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CHN HEALTH CENTER

BASIC HEALTH SERVICES

1. Maternal and child health servicesa. Prenatal Care

i. Reduce child mortality and morbidityii. Monitor growth and development, follow scheduleiii. Assess risk for pregnancy (Age, Height, Gravida, etc)iv. Danger signs (vaginal discharge, increase BP, dizziness, fever, vomit, absence of

FTH) HBMR- Home Base Mother Record

v. TT (Tetanus Toxoid)vi. Giving of iron (5mo-2mo post parteum) blood loss

1. Vitamin C absorption of ironvii. Dentist calcium deficitviii. Birth plans

b. Post Parteum Carei. After 6 weeks, implement family planning

ii. Check body (involution)c. EPI

i. 0 weeks BCG = protect TB (.05cc right deltoid)ii. 0 weeks - Hepa B = (.5cc IM vastus lateralis)iii. 6 weeks DPT1, OPV1 (2-3 drops NPO)Hepa B2iv. 10 weeks DPT 2, OPV2, (2-3 drops NPO) Hepa B3v. 14 weeks DPT3, OPV3 (2-3 drops NPO)vi.

36 weeks (9mo)

Measles (.5cc subcu)vii. 1 yr Boosters

d. Under 5 clinicsi. 0-59 months

e. Control of Diarrhea Diseasei. Watery (consistency), 3 or more times a day

ii. ORESOLiii. 2 tsp 1 pinch Saltiv. 8tsp 2tsp Sugarv. 1L 1cup water

f. Control of respiratory diseasei. RR

2. National TB Program Controla. DOTS direct observe treatment direct courseb. Primary complex TB children

3. Leprosy Control Program4. Family Planning Program

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5. Nutritional Programa. Food supplementb. Iodine salt (FIDEL)

6. Environmental Sanitation7. General medical services

a. Consultationb. Treatment

8. Dental Health ProgramGOBIC

G- Growth and Monitoring

O Oresol

B Breast Feeding

I Immunization

C Care of actue respiratory disease

1. Growth Monitoringa. Wt for ageb. Ht for agec. MUAC mid upper arm circumference (

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iii. Signs of Dehydration Severe(pink) Some (yellow) NO(green)1. C Condition abnormally sleepy restless/irritable alert2. T Tongue Very Dry Dry Moist3. E Eyes Sunken Eyes Sunken eyes Normal4. S Skin turgor Slow skin turgor slow fast5. T Thirst Very thirsty eager normal

i. First Sign = Thirsti. Supplementary feeding

1. BABY A: 6mo breast feeding (8-12time for 24hrs) (2-3hr interval)a. After 6mo add supplementary 3/dayb. 12mo BF and supplementary 5/dayc. 12+ mo BS and family food

2. BABY B: 4mo breast feeding and supplementary fooda. If shows interest for other foodb. Always hungryc. 6-11mo BF and 3/day complementaryd. 12+ mo BF and family food

3. Afordability4. Nutrient Rich

ii. Immunization1. EPI 19762. HEpa B 19903. ED 996 EPI4. Koch Phenomenon Absence of Swelling (BCG)5. OPV - NPO 30mins prior

a. (Brown Ampule)(Freeze Dry) BCG (Bacteria Inactivated Toxin) TT(Vile)

b. (Vile) (Liquid) DPT (live attenuated virus)c. (Vile) (Liquid) OPV (live attenuated virus)d. (Vile)(Freeze Dry) Measlese. HIB Himophelus Influenzef. (3) MMR Musles, Measles, Rovela

6. Contra Indication of Immunizationa. BCG Contraindication HIV/AIDSb. DPT Contraindication convulsion/neuro diseas (DT)c. Do not give before referrald. 4-6hrs potent of vaccines BCG and Measlese. TT and HEPA ok to refrigeratef. OPV until expiration (stored 0-8 degrees) no Outsideg. Cold chain system keep potency (-15-25 degree) measles OPV

(sensitive) (2-8 degree) BCG, EPT, TT

iii. Respiratory Rate

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1. At birth 2yrs = 60+ bpm2. 2yrs old -