Under five clinic and well baby clinic

Under five clinic and well baby clinic

1. UNDER FIVE CLINIC

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INTRODUCTION
Under five clinic is a centre, where preventive,
promotive, curative, referral and educational services
are provided in a package manner to under five
children under one roof.
It is a health clinics created for age group below five
years of age. It is western model of hospital created
for providing care, and immunization to newborn
babies.

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GOAL
To overall goal of under-five clinic is to provide
comprehensive health care to young children in a
specialized facility.

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SYMBOL

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AIMS AND ACTIVITIES
Care in illness:
Children are treated for acute and chronic illnesses
and ailments of growth and development at these
clinic.
Nurse can play an important role in taking care of
sick children.
X Ray and laboratory services
Referral services

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Growth monitoring:
This is one of the most important function of the clinic.
The child is weighed periodically-
-every month during the first year,
-every 2 monthly from 1 to 3 years of age
-every 3 monthly in 4th and 5th years.
Besides weighing, measuring height, mid arm
circumference can also be carried out depending upon
the availability of trained manpower and equipments.
The growth is plotted in the growth chart then growth
curve is prepared to monitor the growth of the child.

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Preventive care:
This includes Timely physical examination of the
children,
Immunization
Nutritional care
a)surveillance on food supplementation and sub
clinical nutrition
b)health check ups every 3 to 6 months
c)Manage the growth of nutrition
among newborn and children
a)Oral rehydration therapy

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Family planning :
Family planning is a central to any program directed
towards women and children.
It educate people on following issues,
Spread the awareness regarding use of contraceptive
or pills
Health education on family planning, birth spacing
Psychological support to mothers

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Health education:
This clinic is used to educate the mother about
child care
breast feeding
nutrition
growth monitoring
immunization
cleanliness etc…

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ROLE OF HEALTH CARE PERSONNEL
Selection of place and days of clinic.
Arranging equipment.
Arranging the entertainment facilities.
Providing immunization services.
Giving warm welcome to mother and children.
Maintaining growth chart, immunization card.
Recording general examination, nutritional level
and weight of the child

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Assessing growth and development of the child.
Carry out physical examination.
Prevention and treatment of general diseases and
injuries and referring the critical patients.
Providing health education to mothers.
Assessing growth and development of the child.
Carry out physical examination.
Prevention and treatment of general diseases and
injuries and referring the critical patients.
Providing health education to mothers.

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WELL BABY
CLINIC

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DEFINITION
It is a specialized target oriented health care set up
ie: clinic of under 6 years children within the existing
facilities of PHCC.
It deals with the total well being of children and
family.
They provide safety low cost health care.
It provides promotive, preventive, curative and
rehabilitative health services for children.

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AGE GROUP OF CHILDREN
From one day to below 6 years.
It divided into :
1-Infancy (up to one year).
2-Preschool age (1 year to 6 years)

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IMPORTANCE OF CARING THIS AGE
GROUPS
Child health care is considered one of the most
important elements of primary health care and family
practice.
Represent large % of population (about 15% of total
population.
More susceptible to high mortality.
More vulnerable and needs proper monitoring of growth
and development.
Needs special care for early detection and management
of any preventable and treatable diseases.
Introducing high quality and evidenced based health care
for babies healthy babies healthy community

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OBJECTIVES OF WELL BABY CLINICS
Health education
Adequate nutrition
Immunization
Care in illness
Rehabilitations

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OBLIGATORY HEALTH EDUCATION IN
RELATION TO WBC
Importance of attending WBC according to
schedules.
Breast feeding and children feeding.
Demonstrate child feeding ( methods and timing).
Weaning practices.
Artificial feeding when indicated.
ORT.
Nutritional problems.

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SCHEDULES OF WBC VISITS AT PHCC
Well baby care visits should be side by side with
vaccinations schedules with some modifications as
follow:
First year: 6 visits (after delivery, 2 months, 4
months, 6 months, 9 months and 12 months).
After one year: 7 visits ( 1.5 year, 2 years, 2.5 years, 3
years, 3.5 years, 4 years and 4.5 years)

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COMPONENTS OF WBC
Resources and structures ( Manpower and places).
Process and procedures (Examination) for well baby
and sick baby.
Outcomes (results).
MANPOWER
a)Trained physicians
b)Trained females nurse midwives
c)Basic qualifications

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EXAMINATIONS
a)Weight, height, head circumference and
temperatures
b)General appearance of child
c)Fontanels, ears (hearing defect, otitis media), eyes
(squint and glucoma)
d)Lips (anemia and cleft palates)
e)Muscles and genitalia
f)Development ( tones, milestones according to age,
reflexes)

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One of the important services offered by well-
baby clinics
provision of immunizations ( vaccination) for
childhood diseases such as diphtheria, pertussis,
tetanus, polio, Haemophilusinfluenzaetype b,
hepatitis B, measles, mumps, rubella, and varicella

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