1. UNDER 5 CLINIC Dr. Rekha Dutt

2. symbol of under 5 clinic Care in illness Family planning Preventive care Growth monitoring

3. Aims and objectives • Care in illness: it is mothers felt need. • 70%-80% of illnesses can be treated with trained nurses. • Diagnosis and treatment of acute illness, chronic illnesses and disorders of growth and development. • X ray and laboratory services • Referral services

4. Preventive care : • Immunization • Nutritional surveillance • sub clinical nutrition • Food supplementation • Health check ups – every 3-6 months. The child health card is maintained. • Oral rehydration solution for diarrhea . The child gets 2-6 attacks in a year. • Family planning • Health education

5. Growth monitoring – on growth chart also called as Road to health card. • Every month – up to 1 year • 2 monthly – up to 2 years • 3 monthly – up to 5 years • The weight is plotted according to the age of child.

6. Growth Chart Used In India It has four reference curves. Top most curve – 80 %of the median (50th percentile) of the WHO reference standard. Lower lines represent 70% ,60% and 50% of the standard. 80% median weight is approximately equal to 2 SD below the median which is the conventional lower limit of “normal range”. Purpose of reference curve – It indicates degree of malnutrition.

7. Thank you