MATERNAL AND CHILD HEALTH

MOTHER & CHILD HEALTH- ONE UNIT

y During antenatal period, fetal tissue draws

y y y y

nutrition from mother through placenta-hence maternal health affects fetal health Maternal malnutrition/ ill health causes stillbirths, premature , low birth weight infants Diseases like typhoid,syphlis,AIDS ,german measles pass from mother to child Postpartum infant depends on mothers milk Psychological bond between mother & child

 POSITIVE HEALTH, THROUGH PRACTICE OF SOCIAL OBSTETRICS AND SOCIAL PEDIATRICS IN PRIMARY HEALTH CARE
Social obstetrics considers, age at marriage, child

spacing, fertility, education, customs and beliefs in pregnancy, upbringing of child in family, deliveries by trained birth attendants
Social pediatrics aims growth monitoring of infants

/children, nutritional surveillance, breast feeding promotion, regular health check ups of infants

Mother and child health programs have to be dealt SIMULTANEOUSLY

y MCH aims at reducing maternal and infant mortality

as well as morbidity y MALNUTRITION is common problem of both mothers and children addressed by MCH y MATERNAL INFECTIONS at any stage can cause fetal and neonatal infections y Tetanus neonatorum,TB, diphtheria, hepatitis need to be checked

EDUCATION OF WOMEN / MOTHERS

y ORS & diarrhea prevention program. Diarrhea major

cause of infant deaths, morbidity & malnutrition, hence education in personal hygiene and child care y MCH refers to comprehensive medical care comprising promotive, preventive ,curative and rehabilitative services for mothers and children including family health planning

AIMS OF MCH

urban, rural ,socioeconomic factors

EVERY PREGNANCY IS A WANTED

PREGNANCY, needs to COMPLETE full term & DELIVER healthy baby ALL PREGNANT WOMEN AND CHILDREN MUST RECEIVE full medical care ALL WOMEN AND CHILDREN MUST REACH health centers for routine and emergency care REDUCE MORTALITY maternal and infant PROMOTION of reproductive health/ education

INDICATORS REPRODUCTIVE HEALTH

Total fertility rate Contraceptive prevalence rate Maternal mortality rate Antenatal care coverage Births attended by skilled health personnel Availability of essential services Availability of comprehensive essential services

INDICATORS-cont
y Perinatal mortality rate y Prevalence of low birth weight babies y Prevalence of positive syphilis serology in pregnant

women y Prevalence of anemia in pregnant women y Percentage of hospital admissions owing to abortions y Prevalence of infertility in women

SAFE MOTHERHOOD
FAMIL Y

ANTE NATA L CARE

CLEA N/ SAFE
DELIVE RY

ESSE NTIA L OBS TET RIC CAR E

PLA NNI NG

BASIC MATERNITY CARE PRIMARY HEALTH CARE EQUITY FOR WOMEN

WHAT GROWTH MONITORING IS INTENDED TO DO & HOW

WEIGH

CHART

INTERPRET

FOLLOW UP,REVIEW OF GROWTH/NITRITIONAL STATUS

HEALTH REINFORCEMENT

GROWTH FAVORABLE

IMPROVE CHILD HEALTH

DECREASE CHILD MORTALITY

GROWTH MONITORING

WEIGH

CHART

INTERPRET

IMPROVE CHILD HEALTH

FOLLOW UP,REVIEW OF GROWTH CHART/NUTRITIONAL STATUS

HEALTH SERVICE PROMOTION

DECREASE CHILD MORTALITY

GROWTH MONITORING

WEIGH

CHART

INTERPRET

FOLLOW UP,REVIEW OF GROWTH/NITRITIONAL STATUS

PROBLEM INTERVENTION

GROWTH UNFAVORABLE

IMPROVE CHILD HEALTH

DECREASE CHILD MORTALITY

y STILL NOT ADDRESSED SERIOUSLY .

THINKING?????? WHAT SIMPLE SOLUTIONS

THANKS