Healthy Under 5 Kids Program presentation

2. HealthyUnder 5 Kids Program presentation Child and Youth Health 2011

3. HU5K program is based on evidence that supports a focus on: • Physical health • Cognitive • Psychosocial and • Behavioural development to improve the health of children. • (Remote Atlas, HU5K program, 2009)

4. Healthy Under 5 Kids Schedule Age Birth 1 First visit 2 8 week check 3 4 months 4 6 months 9 months 5 12 months 6 7 18 months 8 2 years 3 years 9 10 4 years

5. Healthy Under 5 Kids Poster

6. DOCUMENTATION • PCIS 0-4 yr care plan • Paper based forms HU5K Risk Assessment to be completed by 8 weeks Social Emotional Health Assessment Talking points used throughout the documents as a guide. In “Assessments” in PCIS

7. NT Child Vaccination Schedule

8. CHILD HEALTH INDICATORS • SIDS Growth 5x Higher 10% stunted 77% Smoker in household 20% underweight 71% Bed sharing 5% wasted 37% Tobacco smoke exposure 5% overweight 33% Soft sleeping surfaces Illness Immunisations 41% Untreated dental caries 16% Immunisations due 29% Ear disease 16% Anaemia 18% Skin sores or scabies NTER-OATSIH- May 08

9. Components Healthy Under 5 Kids Schedule • Anticipatory Guidance: age appropriate education and support • Social and Emotional health • Child Development • Common health problems - Early identification and management of, such as ear disease • Child Growth and Nutrition

10. Components - Anticipatory Guidance Parenting • Support parents in their role as primary caregivers Oral Health • Maternal oral health important • Lift the Lip • Value of baby teeth – teething cleaning and diet Injury prevention • Watch Children around, water, fires • Use appropriate vehicle restraints Promote, play and development and reading • Encourage play and interaction between child, parents and carers • Support parent to link into community playgroups, childcare crèche etc • Encourage reading to children from an early age

11. Components - Anticipatory Guidance • Hygiene • Wash babies at least every second day • Appropriate rubbish disposal (especially for soiled nappies) • Tissue spears • SIDS • Safe sleeping practices • No smoking around infants and children • Not co-sleeping when using alcohol or drugs • Nutrition messages • Exclusive Breast Feeding until 6 months • Introduction of solids at 6 months • 3 meals, 2 snacks per day for older children • Vaccination • Follow NT Childhood vaccination schedule • Timeliness important

12. Risk Assessment - Medical and Social Medical – e.g. low birth weight (<2,500g) or premature Social - life stress, financial stress, Mental illness, urgent housing issues, AOD Supporting families -Being a support base for social and emotional health Brief Intervention - Exposure to cigarette smoke, alcohol - use SNAPE Social Emotional and Domestic & Family Violence screening Every one has the opportunity to disclose Mandatory reporting – for serious physical harm Perinatal depression Components - Social and Emotional Health

13. Not doing developmental assessments but have a safety net approachhttp://remotehealthatlas.nt.gov.au/hu5k_program_resource_folder_contents_page.pdf Early identification of developmental delay & disability Key alerts, developmental pointers, train staff to understand development Refer to DMO if concern - especially if the family are concerned DMO should refer to paediatrician for further investigation Adopt a Public Health approach - when condition is prevalent provide intervention to all - through supported playgroups, family centres, quality crèches, reading at home, school readiness Components -Child Development

14. Growth Faltering Respiratory Anaemia Dental Disease Skin infections Ear disease and Hearing loss Components of Health Check Early Identification and Management of Health Problems

15. Aboriginal and Torres Strait Islander (ATSI) Health Check by a GP Doctors & RAN’s, AHW’s can share the workload Child must be seen by a doctor Annually, but can be 9 months between checks Medicare Item 715

16. Resources – How to Find HU5K via intranet Alternatively Google “HU5K” to find program

19. You can click on Hyperlinks to take you to updated resources

20. Example

21. Queries can be answered by the Child Health Nurse or Child Health Worker allocated to your community. They can be contacted via Health Development office numbers below: Health Development - Child and Youth Health Central Australia Office Top End Office 8955 6100 8922 7712