CHILD HEALTH CARE

儿童保健

上海儿童医学中心发育行为儿科

章依文

GOAL

Preventive and clinical medicineProtect and promote children as follows:

1. physical and psychosocial health

2. social adaptive abilities

SCOPE OF CHILD HEALTH CARESCOPE OF CHILD HEALTH CARE

General health care

Nutrition

Planned immunization

Periodical physical examination

Accident prevention

Physical exercise

Integrated Management of Childhood Illness (IMCI)

儿童疾病综合管理

• Prevent childhood death

• Promote child growth and development

Consult Mother, Care for Child Development

咨询母亲，关注儿童健康

• Ask and listen ( 询问和聆听 )

• Admire ( 赞赏 )

• Consult ( 咨询 )

• Confirm ( 确认 )

社区卫生服务中心( 街道医院）

上海市儿童保健网络

区妇幼保健院

市儿保所

CHILD MENTAL HEALTH

SOCIAL-ADAPTIVE HABITSOCIAL-ADAPTIVE HABITSelf careSelf careControl emotionControl emotionWillWillSocial abilitiesSocial abilitiesCreativityCreativity

GOOD HABITGOOD HABIT

SleepSleepEatingEatingUrine Urine ＆ ＆ fecesfecesSanitationSanitation

THE KEYNOTE OF THE CHILD HEALTH CARE IN DIFFERENT AGE PERIODS

各年龄期儿童保健重点

FETAL PERIOD

Prevention of genetic diseases and deformitiesNutritionHealthy environmentPrevention of affective diseases during deliveryPrevention and treatment of perinatal diseases

NEONATAL PERIOD (newborn to 28 days)

Health care

temperaturefeeding

Screening

sanitation

Growth and development survey

INFANT PERIOD (0 to 1 yr)

Nutrition

Planned immunization

TODDLER PERIOD (1 to 3 yrs)

NutritionGrowth ＆ developmental surveyEarly educationPrevention of contagious diseases and accidents

Preschool PERIOD (3 to 6 yrs)

Growth ＆ developmental surveyTraining abilitiesSchool readinessPrevention of accidents

SCHOOL PERIOD [6 or 7 to 12(F)/13(M) yrs]

NutritionSchool learningSocial adaptive abilitiesPrevention of accidents

ADOLESCENT PERIOD [11 or 12 to 17 or 18 yrs(F)] [13 or 14 to 18 or 20 yrs(M)]

NutritionLearning achievementSexual educationSocial adaptive abilitiesPrevention of accidents

Immunization Program for Children我国卫生部制定的儿童免疫程序

Disease Tuberculosis Polio Measles Pertussis/diphtheria/tetanus

Hepatitis B

immunogen Mycobacterium tuberculosis vaccine(attenuated live tuberculosis liquid)

Attenuated live polio vaccine

Attenuated live measles vaccine

Pertussis aqueous vaccine/diphtheria toxoid and tetanus toxoid mixture

Hepatitis Bvaccine

method Intradermal injection p.o subcutaneous Subcutaneous Intramuscle vaccine

site Upper deltoid of the left forearm

  Lateral forearm

Lateral forearm Deltoid of the forearm

First inoculation 1 3(at intervals of 1 month)

1 3(at intervals of 4~6 weeks)

3

Per dose 0.1ml 1 pill of composite vaccine of three types

0.2ml 0.2~0.5ml 5ug

First inoculation age

2 or 3 days after birth~2 months

At least 2 monthsAfter birth:the 1st dose:2monthThe 2nd dose: 3 monthsThe 3rd dose:4 months

8 months after birth for susceptible children

At least 3 monthsAfter birth: the 1st dose: 3monthThe 2nd dose:4monthsThe 3rd dose:5months

 the 1st dose:at birthThe 2nd dose: 1 monthThe 3rd dose:6 months

Multiple inoculation age

  4 yrs 7yrs 1.5~2 yrs, 7 yrs, use diphtheria and tetanus toxoids

 

immunization program for premature infants

？

THE EFFECT OF PARENT AND FAMILY ON CHILDREN HEALTH

Attachment

Nurture attitude

Responsibility

Play

Language stimulation

Modeling

Education

parents

THE EFFECT OF PARENT AND FAMILY ON CHILDREN HEALTH

daily routine

atmosphere

boundary

expectation

behavior family

Summary

• The goal and scope of child health care

• The keynote of child health in different age periods

• Immunization program for children

Discussion

1. How many age periods in childhood?

2. What should a 9 month normal developed

child have finished the immunization

program?

3. Is there any special immunization program for

premature infants?