Page 17 - WBC-toolkit
P. 17

THIRD STAGES                                                                                                                     6th visit     7th visit 8th visit   9th visit 10th visit
3rd stage from (2months -5years                   1st visit 2nd visit    3rd visit       4th visit               5th visit                                           4 years 5 years
Ten essential visits for follow up at well-       2 month 4 month        6 month         9 month                 12 month        18 month 24 month 3 years
baby clinic in PHC
Nurse assessment                                  Weight                                                         Weight          Weight        Weight        Weight
Measurements should be plotted on                 Length                                                         Length          Height        Height        Height
growth charts                                     Head circumference HC                                          HC              HC            BMI           BMI
                                                  temp                                                           Temp            temp          HC            Temp
Feeding history                                                                                                  Hb                            Temp          Bp

Growth follow up according to growth              - Exclusive breast feeding ( )         - Exclusive breast feeding (         )
charts                                            - mixed feeding ( )                    - mixed feeding ( )                  )
                                                  - only milk formula ( )                - only milk formula ( )
                                                                                         - Complementary feeding (

                                                  Normal ( ) - Abnormal ( )              Mention.........

                                                  If abnormal, what is the action plan according to segmentation ? Referral ( ) or follow up ( )

Child development assessment                      Data should be registered in the Denver form page 68 on child health passport
Red flags according to age
                                                  =Ask about Red Flags according to the child age and visit.
Doctors assessment Vision-hearing-oral-
dental health-screaning                           - Normal (. )        - Abnormal (. ).  - Mention.............
Physical Assessment. Mental assessment
                                                  If abnormal or any Red Flag what is the action plan taken? -Referral......

                                                  ° General Appearance. ° Head/ Fontanels. °Eye. °Ears. °Nose. °Mouth/Throat. °Neck. °Breast. °Abdomen.

                                                  °C.V. S Sounds.        °Respiratory system. °Hernia.°Skin. °Genitalia°Musculoskeletal.°Neurological system

                                                  Results of Physical Assessment...................

Risks assessment                                                       - No Risk (       ).                      °B: (. ).       °C: (. ).
Vaccination required                                                   - With Risk.        °A : (. ).
                                                  -DTap  -DTap                                                   -OPV            -OPV          Hepatitis. A          -OPV
                                                  -HBV   -HBV                 -DTap             -Measles         -MMR            -DTap                               -DTap
                                                  -IPV   -IPV                 -HBV              MCV4             -PCV            -Hib                                -MMR
                                                  -Hib   -Hib                 -IPV                               -MCV4           -MMR                                -Varicella
                                                  -PCV   -PCV                 -Hib                                               -Varicella
                                                  -Rota  -Rota                -PCV                                               -Hepatitis A
                                                                              -Rota
                                                                              -OPV
                                                                              -BCG

Overall findings plan -follow up
                              -medications
                              - health education
                              -referral

 next visits data

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