Under five clinic

under five clinic

1. Under five clinic Ms. Ekta Upadhyay m.sc.(n) i st year

2. Introduction The first five years of life form the foundations of the child’s physical and mental growth and development. The mortality and morbidity are high among this age group. The Department of Health established the Under Five Clinic Program to address this problem.

3. Program Objectives and Goals Monitor growth and development of the child until 5 years of age. Identify factors that may hinder the growth and development of the child. Preventive, primitive , curative, referral, educational services in a package-one roof Services through: trained nurses-economical, available to large proportion of population Non-medical person: example of primary health care Sub-center , primary health center: one afternoon every week.

4. Importance of under five clinic 15% of population Nutritionally vulnerable Human resource of future Needed for progress of country  

5. Aim:- comprehensive health care to under fives: non-medical person, economical way. Activities and Strategies  Regular height and weight determination/ monitoring until 5 years old. 0-1 year old=monthly 1 year old and above =quarterly Recording of immunization, vitamins supplementation, deworming and feeding. Provision of IEC materials (ex. Posters, charts, and toys) that promote and enhance child’s proper growth and development. Provision of a safe and learning – oriented environment for the child. Monitoring and Evaluation.

6. Function of under five clinics 6 triangles: 2 large, 4 small Small triangle: curative services: care in illness Common health problems: diarrhea, respiratory problems Not improve: Medical Officer Promotive : growth monitoring, health check up Preventive: immunization, vitamin A, IFA Central inverted : family planning Outer small triangle: margin of all 4 triangles Outer large triangle: health education

7. Care in illness Children are treated for acute and chronic illness and ailment of growth and development at these clinics. Nurses are playing important role in taking care of sick children. Care in illness is the felt need for child for which any child brings to the clinics. The usual illness encountered in the children under five is fever, diarrhea, ARI, infection of the skin, and helminthiasis . The facility should provide for the investigation and x-ray facilities. The clinic should be backed on the effective referral mechanism.

8. Growth monitoring This the one of the most important functioning of the clinic , child weight periodical every two month from 1 to 3 year of age , and every three month in 4 th and 5 th year. Besides weighting, measuring mid arm can also be carried out depending upon the availability of trained manpower and equipment. The growth is plotted on growth chart and any faltering in the growth is detected and suitable action initiated. The mile stone are also recorded without any delayed .

9. Family planning:- Family planning is central to any programme for women and children the mothers are more respective to family planning during early puerperium and lactation. The mother is counseled on the various options available, their merits and demerits so they can make choice. Health education :- The opportunity should be made use of to educate the mother on issue of child care, breastfeeding, nutrition, growth monitoring, and immunization and hygienic of safe water and food preparation.

10. Preventive care Preventive care includes all the aspects which prevent the disease. This involve primarily the immunization services during the first five year of life against different diseases, vitamin. A supplementation and antihelminthic treatment to prevent anemia. The preventive care also provides for regular health check up and use of ORS during diarrhea to prevent dehydration form developing.