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GOAL
Preventive and clinical medicineProtect and promote children as follows:
1. physical and psychosocial health
2. social adaptive abilities
SCOPE OF CHILD HEALTH CARESCOPE OF CHILD HEALTH CARE
General health care
Nutrition
Planned immunization
Periodical physical examination
Accident prevention
Physical exercise
Integrated Management of Childhood Illness (IMCI)
儿童疾病综合管理
• Prevent childhood death
• Promote child growth and development
Consult Mother, Care for Child Development
咨询母亲,关注儿童健康
• Ask and listen ( 询问和聆听 )
• Admire ( 赞赏 )
• Consult ( 咨询 )
• Confirm ( 确认 )
CHILD MENTAL HEALTH
SOCIAL-ADAPTIVE HABITSOCIAL-ADAPTIVE HABITSelf careSelf careControl emotionControl emotionWillWillSocial abilitiesSocial abilitiesCreativityCreativity
GOOD HABITGOOD HABIT
SleepSleepEatingEatingUrine Urine & & fecesfecesSanitationSanitation
FETAL PERIOD
Prevention of genetic diseases and deformitiesNutritionHealthy environmentPrevention of affective diseases during deliveryPrevention and treatment of perinatal diseases
TODDLER PERIOD (1 to 3 yrs)
NutritionGrowth & developmental surveyEarly educationPrevention of contagious diseases and accidents
Preschool PERIOD (3 to 6 yrs)
Growth & developmental surveyTraining abilitiesSchool readinessPrevention of accidents
SCHOOL PERIOD [6 or 7 to 12(F)/13(M) yrs]
NutritionSchool learningSocial adaptive abilitiesPrevention of accidents
ADOLESCENT PERIOD [11 or 12 to 17 or 18 yrs(F)] [13 or 14 to 18 or 20 yrs(M)]
NutritionLearning achievementSexual educationSocial adaptive abilitiesPrevention of accidents
Disease Tuberculosis Polio Measles Pertussis/diphtheria/tetanus
Hepatitis B
immunogen Mycobacterium tuberculosis vaccine(attenuated live tuberculosis liquid)
Attenuated live polio vaccine
Attenuated live measles vaccine
Pertussis aqueous vaccine/diphtheria toxoid and tetanus toxoid mixture
Hepatitis Bvaccine
method Intradermal injection p.o subcutaneous Subcutaneous Intramuscle vaccine
site Upper deltoid of the left forearm
Lateral forearm
Lateral forearm Deltoid of the forearm
First inoculation 1 3(at intervals of 1 month)
1 3(at intervals of 4~6 weeks)
3
Per dose 0.1ml 1 pill of composite vaccine of three types
0.2ml 0.2~0.5ml 5ug
First inoculation age
2 or 3 days after birth~2 months
At least 2 monthsAfter birth:the 1st dose:2monthThe 2nd dose: 3 monthsThe 3rd dose:4 months
8 months after birth for susceptible children
At least 3 monthsAfter birth: the 1st dose: 3monthThe 2nd dose:4monthsThe 3rd dose:5months
the 1st dose:at birthThe 2nd dose: 1 monthThe 3rd dose:6 months
Multiple inoculation age
4 yrs 7yrs 1.5~2 yrs, 7 yrs, use diphtheria and tetanus toxoids
THE EFFECT OF PARENT AND FAMILY ON CHILDREN HEALTH
Attachment
Nurture attitude
Responsibility
Play
Language stimulation
Modeling
Education
parents
THE EFFECT OF PARENT AND FAMILY ON CHILDREN HEALTH
daily routine
atmosphere
boundary
expectation
behavior family
Summary
• The goal and scope of child health care
• The keynote of child health in different age periods
• Immunization program for children
Discussion
1. How many age periods in childhood?
2. What should a 9 month normal developed
child have finished the immunization
program?
3. Is there any special immunization program for
premature infants?