Child Health Management
1、 Service object
Children aged 0-6 living in the jurisdiction.
2、 Service content
（1） Newborn family visit
Within one week after the newborn is discharged from the hospital, the medical staff will go to the newborn's home and conduct post-natal visit at the same time. Learn about the situation at birth, vaccination, and neonatal disease screening in areas where neonatal disease screening is carried out. Observe the household environment, and focus on the inquiry and observation of feeding, sleep, defecation, jaundice, umbilicus, oral development, etc. Measure the temperature of newborn, record the weight and length at birth, conduct physical examination, and establish the Health Manual for Children Aged 0-6. According to the specific situation of newborns, parents should be provided with targeted guidance on breastfeeding, nursing and prevention of common diseases. If it is found that the newborn is not vaccinated with BCG vaccine and the first dose of hepatitis B vaccine, remind the parents to reseed as soon as possible. If it is found that the newborn has not been screened for neonatal diseases, inform the parents to go to a medical and health care institution with screening conditions for supplementary screening. For newborns with low birth weight, premature delivery, multiple births or birth defects, the number of visits should be increased according to the actual situation.
（2） Health management of newborn full moon
After 28 days, the newborns were followed up at township hospitals and community health service centers in combination with the second dose of hepatitis B vaccine. Focus on inquiring and observing the feeding, sleeping, defecation, jaundice and other conditions of the newborn, and measure their weight, length, physical examination and development evaluation.
（3） Infant health management
Follow-up services after the full month should be carried out in the township health center, and in the village health room in remote areas, at the age of 3, 6, 8, 12, 18, 24, 30, and 36 months, a total of 8 times. The service contents include inquiring about the feeding and illness of infants and young children between the last visit and this visit, conducting physical examination, assessment of growth and psychological and behavioral development, and health guidance on breastfeeding, supplementary food addition, psychological and behavioral development, accidental injury prevention, oral health care, traditional Chinese medicine health care, and prevention and treatment of common diseases. The blood routine test was performed once at the age of 6-8, 18 and 30 months. At the age of 6, 12, 24 and 36 months, the auditory behavior observation method was used to conduct a hearing screening. Before each vaccination, check whether there is any contraindication. If not, accept the vaccination after the physical examination.
（4） Health management of preschool children
Provide health management services for children aged 4-6 once a year. Health management services for scattered children should be provided in township health centers, and collective children can be provided in nurseries. The service contents include inquiring about the diet, illness and other conditions between the last visit and this visit, conducting physical examination, growth and psychological behavior development assessment, blood routine test and vision screening, and providing health guidance such as reasonable diet, psychological behavior development, accidental injury prevention, oral health care, traditional Chinese medicine health care, and common disease prevention and treatment. Before each vaccination, check whether there is any contraindication. If not, accept the vaccination after the physical examination.
（5） Treatment of health problems
Children with malnutrition, anemia, simple obesity and other conditions found in health management should be analyzed and given guidance or referral suggestions. Children with oral dysplasia (cleft lip and palate, high jaw, birth teeth), dental caries, low vision or abnormal hearing should be referred in time.
