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MINISTRY OF HEALTH AND FAMILY WELFARE


MINISTRY OF WOMEN AND CHILD DEVELOPMENT

MOTHER AND CHILD


PROTECTION CARD
(MCP CARD)

Keep this card safe and carry along with you


during every visit to Village Health Sanitation
and Nutrition Day, Anganwadi Centre, Health
Centre and Hospital
2018 Version
1
Janani Suraksha Yojana (JSY)
Eligible mother gets cash assistance for giving birth
in public health facilities and in private accredited
hospitals

Benefits under Pradhan Mantri Matru Vandana


Yojana (for the first live child in the family)
• 1st Installment given to beneficiaries after early
registration of pregnancy at the Anganwadi
Centre/approved Health facility
• 2nd Installment given to beneficiaries when at least
one ANC received (can be claimed after 6 months
pregnancy)
• 3rd Installment given to beneficiaries
i. After registration of child birth
ii. Child has received first cycle of BCG, OPV,
DPT and Hepatitis-B or its equivalent/substitute

Pradhanmantri Surakshit Matritva Abhiyaan


During the 2nd/3rd trimester of your pregnancy, avail
at least one Antenatal Checkup by a doctor on the
9th day of the month

Benefits under Janani-Shishu Suraksha


Karyakram
For Pregnant Women
• Free and cashless delivery
• Free caesarean section
• Free drugs and consumables
• Free diagnostics (Blood, Urine tests and
Ultrasonography, etc.)
• Free diet during stay (up to 3 days for normal
delivery and 7 days for caesarean section)
• Free provision of blood
• Exemption from user charges
• Free transport from home to health institution,
between health institutions in case of referral
and drop-back home
• All complications during ANC, PNC and sick
infants also covered

For Sick Newborn till one year after birth


• Free treatment
• Free drugs and consumables
• Free diagnostics
• Free provision of blood
• Exemption from user charges
• Free transport from home to health institution,
between health institutions in case of referral
and drop-back home

It is illegal to select or determine the sex of a


child before birth
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MINISTRY OF HEALTH AND FAMILY WELFARE


MINISTRY OF WOMEN AND CHILD DEVELOPMENT

MOTHER AND CHILD


PROTECTION CARD

paste photo of child here


Is the pregnancy
Yes No
high risk?

FAMILY IDENTIFICATION
Mother’s Name Age
Father’s Name
Address
Mobile No. Mother Mobile No. Father
MCTS/RCH ID (Mother)
Eligible for PMMVY Yes No
Bank & Branch Name
Account No. IFSC
PREGNANCY RECORD
No. of Pregnancies / Previous Live Births
Last Delivery Conducted at
Date of Last Menstrual Period
Expected Date of Delivery
Name of Identified Delivery Institution
Pregnancy Outcome Live Birth Still Birth

BIRTH RECORD
Child’s Name
Date of Birth Birth Weight
Current Place of Delivery
Male Female Birth Registration No.
MCTS/RCH ID (Child)

INSTITUTIONAL IDENTIFICATION
AWW LGD Code
AWC No.
Village Ward Block
Postal Account Postal Code
ASHA ANM
Hospital Phone No.

SHC / Clinic PHC / Town


Hospital / FRU District
Sub-centre Reg. No. Date
Fixed VHSND day
Referred to

Child’s Aadhaar No.


Mother’s Aadhaar No.

ASHA Mobile Number ____________________________________


ANM Mobile Number _____________________________________
Ambulance Toll Free Phone Number________________________
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Regular checkup is essential during
pregnancy
Urine 1st 2nd 3rd 4th 5th 6th 7th 8th 9th

Months
Pregnancy
Test
Yes No

Date: ___/___/_____

Registration
Register with the Health Centre in the 1st trimester.

ANC Have at least 3 antenatal checkups, after


registration.

BP, Blood & Urine Have blood pressure (BP) checked and blood and
urine examined at each visit.

Weight
Have weight checkup at each visit. Gain at least
9-11 kg. during pregnancy. Gain at least 1 kg every
month during the last 6 months of pregnancy.

T.T. Injection Take two T.T. Injections. T.T.1 when pregnancy is


confirmed and T.T.2 after 1 month. (Fill in the date)
*Give one dose of T.T. if previously vaccinated within 3
years.

Iron Tablets
Take one tablet of iron folic acid a day for at least
6 months after first trimester. Take at least 180
tablets. (Fill in quantity and date issued)

Take two tablets of calcium per day for at least 6 months after 1st trimester

Take single dose of tablet albendazole (400 mg)


____/____/________
after 1st trimester

Care During Pregnancy

Consume a variety of food Take at least two hours of rest


including fortified food items like during the day and in addition to 8
wheat flour, edible oil etc. hours of rest at night.
Consume more foods- around Use only adequately iodised/
/4 times extra than the normal
1 th
double fortified salt.
diet.
Consume Supplementary
Nutrition from the AWC regularly.
Rinse the mouth after every meals brush
the teeth atleast twice a day.
Ensure nutrition counselling at every ANC
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ANTENATAL CARE
OBSTETRIC COMPLICATION IN PREVIOUS PREGNANCY
(Please tick ( ) the relevant history)
A. APH B. Eclampsia C. PIH
D. Anaemia E. Obstructed Labor F. PPH
G. LSCS H. Congenital Anomaly I. Abortion
J. Other
PAST HISTORY
(Please tick ( ) appropriate response/s)

A. Tuberculosis B. Hypertension C. Heart Disease

D. Diabetes E. Asthma F. O
 thers
(Specify)
EXAMINATION
Height Heart Lungs Breasts
(cms) (check for inverted nipple)

ANTENATAL VISITS
1 2 3 4 5
(Under
PMSMA)

Date
POG (Weeks)
Weight(Kg)
Pulse Rate
Blood Pressure
Pallor
Oedema
Jaundice
Any Complaints
ABDOMINAL EXAMINATION
Fundal Height
Weeks in cm
Lie/Presentation
Fetal Movements Normal/ Normal/ Normal/ Normal/ Normal/
Reduced/ Reduced/ Reduced/ Reduced/ Reduced/
Absent Absent Absent Absent Absent

Fetal Heart Rate


per Minute
P/V if Done
ESSENTIAL INVESTIGATIONS
Hemoglobin (Gms)
Urine Albumin
Urine Sugar
HIV Screening
Syphilis
Ultrasonography
(Y/N)
Gestational
Diabetes Mellitus

Blood Group & Rh Typing Date

OPTIONAL INVESTIGATIONS
1. Thyroid-Stimulating Hormone Date
2. Hbs Ag. Date
3. Blood sugar Date
4. Others Date

Participate in monthly fixed Village Health Sanitation and Nutrition Day


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If you or anyone in your family sees any of these
danger signs, take the pregnant woman to the
nearest appropriate hospital immediately

• Bleeding during pregnancy Severe Anemia with or without


• Excessive bleeding during breathlessness
delivery or after delivery

High fever during pregnancy Headache, blurring of vision, fits


or within one month of delivery and swelling all over the body

Labour pain before term/ Bursting of water bag without


Labour pain for more than labour pains/Preterm labour
12 hours/Reduced fetal pains (<37 weeks)
movment
Ensure Institutional Delivery

Contact ASHA/ Register under Janani Obtain Benefits


ANM/AWW Suraksha Yojna (JSY) under JSY
Register under PMMVY
(if applicable)

Identify hospital Arrange for transport Ensure 48 hours of


in advance in advance stay after delivery in
the facility
Preparation in case of Home Delivery*
*It is advisable to conduct birth at health facility by skilled birth attendant
Clean hands
Clean surface &
surroundings
Clean blade
Clean thread to tie the cord
Clean set of clothes for
newborn
Ensure safe Clean perineum Ensure family care
delivery by ANM & support
In case of Emergency
After Delivery

Arrange transport Intiate Breastfeeding Family planning


to hospital within 1 Hour of Birth counselling

Early breastfeeding helps in sustaining breastfeeding so that


mother can exclusively breastfeed for 6 months
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POST NATAL CARE
Date of Delivery
Place of Delivery
Institution: Normal Assisted CS
Home: SBA Others

Live Birth Still Birth


Term/Preterm/Abortion
If at Institution, Period of Stay Post Delivery
Complications, if any (Specify)

Sex of baby M F *Weight of baby


kg. gms
Cried immediately after birth Y N
Initiated exclusive breast feeding within 1 hour of birth Y N
Injection Vitamin K Y N

Take one tablet of iron folic acid per day for atleast 6 months
after delivery
Take two tablets of calcium per day for atleast 6 months after
delivery

POST PARTUM CARE


1st 3rd 7th 6th
Day Day Day Week
Any complaints
Pallor
Pulse Rate
Blood Pressure
Temperature
Breasts (Soft/Engorged)
Nipples (Cracked/Normal)
Uterus Tenderness (Present/Absent)
Bleeding P/V (Excessive/Normal)
Lochia (Healthy/Foul Smelling)
Episiotomy/Tear (Healthy/Infected)
Family Planning Counselling (Y/N)
Any other Complications and
Referral Requirements (Y/N)

If baby is less than 2 kg, contact ANM for support, for


continued breastfeeding and Kangaroo mother care

CARE OF BABY
1st 3rd 7th 6th
Day Day Day Week
Weight
Urine passed
Stool passed
Diarrhoea
Vomiting
Convulsions
Activity (Good/Lethargic)
Sucking (Good/Poor)
Breathing (Fast/Difficult)
Chest Indrawing (Present/Absent)
Temperature
Jaundice
Condition of Umbilical Stump
*(Three extra visits if birth weight < 2.5kg)
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Care of Newborn
Please Remember:
• Keep the baby warm.
• Start breastfeeding within 1 hr of birth
• Feed the baby only mother’s milk
• Do not bathe the baby for the first 48 hours
• Keep the cord dry
• Keep the baby away from sick people
• Special care if baby < 2.5 kg at birth

Danger Signs:

Contact your Health Worker immediately if baby:


• Not able to feed
• Convulsion
• Fast breathing more than 60 breaths per minute
• Severe chest indrawing
• Axillary temperature 37.5º C or above (feels hot to touch)
• Axillary temperature less than 35.5º C (feels cold to touch)
• Movement only when stimulation or no movement at all

Home Based Child Care visits after 6 weeks ()


ASHA to verify at age 3 6 9 12 15
months months months months months

Whether child sick

Breastfeeding continued

2-3 tsps of food at a time,


2-3 meals each day with
1-2 snacks between ×
Complementary food given

meals

½ cup serving at a time,


2-3 meals each day with
1-2 snacks between ×
meals

¾ to 1 cup serving at a
time, 3-4 times a day with
1-2 snacks between ×
meals

Weight recording by AWW

Developmental delay checked

Immunization status checked

Measles vaccine given × ×


Vitamin A given × × ×
ORS at home

IFA syrup at home

ASHA to provide services 3 6 9 12 15


at age months months months months months

Counsel for exclusive


breastfeeding × × ×
Counsel for complementary
feeding ×
Counsel for hand washing

Counsel on parenting

Family planning counselling

ORS given

IFA syrup given ×


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Prevention of Diarrhoea

Wash both hands Ensure Ensure that Always use


with soap before drinking water the child’s toilet, do not
preparing food, is clean and surroundings practice open
feeding the child, stored in are hygienic defecation.
after defecation safe, covered and wash hands Practice safe
and after cleaning container of children disposal of
child’s excreta frequently child’s faeces

Treatment of Diarrhoea

Dissolve and Immediately give Mix Zinc tablet Continue


mix 1 packet of ORS solution in one teaspoon feeding, including
ORS in 1 litre of to child as soon of water or breastfeeding
potable water as diarrhoea mother’s milk during and after
begins and after and give it to the episodes of
each episode of child once a day diarrhoea
diarrhoea for 14 days

Prevention of Pneumonia

Keep children covered Do not keep new born Use LPG gas stove
in warm woollen without clothes for cooking to avoid
clothes during winters smoke in the house
and do not let them
walk barefoot

Identification of Pneumonia

Coughing gets Fast breathing Chest indrawing Fever


worse

Pneumonia can be identified by breath counts

For less than 2 For 2 month to 1 For 1 year to 5 year


month baby when year baby when child when breath
breath count is more breath count is more count is more than
then 60 per minute then 50 per minute 40 per minute

On seeing symptoms of Diarrhea or Pneumonia


Contact ASHA or ANM immediately

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Feeding, playing and communicating with children helps them to grow and develop physically and intellectually

Your baby has a small and tender


stomach that only need mother’s Put your baby Your baby should
breast milk. Sometimes, your baby to your breast be breastfed on
cries because he/she wants to immediately after demand both
be held close. Keep your baby in birth, definitely during the day and
close contact with your skin. While within 1 hour. night. Frequent
breastfeeding, smile, talk and look This helps in feeding increases
into your baby’s eyes, but don’t rock establishing breast milk flow.
him/her while feeding. lactation and Don’t forget to feed
bonding the baby at night
Mother’s first yellow milk provides
immunity and protects the baby
from diseases & infections

   

Birth to 6 months:
Breast milk provides all nutrients and
contains sufficient water. Do not give your Even if your baby is ill, continue breastfeeding
baby anything else to eat or drink, not even till 6 months
Consult the ANM, ASHA and AWW of your area in

Early and exclusive breastfeeding


honey or water in the first 6 months. Your After 6 months, your baby requires small Breastfeeding improves intelligence
baby needs only breastfeeding till 6 months frequent meals, along with breast milk and case you have any problem in breastfeeding your

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of age. other liquids during illness baby
Talk, smile and be patient to encourage the child to eat
6 months 6–9 months 9–12 months General tips:

 Continue breastfeeding
 On completion of 6 months, start  Continue breastfeeding  Continue breastfeeding  Wash your hands with soap and water before
feeding baby with 2–3 table spoons  Change consistency to lumpy feeds given  After 9 months, feed at least half katori of preparing food and before feeding the baby.
of soft, well-mashed foods 3–4 times a day food that requires chewing 3–4 times a day  If feeding eggs, ensure they are well-cooked
2–3 times a day  Feed 2–3 times and 1–2 snacks  After 12 months, introduce family foods, give  Thoroughly rinse raw fruits and vegetables
 Introduce one food at a time, such  Increase quantity and diversity of the feeds 3/4th–1 katori, 3–4 times each day along with under running water before cooking

soft foods
as a small amount of vegetables,  Introduce one new food at a time such as 1–2 snacks  Cook thoroughly, use safe water, discard all
followed by fruits, dal and cereals khichri, dalia  Give finely chopped foods that baby can pick leftovers on children’s plates and do not save
 Increase amount of the feed slowly up using thumb and fingers. Allow children to them for later
 Include at least 4 food groups such as:

6 months to 2 years:
 Give iron drops/syrup to maintain 1) cereals, 2) green vegetables and fruits, eat with own hands, even if they mess up  Use only iodized salt for cooking; iodine
the body’s iron store for improving 3) oil, ghee; 4) mashed dal/fish/egg (only  Give Vitamin A syrup for improving eyesight improves intellect
intelligence and physical strength hard-boiled)  Give iron drops/syrup to maintain the body’s  Give iron drops/syrup to maintain the body’s
 Give iron drops/syrup to maintain the body’s iron store for improving intelligence and iron store for improving intelligence and
iron store for improving intelligence and physical strength physical strength

until 2 years and beyond. Also introduce


physical strength

Continue frequent on demand breastfeeding

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What most babies do (parents to  tick as per age) Parenting tips

Begin to recognize the mother’s face


Develop social smile
Make eye contact

By
 Massage gently, stretch and exercise arms and legs of
babies
 Encourage babies to lie on tummy for some time every day

Move both
arms and both  Cuddle and play with  Hang colourful moving

2–3 months
legs, when babies daily. Cuddling or objects 30cm (1 foot)
quickly responding to each away, for babies to focus
excited
cry does not spoil babies on and follow
Keep hands  Talk to babies in your  Avoid use of digital media
mother tongue daily in children younger than
open and 24 months
Raise head at times, when on relaxed
tummy

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ASHA/AWW please examine and mark  or  on the card as per the age of the child
“Warning” signs : Contact ANM/AWW/health care provider immediately if you see any one of these

Does not make any eye


contact when being fed, Persistent squinting
No social smile
cuddled or spoken to after 2 months

3At
months
Does not startle/
wake up/ cry
Head pushed Persistently hold
in response to
back, with stiff thumb inside the
sudden loud sound
arms and legs palm, with hands
kept open or fisted

13
What most babies do (parents to  tick as per age) Parenting tips


Attempt to
reach and
grasp an object Communicate with
babies; imitate their
Laugh aloud or
sounds and praise
make squealing
them when they
sounds

By
imitate yours

4–6
ah
ahee
eeoo  Take children outdoors,
oo
and introduce them to the

months
outside world
 Children suck on
their fingers
Put interesting things on and thumb for
Keep head steady when held upright Begin to babble “ah, ee, oo” other than the floor for babies to comfort. It is
and can sit with support when crying reach out and explore not a cause
for concern. Do
Turn head towards direction of sound Like to look at self in a mirror not stop this at an
early age

14
ASHA/AWW please examine and mark  or  on the card as per the age of the child
“Warning” signs : Contact ANM/AWW/health care provider immediately if you see any one of these

Does not grasp


things within reach
Lacks head control Cannot sit up even
with help

At
6 months
Does not
vocalize by Head and eyes do not
making different move to follow/track a Unable to raise head
sounds such as moving object when on tummy
“ah”, “eh”, “oo”

15
What
What most
most babies
babies do
do (parents
(parents to  tick
to  tick as
as per age)
per age) Parenting tips

Let children drop,


bang and throw things
repeatedly. Respond to
Roll over in both directions
the noise that children
make in a gentle and
patient manner

By
Look for toys
that have

7–9 months
Grasp a toy by been hidden Play games like peek-a-boo.
using all fingers in front of Hide the children’s favourite
them Give children clean, safe toys under a cloth or box. See
Turn head to household utensils to play
visually follow Respond to if children can find it
name being and explore
familiar faces or
toys called

16
ASHA/AWW please examine and mark  or  on the card as per the age of the child
“Warning” signs : Contact ANM/AWW/health care provider immediately if you see any one of these

Does not turn


Cannot roll over towards a sound
Needs support to sit
(out of sight)

At
9 months
Does not utter pa.. pa..pa, ma..
ma, ba.. ba..ba, etc Tilts head always to one side each
time when looking at objects

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What most babies do (parents to  tick as per age) Parenting tips

Sit without support


and reach for toys Place a toy slightly out
without falling of reach to encourage
Raise arms to be standing and walking

By
picked up while using support

Crawl to get desired toys without


bumping into any objects

No!

10–12 months
While exploring, babies Tell your babies stories and
might hurt others read picture books aloud.
Use one or two commonwords in mother accidentally. Show them Show and name things in their
tongue how to touch gently. Do not environment
Respond to simple requests like “no/ come shout at them
here”

18
ASHA/AWW please examine and mark  or  on the card as per the age of the child
“Warning” signs : Contact ANM/AWW/health care provider immediately if you see any one of these

Bittoo

Does not respond to


Cannot pick small Does not stretch own name
objects with finger hands to be picked up
and thumb

At
12 months
Does not search for half hidden toys that the child Does not play social games like
sees you hide peek-a-boo (jhalak/ anakh-michauli)

19
What most babies do (parents to  tick as per age) Parenting tips

Stand and take Put pebbles/ Provide push toy for babies
several independent small objects in to learn walking
steps a container

By
Use a variety of
familiar gestures like
waving, clapping, etc.

18 months
Give some fruits, toys, etc. to Ask your children simple
children. Ask them to identify the questions. Encourage them
Name and identify common objects and objects, put them in and take them to talk
their pictures in a book out of containers

20
ASHA/AWW please examine and mark  or  on the card as per the age of the child
“Warning” signs : Contact ANM/AWW/health care provider immediately if you see any one of these

Babli, point
out where is
your toy

Cannot put small


Cannot stand on Does not point
objects in a
his/her own without finger at an object
container
support when named

At 18 months
Does not respond to Does not use both hands Amma, Does not say single
mother’s gestures and for everyday activities words like “mama” or
seems to be in his/her (shows preference for papa, dada “dada”
own world one hand)

21
What most babies do (parents to  tick as per age) Parenting tips

Provide opportunities for


Walk steadily, Imitate children to walk, run and
even while pulling household climb in safe environments

By
a toy chores

24
 Encourage children to follow a

months
daily routine such as sleeping
Allow children to imitate and waking up at a fixed time
you and master their
skills. Be patient with  Read aloud to children, often
Correctly point out and name one or more body parts repeating stories. Provide
in person or in books them if they make a mess
books and paper, chalk,
colours, etc. for scribbling

22
ASHA/AWW please examine and mark  or  on the card as per the age of the child
“Warning” signs : Contact ANM/AWW/health care provider immediately if you see any one of these

Does not use two word


Does not walk Give milk, phrases such as “give
Cannot scribble
steadily while pulling milk”
a toy amma come…

At
Pinky, show

24 months
Bye-bye me your nose Bittoo, give
Does not make me the block
appropriate response Does not seem to
to gestures such as Does not point to
body parts understand and follow
responding to bye-bye/ simple instructions
namaste

23
What most babies do (parents to  tick as per age) Parenting tips

Drink from a cup


without spilling

Play outdoor games with your children which

By
require movement and physical activity

3 years
Cat Dog
Bird Give variety of
materials (including
blocks, puzzles,
Climb up and rings, etc.) to
Name most familiar things consistently. children
down the stairs
Identify colours, shapes, etc.
Make a sentence by joining 3 or more words
Allow children to use their hands and fingers in
different ways to improve their skills

24
ASHA/AWW please examine and mark  or  on the card as per the age of the child
“Warning” signs : Contact ANM/AWW/health care provider immediately if you see any one of these

What is
your name? Your
name

Does not communicate


Has trouble climbing meaningfully and
Cannot eat without
up and climbing down frequently repeats others’
help
stairs speech

At
3 years
Babloo, let’s
feed the baby Does not speak in
Continuous drooling, Mummy simple and three word
Does not play “Pretend” unclear speech sentences such as
games give milk “mummy give milk”

25
Maintaining spacing of 3 years between two children has a healthy impact on both the mother and baby’s health. If your family is complete, you/your
You can avail any spacing method from the wide basket of choices offered under the Family Planning spouse can opt for a permanent
Programme such as: method of contraception

Female Sterilization

IUCD 380A IUCD 375


(effective for (effective for
10 years) 5 years)
Male Sterilization
IUCD can be inserted as: • Mala N-Combined Oral Contraceptive Nirodh- Condom
Injectable Contraceptive • Interval IUCD: after 6 weeks of Pills
(Antara Programme) delivery • Chhaya-Centchroman
• Post partum IUCD: within 48 hours • Progesterone only Pills

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of delivery
Bi-weekly Iron-Folic Acid Supplementation and bi-annual
deworming for children aged 6 months to 5 years
(Compliance Card)
Mention date Bottle 1 Bottle 2 Bottle 3 Bottle 4 Bottle 5
of provision of
IFA bottle to Bottle 6 Bottle 7 Bottle 8 Bottle 9 Bottle 10
mother
Dec
Nov
Oct
Month-wise Bi-weekly IFA syrup supplementation
Apr May Jun Mar
Feb
JanJul Aug Sep
Week

1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
1
2
3
4
5
Age

6-12 month 1-2 Year 2-3 Year 3-4 Year 4-5 Year

Albendazole (write date)


Age 1-2 Year 2-3 Year 3-4 Year 4-5 Year
Dose - 1

Dose - 2

 Important things to remember:


1. Provide iron folic acid (IFA) syrup every Wednesday and
Saturday
2. Give 1 ml of Iron folic acid syrup using the auto-dispenser
3. Don’t give iron folic acid syrup to a child when s/he is sick or
severly undernourished
4. Always give iron folic acid syrup to the child after consumption
of food
5. One 50-ml iron folic acid syrup bottle lasts for six months and
once its finished, contact your ASHA/ANM didi for a new bottle
6. After giving a dose of iron folic acid syrup, mark a
 tick in the card
7. In case of any problem after consumption of iron folic acid
syrup, contact your ANM immediately

27
GIRL: Weight-for-a
(As per WHO Child

yr.

Growth Curves Normal


Good Moderately
Underweight
(Below - 2SD to -
3SD)
Severely
Dangerous Underweight
(Below - 3SD)

Very Dangerous

Talk to the
AWW/ANM
immediately
Weight (kg)

Anganwadi Cent
pregnant women
integrated packa
Contact your AW

yr.
Birth

Age (completed weeks, months and years)


Services
Supplementary nutritional support, growth
monitoring and promotion
Nutrition and health education

Ensure equal care


28
ge - Birth to 3 years
Growth Standards)

yrs. yrs.

yrs.

The First Three Years are Forever


Participate in Anganwadi Centre Activities
Promote Universalisation with Qualtiy

yrs.
Anganwadi Centre
tre of MWCD, GOI, reaches out to young children under 6 years,
n and breastfeeding mothers and women 15-45 years with an
age of services
WW for child care services at the nearest AWC

s at Anganwadi Centre
Immunization Early childhood care and
preschool education
Health check-up
Referral services

for the girl child


29
BOY: Weight-for-a
(As per WHO Child

yr.

Growth Curves Normal


Good Moderately
Underweight
(Below - 2SD to -
3SD)
Severely
Dangerous Underweight
(Below - 3SD)

Very Dangerous

Talk to the
AWW/ANM
immediately
Weight (kg)

Anganwadi Ce
pregnant wome
integrated pack
Contact your A
yr.
Birth

Age (completed weeks, months and years)


Services
Supplementary nutritional support, growth
monitoring and promotion
Nutrition and health education

Have your child weighed


30
ge - Birth to 3 years
d Growth Standards)

yrs. yrs.

yrs.

The First Three Years are Forever


Participate in Anganwadi Centre Activities
Promote Universalisation with Qualtiy
yrs.

Anganwadi Centre
entre of MWCD, GOI, reaches out to young children under 6 years,
en and breastfeeding mothers and women 15-45 years with an
kage of services
AWW for child care services at the nearest AWC

s at Anganwadi Centre
Immunization Early childhood care and
Health check-up preschool education

Referral services

at the AWC every month


31
Weight-for-length/height Girls
(As per WHO Child Growth Standards)
34 34

32 32
3
30 30

28 2 28

26 26
1
24 24
0
22 22

20
-1 20

32
-2

(kg)
(kg)
18 18
-3
16 16

Weight
Weigh
14 14

12 12

10 10

8 8

6 6

4 4

2 2

45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120

Length/height (cm)
Length/height (cm)

33
Weight-for-length/height Boy
(As per WHO Child Growth Standards)
34 34

32 32

30 3 30

28 28
2
26 26

24
1 24

22 0 22

20 -1 20

34
-2

(kg)
18 18
-3
16 16

Weight
14 14

12 12

10 10

8 8

6 6

4 4

2 2

45 50 55 60 65 70 75 80 85 90 95 100 105 110 115 120

Length/height (cm)

35
BIRTH 1 1 / 2 MONTHS 2 1 / 2 MONTHS 3 1 / 2 MONTHS 9 MONTHS Congratulations! Your child is
vaccinated for the 1st year of life.
Date of Delivery Next Vaccination Date: Next Vaccination Date: Next Vaccination Date: Next Vaccination Date:

FOUR KEY MESSAGES ON IMMUNIZATION

DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION
(mm/dd/yyyy): (mm/dd/yyyy): (mm/dd/yyyy): (mm/dd/yyyy): (mm/dd/yyyy):

OPV-0 OPV-1 OPV-2 OPV-3 MR-1


What vaccine When and where
was given and 02 to come for the
Hep B 01 what disease it next visit
give within Penta-1 Penta-2 Penta-3 JE-1
24h of birth prevents

Vitamin
BCG Rota-1 Rota-2 Rota-3
A-1

PCV-1 PCV-2 PCV


booster
What minor To keep the
adverse events immunization card
IPV-1 IPV-2 03 could occur and 04 safe and bring it
how to deal with along for the next
them. visit

36
16-24 MONTHS 5-6 YEARS 10 YEARS 16 YEARS SIA / OTHER VITAMIN A
CHILD AGE DATE OF ADMINISTRATION (mm/dd/yyyy):
Next Vaccination Date: Next Vaccination Date: Next Vaccination Date: VACCINE DATE OF VACCINATION
NAME (mm/dd/yyyy): Vit-A-3 2 years

Vit-A-4 2.5 years

Vit-A-5 3 years
DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION
(mm/dd/yyyy): (mm/dd/yyyy): (mm/dd/yyyy): (mm/dd/yyyy):
Vit-A-6 3.5 years
DPT DPT
TT TT Vit-A-7 4 years
Booster-1 Booster-2
Vit-A-8 4.5 years

Vitamin Vit-A 9 5 years


A-2
MISSED DOSE TRACKING

NAME &
DATE OF
DOSE OF REASON WHY NEXT SESSION
VACCINE SIGN OF
MR-2 VACCINE DATE FOR
MISSED DOSE ANM
DOSE MISSED MISSED DOSE
MISSED
VACCINE

JE-2

OPV Congratulations! Your child is


Booster vaccinated for the 2nd year of life.

37
Immunization Essentials
VACCINATION NAME BIRTH 11/
2
21/
2
31/
2
9 1 1/
2
Months Months Months Months Years

BCG
prevents tuberculosis
HepB
prevents liver disease
OPV
prevents polio
IPV
prevents polio
Penta
prevents whooping
cough, diphtheria,
tetanus Hep B and
Hib infections
PCV
prevents pneumonia
Rota
prevents
diarrhoea
MR
prevents measles,
rubella
JE
Prevents brain
fever
DPT
prevents whooping
cough, diphtheria and
tetanus

With your help, we have


eradicated polio and eliminated
maternal and neonatal
tetanus!
Continue vaccinating
your child. Thank You!
Additional information

MINISTRY OF HEALTH AND FAMILY WELFARE


MINISTRY OF WOMEN AND CHILD DEVELOPMENT
2018 Version 38
Routine BIRTH 1 1 / 2 MONTHS 2 1 / 2 MONTHS 3 1 / 2 MONTHS 9 MONTHS
Date of Delivery Next Vaccination Date: Next Vaccination Date: Next Vaccination Date: Next Vaccination Date:
Immunization
Counterfoil DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION
(mm/dd/yyyy): (mm/dd/yyyy): (mm/dd/yyyy): (mm/dd/yyyy): (mm/dd/yyyy):

FAMILY IDENTIFICATION OPV-0 OPV-1 OPV-2 OPV-3 MR-1


Child’s name
Hep B
give within Penta-1 Penta-2 Penta-3 JE-1
Child’s birth date / / 24h of birth
Father’s name
BCG Rota-1 Rota-2 Rota-3 Vitamin
A-1
Mother’s name

Parents Mobile Number PCV-1 PCV-2 PCV-


Booster
Address
IPV-1 IPV-2
MCTS/RCH No.

ANM Signature

39
ASHA INCENTIVE TRACKING 16-24 MONTHS 5-6 YEARS 10 YEARS 16 YEARS VITAMIN A 3–9
Full Immunization (FIC): Next Vaccination Date: Next Vaccination Date: Next Vaccination Date: DATE OF ADMINISTRATION
Completed on / / [Return Card to ANM] (mm/dd/yyyy):

Incentive received? Yes No


Vit-A-3
DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION DATE OF VACCINATION
If yes, date received / / (mm/dd/yyyy): (mm/dd/yyyy): (mm/dd/yyyy): (mm/dd/yyyy):
DPT DPT Vit-A-4
Complete Immunization (CIC): TT TT
Booster-1 Booster-2
Completed on / / Vit-A-5
Vitamin
Incentive received? Yes No
A-2
If yes, date received / / Vit-A-6
MR-2 MISSED DOSE TRACKING
NOTES Vit-A-7
NAME DATE OF VACCINATION REASON NEXT VACCINATION DATE ANM INITIAL
JE-2
Vit-A-8

OPV
Vit-A-9
Booster

40

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