Child Health Management
I. service objects
Children aged 0 to 6 living in the district.
II. Service content
(I) family visits to newborns
Within 1 week after the newborn was discharged from hospital, the medical staff went to the newborn's home and conducted postpartum visits at the same time. To understand the birth situation, vaccination situation, in the development of newborn disease screening area to understand the newborn disease screening situation. Observe the home environment, focus on inquiry and observation of feeding, sleep, urine and feces, jaundice, umbilical cord, oral development. To measure the temperature of the newborn, record the birth weight and body length, and carry out physical examination. According to the specific circumstances of newborns, targeted to the parents of breastfeeding, nursing and prevention of common diseases guidance. If the newborn is found not vaccinated with BCG and the first dose of hepatitis b vaccine, remind parents to reseed as soon as possible. If it is found that the newborn has not been screened for neonatal diseases, the parents should be informed to the medical and health care institutions that are qualified for screening. For newborns with low birth weight, premature birth, twins or birth defects, the number of visits increased according to the actual situation.
(II) newborn full-moon health management
After 28 days, the newborns were followed up in township health centers and community health service centers. Focus on asking and observing the feeding, sleeping, urinating and defecating, jaundice and other conditions of newborns, and carrying out weight, length measurement, physical examination and development evaluation.
(III) infant and child health management
Follow-up services after the full moon should be performed in township health centers, and in village health centers in remote areas, for a total of 8 times at the ages of 3, 6, 8, 12, 18, 24, 30 and 36 months. Services include asking the last follow-up to the follow-up of the infant and young child feeding, disease, and so on and so forth, physical check-up, do growth and developmental assessment, psychological behavior to breastfeed, see adding, psychological behavior development, accident prevention, oral care, Chinese medicine health care, prevention and cure of common diseases and other health guidance. One routine blood test was performed in infants aged 6 ~ 8 months, 18 months and 30 months. At the age of 6, 12, 24 and 36 months, audiological observation method was used to conduct one hearing screening. Before each vaccination, check for contraindications. If not, receive vaccination after physical examination.
(IV) preschool children health management
Health management services are provided annually for children aged 4 to 6 years. Health management services for scattered children should be provided in township health centers and collective children can be provided in childcare institutions. Services include asking the last follow-up to the follow-up between meals, sick, etc., physical check-up, growth and psychological behavior development assessment, routine blood test, and vision screening, reasonable diet, psychological behavior development, accident prevention, oral care, Chinese medicine health care, prevention and cure of common diseases and other health guidance. Before each vaccination, check for contraindications. If not, receive vaccination after physical examination.
(V) treatment of health problems
The causes of malnutrition, anemia, simple obesity and other conditions found in health management should be analyzed and Suggestions for guidance or referral should be given. Children with oral dysplasia (cleft lip and palate, high jaw arch, birth teeth), dental caries, low vision or abnormal hearing should be referred.
III. Service process
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