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SYSTEM of DETECTION, INTERVENTION, CARE and REHABILITATION of CHILDREN U3 with

Over the last 10 years infant and U5 mortality rates decreased more than 2 times. Validity of data is confirmed in May 2011.Мr. Kenneth Hill, Stanton-Hill Research,LLC Chair, the Technical Advisory Groupof the

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Слайд 1 SYSTEM of DETECTION, INTERVENTION, CARE and REHABILITATION of CHILDREN

U3
with special needs to prevent
their abandonment and institutionalization.
In

polyclinic

Yermentay Sedep

Faculty: general medicine
Course: I
Group: 007-01
Checked by:

SYSTEM of DETECTION, INTERVENTION, CARE and REHABILITATION of CHILDREN U3 with special needs to preventtheir abandonment

Слайд 2 Over the last
10 years
infant and U5 mortality rates decreased

more than 2 times.


Validity of data is confirmed in May

2011.
Мr. Kenneth Hill, Stanton-Hill Research,
LLC Chair, the Technical Advisory Group
of the UN Inter-agency Group for
Child Mortality Estimation (IGME)

DYNAMIC of INFANT and U5 MORTALITY RATE (%)

Over the last	10 years 	infant and U5 mortality rates decreased more than 2 times.	Validity of data is

Слайд 3At pre-school age child’s disability is mainly diagnosed
2011: CHILD’S

DISABILITY by AGE GROUPS
(per 1000 of child population of

the respective age)
At pre-school age child’s disability is mainly diagnosed 2011: CHILD’S DISABILITY by AGE GROUPS (per 1000 of

Слайд 4up to 20 visits to obstetrician-gynecologist during the pregnancy;

prenatal US-screening

for inherited malformation during 1, 2, 3 trimester of pregnancy;

STI

tests, HIV test, TORCH, US,
cardiotocography;

if needed:
biochemical screening,
medical-genetic counseling,
hospitalization

SYSTEM of EARLY DETECTION, CARE and REHABILITATION

Regular medical examination of pregnant women:

up to 20 visits to obstetrician-gynecologist during the pregnancy;prenatal US-screening for inherited malformation during 1, 2, 3

Слайд 595,8% of women are registered during the first 12 weeks

of pregnancy;

Only 0,53% of woman in childbirth did not have

regular medical examination;

Only 0,2% of deliveries take place out of maternity hospitals.

AVAILABILITY is CONFIRMED

95,8% of women are registered during the first 12 weeks of pregnancy;Only 0,53% of woman in childbirth

Слайд 6Examination of neonatologist (pediatrician)
rooming-in and breast feeding
screening
vaccination
If needed:

other examinations, examinations by profile physicians
Transferring to specialized department

or at the 2nd stage of special medical care

NEONATAL PERIOD

If there is a need:

Examination of neonatologist (pediatrician)rooming-in and breast feeding screening vaccinationIf needed: other examinations, examinations by profile physicians Transferring

Слайд 7Epicrisis defining group of health and risk groups

Notification of the

polyclinic about child’s discharge from the hospital

First three days after

discharge: home visit by pediatrician and nurse

OUTPATIENT/POLYCLINIC MEDICAL CARE

Epicrisis defining group of health and risk groupsNotification of the polyclinic about child’s discharge from the hospitalFirst

Слайд 8Plan of child’s regular medical examination
A child is healthy
A child

is at risk
of pathology
development
A child is sick
Difference:
Number of visits

of pediatrician and nurse
Timeframe for special medical examinations
Timeframe for additional examinations

OUTPATIENT/POLYCLINIC MEDICAL CARE

Plan of child’s regular medical examinationA child is healthyA child is at riskof pathology developmentA child is

Слайд 9Treatment in the hospital in pediatric or specialized department:
7,3

hospital beds per 1000 children 0-17,
among them:
pediatric – 5,6;
rehabilitation –

1,5;
specialized – 0,1-0,2;

A CHILD is SICK

Treatment in the hospital in pediatric or specialized department:	 7,3 hospital beds per 1000 children 0-17,	among them:pediatric

Слайд 10Early identification of disorders and developmental delays
+
Early rehabilitation
+
Mixed

health and education approaches
=
Improvement of quality of life of children

with special needs;
Prevention of institutionalization

CRITERIA of EFFECTIVENESS

Early identification of disorders and developmental delays +Early rehabilitation +Mixed health and education approaches=Improvement of quality of

Слайд 11The number of child’s abandonment reduced by 3,5 times over

the last 7 years.

11 artificial lung ventilation children leave in

the families over the last 2 years;

EXAMPLES OF EFFECTIVENESS OF PREVENTION OF INSTITUTIONALIZATION OF CHILDREN U3

The number of child’s abandonment reduced by 3,5 times over the last 7 years.11 artificial lung ventilation

Слайд 12Piloting respite care service in infant homes for families with

children with disabilities from 0 to 3;

Strengthening capacity of psychologist

and medical staff on supporting parents with new-borns at risk or with developmental delays;

Creation of the mother and child support centres to place mothers with young children who find themselves in a crisis situation

PERSPECTIVES (1)

Piloting respite care service in infant homes for families with children with disabilities from 0 to 3;Strengthening

Слайд 13Special training and provision of financial incentives for foster families

raising children under 3 and children with disabilities

Raising public awareness

on children with disabilities and their families to change attitude towards them

Formation of social norms supportive of family placement for children U3 deprived of parental care including those with disabilities and special needs

Re-profiling of infant homes into health care institutions providing palliative care, medical and social follow-up for families rearing children with disabilities



PERSPECTIVES (2)

Special training and provision of financial incentives for foster families raising children under 3 and children with

Слайд 14THANK YOU

THANK YOU

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