The document discusses antenatal, intranatal, postnatal care and care of children. It covers components of antenatal care including antenatal visits, prenatal advice, health protection, mental preparation and pediatric components. Intranatal care includes domiciliary and institutional care as well as rooming in. Postnatal care focuses on care of the mother and newborn. Care of children sections discusses antenatal pediatrics, neonatal care including immediate newborn care, examinations and care of at-risk infants.
16. RISK APPROACH
ī ELDERLY PRIMI 3O YEARS OR OVER
ī SHORT STATURED PRIMI LESS THAN 140 CMS
ī MALPRESENTATION
ī APH
ī THREATENED ABORTION
ī PRE ECLAMPSIA
ī ECLAMPSIA
ī ANEMIA
ī TWINS
ī HYDRAMNIOS
17. ī PREVIOUS STILL BIRTH
ī IUD
ī MANUAL REMOVAL OF PLACENTA
ī ELDERLY GRAND MULTIPARA
ī PROLONGED PREGNANCY
ī H/O PREVIOUS LSCS OR INSTRUMENTAL
DELIVERY
ī PREGNANCY + SYSTEMIC DISORDERS
ī TREATMENT FOR INFERTILITY
ī 3 OR MORE SPONTANEOUS CONSECUTIVE
ABORTIONS
24. SPECIFIC HEALTH
PROTECTION
īANEMIA â 100 mg ELEMENTAL IRO + 500 mcg
FA FOR 100 DAYS
īOTHER NUTRITIONAL DEFICIENCIES- VIT A
AND D FREE SUPPLY
īTOXEMIAS OF PREGNANCY
īTETANUS â 1ST DOSE = 16-20 WEEKS
2ND DOSE= 20-24 WEEKS
īSYPHILIS â 10 DAILY INJECTIONS OF
PROCAINE PENICILLIN (600,000 UNITS)
īGERMAN MEASLES
31. INTRANATAL CARE
īFIVE CLEANS
1. CLEAN HANDS AND FINGERNAILS
2. CLEAN SURFACE FOR DELIVERY
3. CLEAN BLADE TO CUT THE CORD
4. CLEAN TIE FOR THE CORD
5. CLEAN BIRTH CANAL
34. ADVANTAGES
īMOTHER DELIVERS IN FAMILIAL
SURROUNDINGS OF HER HOME AND THUS
REMOVES FEAR
īLOWER CHANCES OF CROSS INFECTION AT
HOME THAN IN HOSPITAL
īMOTHER IS ABLE TO KEEP AN EYE UPON
HER CHILDREN AND DOMESTIC AFFAIRS AND
HENCE EASES HER MENTAL TENSION
35. DISADVANTAGES
īLESS MEDICAL AND NURSING SUPERVISION
THAN IN THE HOSPITAL
īSHE MAY RESUME HER DOMESTIC DUTIES
TOO SOON
īDIET MAYBE NEGLECTED
39. ROOMING IN
īKEEPING THE BABYâS CRIB BY THE SIDE OF
THE MOTHERâS BED
īOPPURTUNITY FOR THE MOTHER TO KNOW
HER BABY
īBETTER CHANCE FOR BREAST FEEDING
īALSO ALLAYS THE FEAR IN THE MOTHERâS
MIND THAT THE BABY IS MISPLACED IN THE
CENTRAL NURSERY
īBUILDS UP HER SELF CONFIDENCE
40. POSTNATAL CARE
īINTRODUCTION
īCARE OF THE MOTHER
īCOMPLICATIONS
īRESTORATION OF THE MOTHER TO
OPTIMUM HEALTH
īBREAST FEEDING
īFAMILY PLANNING
īBASIC HEALTH EDUCATION
41. INTRODUCTION
īCARE OF THE MOTHER AND THE NEWBORN
AFTER DELIVERY IS KNOWN AS POSTNATAL
OR POSTPARTAL CARE
īOBSTETRICIAN + PEDIATRICIAN
īCOMBINATION IS CALLED PERINATOLOGY
49. BASIC HEALTH EDUCATION
īPERSONAL AND ENVIRONMENTAL HYGIENE
īFEEDING FOR MOTHER AND INFANT
īPREGNANCY SPACING
īIMPORTANCE OF HEALTH CHECK UP
īBIRTH REGISTRATION
54. INFANCY
ī2.92 % OF TOTAL POPULATION
īABOUT 40% IMR OCCURS IN FIRST MONTH
OF LIFE
īIMR = 58/1000 IN INDIA
55. NEONATAL CARE
īEARLY NEONATAL CARE
1. IMMEDIATE CARE
2. NEONATAL EXAMINATIONS
3. THE INFECTED NEWBORN
4. MEASURING THE BABY
5. NEONATAL SCREENING
6. AT RISK INFANTS
īLATE NEONATAL CARE
58. OBJECTIVES OF EARLY NEONATAL
CARE
ī ESTABLISHMENT AND MAINTENANCE OF
CRDIORESPIRATORY FUNCTIONS
ī MAINTENANCE OF BODY TEMPERATURE
ī AVOIDANCE OF INFECTION
ī ESTABLISHMENT OF SATISFACTORY FEEDING
REGIMEN
ī EARLY DETECTION AND TREATMENT OF
CONGENITAL AND ACQUIRED DISORDERS,
ESPECIALLY INFECTIONS.
59. IMMEDIATE CARE
īCLEARING THE AIRWAY
īAPGAR SCORE
īCARE OF THE CORD
īCARE OF THE YES
īCARE OF THE SKIN
īMAINTENANCE OF BODY TEMPERATURE
īBREAST FEEDING
65. īKEEP CORD DRY AS POSSIBLE
īASEPTIC PREPARATION ON THE CORD
STUMP AND SKIN AROUND THE BASE
īDRIES AND SEPARATES BY ASEPTIC
NECROSIS IN 5-8 DAYS
72. MEASURING THE BABY
īBIRTH WEIGHT(within first hour of life)
īLENGTH(within 3 days)
īHEAD CIRCUMFERENCE- maximum
circumference of the head at the occipito frontal
diameter
73.
74.
75. NEONATAL SCREENING
ī DETECT INFANTS WITH TREATABLE GENETIC,
DEVELOPMENTAL, AND SECONDARILY, TO PROVIDE
PARENTS WITH GENETIC COUNSELLING
ī 10 â 15 ML CORD BLOOD STORED
ī COMMON DISORDERS SCREENED:
1. PHENYLKETONURIA
2. NEONATAL HYPOTHYROIDISM
3. COOMBSâ TEST
4. SICKLE CELL OR OTHER HEMOGLOBINOPATHIES
5. CDH
76. âAT-RISKâ INFANTS
ī BIRTH WEIGHT LESS THAN 2.5 KG
ī TWINS
ī BIRTH ORDER 5 OR MORE
ī ARTIFICIAL FEEDING
ī WEIGHT BELOW 70% OF THE EXPECTED WEIGHT
ī FAILURE TO GAIN WEIGHT DURING 3
SUCCESSIVE MONTHS
ī CHILDREN WITH PEM OR DIARRHEA
ī WORKING MOTHER/ ONE PARENT
78. LOW BIRTH WEIGHT
īTHE BIRTH WEIGHT OF AN INFANT IS THE
SINGLE MOST IMPORTANT DETERMINANT OF
ITS CHANCES OF SURVIVAL, HEALTHY
GROWTH AND DEVELOPMENT
80. īBIRTH WEIGHT LESS THAN 2.5 KGS AT FIRST
HOUR OF LIFE
īA LBW INFANT IS ANY INFANT WITH A BIRTH
WEIGHT OF LESS THAN 2.5 KGS
REGARDLESS OF GESTATIONAL AGE.
81. īPRETERM BABIES
1. EXTREMELY PRETERM (<28 WEEKS)
2. VERY PRETERM (28 TO 32 WEEKS)
3. MODERATE TO LATE PRETERM(32 TO 37
WEEKS)
85. MATERNAL FACTORS
ī MALNUTRITION
ī SEVERE ANEMIA
ī HEAVY PHYSICAL WORK
ī HYPER TENSION
ī MALARIA
ī TOXAEMIA
ī SMOKING
ī LOW ECONOMIC STATUS
ī SHORT MATERNAL STATURE
ī HIGH PARITY
ī CLOSE BIRTH SPACING
ī LOW EDUCATION STATUS
87. PREVENTION
īDIRECT INTERVENTION MEASURES
1. INCREASING FOOD INTAKE
2. CONTROLLING INFECTIONS
3. EARLY DETECTION AND TREATMENT OF MEDICAL
DISORDERS
īINDIRECT INTERVENTION
īTREATMENT
a) <2KGS - FIRST CLASS MODERN NOENATAL CARE
b) 2-2.5KGS â ICU FOR ADAY ORTWO
īKANGAROO MOTHER CARE
89. COMPONENTS
1. SKIN TO SKIN POSITIONING OF THE BABY
ON THE MOTHERâS CHEST
2. ADEQUATE NUTRITION THROUGH BREAST
FEEDING
3. AMBULATORY CARE AS A RESULT OF
EARLIER DISCHARGE FROM HOSPITAL
4. SUPPORT FOR THE MOTHER AND HER
FAMILY IN CARING FOR THE BABY
93. ADVANTAGES
BABY
ī IT IS SAFE , CLEAN , HYGENIC , CHEAP AND
AVAILABLE TO THE INFANT AT THE CORRECT
TEMPERATURE
ī NUTRITIONAL REQUIREMENTS SATISFIED
ī ANTI-MICROBIAL FACTORS
ī EASILY DIGESTED AND UTILISED
ī PROMOTES BONDING
ī DEVELOPMENT OF JAW AND TEETH-SUCKING
ī PROTECTS FROM OBESITY
ī PREVENTS MALNUTRITION AND REDUCES IMR
ī SPACING
ī INCREASE IQ AND BETTER VISUAL ACTIVITY
94. MOTHER
īLOWER RISK OF PPH AND ANEMIA
īBOOST IMMUNE SYSTEM
īDELAYS NEXT PREGNANCY
īREDUCES INSULIN OF DIABETIC MOTHERS
īPROTECT FROM OVARIAN AND BREAST
CANCER AND OSTEOPOROSIS
95. īFEED BY THE CLOCK
ī1-4 HRS INTERVAL
īNO OTHER FOOD IS REQUIRED UNTIL 6
MONTHS AFTER BIRTH
99. ī HAVE A WRITTEN BREAST FEEDING POLICY THAT IS
ROUTINELY COMMUNICATED TO ALL HEALTH CARE
STAFF.
ī TRAIN ALL HEALTH CARE STAFF IN SKILLS NECESSARY
TO IMPLEMENT THIS POLICY
ī INFORM ALL PREGNANT WOMEN ABOUT THE BENEFITS
AND MANAGEMENT OF BF
ī HELP MOTHERS INITIATE BF WITHIN HALF HOUR OF
BIRTH
ī SHOW MOTHER, HOW TO BF AND MAINTAIN
LACTATION, EVEN IF SEPARATED FROM THEIR INFANTS
100. īĒ GIVE NEWBORNS NO FOOD OR DRINK OTHER
THAN BREAST MILK, NOT EVEN SIPS OF WATER
UNLESS MEDICALLY INDICATED
ī PRACTICE ROOMING-IN
ī ENCOURAGE BF ON DEMAND
ī GIVE NO ARTIFICIAL TEATS OR PACIFIERS
ī FOSTER THE ESTABLISHMENT OF BF SUPPORT
GROUPS AND REFER MOTHERS TO THEM ON
DISCHARGE FROM HOSPITAL OR CLINIC.
102. DETERMINANTS OF GROWTH AND DEVELOPMENT
1. GENETIC INHERITANCE
2. NUTRITION
3. AGE
4. SEX
5. PHYSICAL SURROUNDINGS
6. PSYCHOLOGICAL FACTORS
7. INFECTIONS
8. ECONOMIC FACTORS
9. OTHER FACTORS
103. SURVEILLANCE OF GROWTH AND
DEVELOPMENT
ī PHYSICAL GROWTH
1. WEIGHT FOR AGE
2. HEIGHT FOR AGE
3. WEIGHT FOR HEIGHT
4. HEAD AND CHEST CIRCUMFERENCE
ī BEHAVIOURAL DEVELOPMENT
1. MOTOR DEVELOPMENT
2. PERSONAL SOCIAL DEVELOPMENT
3. ADAPTIVE DEVELOPMENT
4. LANGUAGE DEVELOPMENT
104.
105. GROWTH CHART
ī ROAD TO HEALTH CHART
ī DESIGNED BY DAVID MORLEY AND LATER MODIFIED
BY WHO
ī IT IS A VISIBAL DISPLAY OF THE CHILDâS PHYSICAL
GROWTH AND DEVELOPMENT.
ī MEANT FOR LONGITUDINAL FOLLOW-UP (GROWTH
MONITORING)
ī COMPARE WITH REFERENCE CURVES
106. īWEIGHT IS THE MOST SENSITIVE MEASURE
OF GROWTH
īCHILD CAN LOSE WEIGHT BUT NOT HEIGHT
īINEXPENSIVE WAY OF MONITORING WEIGHT
GAIN AND CHILDâS HEALTH
107. WHO CHILD GROWTH
STANDARDS- 2006
īMULTICENTRE GROWTH REFERENCE STUDY
â CONDUCTED
ī9440 HEALTHY BREAST FED INFANTS AND
CHILDREN (0 TO 60 MONTHS)
īWIDELY DIVERSE ETHNIC BACKGROUND AND
CULTURAL SETTINGS
108.
109. GROWTH CHART USED IN INDIA
ī ADOPTED IN FEB 2009
ī WITHIN NRHM AND ICDS
ī âMOTHER AND CHILD PROTECTION CARDâ
ī IT IS THE DIRECTION OF THE GROWTH THAT IS MORE
IMPORTANT THAN THE POSITION OF DOTS ON THE
LINE
ī FLATTENING OR FALLING OF THE CHILDâS WEIGHT
CURVE SIGNALS GROWTH FAILURE
ī OBJECTIVE IS TO KEEP THE CHILD IN THE NORMAL
ZONE
110.
111.
112.
113. USES OF GROWTH CHART
1. FOR GROWTH MONITORING
2. DIAGNOSTIC TOOL: IDENTIFY HIGH RISK CHILDREN
3. PLANNING AND POLICY MAKING
4. EDUCATIONAL TOOL
5. TOOL FOR ACTION
6. EVALUATION
7. TOOL FOR TEACHING
âPASSPORT TO CHILD HEALTH CAREâ
115. CHILD HEALTH PROBLEMS
īLOW BIRTH WEIGHT
īMALNUTRITION
īINFECTIONS AND PARASITOSIS
īACCIDENTS AND POISONING
īBEHAVIOURAL PROBLEMS
īOTHER FACTORS:
1. MATERNAL HEALTH
2. FAMILY HEALTH
3. SOCIOECONOMIC CIRCUMSTANCES
4. ENVIRONMENT
5. SOCIAL SUPPORT AND HEALTH CARE
118. INTRODUCTION
ī IT IS A METHOD OF DELIVERING HEALTH CARE
TO SPECIAL GROUP IN THE POPULATION WHICH
IS ESPECIALLY VULNERABLE TO DISEASE,
DISABILTY OR DEATH
ī CHILDREN UNDER 5 YEARS
ī WOMEN BETWEEN 15 TO 44 YEARS
ī 32.4%OF TOTAL POPULATION OF INDIA
119. OBJECTIVES
1. REDUCTION OF MORBIDITY AND MORTALITY
RATES OF MOTHERS AND CHILDREN
2. PROMOTION OF REPRODUCTIVE HEALTH
3. PROMOTION OF THE PHYSICAL AND
PSYCHOLOGICSL DEVELOPMENT OF THE
CHILD WITHIN THE FAMILY
120. SUB AREAS
a) MATERNAL HEALTH
b) FAMILY PLANNING
c) CHILD HEALTH
d) SCHOOL HEALTH
e) HANDICAPPED CHILDREN
f) CARE OF THE CHILDREN IN SPECIAL SETTINGS
SUCH AS DAY CARE CENTRES
121. RECENT TRENDS IN MCH CARE
1. INTEGRATION OF CARE
2. RISK APPROACH
3. MANPOWER CHANGES
4. PRIMARY HEALTH CARE
122. INDICATORS OF MCH CARE
1. MATERNAL MORTALITY RATIO
2. PERINATAL MORTALITY RATE
3. NEONATAL MORTALITY RATE
4. POST NEONATAL MORTALITY RATE
5. INFANT MORTALITY RATE
6. 1-4 YEAR MORTALITY RATE
7. UNDER-5 MORTALITY RATE
8. CHILD SURVIVAL RATE
123. MATERNAL MORTALITY RATIO
īMATERNAL DEATH IS DEFINED AS THE
DEATH OF A WOMAN WHILE PREGNANT OR
WITHIN 42 DAYS OF TERMINATION OF
PREGNANCY, IRRESPECTIVE OF DURATION
AND SITE OF PREGNANCY, FROM ANY
CAUSE RELATED TO OR AGGRAVATED BY
PREGNANCY OR ITS MANAGEMENT BUT NOT
FROM ACCIDENTAL OR INCIDENTAL CAUSES.
125. īLATE MATERNAL DEATH
THE DEATH OF A WOMAN FROM DIRECT OR
INDIRECT CAUSES, >42 DAYS BUT <1 YEAR
AFTER TERMINATION OF PREGNANCY
126.
127.
128. MATERNAL DEATHS
īDirect obstetric deaths
īIndirect obstetric deaths
The maternal mortality rate, the direct obstetric rate
and the indirect obstetric rate are fine measures of
the quality of maternal services
129.
130. Approaches for measuring Maternal
Mortality
īCivil registration systems
īHousehold survey
īSisterhood methods
īReproductive age mortality studies (RAMOS)
īVerbal autopsy
īCensus
131.
132. īMMR IN INDIA = 178 PER 100,000 LIVE BIRTHS
īKERALA, MAHARASHTRA AND TN = 100 PER
LAC LIVE BIRTHS
īASSAM = HIGHEST â 328/100,000 LIVE BIRTHS
īSRS (CENTRAL REGISTRATION SYSTEM)
INTRODUCED âRHIMEâ THAT IS
REPRESENTATIVE, RE SAMPLED, ROUTINE
HOUSEHOLD INTERVIEW OF MORTALITY
WITH MEDICAL EVALUATION
135. NATIONAL MATERNAL HEALTH CARE
INDICATORS
īANTENATAL CARE
īINSTITUTIONAL DELIVERY
īIFA TABLET CONSUMPTION
īPOSTNATAL CHECK UP WITHIN 2 DAYS
136.
137. PREVENTIVE AND SOCIAL MEASURES
1. EARLY REGISTRATION OF PREGNANCY
2. AT LEAST 4 ANTENATAL CHECK UPS
3. DIETARY SUPPLEMENTATION, INCLUDING CORRECTION OF
ANEMIA
4. PREVENTION OF INFECTION AND HEMORRHAGE DURING
PUERPERIUM
5. PREVENTION OF COMPLICATIONS
6. TREATMENT OF MEDICAL CONDITIONS
7. ANTI-MALARIA AND TETANUS PROPHYLAXIS
8. CLEAN DELIVERY PRACTICE
9. TRAINED LOCAL DAIS AND FHW
10. INSTITUTIONAL DELIVERIES
11. PROMOTION OF FAMILY PLANNING
12. IDENTIFICATION OF EVERY MATERNAL DEATH AND ITS CAUSE
13. SAFE ABORTION SERVICES
142. PERINATAL MORTALITY RATE
1. BABIES CHOSEN FOR INCLUSION IN PERINATAL
STATISTICS SHOULD BE THOSE ABOVE A MINIMUM
BW I,E 1000 GM AT BIRTH
2. IF BW IS NA, A GA OF ATLEAST 28 WKS SHOULD BE
USED
3. IF 1 AND 2 ARE NA, BODY LENGTH OF ATLEAST
35CM SHOULD BE USED
143.
144.
145. WHY PERINATAL MORTALITY RATE?
ī WITH DECLINE OF IMR, PMR HAS ASSUMED GREATER
SIGNIFICANCE AS A YARDSTICK OF OBSTETRIC AND PEDIATRIC
CARE BEFORE AND AROUND THE TIME OF BIRTH
ī 2 TYPES OF DEATH RATES ARE COMBINED THAT IS STILLBIRTHS
AND EARLY NEONATAL DEATH
ī A PROPORTION OF DEATHS OCCURING AFTER BIRTH ARE
INCORRECTLY REGISTERED AS STILLBIRTHS,THEREBY
INFLATING STILLBIRTH RATE AND LOWERING NEONATAL DEATH
RATE
ī THE VALUE OF PMR IS THAT IT GIVES A GOOD INDICATION OF
THE EXTENT OF PREGNANCY WASTAGE AS WELL AS THE
QUALITY AND QUANTITY OFNHEALTH CARE AVAILABLE TO THE
MOTHER AND THE NEWBORN
150. ī NEONATAL MORTALITY IS A MEASURE OF
INTENSITY WITH WHICH ENDOGENOUS FACTORS
AFFECT INFANT LIFE
ī DIRECTLY RELATED TO BW AND GA
ī IN INDIA = 29/1000 LIVE BIRTHS
153. ī WHEREAS NMR IS DOMINATED BY ENDOGENOUS
FACTORS, POST-NEONATAL MORTALITY IS DOMINATED BY
EXOGENOUS FACOTORS.
ī DIARRHEA AND ARI ARE MAIN CAUSES
ī IN DEVELOPED COUNTRIES, CONGENITAL ANOMALIES IS
THE MAIN CAUSE
ī MALNUTRITION IS AN ADDITIONAL FACTOR
ī IN INDIA= 13/1000 LIVE BIRTHS
154. INFANT MORTALITY RATE
ī IMR IS UNIVERSALLY REGARDED NOT ONLY AS THE MOST
IMPORTANT INDICATOR OF HEALTH STATUS OF A
COMMUNITY BUT ALSO THE LEVEL OF LIVING OF PEOPLE
IN GENERAL, AND EFFECTIVENESS OF MCH SERVICES IN
PARTICULAR
155. īLARGEST SINGLE AGE CATEGORY OF
MORTALITY
īDEATHS AT THIS AGE ARE DUE TO PECULIAR
SET OF DISEASES AND CONDITIONS TO
WHICH ADULTS ARE LESS PRONE
īAFFECTED RATHER QUICKLY AND DIRECTLY
BY SPECIFIC HEALTH PROGRAMMES
159. īBIOLOGIC FACTORS
1. BIRTH WEIGHT
2. AGE OF THE MOTHER
3. BIRTH ORDER
4. BIRTH SPACING
5. MULTIPLE BIRTHS
6. FAMILY SIZE
7. HIGH FERTILITY
160. īCULTURAL AND SOCIAL FACTORS
1. BREAST FEEDING
2. RELIGION AND CASTE
3. EARLY MARRIAGES
4. SEX OF THE CHILD
5. QUALITY OF MONITORING
6. MATERNAL EDUCATION
7. QUALITY OF HEALTH CARE
8. BROKEN FAMILIES
9. ILLEGITIMACY
10. BRUTAL HABITS AND CUSTOMS
11. THE INDIGENOUS DAIS
12. BAD ENVIRONMENTAL SANITATION
161. PREVENTIVE AND SOCIAL MEASURES
1. PRENATAL NUTRITION
2. PREVENTION OF INFECTION
3. BREAT FEEDING
4. GROWTH MONITORING
5. FAMILY PLANNING
6. SANITATION
7. PROVISION OF PRIMARY HEALTH CARE
8. SOCIOECONOMIC DEVELOPMENT
9. EDUCATION
172. ELEMENTS:
ASSESS
âĸ ASSESS A CHILD BY CHECKING FIRST FOR DANGER
SIGNS, ASKING QUESTIONS ABOUT COMMON
CONDITIONS, NUTRITION, IMMUNIZATION STATUS AND
OTHER HEALTH PROBLEMS
CLASSIFY
âĸ CHILDâS ILLNESS USING A COLOU CODED TRIAGE
SYSTEM
173. IDENTIFY
âĸ IDENTIFY SPECIFIC TREATMENTS FOR THE CHILD. IF
REQUIRES REFERRAL, GIVE ESSENTIAL TREATMENT BEFORE
TRANSFER
âĸ IF NEEDS IMMUNIZATION, IMMUNIZE
TREAT
âĸ PRACTICAL INSTRUCTIONS ON HOW TO GIVE ORAL
DRUGS, FEED, OR FLIDS
âĸ ASK TO RETURN FOR FOLLOW UP AND HOW TO
RECOGNIZE DANGER SIGNS TO RETURN IMMEDIATELY
TO THE FACILITY
174. COUNSEL
âĸ BREAST FEEDING PRACTICES
âĸ COUNSEL ABOUT MOTHERâS HEALTH
FOLLOW-UP CARE
âĸ REASSESS THE CHILD FOR NEW PROBLEMS
175.
176. SCHOOL HEALTH SERVICE
īSCHOOL HEALTH IS AN IMPORTANT BRANCH
OF COMMUNITY HEALTH
īPERSONAL HEALTH SERVICE
īECONOMICAL AND POWERFUL MEANS OF
RAISING COMMUNITY HEALTH
177. HEALTH PROBLEMS OF THE SCHOOL
CHILD
1. MALNUTRITION
2. INFECTIUOS DISEASES
3. DISEASES OF SKIN, EYE AND EAR
4. INTESTINAL PARASITES
5. DENTAL CARIES
186. JUVENILE DELINQUENCY
ī â A CHILD WHO HAS COMMITTED AN OFFENCEâ
ī BOY <16 YEARS
ī GIRL <18 YEARS
ī JUVENILE CRIME
ī IT EMBRACES ALL DEVIATIONS FROM NORMAL
YOUTHFUL BEHAVIOUR
ī INCLUDES INCORRIGIBLE,UNGOVERNABLE,
HABITUALLY DISOBEDIENT AND THOSE WHO DESERT
THEIR HOMES AND MIX WITH IMMORAL PEOPLE,
THOSE WITH BEHAVIOURAL PROBLEMS AND
ANTISOCIAL PRACTICES
187. CAUSES
GENETIC
âĸ HEREDITARY
DEFECTS
âĸ FEEBLE MIND
âĸ XYY
SYNDROME
âĸ GLANDULAR
IMBALANCE
SOCIAL
âĸ PARENTAL
NEGLECT
âĸ BROKEN
HOMES
âĸ STEP
MOTHERS
âĸ DEATH OF
PARENTS
OTHERS
âĸ CHEAP
RECREATION
âĸ URBANIZATION
âĸ SEX THRILLERS
âĸ TV
âĸ NO
RECREATION
194. TEAM WORKâĻ.
īPSYCHIATRIST------ CENTRAL FIGURE
īCHILD PSYCHOLOGIST
īEDUCATIONAL PSYCHOLOGIST
īPSYCHIATRIC SOCIAL WORKERS
īPUBLEC HEALTH NURSES
īPAEDIATRICIAN
īSPEECH THERAPIST
īOCCUPATIONAL THERAPIST
īNEUROLOGIST
195. SERVICES
īPAEDIATRICIAN -> PHYSICAL HEALTH OF THE
CHILD
īPSYCHOTHERAPY
1. PLAY THERAPY
2. COUNSELLING
3. SUGGESTIONS
4. CHANGE IN PHYSICAL ENVIRONMENT
5. EASING OF PARENTAL TENSIONS
6. RECONSTRUCTION OF PARENTAL ATTITUDES
201. SERVICES
1. SUPPLEMENTARY NUTRITION
2. NUTRITION AND HEALTH EDUCATION FOR
WOMEN
3. IMMUNIZATION
4. HEALTH CHECK-UP
5. MEDICAL REFERRAL SERVICES
6. NON FORMAL EDUCATION OF CHILDREN UPTO 6
YEARS, AND PREGNANT AND NURSING MOTHERS.
204. ī MORE THAN ONE MEAL TO THE CHILDREN WHO COME TO
AWCs, WHICH INCLUDE PROVIDING A MORNING SNACK IN
THE FORM OF MILK/BANANA/EGG/SEASONAL
FRUIT/MICRONUTRIENT FORTIFIED FOOD F/B A HOT
COOKED MEAL
ī IF <3 YRS, PREGNANT OR LACTATING : TAKE HOME
RATION
ī BPL IS NOT A CRITERIA FOR ICDS SERVICES
ī ALL ARE ELIGIBLE
ī THE SCHEME IS UNIVERSAL
SUPPLEMENTARY NUTRITION IS GIVEN 300 DAYS IN A YEAR
207. SCHEMES FOR ADOLESCENT GIRLS
īKISHORI SHAKTI YOJANA (11-18 YRS)
UNDER ICDS
īNUTRITION PROGRAMME FOR ADOLESCENT
GIRLS ( UNDER ICDS)
208. 2 MORE UNDER ICDS
īRAJIV GANDHI SCHEME FOR
EMPOWERMENT OF ADOLESCENT GIRLS â
SABLA
īINDIRA GANDHI MATRUTVA SAHYOG
YOJANA
209. HOW ICDS IS ORGANISED?
īCOMMUNITY DEVELOPMENT BLOCK in rural
areas
īTRIBAL DEVELOPMENT BLOCK in tribal areas
īRURAL/URBAN PROJECT has 100,000
population
īTRIBAL PROJECT has 35,000 population
ī100 Villages in rural project
ī50 villages in tribal project
210. FUNCTIONARIES OF ICDS
īANGANWADI WORKER- AWW
īCHILD DEVELOPMENT PROJECT OFFICER-
CDPO in charge of 4 mukhyasevika and 100
AWW
īMUKHYA SEVIKA in charge of 20-25
ANGANWADIS and mentor of AWW
211. AWW- ROLE
ī MULTIPURPOSE AGENT
ī SELECTED FROM THE COMMUNITY
ī DIRECT LINK TO CHILDREN AND MOTHER
ī ASSISTS CDPO IN SURVEY PF COMMUNITY AND
BENEFICIARIES
ī NON FORMAL EDUCATION SESSIONS
ī HEALTH AND NUTRITION EDUCATION TO MOTHERS
ī ASSISTS PHC STAFF IN PROVIDING HEALTH SERVICES
ī MAINTAINS RECORDS AND IMMUNIZATION
ī FEEDING AND PRESCHOOL ATTENDANCE
ī LIASES WITH BLOCK ADMINISTRATOR
ī COMMUNITY BASED ACTIVITIES
212. ī10 TO 19 YEARS : ADOLESCENTS
ī15 TO 24 YEARS : YOUTH
ī10 TO 24 YEARS : YOUNG PEOPLE
214. HEALTH PROBLEMS OF THE
AGED
īPROBLEMS DUE TO AGEING PROCESS
īPROBLEMS ASSOCIATED WITH LONG TERM
ILLNESS
īPSYCHOLOGICAL PROBLEMS
215. PROBLEMS DUE TO AGEING
PROCESS
īSENILE CATARACT
īGLAUCOMA
īNERVE DEAFNESS
īOSTEOPOROSIS
īEMPHYSEMA
īFAILURE OF SPECIAL SENSES
īCHANGES IN MENTAL OUTLOOKâĻâĻâĻ..
216. PROBLEMS ASSOCIATED WITH LONG
TERM ILLNESSES
īDEGENERATIVE DISEASES OF HEART AND
BLOOD VESSELS
īCANCER
īACCIDENTS
īDIABETES
īDISEASES OF LOCOMOTOR SYSTEM
īRESPIRATORY ILLNESSES
īGENITOURINARY ILLNESSES
218. HEALTH STATUS OF THE AGED IN
INDIA
īNATIONAL POLICY ON OLDER PERSONS 1999
1. FINANCIAL SECURITY
2. SHELTER
3. WELFARE
4. PROTECTION
5. HEALTH CARE
6. OLD AGE PENSION
7. SELF HELP GROUPS
8. OLDAGE HOMES, DAY CARE CENTRES
219. īBHAVISHYA AROGYA MEDICLAIM
īRURAL GROUP LIFE INSURANCE SCHEMES
īHelpAge India
1. Largest voluntary organization
2. Free cataract operations
3. Mobile medicare units
4. Income generation and micro credit
5. Old age homes and day care centres
6. Adopt-a-gran
7. Disaster mitigation