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INSTITUTIONAL SUPPORT FOR CHILD CARE. Dr.Asha K.P. Kerala. Good Health Indicators Compared with developed country. Problems. Nutritional -Under nutrition -Over nutrition Social problems Family Alcoholism , Drug addiction
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INSTITUTIONAL SUPPORT FOR CHILD CARE Dr.Asha K.P.
Kerala Good Health Indicators Compared with developed country
Problems • Nutritional -Under nutrition -Over nutrition • Social problems • Family • Alcoholism, Drug addiction • Abuse (Physical, emotional, neglect, sexual) Leads to behavioral problems & disabilities • Accidents • Learning disabilities • Life style and behavioral problems
Home based-child care Mother herself Grand parents Maid/Ayahs Working Parents Physical, Social, Mental Development ? Neighbors/Friends Day care Work place attached Siblings Left alone
Most of them are preventable. Timely detection & action is important.
Child Survival Birth to 3 years Birth to 6 years Up to adolescent At least up to 80 years with quality health
Community Level (1/3) Health centre Antenatal services Nutritional support Monitoring of growth and development & timely intervention Nutritional Rehabilitation Centre General Paediatric OP services
Community Level (2/3) Specialty clinic Epilepsy, Asthma, Mentally challenged Special services for learning disabilities Behavioral problems & substance abuse District Mental Health Program Child psychiatry Counseling
Community Level (3/3) AWC Growth monitoring Awareness for mothers Social problems School Create a positive healthy environment Nutritional assessment- Anthropometry, Diet Physical activity Life skill education
Inter-sectoral Coordination Health service dept Dept. of Pediatrics District Metal Health Program, Psychiatry dept. School Juvenile justice dept. Child well being Counselors Social Welfare Dept. AWC Police Mass Media NGO LSG Child Rights commission Child welfare committee