Second, the service content.
Newborn family visits
(2) Full Moon Health Management of Newborns
(3) Infant health management
(D) preschool children's health management
(5) Handling of health problems
3 Third, the service process
Fourth, the service requirements
IV. Evaluation indicators
Five six. additional
Attachment 1 Record Form of Newborn Family Visit
Attachment 2/kloc-health examination record form for children under 0/year old
Attachment 3 1 ~ 2 years old children's health examination record form
Attachment 43 ~ 6 years old children's health examination record form
1 1. Customers
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Children aged 0-6 living in their jurisdiction.
Second, the service content.
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Newborn family visits
After the newborn is discharged from the hospital 1 week, the medical staff will visit the newborn's home after delivery. To understand the situation of neonatal disease screening at birth, vaccination and neonatal disease screening in areas where neonatal disease screening is carried out. Observe the family environment, focusing on asking and observing feeding, sleep, defecation, jaundice, umbilical region and oral development. Take the temperature of the newborn, record the birth weight and length, and have a physical examination. At the same time, establish a health care manual for children aged 0 ~ 6. Parents should be given breastfeeding, nursing and prevention guidance of common diseases according to the specific situation of newborns. If it is found that newborns are not vaccinated with BCG and hepatitis B vaccine 1 dose, parents should be reminded to replant as soon as possible. If it is found that the newborn has not been screened for neonatal diseases, notify the parents to go to the medical and health institutions with screening conditions for supplementary screening. For newborns with low birth weight, premature delivery, multiple births or birth defects, the number of visits should be increased according to the actual situation.
(2) Full Moon Health Management of Newborns
After 28 days, the newborns were followed up in township hospitals and community health service centers with the second dose of hepatitis B vaccine. Focus on inquiring and observing the feeding, sleep, defecation and jaundice of newborns, and carry out weight and length measurement, physical examination and development evaluation.
(3) Infant health management
Follow-up service after the full moon should be carried out in township hospitals and community health service centers, and in remote areas, it can be carried out 8 times in village clinics and community health service stations at the age of 3, 6, 8, 12, 18, 24, 30 and 36 months respectively. In areas where conditions permit, it is suggested to increase the number of follow-up visits in combination with the vaccination time of children. The service content includes inquiring about the feeding and illness, physical examination, growth and psychological and behavioral development evaluation of infants from the last follow-up to this follow-up, as well as health guidance on breastfeeding, complementary food addition, psychological and behavioral development, accident prevention, oral health care, traditional Chinese medicine health care, and prevention and treatment of common diseases. At the age of 6-8 months, 65,438 08 months and 30 months, 65,438 0 routine blood tests were performed respectively. At 6, 12, 24 and 36 months, 1 hearing screening was conducted by auditory behavior observation. Check whether there are any contraindications before each vaccination. If there are no contraindications, vaccinate after physical examination.
(D) preschool children's health management
Provide health management services for children aged 4 ~ 6 every year. The health management service of scattered children should be carried out in township hospitals and community health service centers, and collective children can be carried out in kindergartens. The service contents include inquiring about diet and illness, physical examination, growth and psychological and behavioral development evaluation, blood routine examination and vision screening between the last follow-up and this follow-up, as well as health guidance on reasonable diet, psychological and behavioral development, accident prevention, oral health care, traditional Chinese medicine health care, and prevention and treatment of common diseases. Check whether there are any contraindications before each vaccination. If there are no contraindications, vaccinate after physical examination.
(5) Handling of health problems
Children with malnutrition, anemia and simple obesity found in health management should analyze their causes and give guidance or referral suggestions. Children with abnormal oral development (cleft lip and palate, high arch, teething), dental caries, low vision or abnormal hearing should be referred in time.
3 Third, the service process
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Fourth, the service requirements
(1) Township hospitals, village clinics and community health service centers (stations) that carry out children's health management shall have the necessary basic equipment and conditions.
(2) Personnel engaged in children's health management (including rural doctors) shall obtain corresponding professional qualifications, have received professional and technical training in children's health care, and carry out children's health management according to the requirements of relevant national standards for children's health care.
(III) Township hospitals, village clinics and community health service centers (stations) should master the number of school-age children in their respective areas through various channels such as maternal and child health care network, vaccination system and daily medical and health services, strengthen contact with kindergartens, obtain cooperation, and do a good job in children's health management.
(four) to strengthen publicity, to inform the guardians of children about the service content, so that more parents of children are willing to accept the service.
(five) children's health management services should be combined with vaccination time in a timely manner. Encourage children to measure their weight and length (height) every time they are vaccinated within the scope of immunization program, and provide health guidance services.
(6) Record relevant information in time after each service and incorporate it into children's health records.
(seven) actively apply the methods of traditional Chinese medicine to provide children with health guidance such as growth and disease prevention.