Send the link below via email or IMCopy
Present to your audienceStart remote presentation
- Invited audience members will follow you as you navigate and present
- People invited to a presentation do not need a Prezi account
- This link expires 10 minutes after you close the presentation
- A maximum of 30 users can follow your presentation
- Learn more about this feature in our knowledge base article
Transcript of The JOURNEY
The need for integrated care
Moving from fragmented care to providing comprehensive comprehensive care of children
Meet, greet and seat
Create a safe space and establish rapport
Identify the link between maternal and child health
Maternal health and well being
Any physical/health problems?
Any chronic conditions?
Screening for depression & anxiety
Maternal social risk factors
Age of mother
Coping skills and support
Relationship with the child's father
Substances of abuse: alcohol, tobacco use, recreational drugs
Nutritional advice and support
What method of feeding is used? EBF vs. Formula feeds
Are there any problems with feeding?
BF at 14wks - RMR indicator
Is referral to the breast feeding sister necessary?
Vitamin A Supplementation & Deworming
At 6 months: 100 000 IU
From 12months - 5years: 200 000 IU
NB! Check RtHB and document
Visual aid reminder
Maternal Reproductive Health
Is the mother receiving any family planning currently?
Offer education and contraception if required
When last did she have a PAP Smear?
NB! Documentation and interpretation in RTHB!
MDT: Refer to appropriate team member when deviated from the norm
Has the mother/caregiver noticed a problem?
Is referral to the OT necessary?
Refer to page 13 of RTHB
Are the immunizations up to date?
Are catch-ups necessary?
Is it recorded in the immunization register?
Does the child have any symptoms of illness?
Refer to page 28 of RtHB
Are any referrals necessary to the Multi-Disciplinary Team?
Existing stationery -2012
Maternal health: breast exam, gynecological symptoms - identify limitations
No family planning included in template
Myth: Vitamin A can only be dispensed by a PN
Infrastructure - delay in moving to upgraded premises
Explain & train the nurses
Defining the roles of each stage
Regular review of system
1. Mash B (Ed) Handbook of Family Medicine (3rd edition) Cape Town: Oxford University Press
2. Mash B, Blitz J (Eds.) South African Family Practice Manual (2nd Edition) Cape Town: Van Schaik 2008
3. WHO: Division of Child Health, Integrated Management of Childhood Ilnesses
5. Literature: tripdatabase.com
6.Road to Health Booklet
7. PACK Guidelines: Western Cape Adult edition 2015
8. Lecture notes: Paediatric lectures, Family Medicine
Mother is Negative
When was the last test done?
Repeat rapid test every 3months after 6week visit
Mother is positive
Is she on ARV's? (adherence?)
If not, REFER!
PCR at 6weeks
PCR 6weeks after breastfeeding has stopped
Rapid Test at 9 and 18 months
PCR if child is <9months
Rapid Test if child is >9months
Co-Trimoxazole for all breastfeeding infants
Du Noon CHC
Michael Mpongwana CHC
Stake Holders involved
Dr Janet Giddy, Dr Elmarie Malek, Dr Abi Blumenthal, Dr Kathy Murie, Dr Jonel vd Westhuizen, Dr Srini Govender
Community Based Workers
Provides holistic care to both mother and child
One healthcare worker
Referrals where necessary
Reduces number of patients 'lost' to long waiting times etc.
Screening for all problems e.g. developmental delays, feeding problems, social .
Reduce maternal and childhood morbidity and mortality - Millennium Development Goals