Maternal and child health care

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Maternal and child health care

  1. 1. Maternal and child health care Ms.Sabeena Sasidharan Asst.lecturer Lourde college of nursing
  2. 2. Definition According to WHO Maternal and child health services can be defined as “promoting, preventing, therapeutic or rehabilitation facility or care for the mother and child”
  3. 3. Goal Reduce mortality and morbidity among mothers, infants and pre- school children
  4. 4. Objectives • Child survival • Promoting reproductive health or safe motherhood • Ensure birth of healthy child • Promote healthy G & D
  5. 5. • Prevent malnutrition • Prevent communicable diseases • Early diagnosis and treatment of the health problems • Health education and family planning services
  6. 6. Indicators of MCH MMR IMR Neonatal mortality rate Under five mortality rate Child survival rate
  7. 7. Recent trends in MCH care • Integration of care • Risk approach • Manpower changes • Primary health care • Reproductive and child health
  8. 8. Organizational activities of MCH services • Complete health check up and care of the child and mother from conception to birth • Studying the health problems of mothers and child • Providing health education to parents for taking care of children • Training to professionals and assistant workers
  9. 9. Responsibilities of community health nurse in MCH services Direct care Managerial functions Educational functions
  10. 10. Maternal and child health services Prenatal/antenatal care services Intranatal care services Postnatal care services Under five child health services
  11. 11. Antenatal services
  12. 12. Objectives • To detect high risk cases & give them special care • To identify complications and prevent them • To educate the mother • To promote, protect and maintain health
  13. 13. Antenatal services • Provided by prenatal clinics/antenatal clinics  Urban areas – MCH centres and hospitals  Rural areas – CHC, PHC, Sub- centres • Organized weekly
  14. 14. Intranatal services
  15. 15. Intranatal care • Delivery may be arranged at home or hospital • Institutional delivery is safe
  16. 16. Objectives • To provide thorough asepsis • To prevent injury to baby and mother • To prevent complications • To provide care to the baby
  17. 17. Post natal services
  18. 18. Objectives • To provide care to mother and baby • To prevent complications • To provide family planning services, basic education to mother
  19. 19. Postnatal services • Postnatal examination • Hb examination during postnatal visit • Teaching postnatal exercises • Family planning services • Health education
  20. 20. Child health services
  21. 21. Objectives • Decreasing child death and infant mortality rate • Complete protection of child • Nutritious diet to children • Overall growth of children • Preserve and promote health of under five children • Increasing health level of children
  22. 22. Services • Immunisation • Breast feeding • Growth and development • Personal hygiene • Detection of health problems & treatment
  23. 23. Child Clinics Under five clinics Child guidance clinics
  24. 24. Under Five Clinics Aims and activities • Preventive care • Growth monitoring • Care in illness
  25. 25. Child Guidance Clinic • For children suffering from abnormal behaviour or psychological problem • Psychiatrists, community health nurse and other auxiliary workers serve in these clinics
  26. 26. • Bed wetting/ enuresis • Refusing to go to school • Hating a family member • Complain of being ignored/ neglected • Cruel behaviour towards other children and animals • Stealing the objects • Intense reaction to normal situation
  27. 27. Assessment of MCH services Done on the basis of MCH indicators

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