 Growth monitoring of child under five age.

 Promotion of health trough preventive care.

 Reduction of infant and under 5 mortality rate.

 Reduction of moderate and severe malnutrition.

 Introduction.
 Definition.
 Importance of under five clinics.
 Measures to improve child health.
 Logo of under five clinics.
 Aims and objectives of logo.
 Growth chart used in India.
 Summary
 Research abstract
 Conclusion
 Bibliography
The global equity gap in health is largest among children, and
is concentrated in communicable diseases.

Children under five years of age account for more than 50%
of the global gap in mortality between the poorest and
richest quintiles of the world's population.

Children under five bear 30% of the total burden of disease

in poor countries.

Almost all (99%) of the 10.9 million children under five who
died in 2000 were from developing countries. Of these
children, 36% died in Asia, 33% in Africa.
Periodic health supervision for infants and
children to promote optimal physical,
emotional, intellectual growth and
development.
The recommended preventive health care schedule
for children who are developing normally is
at months 1, 2, 4, 6, 9, 12, 15, 18, and 24 and
at years 3, 4, 5.
Well baby care may be provided in a clinic, a
convenient local meeting place, a private doctor's
office, the office of a community health nursing
service, or a school. Nurses or nurse practitioners
frequently provide the care
Perinatal mortality accounted
for more than 20% of deaths in
children
under five years of age, in 2000
and includes birth asphyxia,
trauma,
and low birth weight.
1. Reduction of moderate and severe malnutrition
2. Universal access to safe drinking water
3. Reduction of infant and under 5 mortality rate
4. Access to all couples to information and
services to prevent pregnancies that are too
early, too closely spaced, too late or too many.
6. Reduction of low birth weight babies
7. Elimination of iodine deficiency
8. Elimination of vitamin A deficiency
9. Encouragement of women to breast feed their
children exclusively
10. Growth promotion and monitoring
11. Eradication of poliomyelitis
12. Elimination of neonatal tetanus
13. Reduction of measles death
14. Maintenance of a high level of immunization
coverage.
15. Reduction of deaths due to diarrheal diseases
16. Reduction of deaths due to ARIs
17. Increased acquisition of knowledge, skills and
values required for better living by all families.
 The under 5 clinics center provides child care that
starts before birth and continues through out childhood.
 Functions of centers for child care:
 Maternal care (prenatal and natal)
 Neonatal care
 Adequate nutrition of infants and children
 Health appraisal (assessment)
 Prevention and control of communicable diseases
including immunization.
 Clinical (curative services)
 Social services.
IMCI encompasses interventions at home, in the
community and in the health system.

The aims are to reduce childhood deaths, illnesses, and

disability and to improve children's growth and
development, with a particular focus on the poorest and
most disadvantaged children. IMCI has three main
components…
 Improve family and community practices related to
child health and nutrition;

 Improve the health system for effective management of

childhood illness;

 health workers' skills;

 Counseling on child feeding including
• exclusive breast feeding
• Adequate amount of micronutrient or supplementation

 Complete full course of immunization for children

• Promote safe disposal of waste and hand washing before
preparing meals and feeding children
 Provide adequate care to sick children
• Promote mental and social development by responding to
children's needs for care,
• Provide adequate prenatal care to every pregnant woman
Ensure drugs and supplies for treating major
childhood illnesses are available in health
facilities .
Improve quality of care provided at health
facilities and organization of work .
Improve referral pathways
Identify and develop methods for sustainable
financing and equity of access .
 Develop and adapt case management
guidelines and standards for major childhood
illnesses in the country
 Train health providers at first level health
facilities and referral level in standard case
management
 Improve and maintain health workers'
performance through follow-up after training
and periodic supervision .
a)Immunization
b)Nutritional survaillance
-sub clinical nutrition
-food supplementation
c )Health check ups-

Every 3-6 months;

The child health card is maintained.

d) Oral rehydration solution for diarrhoea.

The child gets 2-6 attacks in a year.
e) Family planning

f)Health education
 Every month –up to 1 yr

 Every 2 months – up to 2 yr

 Every 3 months –up to 5 yr.

 Weight is plotted according to the age of child.

It has four reference curves.
Top most curve -80% of the median (50th
percentile) of the WHO reference standard.
Lower lines represented 70%-60% and 50% of the
standard.
Purpose of reference curve –It indicates degree of
malnutrition
Optimum child health is achieved through:
 Adequate maternal care
 Periodic follow up of the “healthy child”
 Breast feeding and proper child nutrition
 Immunization
 Early detection and proper management
 A sanitary and safe environment
 Health education of parent
RESEARCH ABSTRACT :
Introduction:
Iron deficiency anemia is the common nutritional disease among children in
developing countries. It is higher during infancy and early childhood than any
other time.

In the occupied Palestinian territory (oPt), national surveys addressing anemia

were done in 2002 by the Palestinian Central Bureau of Statistics showed that
anemia is almost twice as high in children aged 6-23 months as in children aged
24-59 months, (54.5% vs. 29.3%).

Together with Birzeit University (Institute of Community and Public Health

ICPH), Palestinian Medical Relief Society PMRS addressed this problem by
conducting anemia management study
The Aim of the study:

The objective of this study is to assess anemia

management at Palestinian Medical Relief
Society (PMRS) clinics using the child health
records (Well baby clinic) Operating in the West
Bank.
The analysis of the data has shown that although
• Anemia levels are high at all of the age groups (using a cut off point of
10.9g/dl).

• Anemia was reduced gradually with repeated visits to the clinics at

different localities through providing iron for anemic children and giving
messages to mothers on infant feeding through nutrition education.

• The study strongly confirms the fact that existing anemia in the oPt is due
to iron deficiency and that nutrition education (breast feeding, child feeding
and anemia) is crucial in reducing levels of anemia as child feeding
practices are clearly improved with increasing visits to the clinics.
www.wekipedia.com

www.mediorg.com

www.babyfriendly.com

www.healthorg.com
 By : G.Sudeshna yadav
08IMMN13
I.M.sc (Nursing sciences)