HealthyHealthy Under 5 KidsUnder 5 Kids

Program presentationProgram presentation

Child and Youth HealthChild and Youth Health

2011

HU5K program is based on evidence that supports a focus on:

• Physical health• Cognitive• Psychosocial and • Behavioural development to improve the health of children.

(Remote Atlas, HU5K program, 2009)

Age

Birth

First visit

8 week check

4 months

6 months

9 months

12 months

18 months

2 years

3 years

4 years

Healthy Under 5 Kids Schedule

8

2

3

4

5

6

7

1

9

10

Healthy Under 5 Kids Poster

DOCUMENTATION

•PCIS 0-4 yr care plan

•Paper based forms

Talking points used throughout the documents as a guide.

In “Assessments” in PCIS

HU5K Risk Assessment to be completed by 8 weeks

Social Emotional Health Assessment

NT Child Vaccination Schedule

CHILD HEALTH INDICATORS SIDS Growth

5x Higher 10% stunted 77% Smoker in household 20% underweight

71% Bed sharing 5% wasted 37% Tobacco smoke exposure 5% overweight 33% Soft sleeping surfaces

Illness Immunisations 41% Untreated dental caries 16% Immunisations due 29% Ear disease 16% Anaemia 18% Skin sores or scabies

NTER-OATSIH- May 08

Components Healthy Under 5 Kids Schedule

• Anticipatory Guidance: age appropriate education and support

• Social and Emotional health

• Child Development

• Common health problems - Early identification and management of, such as ear disease

• Child Growth and Nutrition

Components - Anticipatory GuidanceParenting• Support parents in their role as primary caregivers

Oral Health• Maternal oral health important• Lift the Lip• Value of baby teeth – teething cleaning and diet

Injury prevention• Watch Children around, water, fires• Use appropriate vehicle restraints

Promote, play and development and reading• Encourage play and interaction between child, parents and carers• Support parent to link into community playgroups, childcare crèche etc• Encourage reading to children from an early age

Components - Anticipatory GuidanceHygiene

• Wash babies at least every second day• Appropriate rubbish disposal (especially for soiled nappies)• Tissue spears

SIDS• Safe sleeping practices• No smoking around infants and children• Not co-sleeping when using alcohol or drugs

Nutrition messages• Exclusive Breast Feeding until 6 months• Introduction of solids at 6 months• 3 meals, 2 snacks per day for older children

Vaccination• Follow NT Childhood vaccination schedule• Timeliness important

Components - Social and Emotional Health

Risk Assessment - Medical and Social

• Medical – e.g. low birth weight (<2,500g) or premature

• Social - life stress, financial stress, Mental illness, urgent housing issues, AOD

• Supporting families -Being a support base for social and emotional health

• Brief Intervention - Exposure to cigarette smoke, alcohol - use SNAPE

Social Emotional and Domestic & Family Violence screeningEvery one has the opportunity to disclose

• Mandatory reporting – for serious physical harm

• Perinatal depression

Components - Child Development

• Not doing developmental assessments but have a safety net approach http://remotehealthatlas.nt.gov.au/hu5k_program_resource_folder_contents_page.pdf

• Early identification of developmental delay & disability

• Key alerts, developmental pointers, train staff to understand development

• Refer to DMO if concern - especially if the family are concerned DMO should refer to paediatrician for further investigation

• Adopt a Public Health approach - when condition is prevalent provide intervention to all - through supported playgroups, family centres, quality crèches, reading at home, school readiness

Components of Health Check Early Identification and Management of Health Problems

• Growth Faltering

• Respiratory

• Anaemia

• Dental Disease

• Skin infections

• Ear disease and Hearing loss

Medicare Item 715

Aboriginal and Torres Strait Islander (ATSI) Health Check by a GP

Doctors & RAN’s, AHW’s can share the workload

• Child must be seen by a doctor

• Annually, but can be 9 months between checks

Resources – How to Find HU5K via intranet

Alternatively Google “HU5K” to find program

You can click on Hyperlinks to take you to updated resources

Example

Health Development - Child and Youth Health

Queries can be answered by the Child Health Nurse or Child Health Worker

allocated to your community.

They can be contacted via Health Development office numbers below:

Central Australia Office Top End Office8955 6100 8922 7712