2symbol of under 5 clinic Care in illness Family planning Preventive careGrowth monitoring
3Aims and objectives Care in illness: it is mothers felt need. 70%-80% of illnesses can be treated with trained nurses.Diagnosis and treatment of acute illness, chronic illnesses and disorders of growth and development.X ray and laboratory servicesReferral services
4Preventive care :ImmunizationNutritional surveillancesub clinical nutritionFood supplementationHealth check ups – every 3-6 months. The child health card is maintained.Oral rehydration solution for diarrhea . The child gets 2-6 attacks in a year.Family planningHealth education
5Growth monitoring – on growth chart also called as Road to health card. Every month – up to 1 year2 monthly – up to 2 years3 monthly – up to 5 yearsThe weight is plotted according to the age of child.
6Growth Chart Used In India It has four reference curves.Top most curve – 80 %of the median (50th percentile) of the WHO reference standard.Lower lines represent 70% ,60% and 50% of the standard.80% median weight is approximately equal to 2 SD below the median which is the conventional lower limit of “normal range”.Purpose of reference curve – It indicates degree of malnutrition.6