the infant; write the date when 1st dose of Mumps Measles Rubella (MMR) was given to the infant .

37. Page 3 12 months old. Write in the designated columns the following: the age in months, the length in centimeters and weight in kilograms of the infant and the date when it was taken and classify if the weight for length is underweight (UW), stunted (S), wasted (W), obese/overweight (O) or normal (N)

38. Page 3 12 months old. Write the date when the 2nd dose of Mumps Measles Rubella (MMR) vaccine was given to the infant

39. Page 3 12 months old. Write the exact date the child (12 months old) was given the last dose of the scheduled immunization which makes the child a fully immunized child Note: A Fully Immunized Child (FIC) is one who has received all of the following vaccinations: a. 1 dose of BCG at birth or any time before reaching 12 months b. 3 doses of each DPT- HiB - HepB vaccine c. 3 doses of each OPV d. 2 doses of MMR: the 1st dose received at 9 months old and the 2nd dose at 12 months old If the infant was given the vaccine in other health facilities, ask for the immunization card and write the date and name of the facility where the infant was given the specific dose of the vaccine.

40. Page 3 Completely Immunized Child (CIC). Write the exact date the child (13-23 months old) was given the last dose of the scheduled immunization which makes the child a completely immunized child.

41. Page 3 Remarks. Write the reasons why a child failed to return for the next immunization schedule or why a child reaching 1 year of age was not fully immunized, to include illnesses, hospitalization, and other data of importance to the child.

42. TCL for Children 12-59 mos old (1-4 yrs old)

43. Page 1 Date of Registration. Write in this column the month, day and year the child was seen at the clinic or at home for health services.

44. Page 1 Date of Birth. Write in this column the month, day and year of birth of the child. This column is important for the immunization schedule and timeliness of other services to be provided.

45. Page 1 Family Serial Number. Indicate in this column the number that corresponds to the number of the family folder or envelope or individual treatment record. This column will help you facilitate retrieval of the client’s record during the return or follow-up visit.

46. Page 1 Socio-Economic (SE) Status. Classify if the mother/child is a member of the NHTS or Non-NHTS. Write the corresponding code

47. Page 1 Name of Child. Write the complete name of the child (First Name, Middle Initial, Last Name)

48. Page 1 Sex. Write under this Column M if the child is male, and F if female

49. Page 1 Complete Name of Mother. Write in this column the name of the mother (Last Name, First Name, Middle Initial).

50. Page 1 Complete Address. Record the mother/child’s permanent place of residence. This column will help you to monitor or follow-up the child.

51. Page 2 Length/Height. Write the child’s length/height in centimeters in this column.

52. Page 2 Weight. Write the child’s weight in kilograms in this column .

53. Page 2 12-23 months old. Classify in the first sub-column (Nutritional Services) if the child’s weight for length/height is underweight (UW), stunted (S), wasted (W), obese/overweight (O) or normal (N). On the 2 nd sub-column (Nutrition Services), write the date when 90 sachets of Micronutrient Powder (MNP) and 1st and 2nd dose of Vitamin A was given to the child. On the 3rd sub-column (Deworming Services), write the number and date when the first and second doses of deworming tablets were given then place a check (√) in in the designated column if the child was given 2 doses of deworming drug.

54. Page 2 24-35 months old. Classify in the first sub-column (Nutritional Services) if the child’s weight for length/height is underweight (UW), stunted (S), wasted (W), obese/overweight (O) or normal (N). On the 2 nd sub-column (Nutrition Services), write the date when the 1st and 2 nd dose of Vitamin A was given to the child. On the 3rd sub-column (Deworming Services), write the number and date when the first and second doses of deworming tablets were given then place a check (√) in in the designated column if the child was given 2 doses of deworming drug.

55. Page 3 36-47 months old. Classify in the first sub-column (Nutritional Services) if the child’s weight for length/height is underweight (UW), stunted (S), wasted (W), obese/overweight (O) or normal (N). On the 2 nd sub-column (Nutrition Services), write the date when the 1st and 2 nd dose of Vitamin A was given to the child. On the 3rd sub-column (Deworming Services), write the number and date when the first and second doses of deworming tablets were given then place a check (√) in in the designated column if the child was given 2 doses of deworming drug.

56. Page 3 48-59 months old. Classify in the first sub-column (Nutritional Services) if the child’s weight for length/height is underweight (UW), stunted (S), wasted (W), obese/overweight (O) or normal (N). On the 2 nd sub-column (Nutrition Services), write the date when the 1st and 2 nd dose of Vitamin A was given to the child. On the 3rd sub-column (Deworming Services), write the number and date when the first and second doses of deworming tablets were given then place a check (√) in in the designated column if the child was given 2 doses of deworming drug

57. TCL for Deworming Services for Children Age 5-9 yrs old

58. Date of Registration. Write in this column the month, day and year the child was seen at the clinic or at home for health services.

59. Date of Birth. Write in this column the month, day and year of birth of the child. This column is important for the immunization schedule and timeliness of other services to be provided.

60. Family Serial Number. Indicate in this column the number that corresponds to the number of the family folder or envelope or individual treatment record. This column will help you facilitate retrieval of the client’s record during the return or follow-up visit.

61. Socio-Economic (SE) Status. Classify if the mother/child is a member of the NHTS or Non-NHTS. Write the corresponding code.

62. Name of Child. Write the complete name of the child (First Name, Middle Initial, Last Name)

63. Sex. Write under this Column M if the child is male, and F if female.

64. Complete Name of Mother. Write in this column the name of the mother (Last Name, First Name, Middle Initial).

65. Complete Address. Record the mother/child’s permanent place of residence. This column will help you to monitor or follow-up the child.

66. Deworming Services. Write the number and date when the first and second doses of deworming tablets were given then place a check (√) in the designated column if the child was given 2 doses of deworming drug.

67. Remarks. Write the illnesses, hospitalization, and other data of importance to the child.

68. TCL for Deworming Services for Adolescents Age 10-19 yrs old

69. Page 1

70. Page 2

71. Page 3

72. TCL for Sick Children

73. Date of Registration. Indicate in this column the date (month, day and year) the child was identified to be sick.

74. Family Serial Number. Indicate in this column the number that corresponds to the number of the family folder or envelope or individual treatment record. This data will help facilitate retrieval of the client’s record.

75. Name of Child. Write the complete name of the child (First Name, Middle Initial, Last Name).

76. Date of Birth. Write in this column the month, day and year of birth.

77. Sex. Place under this Column M if the child is male and F if female.

78. Complete Name of Mother. Write in this column the name of the mother (First Name, Middle Initial, Last Name).

79. Complete Address. Record the client’s permanent place of residence. This column help you monitor or follow-up the client

80. Socio-Economic (SE) Status. Classify if the mother/child is a member of the NHTS or Non-NHTS. Write the corresponding code.

81. Vitamin A Supplementation. In the first sub-column, place a check (√) on the appropriate age group where the child’s age belongs. In the second sub-column, write the corresponding code for the diagnosis / findings, and on the third sub-column write the date Vitamin A was given. Use the following codes for diagnosis/findings:.

82. Diarrhea Cases Seen and Given Treatment. Write the age in months of the sick children followed by the dates ORS and oral zinc drops/syrup was given.

83. Pneumonia Cases Seen and Given Treatment. Write the age in months of the sick child followed by the date antibiotic treatment was given.

84. Remarks. Write other data of importance to child care..

85. Other Forms ITR Child ITR Infant ITR Sick ST MCT M1 Q1

86. Thank You!