Well study and grow your skills

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

6. 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

7. 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

8. 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

9. 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

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

11. 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

12. • 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

14. WELL BABY CLINICS

15. INTRODUCTION

16. 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

17. 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

18. 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

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

20. 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.

21. 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)

22. 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

23. 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)

24. 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