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Child Surveillance during

the first 2 years of life


MD Tshabalala
Screening procedure or Test
AGE 0 – 2 Months:
 Routine Examination at birth
 Weight, length, occipito-frontal circumference (OFC)
 Look for cleft palate
 Femoral pulses & murmurs
 Check hips for congenital hip dislocation (CHD)
 Check back for spina bifida & UL and LL for deformities
 Check tone, movts, primitive reflexes, & head control
 Chek genitalia

 Monthly weighing
 Support Breastfeeding
 Encourage Immunization
2 to 6 months
 Developmental Assessment
 Smiles by 8 weeks
 Turns to sound by 3 months
 Follows through 1800 by 4 months
 Rolls over by 5 months
 No head leg on pull to sit by 6 months

 Monthly weighing
 Support breastfeeding
 Encourage immunization
 Support and monitor weaning
6 to 12 Months
 Developmental Assessment:
 Sits without support by 8 months
 Passes cube btw hands by 8 months
 Stranger anxiety by 9 months
 Pulls to stand by 10 months
 Pincer grasp by 12 months
 2 – 3 words with meaning by 12 months
 Walks holding on by 12 months

 Monthly weighing
 Support breastfeeding, Encourage Immunization
 Support and monitor weaning
 Screen for hearing at 9 months
13 to 24 Months
 Developmental assessment
 Walks alone by 15 months
 Two-cube tower by 15 months
 Holds and drinks from cup by 18 months
 Throws a ball by 18 months
 Three-cube tower by 18 months
 Runs and walks up steps by 24 months
 Short phrases by 24 months
 Spoon feeds, no spilling by 24 months

 Two-monthly weighing
 Booster immunization