well baby clinicand under five clinic.pptx

well baby clinic and underfive clinic are the topics related to child health and welfare for promoting optimal growth development, preventing preventable diseases and so on

1. Well Baby Clinic Prepared By Kabita Paudel Lecturer SMAHCON 11/11/2024 Kabita Paudel 1

2. Well Baby Clinic 11/11/2024 Kabita Paudel 2

3. Child health and welfare services Child Health and Welfare refers to the overall well-being of children, which encompasses their physical, mental, emotional, and social health. This broad field focuses on ensuring that children have access to necessary healthcare, nutrition, education, and safe living conditions. 11/11/2024 Kabita Paudel 3

4. Key components of child health and welfare Nutrition : Ensuring children receive adequate and balanced diets for growth and development. Healthcare Access : Providing health services, including immunizations, regular health check-ups, and treatment of illnesses. Safe Environment : Ensuring children are raised in safe, nurturing environments free from violence and abuse. Education : Guaranteeing access to quality education and promoting cognitive development. Mental Health Support : Addressing psychological and emotional health needs through support systems and care. 11/11/2024 Kabita Paudel 4

5. In Nepal Child Care Scheme Nepal Child Welfare Scheme Nepal is a non-profit, non-government organization working to improve the lives of children, adolescent and youth by providing support to health, education and protection. 11/11/2024 Kabita Paudel 5

6. contd. Established in 1997, CWSN works to realize the rights of marginalized children and young people by empowering families and communities and enabling access to quality basic services and support. 11/11/2024 Kabita Paudel 6

7. The concept of under 5 clinic was started from Africa by David Morley and others to identify children at risk so that they could get more attention. This was the beginning of the child welfare 11/11/2024 Kabita Paudel 7

8. Well-baby clinic Well-baby clinics, or well-child clinics as they are commonly known, deal with the total well-being of children and family. 11/11/2024 Kabita Paudel 8

9. Definition It is a specialized target oriented health care set up i.e. 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, referral health services for children. 11/11/2024 Kabita Paudel 9

10. Age group of children From one day to 6 years. 11/11/2024 Kabita Paudel 10

11. Importance of caring this age group Child health care is considered as 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 11/11/2024 Kabita Paudel 11

12. Contd. Needs special care for early detection and management of any preventable and treatable disease Introducing high quality and evidenced based health care for babies healthy community 11/11/2024 Kabita Paudel 12

13. Objectives of well baby clinic Health education Adequate nutrition Immunization Care in illness Rehabilitations 11/11/2024 Kabita Paudel 13

14. Obligatory health education in relation to well baby clinic 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 Therapy ) Nutritional problems 11/11/2024 Kabita Paudel 14

15. Schedules of well baby clinic 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 12 months 11/11/2024 Kabita Paudel 15

16. After one year 7 visits 1.5 years 2 years 2.5 years 3 years 3.5 years 4 years 4.5 years 11/11/2024 Kabita Paudel 16

17. Component of Well Baby Clinic Resources and structures (manpower and places) Process and procedure (examination) for well baby and sick baby Outcomes (result) MANPOWER Trained Physician Trained female nurse midwives Basic Qualifications 11/11/2024 Kabita Paudel 17

18. Examinations Weight, height, head circumference and temperatures General appearance of child Fontanels, ears (hearing defect, otitis media), eyes (squint, glaucoma) Lips (anemia and cleft palates) Muscles and genitalia Development (tones, milestones according to age, reflexes) 11/11/2024 Kabita Paudel 18

19. Other important services offered by well baby clinics Provision of immunizations (vaccination) for childhood disease such as diphtheria, pertussis, tetanus, polio, Hemophilus influenza type b, hepatitis B, measles, mumps, rubella, and varicella 11/11/2024 Kabita Paudel 19

20. Under 5 clinic 11/11/2024 Kabita Paudel 20

21. Introduction The first five years of life form the foundations of the child’s physical and mental growth and development. Represent large group of population. High rates of mortality and morbidity. More vulnerable needs proper monitoring of growth and development. 11/11/2024 Kabita Paudel 21

22. Introduction Contd.. The effects of malnutrition and other diseases have a role in later life. 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 11/11/2024 Kabita Paudel 22

23. Definition Under five clinic 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. 11/11/2024 Kabita Paudel 23

24. Contd. The concept of under 5 clinic was started from Africa by David Morley and others to identify children at risk so that they could get more attention. This was the beginning of the child welfare. 11/11/2024 Kabita Paudel 24

25. Goal The overall goal of the Under-Fives Clinic is to provide comprehensive health care to young children in a separate specialized facility. 11/11/2024 Kabita Paudel 25

26. Under 5 Clinic The under five clinic is represented by traditional logo of a triangle with four internal triangles and an outer enveloping triangle as shown in the Fig.  11/11/2024 Kabita Paudel 26

27. PURPOSE To provide safe, comprehensive and evidence informed care to infants, children and their parents or caregivers within an inter professional team and ensure the team optimizes collaborative practice of all team members to improve outcomes (i.e., maximize the role of Clinical Support Staff and Primary Care Nurse). 11/11/2024 Kabita Paudel 27

28. Contd. This serves as a Guideline and Clinical Decision Support Tools that are aligned with the College of Registered Nurses of Manitoba Employer guide. To provide recommendations within the inter professional practice team to become familiar with the national guidelines, tools and resources prior to independent initiation of well-baby / child visits. 11/11/2024 Kabita Paudel 28

29. Contd. To facilitate effective communication to avoid duplication and/or missed interventions/assessments within the inter professional team members. To provide patient and provider satisfaction within the collaborative approach by implementing a system to ensure an inter-disciplinary approach in the provision of collaborative well-baby care. 11/11/2024 Kabita Paudel 29

30. Functions Care in Illness : This is the felt need of the mother and child for which any child is brought to the clinic. The usual illnesses encountered in children under five are fever, diarrhoea , ARI, infections of the skin and helminthiasis . The facility should provide for essential laboratory investigations and X-ray facilities. The Clinic should be backed by an effective referral mechanism.  11/11/2024 Kabita Paudel 30

31. Contd. Functions includes Timely physical examination of the children. Immunization Nutritional care Oral rehydration therapy 11/11/2024 Kabita Paudel 31

32. Contd. Growth Monitoring : This is one of the most important functions of the clinic. The child is weighed periodically – every month during the first year, every 2 monthly from 1 to 3 years of age and every 3 monthly in 4th and 5th years. 11/11/2024 Kabita Paudel 32

33. Contd. 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 on the growth chart and any faltering in the growth is detected and suitable action initiated. The milestones are also recorded and any delay in achieving milestone is evaluated. 11/11/2024 Kabita Paudel 33

34. Contd. Preventive Care : This involves primarily the immunization services during the 1st five years of life, vitamin A supplementation and administration of Iron supplementation and anthelminthic treatment to prevent anemia. The preventive care also provides for regular health check up and use of ORS during d iarrhoea to prevent dehydration from developing. 11/11/2024 Kabita Paudel 34

35. Contd. Family Planning : Family planning is central to any program directed towards women and children. The mothers are more receptive to family planning during early Puerperium and lactation. Mother is counselled on the various options available, their merits and de-merits so that she can make a choice. 11/11/2024 Kabita Paudel 35

36. Contd. Health Education : The opportunity should be made use to educate the mother on issues of child care, breast feeding, nutrition, growth monitoring, immunization and hygiene of safe water and food preparation. 11/11/2024 Kabita Paudel 36

37. Nurses Responsibility 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. 11/11/2024 Kabita Paudel 37

38. Contd. Recording general examination , nutritional level and weight of the child. Assessing growth and development of the child. Carry out physical examination. Prevention and treatment of general diseases and injuries and referring the critical patients. 11/11/2024 Kabita Paudel 38

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