UNDER FIVE CLINICS.pptx

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1. UNDER FIVE CLINICS

2. INTRODUCTION Under five clinic is a center , where preventive, promotive, curative, referral and educational services are provided in a package manner to under five children under one roof. The services are made available through trained nurses, so that not only the services become economical but also becomes available to larger proportion of children population in the community.

3. DEFENITION 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 Goal • To overall goal of under-five clinic is to provide comprehensive health care to young children in a specialized facility.

4. GOALS To overall goal of under five clinic is to provide comprehensive health care to young children in a specialized facility. illnesses and ailments of growth and development at these clinic. Nurse can play an important role in taking care of sick children

5. 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

6. 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

7. PREVENTIVE CARE 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

8. 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

9. HEALTH EDUCATION This clinic is used to educate the mother about child care breast feeding nutrition growth monitoring immunization cleanliness etc..

10. ROLE OF HEALTH CARE PERSONAL 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

11. 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

12. WELL BABY CLINICS

13. INTRODUCTION

14. DEFENITION 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

15. 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

16. 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

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

18. 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 . (oral rehydration theraphy ) Nutritional problems.

19. 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)

20. 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

21. 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)

22. ONE OF THE IMPORTANT SERVICES OFFERED BY WELL- BABY CLINICS Provision of immunizations ( vaccination) for childhood diseases such as diphtheria , pertussis, tetanus, polio, Haemophilusinfluenzae type b, hepatitis B, measles, mumps, rubella, and varicella