assignment on under five clinic

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UNDER FIVE ASSESSMENTS

UNDER FIVE ASSESSMENTS – Purposes, Symbol of Under Five Clinics, Equipment Needed and Procedure (COMMUNITY HEALTH NURSING)

Updated 2024

Under five clinic is also called the well-baby clinic that offers preventive and promotive services for the benefit of the under-five or preschool children

To provide carafe during illness
To provide adequate nutrition
To immunize the child at right time
To plan and prepare for family planning
To provide health teaching or education to promote health
To assess the growth and development of children

SYMBOL OF UNDER FIVE CLINICS

Care in illness
Adequate nutrition
Immunization
Family planning
Health teaching/education

EQUIPMENT NEEDED

Weighing machine
Inch tape, Snellen’s eye chart
Shakir tape to measure midarm circumference
Nutrition cups, infantometer to measure the length of infant
Flash cards or posters and records or health chart
Wash hands and warm
Keep ready with the articles such as inch tape, shakir tape, nutrition cups
Explain the procedure to the parent or the group
Weight the infant using weight balance or Bar scale weighing machine or path weighing machine
Check the height by using inch tape, use infantometer, if the child’s age is below 2 years
Record the height and weight in the chart inform to their parents
Measure the chest and head circumference and record
Anthropometry should be entered in health record
General physical examination can be done by the nurse to rule out any abnormalities
Rule out any refracting errors among children by using Snellen’s chart

NURSING PROCEDURES LIST CLICK HERE

“Under Five Assessments” typically refers to a set of key evaluations used in public health to assess the health status of children under the age of five years. Here are some key points related to these assessments:

Nutritional Status : This assessment evaluates the nutritional status of children under five, focusing on parameters such as weight, height, and mid-upper arm circumference (MUAC). Malnutrition, including undernutrition and overnutrition, can significantly impact a child’s health and development.
Immunization Status : It’s crucial to assess whether children under five have received all recommended vaccinations according to the immunization schedule. Immunizations protect against a range of infectious diseases, preventing illness and potentially life-threatening complications.
Growth and Development : Monitoring growth and development milestones is essential for early detection of developmental delays or health issues. Assessments may include motor skills, language development, cognitive abilities, and social-emotional development.
Health Status : This involves assessing the overall health of children under five, including identifying any acute or chronic illnesses, infections, or conditions that may require medical attention. Regular health check-ups can help in early detection and management of health issues.
Access to Healthcare : Assessing access to healthcare services is crucial to ensure that children under five have access to essential healthcare services, including preventive care, treatment for illnesses, and maternal and child health services. Barriers to access, such as distance, cost, and availability of healthcare facilities, need to be identified and addressed.

These assessments play a vital role in monitoring the health and well-being of children under five, guiding interventions and policies aimed at improving child health outcomes and reducing child mortality rates.

under five assessment key points - nurseinfo

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Ebrahim, G.J. (1978). The Under-fives Clinic. In: Practical Mother and Child Health in Developing Countries. Tropical Community Health Manuals. Palgrave, London. https://doi.org/10.1007/978-1-349-15959-8_11

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DOI : https://doi.org/10.1007/978-1-349-15959-8_11

Publisher Name : Palgrave, London

Print ISBN : 978-0-333-25363-2

Online ISBN : 978-1-349-15959-8

eBook Packages : Palgrave Social & Cultural Studies Collection Social Sciences (R0)

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Under fives clinic.

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Journal of Family & Community Medicine , 01 May 2005 , 12(2): 61-62 PMID: 23012076 PMCID: PMC3410122

Abstract

Free full text , under fives clinic, professor david morley.

Emeritus Professor of Tropical Child Health University of London, UK

It is now over 30 years since the book “Paediatric Priorities in the Developing World” was written. This book was largely responsible for the award of the first prestigious King Faisal Prize for International Health, to the author of this editorial. The request to write a chapter for an African Public Health book offered the opportunity to think through the unusual ideas put forward in this book of which was perhaps the most innovative and significant concept of the Under Fives Clinic. It was initiated to meet a situation where there was high mortality and almost no preventive care in an area of Africa with a large population of children. The most significant features of these clinics are still relevant.

Local Personnel provided Preventive and Curative care

The locally trained nurses and clerks were all mothers or fathers. They knew the nuances of the language and the local beliefs. They were responsible for the immunisation, the nutrition of the children through monitoring of the weight curve, advising the mothers on the means to achieve an adequate birth interval, and the treatment of common conditions. For only 10% of the children did they consider it needful to see the doctor or bring the child to be seen and continue with the care on his advice.

Records were kept by the mother

The records consisted of a growth chart with the weight for age chart, information on the family, immunisation, and any reason for special care set out clearly in an easily recognizable form. These were protected by a polythene envelope and carefully kept by the mothers. A study showed that these fewer records were lost than occurred in hospitals which had proper records and filing systems. These records reduced the waiting time considerably and were taken to whichever other health unit the mother attended.

A building designed to meet the needs of the mothers, the children and the staff

Patients did not like a waiting room that was far from the physician's office, but crowding near the door of the consulting room had to be avoided. A low wall separated the nurses’ station and the waiting area for the mothers. They were called in groups. While waiting, the children were weighed by staff with no medical training. Low benches provide the mothers comfortable seating with their children on their laps. There was drinking water and clean toilets for both mothers and children.

Staff discussions were held every week

Discussions on important issues relating to the health of their children took place while the busy mothers waited in the line of flow. After discussion, medications were made available to the nurses for distribution to the mothers to avoid further waiting and delays at the pharmacy.

Satisfaction

The level of satisfaction among the mothers was high. They were seen quickly, usually by local nurses and clerks whom with their regular visits, they came to know well. For the staff, there was the satisfaction of playing a major role in the care for people from their own communities. For the doctor, it was the satisfaction that a good level of preventive and curative care was offered to an average of 400 children a day. His/her time was largely taken up by the care of the more severe or unusual and often more interesting conditions.

* Professor David Morley, a world renowned professor of tropical pediatrics and child health and a member of our journal Advisory Board, kindly accepted to write an editorial for the current issue of the journal at short notice. Professor Morley is the author of ‘Paediatric Priorities in the Developing World’; a book that was once described in a British Paediatric Association meeting as ‘the most important book ever written in medicine in the twentieth century’. He won the first prestigious International King Faisal prize in medicine for this book and his other great scientific contributions and dedication and service to children in developing countries. I was honored to have had my postgraduate training under him at the Institute of Child Health, University of London and was honored to co-author the Arabic version of his outstanding book.

In this editorial, Professor Morley addresses a historic topic with much relevance to today's practice. He is the innovator of the concept of under five clinics and was the founder of these clinics in West Africa more than forty years ago. They are now widespread as a concept and practiced all over the world. The under five clinics are clinics that provide comprehensive care for the well as well as ill children. Why did Professor Morley call them under fives clinics? Children under the age of five are singled out for special care because the first five years of life are crucial for brain growth, and until the age of five, the child is completely dependent on his mother.

In the editorial, Professor Morley emphasizes the concept of home based mobile health record of the child which has proved a success. He also stresses the importance of the under- five clinic design to meet the needs of all parties. In referring to weekly clinic staff discussions, he is pointing to an important managerial component often neglected in everyday practice of children clinics.

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Under Five Clinic Program
The first five years of life form the foundations of the child’s physical and mental growth and development. Studies have shown the mortality and morbidity are high among this age group. The Department of Health established the Under Five Clinic Program to address this problem.

Program Objectives and Goals

Monitor growth and development of the child until 5 years of age.
Identify factors that may hinder the growth and development of the child.

Activities and Strategies

Regular height and weight determination/ monitoring until 5 years old. 0-1 year old=monthly 1 year old and above =quarterly
Recording of immunization, vitamins supplementation, deworming and feeding.
Provision of IEC materials (ex. Posters, charts, and toys) that promote and enhance child’s proper growth and development.
Provision of a safe and learning – oriented environment for the child.
Monitoring and Evaluation.

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