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History of child welfare clinics. 1906 - first child welfare clinic in Norway Aim was to reduce infant mortality and the number of births. General education was an important means: 1) improvement of general hygiene 2) breast feeding. Poverty close living conditions. poor hygiene
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History of child welfare clinics • 1906 - first child welfare clinic in Norway • Aim was to reduce infant mortality and the number of births. • General education was an important means: 1) improvement of general hygiene 2) breast feeding Kjellaug Johannessen
Poverty close living conditions • poor hygiene • infectious diseases, epidemics • poor nutrition • unhealthy indoor/outdoor climate • high infant mortality, large families • death in childbirth Kjellaug Johannessen
Child Welfare Clinicall children0-6 years • Home visits to all children born in Norway • Contact with all adopted children • Establish contact with everyone who moves to Norway with children Kjellaug Johannessen
Home visits to newborn babies • get to know the family • always look at the baby • observe in particular; - skin - navel - eyes Kjellaug Johannessen
Work of Child Welfare clinics Founded on the Law on municiple health services, 1982 • Home visits to all newborn babies • Individual advice • Group counselling • Vaccinations • Screening • Environmental surveys Kjellaug Johannessen
Topics at infant check-ups • Child’s well being • Interaction parent/child • Sleep and sleeping problems • Nutrition • Accident prevention • Psychological and motor development Kjellaug Johannessen
Networks • Create social relations between groups as an aid to the prevention of psychosocial problems • Open nursery schools • Open child welfare clinics • Groups at clinics Kjellaug Johannessen
Psychological and motor development • Reflex movement • Symmetrical movement • volitional, motivated, differentiated movement • ”automatized” movements Kjellaug Johannessen
Infant nutrition • Breast milk as long as possible, up to 12 months + vitamin supplements. • Cow’s milk in baby cereal from 6 mths. • Start with mashed vegetables, no SALT. • Glutenfree cereals. Kjellaug Johannessen
Sleep and sleeping problems • establish good sleeping habits, rituals • when child crys, ensure there is nothing wrong • make a difference between night and day • avoid overtiredness • the child should fall asleep naturally • no evening snacks after 6 mths, only water • do not use the bed as punishment • register the length of time they cry • comfort the child in their bed, do not pick up • be consistent Kjellaug Johannessen
Persons with special needs • Basic problems • immature, young • couples in conflict • single parent with poor network • unrealistic, immature expectations and lack of understanding for child’s needs • poor resources Kjellaug Johannessen
Complex problems • alcohol, substance abuse • violence • unemployment over a long period of time • poor understanding of the child’s needs • lack of personal experience, no role model Kjellaug Johannessen