Page 93 - fourth year book

MATERNAL AND CHILD HEALTH CARE (MCH)

Causes of preschool mortality:

1. Gastro enteritis.

2. Bronchopneumonia and bronchitis. (A.R.I)
3. Accidents.

4. Congenital anomalies (especially congenital heart).

Preschool child mortality rate: 21.23 /1000 (UN estimates 2019)

Role of the community health nurse working in MCH services

I. Administrative role

 Participate in the organization of the MCH program.
 Evaluate nursing services given to the consumers.

 Participate in planning, job description, delegation of work and
working hours for nursing staff.
 Participate in health teaching programs and in-service training
programs for nursing staff.

 Systematic gathering of information for evaluation of progress of
the program.
 Cooperate with other health workers in the health team.

II. Supervisory role

 Understand the policy of the agency.
 Ensure that the health personnel under her supervision known the
function they are expected to perform.
 Supervise the function of her staff.

 Participate in the in-service training program according to the
needs of her staff.
 Conduct group discussion with the staff.

 Guide her staff to overcome their difficulties in work setting.
 Help in monitoring and implementing the plan of action.
 Assess the needs of the staff, equipment and supplies.

III. Functional role

 Case finding, from patient history, home visit and referral.
 Assist in medical examination and history taking.
 Follow-up of cases.

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