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 medicine  Protect and promote children as follows: 1. physical and psychosocial health 2. social adaptive abilities

SCOPE 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 HABIT Self care Self care Control emotion Control emotion Will Will Social abilities Social abilities Creativity Creativity GOOD HABIT Sleep Sleep Eating Eating Urine ＆ feces Urine ＆ feces Sanitation Sanitation

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 deformities  Nutrition  Healthy environment  Prevention of affective diseases during delivery  Prevention and treatment of perinatal diseases

NEONATAL PERIOD (newborn to 28 days) Health care temperature feeding Screening sanitation

Growth and development survey INFANT PERIOD (0 to 1 yr) Nutrition Planned immunization

TODDLER PERIOD (1 to 3 yrs)  Nutrition  Growth ＆ developmental survey  Early education  Prevention of contagious diseases and accidents

Preschool PERIOD (3 to 6 yrs)  Growth ＆ developmental survey  Training abilities  School readiness  Prevention of accidents

SCHOOL PERIOD [6 or 7 to 12(F)/13(M) yrs]  Nutrition  School learning  Social adaptive abilities  Prevention of accidents

ADOLESCENT PERIOD [11 or 12 to 17 or 18 yrs(F)] [13 or 14 to 18 or 20 yrs(M)]  Nutrition  Learning achievement  Sexual education  Social adaptive abilities  Prevention of accidents

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

DiseaseTuberculosisPolioMeaslesPertussis/diphtheria/teta nus Hepatitis B immunogenMycobacterium tuberculosis vaccine(attenuated live tuberculosis liquid) Attenuated live polio vaccine Attenuated live measles vaccine Pertussis aqueous vaccine/diphtheria toxoid and tetanus toxoid mixture Hepatitis B vaccine methodIntradermal injectionp.osubcutaneousSubcutaneousIntramuscle vaccine siteUpper deltoid of the left forearm Lateral forearm Deltoid of the forearm First inoculation13(at intervals of 1 month) 13(at intervals of 4~6 weeks) 3 Per dose0.1ml1 pill of composite vaccine of three types 0.2ml0.2~0.5ml5ug First inoculation age 2 or 3 days after birth~2 months At least 2 months After birth: the 1 st dose: 2month The 2 nd dose: 3 months The 3 rd dose: 4 months 8 months after birth for susceptible children At least 3 months After birth: the 1 st dose: 3month The 2 nd dose:4months The 3 rd dose:5months the 1 st dose: at birth The 2 nd dose: 1 month The 3 rd dose: 6 months Multiple inoculation age 4 yrs7yrs1.5~2 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 parent s

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?