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Care of the
Pre-school child
1-4
years
Importance of Pre- School Child
Mortality
Child Health Problems
Child health
problems
Low birth weight
Types:
•Spontaenous pre term birth: Adolescent pregnancy,
infectious diseases, malnutrition, smoking, alcohol, diabetes
•Provider- initiated pre-term birth:
Less than
2.5kg at
birth
Malnutrition
Iodine
Deficiency
Cretinism, goitre,
brain damage
Nutritional Anemia
Leads to fatigue
Protein Energy Malnutrition
Vitamin A
Deficiency
Leading cause of
blindness due to
corneal destruction
Growth charts
Advantages
• Growth monitoring
• Diagnostic tool
• Planning and policy
making
• Educational tool
• Tool of action
• Teaching
WHO Growth Chart
Percentile of the
reference value
Indian Growth Chart
Flattening of the growth curve-
Earliest sign of PEM
Infectious diseases &
Parasitic infestations
National Immunization Schedule
At birth BCG
Hep B
OPV – 0 dose
6 weeks – 10 weeks – 14 weeks OPV
Pentavalent (diphtheria, pertusis,
tetanus, Hemophilus influenza B, Hep
B)
End of 9th
month Measles – 1st
dose
1 ½ years DPT
Measles – 2nd
dose
5 years DPT- 2nd
dose
10 years – 16 years TT only.
Child health care

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Child health care