ORGANISING UNDER 5 CLINIC

Presented by
R.PREETHA
 INTRODUCTION

If we turn back and look at the history of an affected

child, one can unveil problems back to a time even before
it was born

T.N MALETNLEMA
MD, Tanzania food and nutrition centre
 Under 5 clinic
Health education
Care in illness

Family planning

Growth monitoring Preventive care

Combines concepts of prevention

Treatment
Health supervision
Nutritional surveillance
Education
Within available resources
Non professional auxiliaries
 CARE IN ILLNESS

a. Diagnosis and treatment of

Acute illness
Chronic illness
Disorders of growth and
development
b. X ray and lab service
c. Referral services
 Preventive care

1. Immunization
2. Nutrition surveillance
3. Health checkup
4. Oral rehydration
5. Family planning
6. Health education
 GROWTH MONITORING

Using growth chart

• < 1 year - monthly checkup
• 2nd year - every 2 months
• Uptown 5 - 6 years - every 3 months
 PRIORITY HEALTH MEASURES

The state of the world’s children - UNICEF GOBI - FFF

1. Oral rehydration
2. Immunization
3. Breast feeding and birth spacing (family planning)
4. Growth chart and food supplementation
5. 3rd F - Female literacy
 EXECUTION
PHC Level

Medical Officer
Health Assistant
ANN
Midwife

Sub centre level

Multi purpose
Health worker

Village level

Village Health Guide

ANGANWADI WORKER
 HEALTH SYSTEMS
Good
planning,
Ministry of health funds

Pour planning, Limited

Few auxiliary staff tertiary
facilities
Tertiary level in city
Disease palaces District hospital
integrate with
Pour District hospital PHC
communication Isolated
Strong 10
Primary health sector, Basic
care, limited training
coverage Essential drugs
 CONCLUSION
The community must be actively involved in its own
betterment since health cannot be presented as a gift
Thank You