Infant and Child screening You should try your best to comfort your child. In addition, I want to add that it is very important to look into the child's eyes, hold them gently, and speak to them all the time. Help the women to demonstrate again using the new techniques. You have tried your best to distract the child from an unwanted behavior. In addition, I want to add that it is always good to draw/shift your child's attention to something positive. This is better for child development than scolding or hitting them. If a child does a good behavior, praise them so that they continue to do the good behavior. Help the women to demonstrate again using the new techniques. ADVISE FOR CONCERN: Ask the caregiver to copy the child's movements, to follow the child's lead. I want to discuss with you ways to correct the child when they are acting/doing an unwanted behavior. For example, maybe the child is trying to take a very hot cup of chai. This is bad, because the child might spill the cup and get burnt. Can you show me how you would correct the child in this situation? No Yes Have you observed the caregiver comforting the child? No Yes Have you observed the caregiver correcting the child? Distracts child from unwanted actions with appropriate toy or activity. Scolds child or responds harshly to child. How did the caregiver correct the child? Does not move with child, or controls child's movements or is not responsive to child. Moves toward and with child, and talks to or makes sounds with child, responds to child. During the visit, how does the caregiver interact and respond to the child's movements, activities or sounds? For the following questions, observe interaction between caregiver and child if possible. If have not observed so far during visit, ask caregiver to demonstrate. I can see that you do a very good job comforting the child and showing them love. You are very good at this. For example, it is very important to look into the child's eyes, hold them gently, and speak to them all the time. I can see that you do a very good job distracting your child from unwanted behaviors. It is always good to draw/shift your child's attention to something positive. This is better for child development than scolding or hitting them. If a child does a good behavior, praise them so that they continue to do the good behavior. PRAISE the caregiver. Care for child development (CCD): Caregiver and Child Behavior 12 months up to 2 years 2 years or older 3 – 6 months 6 months up to 9 months 9 months up to 12 months What age matches/compares with the development of the child? The child's age is months. Normal behaviors for children are: 3 to 6 months: Responds to sound Looks and and follows object with eyes Interested in faces Starts to reach for objects 6 months up to 9 months: Smiles back when you smile at child Alerts caregiver when hungry Coos, makes noises to communicate Sits up on own Recognizes and responds to caregivers and colors 9 months up to 12 months: Begins to babble and form first words Responds to caregivers verbally and physically Crawls Stands on own Walking on own or with assistance 12 months up to 2 years: Walking on own Talks, by 2 years old begins to make very short sentences Begins to form questions Eats on own Sleep throughout the night 2 years or older: Expresses desires, needs, questions, etc. forming full thoughts in sentence form and curious about world around them. Are there any other family members or caregivers who could join us for a discussion about your child's development? In particular, encourage father to join if available. Welcome them to join the discussion. Also ask the mother to have her child join or be nearby. Communicating well with your baby/child is important to support a strong connection and healthy development. By talking to our children and telling them the names of things they recognise words and this helps them learn to talk. Playing is important for children. A child who has no opportunities to play will not develop healthily. Children learn by seeing what others do, copying and practicing new things. Play is a great way to help children learn and practice new skills! For example, when they shake a rattle they learn what sound it makes, they learn to move the rattle. Does not talk to child or talks harshly to child Draws smile out of child Looks into child's eyes and talks softly to child, asks questions Tries to force smile or is not responsive to child Can you show me how you talk to your child? Can you show me some of the things you to do when you want to make them smile? Indicate how caregiver talks to child: No Yes How do you play with your child? Indicate whether caregiver plays with child, e.g. with toy objects or word games, or other, appropriate for age. That's great, communicating like this with your child supports healthy development. By talking to our children and telling them the names of things they recognise words and this helps them learn to talk. PRAISE the way caregiver demonstrated playing with the child for their healthy development. Children learn by seeing what others do, copying and practicing new things. Play is a great way to help children learn and practice new skills! The more opportunities we give our children to play, the more information is given to their brain. For example, when they shake a rattle they learn what sound it makes, they learn to move the rattle. It also helps them physically. Let the child show you how they want to play, rather than forcing them to play a certain way. Respond to your child's sounds and interests. Call the child's name, and see your child respond. Good ways to communicate with your child at this age are to: Ask your child simple questions. Respond to your child's attempts to talk. Show and talk about nature, pictures, and things. Encourage your child to talk and answer your child's questions. Teach your child stories, songs and games. Talk about pictures or books. Children will learn words if you draw something then repeat the word. ADVISE the caregiver that they can draw their own child-friendly picture books, they don't need to buy in the shop. Example toy: book with pictures, material to draw on, ball, swing, bicycle. Tell your child the names of things and people. Show your child how to say things with hands, like 'bye bye.' Sample toy: doll. Playing is important to support healthy development. At this age, good ways to play with your child are to: Help your child count, name and compare things. Make simple toys for your child. Sample toys: Objects of different colors and shapes to sort, sticks. Give your child clean, safe household things to handle, bang, and drop. Sample toys: containers with lids, metal pot and spoon. Hide a child's favorite toy under a cloth or box. See if the child can find it. Play peek-a-boo. Give your child things to stack up, and to put into containers and take out. Sample toys: Nesting and stacking objects, container and clothes clips. Good ways to communicate with your child at this age are: (demonstrate) Smile and laugh with your child. Talk to your child. Get a conversation going by copying your child's sounds or gestures. PRACTICE: Ask caregiver to make large gestures and cooing sounds; copy baby's sounds and gestures to try to elicit smile, and see baby's responses. ADVISE for CONCERN: Caregiver should try to communicate more with baby. A baby and young child begin to understand many words before they can speak, but if we do not talk to our babies they will not learn new words. Children communicate with us from a young age, even before learning to speak they tell us what they need and they know when we are happy or sad. Playing is important to support healthy development. A baby who has no opportunities to play, and practice new skills will not develop healthily. We need to ensure our babies have lots of opportunities to play, practice new skills, see new things and copy what others do. For example, when they shake a rattle they learn what sound it makes, they learn to move the rattle. Suggest one play that a caregiver can try with the child and instruct them how they can play it with a child. Then emphasize how the child enjoys playing with a caregiver. At this age, good ways to play with your child are to: (demonstrate) Provide ways for your child to see, hear, feel, move freely, and touch you. Slowly move colorful things for your child to see and reach for. (Sample toys: shaker rattle, big ring on a string) At this age, children have the tendency of putting everything they get into their mouths. Caregivers should not discourage them from doing this as the mouth is the most sensitive organ at this age which the children use to sense taste, softness, hardness. It is a way of learning. Just make sure that you provide clean and safe items to the child, and that they are medium or large size so the child will not choke. Does not talk to baby Looks into baby's eyes and talks softly to baby Tries to force smile or is not responsive to baby Responds to baby's sounds and gestures to get baby to smile Can you show me how you talk to your baby and how you try to get your baby to smile? Indicate how caregiver interacts with baby Does not play with child Gets the child's attention with a shaker toy or other object Moves the baby's arms and legs or gently strokes the child Can you show me how you play with your baby? Please demonstrate for me. What do you think your child is learning while they play? Indicate how the mother interacts with the baby: PRAISE caregiver for communicating well with baby. Children communicate with us from a young age, even before learning to speak they tell us what they need and they know when we are happy or sad. By talking to our children and telling them the names of things they recognise words and this helps them learn to talk. Repetition is a very good strategy for a child learning. PRAISE mother for playing well with baby. ADVISE: Babies learn by playing and trying things out, and by observing and copying what others do. For example, when they shake a rattle they learn what sound it makes, they learn to move the rattle. Mother Other person or caregiver Who does the child usually spend time with? I'd like to talk with you about your child's behavior and development and observe how you interact together. This is an important time in their life because the way they will grow and learn, it depends very much on behaviors that you show to your child. I want to ask you some questions about how your child is learning and also discuss how you can play and communicate with your child to help them best grow and learn. Welcome caregivers and family members and encourage them to join the discussion. Care for child development (CCD): Assess Development and Coach on Play and Communication No Yes Is the child having cold or low temperature? No Yes Has the child recently had any convulsions? No Yes Is the child coughing ? The child has a danger sign. Advise the mother to go to any nearby health facility within the next 24 hours so a doctor can look at the child and help. No Yes Does the child have diarrhea ? No Yes Is the child having difficulty or fast breathing (Two counts of 60 breaths or more in one minute)? No Yes Is the child able to drink or breastfeed? No Yes Is the child able to eat and drink? No Yes Is the child able to breastfeed? No Yes Does the child have fever or high temperature ? No Yes Is the child lethargic or unconscious? No Yes Does the child have skin boils ? No Yes Does the child vomit everything? Child Danger Signs No danger signs were identified in your child, but if the child develops any of the signs we discussed, you should go the health facility immediately. No Yes I'd like to discuss disposal of children's feces with you. A child's stool can be dangerous and can cause diseases. Where does your child defecate? Where do you dispose your child feces? No Yes Do you have a latrine in your household? Flush toilet Other Pit latrine (without pipe) VIP latrine (ventilated pipe) What kind of latrine? Using latrines can help prevent the spread of disease. If possible, you should have a latrine in your home. Explain to the mother the dangers of child stool and safe disposal: The safest way to dispose of a child's feces is to help the child use a toilet or latrine or, for very young children, to put or rinse their feces into a toilet or latrine. There is evidence that children's feces could be riskier than adults' feces. Children's feces should be treated with the same concern as adult feces, using safe disposal methods that ensure separation from human contact and household contamination. Child Stool Disposal Habari mama? Kama tulivyozungumza wakati wa matembeleo yetu yaliyopita kuwa ntakuja kukutembelea kwa ajili ya kujua maendeleo na afya ya mtoto/watoto, na pia kujadiliana na wewe pamoja na familia juu ya malezi na makuzi bora ya mtoto/watoto wako. Nafahamu kuwa unajua jinsi ya kumtunza mtoto wako na kumkuza vizuri, lakini hii ni kama nyongeza tu ya elimu kutokana na ongezeko la maradhi na matatizo mbali mbali yanayoweza kudhoofisha afya na makuzi bora ya mtoto. Due date: Name: Age: years, months, days Contact person: House number: Kitongoji: Visit type: Infant/Child Phone: Client Information No Yes Do you or the caregiver have any concerns that child is not responding or seems slow? I want to ask you some other specific questions about your child's development. Having a child who is slow to learn can be stressful. A child with delays in development may require more help with feeding and with learning new things. Extra time spent in helping a slow to learn child with feeding and with playing and communicating can a child develop new abilities. Thank you for talking about this issues with me today. I noticed a concern that I would advise you see a doctor for. I am going to refer you to the nearest health facility so you can ask them about this concern. Refer family for hearing and vision screen if necessary. No Yes Compared with other children of the same age, does your child appear in any way mentally backward, dull or slow? No Yes Can your child name at least one object (for example, an animal, a toy, a cup, a spoon)? No Yes Does your child learn to do things like other children his/her age? No Yes Compared with other children, does or did your child any serious delay in sitting, standing or walking? No Yes Does your child have difficulty hearing? (Uses hearing aid, hears with difficulty, completely deaf) No Yes Compared with other children, does your child have difficulty seeing, either in the daytime or at night? No Yes Does your child have difficulty in walking or moving his/her arms, or does he/she have weakness, and/or stiffness in the arms or legs? No Yes Does your child speak at all (can he/she make him or herself understood in words; can say any recognizable words)? No Yes Does your child sometimes have fits, becomes rigid, or lose consciousness? No Yes Is your child's speech in any way different from normal (not clear enough to be understood by people other than the immediate family)? No Yes When you tell your child to do something, does he/she seem to understand what you are saying? Care for child development (CCD): Child Development Concerns How is the baby being kept warm? Praise the family if the baby is kept well wrapped and close to the mother, and is bathed with warm water and dried and wrapped immediately. If not, try to solve any problems. Refer to page 10 of Bango Kitita for more information. What positions are you using? How frequently do you breastfeed? How long will the baby feed at one time? LISTEN: Allow mother to explain her experience breastfeeding soon after birth. No Yes Are you breastfeeding now? I'd like to talk to you more about breastfeeding. ASK: have you ever breastfed? Educate the mother about the importance of exclusive breastfeeding in the first 6 months and the importance of frequently breastfeeding the child. Please refer to page number 13 of bango kitita. No Yes Is the child breastfeeding exclusively? Praise the family if the baby is getting only breast milk. How is it going? Do you have any concerns you wish to discuss? Discuss concerns with mother. Discuss with the mother why she is not frequently and exclusively breastfeeding. Advise her and problem solve with her. CHUNGUZA: kama kuna uwezekano muombe mama amnyonyeshe mtoto wake na chunguza, ikiwa hakuna uwezekano muulize mama maswali kuliko kumchunguza. Osha mikono yako. CHUNGUZA Je mama anayenyonyesha anaelewa hili ? Je umegundua kuna tatizo lolote kwenye kunyonyesha? Toa muongozo kwa kile ulichokiona. Jaribu kutatua tatizo lolote uliloliona au alilolisema mama. Does not know <1 hour 1-2 hours 3 or more hours How long after birth did the mother first put the child to the breast? Essential Newborn Care: Breastfeeding Educate the mother about the proper positioning and attachment of the baby during breastfeeding. Refer to page numbers 16 and 17 of Bango Kitita. jr://images/attachment_pic_1.png jr://images/attachment_pic_2.png No Yes Is the positioning and attachment ok? This means the chin is touching the breast, mouth wide open, lower lip turned outward, more areola visible above than below the mouth. Help the mother to: Sit or lie comfortably. Support the baby's whole body, not just the neck and shoulders. Ensure baby's head and body are in a straight line. Have the baby face the breast. The baby's nose is opposite her nipple. Hold the breast and touch the baby's cheek with the nipple, so baby turns and opens mouth. Fix the baby's mouth on the nipple. Make sure baby is in a comfortable position to feed. Touch the baby's lips with her nipple. Congratulate mother for breastfeeding in a right position. Help the mother to improve positioning and attachment. If baby is too sleepy to feed, try to wake him by rubbing body, arms, or legs. If baby is still not feeding from the breast after one hour, squeeze the first, yellow fluid from the breast into a clean cup or spoon. Feed this to baby often and in small amounts, making sure baby can swallow it. Wait until the baby's mouth is opened wide Move the baby quickly onto her breast, aiming the infant's lower lip well below the nipple. If breast engorgement, express a small amount of breast milk before starting breastfeeding to soften nipple area so that it is easier for the baby to attach. No Yes Is the baby suckling effectively? Praise the mother and advise her to continue doing the same. Essential Newborn Care: Positioning Hygiene is very important during complimentary feeding, advise this to the mother: Good hygiene is important to avoid diarrhea Use a clean spoon or cup to give foods or liquids to your baby. Wash your hands with soap and running water frequently. Hygiene is very important during complimentary feeding, advise this to the mother: Good hygiene is important to avoid diarrhea. Wash your hands with soap and running water frequently. Let's talk about food Hygiene: Good hygiene is important to avoid diarrhea. Use a clean spoon or cup to give foods or liquids to your baby. Wash your hands with soap and running water frequently, especially before feeding your children. If your baby is no longer being breastfed, please ensure that they are receiving a healthy, nutritious diet. No Yes Are you still breastfeeding your baby? Continue breastfeeding your baby on demand both day and night. This will maintain health and strength as breast milk continues to be the most important part of your baby's diet. Try to cook a variety of food for the baby: Each week you can add one new food to your child's diet. Feed your baby complementary foods 2 times a day. Give 2 to 3 tastes at each feed. Breastmilk should be your baby's main food at this age. Continue to breastfeed on demand. Drinking plain, clean water is a good habit to the baby's health. Use a separate plate to feed the baby. Essential Newborn Care -- Nutrition Your baby's umbilical cord stump dries out and eventually falls off - usually within one to two weeks after birth. In the meantime, treat the area gently: Keep the stump dry._Expose the stump to air to help dry out the base. Keep the front of your baby's diaper folded down to avoid covering the stump. DO NOT apply any substance to the cord._ It may be dangerous to your baby to apply any substances to his or her cord. Stick with sponge baths._While there's no harm in getting the stump wet, sponge baths might make it easier to keep the stump dry. Let the stump fall off on its own._Resist the temptation to pull off the stump yourself. Essential Newborn Care: Cord Care [Days 0-7:] Talk and sing to the baby Provide ways for your baby to see, hear, move arms and legs freely, and touch you Smile at your baby Touch and hold the infant with love [Days 8 to month 6]: PLAY: Provide ways for your child to see, hear, feel, move freely, and touch you. Slowly move colourful things for your child to see and reach for. Sample toys: shaker rattle, big ring on a string. COMMUNICATE: Smile and laugh with your child. Talk to your child. Get a conversation going by copying your child's sounds or gestures. You and your partner/ husband or family members are responsible for the infant's brain and mind development, and these early months and years should be used for his/her growth. A newborn baby can see things, feel things, and can respond to the voices and sounds she or he hears. A baby can tell us she or he is hungry or unhappy by the sounds he makes. A baby loves to see faces of her or his mum and dad (or other important caregiver). [see translation in EFFECTS job aids] The more opportunities we give our babies to explore the world (by playing, practicing new skills, seeing new things and copying what others do), the more information is given to the brain. For your newborn baby, you can: Essential Newborn Care: Stimulation No Yes Is the birthweight written on the child card? This question tries to identify if small baby care is necessary Enter a number between 0.5 and 7 KG Enter brithweight of the child, in KG No Yes Is the child card available? Large Regular Small Approximately how large was the baby at birth? At home In a health facility On the way to the health facility Where was the child born? Look at child card and/or KMC booklet for next scheduled follow-up visit. Advise mother to return to the facility for scheduled follow up visits No Yes ASK: Have you received small baby services at the hospital? This is a normal size baby and needs normal care. You will learn about care for the normal baby in later sessions. Refer to nearest KMC ward This child is a small baby and extra care and attention is needed from both CHV and family. We will talk about some of the special care your baby needs. First Infant Visit is doing well and doesn't need to go to the health facility urgently at this time. You'll return for another checkup when it's time for the next visit. To address issues of anemia. To address an urgent child danger sign. To address issues around learning and child development. To address issues of malnourishment. To address an urgent neonatal danger sign. needs to go to the health facility for the following reasons: To address a neonatal danger sign. To receive specialized care for small babies. To make sure he/she has received the proper vaccines. You've declined to consent for to receive community health services. He/She won't receive any more visits from me. Encourage the parent to take to the facility as soon as possible to receive care. Let them know that you'll return after 3 days to confirm that they were able to receive the proper care at the facility. Visit Summary It is very important to wash your hands with soap and water before touching a baby. Newborns can get an infection more easily than an adult or an older childInfection in a newborn can be dangerous because child immunity is still weak/not fully developed. Frequent and correct hand washing is one of the most effective ways to prevent infections. Discuss materials needed to wash hands: We need clean flowing water and soap. If water and soap is not available, hands can be cleaned with ash instead. The most important moments to wash hands are: After defecation After cleaning a child's bottom Before feeding a child Before eating food Before preparing food After handling raw meat, fish, or poultry Hand Washing Ask mother to make sure facility staff records vaccinations on Child Health Card. Please invite your husband and family so we can explain the importance of vaccinations. No Yes Now I would like to review your child's health card to make sure they have received all their vaccines so far. Do you have your child's health card? Usimsomee, jaza wewe (CHV). You have entered the date in the future Enter the date that the child received the BCG (TB) vaccine You have entered the date in the future Enter the date that the child received the bOPV 0 (Polio, at birth) vaccine You have entered the date in the future Enter the date that the child received the bOPV 1 (Polio, week 6) vaccine You have entered the date in the future Enter the date that the child received the bOPV 2 (Polio, week 10) vaccine You have entered the date in the future Enter the date that the child received the bOPV 3 (Polio, week 14) vaccine You have entered the date in the future Enter the date that the child received the DTP-HepB-Hib 1 (Penta, Week 6) vaccine You have entered the date in the future Enter the date that the child received the DTP-HepB-Hib 2 (Penta, Week 10) vaccine You have entered the date in the future Enter the date that the child received the DTP-HepB-Hib 3 (Penta, Week 14) vaccine You have entered the date in the future Enter the date that the child received the IPV vaccine Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). RECORD the vaccinations marked on the health card in the app (vaccinations you might have recorded during a previous visit will not be shown). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Normally, when an infant receives BCG vaccination, a vaccine mark should be visible on the right arm after 3 months. If the vaccine mark is not visible, then advice the mother to take her child to the health facility to receive another BCG vaccination. You have entered the date in the future Enter the date that the child received the PCV 1 (Penumococcal , Pneumonia, Week 6) vaccine You have entered the date in the future Enter the date that the child received the PCV 2 (Penumococcal , Pneumonia, Week 10) . You have entered the date in the future Enter the date that the child received the PCV 3 (Penumococcal , Pneumonia, Week 14) . No Yes Did the child receive the BCG (TB) vaccine? No Yes Did the child receive the bOPV 0 (Polio, at birth) vaccine? No Yes Did the child receive the bOPV 1 (Polio, week 6) vaccine? No Yes Did the child receive the bOPV 2 (Polio, week 10) vaccine? No Yes Did the child receive the bOPV 3 (Polio, week 14) vaccine? No Yes Did the child receive the DTP-HepB-Hib 1 (Penta, Week 6) vaccine? No Yes Did the child receive the DTP-HepB-Hib 2 (Penta, Week 10) vaccine? No Yes Did the child receive the DTP-HepB-Hib 3 (Penta, Week 14) vaccine? No Yes Did the child receive the IPV vaccine? No Yes Did the child receive the PCV 1 (Penumococcal , Pneumonia, Week 6) vaccine? No Yes Did the child receive the PCV 2 (Penumococcal , Pneumonia, Week 10) ? No Yes Did the child receive the PCV 3 (Penumococcal , Pneumonia, Week 14) ? No Yes Did the child receive the Rota 1 (Week 6) vaccine? No Yes Did the child receive the Rota 2 (Week 10) vaccine? No Yes Did the child receive the Surua - Rubella 1 (9 months) vaccine? No Yes Did the child receive the Surua - Rubella 2 (18 months) vaccine? You have entered the date in the future Enter the date that the child received the Rota 1 (Week 6) vaccine You have entered the date in the future Enter the date that the child received the Rota 2 (Week 10) vaccine You have entered the date in the future Enter the date that the child received the Surua - Rubella 1 (9 months) vaccine You have entered the date in the future Enter the date that the child received the Surua - Rubella 2 (18 months) vaccine Okay, please continue taking care of your child. Congratulate the mother and remind her of the next vaccination date according to the health card. Remind her how important it is that her child takes ALL the vaccines on time. If your baby cries for more than 3 hours or if you are worried about how he looks or feels, go to the health facility immediately. Serious bad reactions very rare, but can happen occasionally as with any medicine. After getting a vaccine, there is a small chance your baby may get a fever, rash, or a sore arm or leg where the vaccine was given. Give your child plenty of breastmilk. Usually this is mild and not a problem. If it doesn't go away quickly or if you have any concerns, go to the health facility and follow the advice they give you. Provide counseling message around importance of vaccinations and refer to facility. Give advice about the facility vaccination schedule and give an update on the stock availability on the vaccination. Work to ensure that the mother goes on the correct day. If necessary, remind mother that all the vaccines are important to fully protect her child from diseases like diarrhea, polio, measles, Tuberculosis, pneumonia, and others. No Yes LOOK at the health card. Are all vaccinations up to date? That facility asked me to return on a different date The baby is too old to receive that vaccination Clinic was closed Family refused Vaccinations weren't available Why did the child not receive the vaccine? Can you tell me why vaccines are important? What diseases will they prevent? Immunizations Contact ID of the logged in user Facility ID for the parent user Name of the logged in user You can get one for free at the health facility! No Yes If you sleep under mosquito net you can protect yourself and your child from getting malaria. Do you have a mosquito net? Do you know that you and your child are susceptible to malaria? You and your baby are at most risk of malaria. Malaria will continue to be an important danger throughout your child's early years of life. Mosquito Net No Yes Did the partner/male head of household stay for the entire visit? Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe. (CHV). Partner seemed frustrated or aggressive Partner showed no interaction/asked no questions; seemed indifferent about the material Partner asked minimal questions; seemed somewhat concerned or interested in the material Partner asked many questions; seemed very concerned and interested in the material How would you define the partner/male head of household's interaction during the visit? No Yes Was the partner/male head of household present during the home visit? Male Involvement Your child is underweight. You should go to the nearest healthcare facility to see a doctor to check on your baby. Above 2 Between 2 and -2 Below -3 Between -2 and -3 Look on child's growth booklet for growth faltering. Enter the range of the graph that the child is within. Green Red Yellow Measure MUAC and indicate either green, yellow, or red color Baby is okay. Praise the caregiver. Based on your child's MUAC, he/she is severely malnourished. In order to assist you in providing proper nutrition to your child, I am conducting a referral and will return in a few days to follow up on the referral. The child is at risk for malnutrition. SAY: Your child is in need of special care and attention to keep from getting malnourished. During the next visit, I will continue discussing best nutritional practices with you. Palm is not yellow or pale Palm is yellow or pale I will now check your child for anemia. Is there palm pallor? Compare CHV palm with that of a child. In order to assist you in providing proper care to your child, I will conduct a referral for anemia. Malnutrition and Anemia Screening Neonatal Danger Signs Screening Your baby has a danger sign. This is an URGENT and super serious emergency. You should take the baby IMMEDIATELY to the nearest facility. If it is closed, you need to go to the closest hospital. No Yes Is the baby feeling cold or has low temperature? No Yes Is the baby's cord red, bleeding, or draining pus? Educate the mother on how to identify neonatal danger signs and the importance of seeking medical assistance at the health facility as soon as possible. Please refer to bango kitita, page number 18. I'm now going to screen your baby for neonatal danger signs. Has your baby exhibited any of these symptoms within the past 24 hours? No Yes Does the baby have diarrhea? No Yes Is the baby having difficulty or fast breathing (Two counts of 60 breaths or more in one minute)? No Yes is the baby excessively crying or restlessness for more than one hour, non-stop? No Yes Is the baby vomiting excessively? No Yes Are the baby's eyes draining pus? No Yes Does the baby have fever or high temperature? No Yes Has the baby had convulsions? No Yes Is the baby only moving when stimulated? No Yes Has the baby not been able to feed since birth, or stopped feeding well? No Yes Does the baby have skin boils? No Yes Does the baby have yellow or pale palms and soles (hands and feet), and lips? Soles should be red/pink. No Yes Other Neonatal Danger Signs Screening No Yes Does the baby have abdominal distension? No Yes Is the baby blue in color? No Yes Does the baby have a bulging anterior fontanel? No Yes Does the baby have congenital abnormality? No Yes Is the baby experiencing eye discharge or swollen eyes? No Yes Is the baby not passing stool for a day? No Yes Is the child not passing urine for a day? No Yes Is the baby not crying or not breathing normally? No Yes Is the baby having skin rash? No Yes Is the baby occasionally vomiting? No danger signs were identified in your baby, but if the baby develops any of the signs we discussed, you should go the health facility immediately. A danger sign has been identified. Advise the mother to go to any nearby health facility within the next 24 hours so a doctor can look at the baby and help. No Yes If you haven't already, and if you've been providing pregnancy services to 's mother , you should conduct the postpartum visit with her as soon as you finish the infant/child visit. Pospartum Visit Reminder Many people may face challenges when it comes to playing and communicating with their child to stimulate child development. I want to talk to you about some common challenges parents face. No Yes During the visit, did you have any concerns that child is being treated harshly? No Yes Are you concerned that you have to leave the child with someone else for periods of time? No Yes Is the family environment stressful with a lot of arguments? No Yes Are you concerned that not having toys is a problem? On how many days in the past week was the child left in the care of another child, that is, someone less than 10 years old, for more than an hour? Sometimes adults taking care of children have to leave the house to go shopping, wash clothes, or for other reasons and have to leave young children. On how many days in the past week was the child left alone for more than an hour? Named, counted, or drew things for the child None of the above Played with the child Read books or looked at picture books Sang to or with the child, including lullabies Told stories to the child Took the child outside the home Cannot select "None of the above" and another option. In the past three days, did the mother or any household member age 15 or over engage in any of the following activities with the child? No Yes Are you concerned about feeling too stressed or burdened to play and communicate with your child? No Yes Are you concerned about feeling that you don't have enough time to play and communicate? Select 1 play and 1 communication activity from the Play and Communication Guide in the age range of the child. Show the parents the picture and explain the activity. Let caregivers try the activity. Observe the interaction and help caregivers be sensitive and responsive to child's cues. Aim to help the caregiver and child have a successful two-way interaction with caregiver observing, listening and responding to child. If child is not able to do the activity choose from younger age range or suggest ways to make the play simpler. If child is at end of age range and can easily, suggest ways to help the child learn something new or choose activity from next older age range. Encourage the caregiver to continue to engage in play and communication activities daily. Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). How many children's books or picture books or cards do you have in your home? _This can be any written material with pictures_ No Yes Does the child play with homemade toys, such as dolls, cars, or other toys made at home? No Yes Does the child play with household objects such as bowls or pots, or objects found outside, such as sticks, rocks, animal shells or leaves? No Yes Does the child play with toys from a shop or manufactured toys? Now let's practice some new play and communication activities. These activities will help your child learn through seeing, hearing, touching, moving thinking or feeling. If you have concerns that child is not safe due to harsh or physical discipline, refer immediately to the Shehia Women and Children Coordinator or Sheha, who will help you contact the correct authorities or individual. You can also refer to the nearby police station or one stop centre. Harsh child discipline will not support healthy development. Correcting and teaching the child in a positive manner is more effectivePraise the child for good behavior. Give the child choices about what to do, instead of saying "don't". Needing to leave children with others is also a common challenge that mothers and caregivers face. Identify at least one person (over 10 years old) who can care for the child regularly and give the child love and attention. This individual should be advised on how to appropriately care for the child. One challenge if you want your child to get used to another caregiver, is maybe the child doesn't want to leave your side. It only wants to be with you all the time. If you leave your child may cry. This is also very common. But over time, gradually, they can become accustomed to a new person. You just need to give them some time. Don't be afraid. Encourage the mother and father to spend time with the child when possible - Listen to the caregivers feeling and help them identify a key person who can share their feelings and help them with their child. Encourage the caregiver and other family members to support each other in playing and communicating with the child. Build their confidence by demonstrating their ability to carry out a simple activity. Children take their cues from parents. Try to control your own stress and anger: Keep children out of the argument. Reassure your children that the argument is not their fault and that you love them. Finding enough time is a common problem that many mothers and caregivers face. One strategy you may try, is to play with the child any time you are with them. For example, if you're cooking dinner and the child is with you, you can try to take a short moment to play with your child a little bit. Another common challenge is that the you might not get enough help from other members of your family. I suggest, that you speak with other family members to tell them that you are feeling overwhelmed by all the work you are doing at home and taking care of the baby. You can try to encourage people in your family/household to take time to play with the baby. Actually, almost anything can be a toy. You don't need to spend lots of money. You can use any household objects that are clean and safe. You can even use a little bit of fabric/kitambaa in order to make a little toy. Just make sure it is clean and safe. Now, I would like to help you think about what toys we can make just with the materials around us right now. Demonstrate how the caregiver can use local materials to make toys for the child. Show examples appropriate to the child's age. If the children are older, encourage the caregiver to develop no/low cost toys with their children. Play with child. The child will learn by playing with the caregivers and other people. Grandparent Male figure (husband/partner/father) Mother Other Sibling Who engages in these activities with the child? How many total hours did you or any household member over 15 spend playing with the child in the last three days? Please specify Care for child development (CCD): Problem Solving No Yes Is the mother breastfeeding exclusively? Explain the following regarding the importance of breastfeeding a small baby at least every 2-3 hours: Breast milk is the best food for a small baby as it protects the baby against infections A small baby needs to be fed more often because they can only take very small amounts of breast milk at a time If a baby is sleeping for longer than 2 hours, wake the baby up by smooth touch on soles such as palms and foot soles to breastfeed, even during the night No Yes Does your baby breastfeed well? No Yes Are you breastfeeding now? Start the discussion by explaining/defining a "small" baby: A small baby is a baby who is born with less than 2 kg and is considered to be of low birth weight A very low birth weight baby weighs less than 1.5 kg at birth No Yes I'd like to talk to you more about breastfeeding. Have you ever breastfed? Praise the family if the baby is getting only breast milk. Let's practice the proper attachment of the baby during breastfeeding. Could you please show me how you attach the baby? Help the mother to improve attachment: Ask her to touch the baby's lips with her nipple, wait until the baby's mouth is opening wide, and move the baby quickly onto her breast, aiming his lower lip below the nipple. Ask the mother to show you how to position the baby during breast feeding. Discuss with the mother why she is not frequently and exclusively breastfeeding. Advise her and problem solve with her. Small babies may have more health issues than other babies. It is important to look for danger signs, keep them warm, and feed them often to keep them healthy. We are going to learn the issues small babies may face and how we can take care of them. No Yes Is the child being fed anything other than breast milk? Hongera sana,maziwa ya mama yana virutubisho vya kutosha na chakula kamili kwa mwanao. Endelea kumnyonyesha mwanao maziwa ya mama tu kwa muda wa miezi 6 bila ya kumpa kitu kingine chochote. it is not good to give your child who is younger than 6 months anything other than breast milk. Does not know <1 hour 1-2 hours 3 or more hours How long after birth did the mother first put the child to the breast? More than five times Four time a day Three times a day Twice a day How often do you breastfeed your baby, including night and day time? Small Baby Care: Breastfeeding Your baby's umbilical cord stump dries out and eventually falls off - usually within one to two weeks after birth. In the meantime, treat the area gently: Keep the stump dry._Expose the stump to air to help dry out the base. Keep the front of your baby's diaper folded down to avoid covering the stump. DO NOT apply any substance to the cord._ It may be dangerous to your baby to apply any substances to his or her cord. Stick with sponge baths._While there's no harm in getting the stump wet, sponge baths might make it easier to keep the stump dry Let the stump fall off on its own._Resist the temptation to pull off the stump yourself Small baby care - Cord care Advise the mother on maintaining good hygiene, including washing her hands often with soap and water. Explain that preventing infections is even more important for the small baby than the normal baby as the small baby is more prone to infections. Small baby care - Hygiene Kangaroo Mother Care is a method of care for small babies in order to keep the baby warm. The method involves infants being carried with skin-to-skin contact. Emphasize that anyone can do KMC. Review the following steps in placing the baby skin-to-skin, and observe the mother as she practices KMC: Undress the baby except for a nappy, hat and socks. Place the baby upright between the caregiver's breasts or chest with the baby's chest. Put the legs of the baby along the mother's ribs and turn his or her head to one side. Secure the baby with a special blouse or cloth tied around the mother and the baby. The mother can then wear a shirt, sweater or shawl if she wants. Ask the mother to breastfeed the baby as often as the baby wants but at least every 2 hours. It is very important that the baby receives the skin to skin contact for 20 hours every day Do you know why small babies need to stay extra warm in the first days of life? Small babies have less fat than larger babies, so low body temperature can be a major issue. Make sure your baby is dry and warm all the time. Kangaroo mother care (KMC) is an excellent way for mothers to keep these babies warm at all times. The skin-to-skin contact of KMC helps keep the baby's body temperature normal. jr://images/thermal_care_pic_1.png jr://images/thermal_care_pic_2.png Small baby care -- Skin-to-skin care (KMC) SAY: You and your partner/ husband or family members are responsible for the infant's brain and mind development, and these early months and years should be used for his/her growth. A newborn baby can see things, feel things, and can respond to the voices and sounds she or he hears. A baby can tell us she or he is hungry or unhappy by the sounds he makes. A baby loves to see faces of her or his mum and dad (or other important caregiver). [see translation in EFFECTS job aids] The more opportunities we give our babies to explore the world (by playing, practicing new skills, seeing new things and copying what others do), the more information is given to the brain. For your newborn baby, you can: [Days 0-7]: Talk and sing to the baby Provide ways for your baby to see, hear, move arms and legs freely, and touch you Smile at your baby Touch and hold the infant with love [Days 8 to month 6]: PLAY: Provide ways for your child to see, hear, feel, move freely, and touch you. Slowly move colourful things for your child to see and reach for. Sample toys: shaker rattle, big ring on a string. COMMUNICATE: Smile and laugh with your child. Talk to your child. Get a conversation going by copying your child's sounds or gestures. Small baby care - Stimulation Jaribu sana kumfariji mtoto wako ila nilikuwa nataka kuongezea kuwa ni muhimu kumtizama mtoto machoni, kuwashika vizuri na kuongea nao muda wote. Msaidie Mama kuigiza tena na kutumia njia mpya. Umejitahidi kumuonya mtoto wako kutofanya makosa. Ila kwa kuengezea Ni vyema kama mlezi kuhakikisha mtoto anakuwa na tabia njema. Njia hii ni bora kwa maendeleo ya mtoto kuliko kumtukana au kumpiga. Ikiwa mtoto atafanya jambo jema jaribu kumpongeza ili aendelee na tabia mzuri. Washawishi wanawake kuonyesha tena kutumia mbinu mpya. MSHAURI: Muombe mlezi kuiga mienendo ya mtoto na kufata vile mtoto anavyotaka. Naomba kujadiliana na wewe njia mzuri ya kuwarekebisha watoto wakiwa wamefanya makosa, kwa mfano jaalia mtoto anataka kuchukua kikombe cha chai moto, hili ni kosa, kwasababu huenda chai ikamwagikia akaungua. Je unaweza kunionesha ni vipi unaweza kumrekebisha mtoto katika hali hii? Hapana Ndiyo Je umemuona mlezi akiwa anamfariji mtoto? Hapana Ndiyo Je umemuona mlezi akimrekebisha mtoto wake? Muapushe mtoto na vitendo visivyostahiki kwa kutumia vifaa vya kuchezea Anamjibu mtoto kwa hasira na kumkaripia. Ni vipi mlezi alimrekebisha mtoto? Haendi na mtoto anazuia mwenendo wa mtoto hamjibu mtoto. anaenda karibu au na kutembea na mtoto, anaongea na mtoto na anamjibu mtoto Wakati wa tembeleo ni vipi mlezi aliweza kuingiliana na kujibu mienendo, shughuli na milio ya mtoto? Kwa maswali haya yafuatayo, CHUNGUZA maingiliano baina ya mlezi na mtoto ikiwa itawezekana. Ikiwa hukuweza kuchunguza mpaka unamaliza tembeleo, muombe mlezi akuoneshe._ Umefanya vizuri sana kumfariji mtoto na kumuonesha upendo. Unajua sana jinsi ya kuwafariji watoto. kwa mfano ni muhimu sana kumcheki mtoto kwenye macho, kuwashika vizuri, na kuongea nao muda wote. Umefanya vizuri jinsi ulivyomuonya mtoto wako kutofanya makosa. Ni vyema kama mlezi kuhakikisha mtoto anakuwa na tabia njema. Njia hii ni bora kwa maendeleo ya mtoto kuliko kumtukana au kumpiga. Ikiwa mtoto atafanya jambo jema jaribu kumpongeza ili aendelee na tabia mzuri. MPONGEZE mlezi. Matunzo kwa Maendeleo ya Mtoto (CCD): Tabia ya Mlezi na Mtoto miezi 12 mpaka miaka 2 miaka 2 na zaidi miezi 3 mpaka 6 miezi 6 mpaka 9 miezi 9 mpaka 12 Je umri wa mtoto unaendana na maendeleo/ukuaji yake? Umri wa mtoto ni miezi . Tabia za watoto kulingana na umri wao: Miezi 3 hadi 6: Husikiza milio. Hutazama na kufatiza macho kwenye vitu. Anapenda kuangalia watu usoni. Hutaka kuvishika vitu. Miezi 6 hadi 9: Unapojaribu kutabasamu na yeye anatabasamua. Huonesha ishara kama ana njaa. Anapiga kelele ili kuwasiliana. Anaweza kukaa kitako mwenyewe. Huwa anamtambua na anaitika kwa mlezi wake na rangi. Miezi 9 hadi 12: Anaanza kuzungumza na kuunda maneno ya kwanza Anajibu kwa walezi kwa maneno na kimwili Anaanza kutambaa Anasimama mwenyewe Kutembea mwenyewe au kwa msaada Miezi 12 hadi miaka 2: Kutembea mwenyewe. Majadiliano, na umri wa miaka 2 huanza kuunda sentensi fupi sana Anaanza kuunda maswali Anakula mwenyewe Kulala usiku mzima Miaka 2 au Zaidi: Anaanza kueleza anachokitaka, anaonesha vitu anavyovipenda, kuuliza maswali na kadhalika, anaweza kutunga sentensi mzima na anaanza kuhoji mambo yanayomzunguka. Je kuna wanafamilia wengine au walezi ili washiriki katika mjadala huu unaohusu maendeleo ya mtoto? Hakikisha unamuhamisha baba kushiriki kama yupo, wakaribishe ili washiriki kwenye mjadala, pia muombe mama awe na mtoto wake karibu. Kuwasiliana vizuri na mtoto wako ni muhimu sana kwani inakuza uhusiano bora na maendeleo ya afya ya mtoto wako. Kupitia kuzungumza na watoto na kuwaambia majina ya vitu, inawafanya wayajue maneno na hili linasaidia wao kuweza kuongea kwa urahisi. Kucheza kuna umuhimu mkubwa kwa mtoto. Mtoto asiyepata fursa ya kucheza hatakuwa na maendeleo mazuri ya afya. Watoto wanajifunza kupitia kuona wanachofanya watu wengine, huiga na kufanya mambo mapya. Michezo ni njia bora ya kuwasaidia watoto kujifunza na kufanya mambo mapya. Haongei na mtoto au anaongea kwa ukali na mtoto Tabasamu kwa mtoto Muangalie mtoto machoni n uongee nae kwa upole sana, uliza maswali Anajaribu kulazimisha tabasamu au hamfanyii kazi mtoto. Je unaweza kunionesha vipi unazungumza na mtoto wako? Je unaweza kuonesha unawafanyia nini ukitaka watabasamu? Orodhesha mlezi anaongeaje na mtoto: Hapana Ndiyo Ni vipi unacheza na mtoto wako? Onesha kama njia mlezi anayocheza na mtoto kwa mfano kwa tumia toiz, michezo ya maneno au nyenginezo inayoendana na umri wake. Hivi ni vizuri sana, kuwasiliana na mtoto wako kama hivi itakuza maendeleo ya afya ya mtoto wako. Kupitia kuzungumza na watoto na kuwaambia majina ya vitu, inawafanya wayajue maneno na hili linasaidia wao kuweza kuongea kwa urahisi. MPONGEZE mlezi aliyeonesha jinsi anavyocheza na mtoto kwa maendeleo ya afya yao. Watoto wanajifunza kupitia walichokiona kutoka kwa wengine, huiga na kujifunza vitu vipya. kucheza ni njia mzuri ya kumsaidia mtoto kujifunza na kufanya vitu vipya. Kadiri tunavyotoa fursa watoto wetu kucheza ndio akili zao hupata taarifa na uelewa mpana. Kwa mfano mtoto anavyotikisa kengele anajifunza mlio unaojitokeza, wanajifunza jinsi ya kuizungusha kengele, pia inamsaidia kuwa imara mwilini. Muache mtoto akuoneshe mchezo gani anapenda kucheza na wewe usiwe wa kwanza kumuamulia vipi acheze. Muitikie mtoto kulingana na sauti yake na anavyotaka. Muite jina lake na mtizame jinsi anavyojibu. Njia nzuri za kuwasiliana na mtoto wako kwa umri huu ni: Muulize mtoto wako maswali rahisi. Mjibu mtoto wako kadiri anavyojaribu kuzungumza muoneshe na zungumza huhusu asili, picha na vitu Muhimize mtoto wako kuzungumza na jibu maswali ya mtoto wako. Wafunze watoto wako hadithi, nyimbo na michezo. Ongea kuhusu picha au vitabu. Watoto watasoma maneno kama utachora kitu alafu utalirejea neno. MSHAURI mlezi kwamba wanaweza kuchora picha mzuri kwenye madaftari ya watoto wenyewe, sio lazima wanunue dukani. Kwa mfano: Kitabu cha picha mambo ya kuchora ,kengele, pembea, baskeli. Mwambie mtoto wako majina ya vitu na watu. Muoneshe mtoto wako jinsi ya kutumia maumbile ya mwili wakati anazungumza kwa mfano akisema "kwa heri" Sampuli ya Toiz mdoli. Kucheza ni muhimu ili kuwezesha maendeleo ya afya. Kwa umri huu, njia mzuri ya kucheza na mtoto wako ni: Msaidie mtoto wako hesabu, kujua majina ya vitu na kulinganisha vitu. Mfanyie toiz mwanao. Sampuli ya toiz: vitu vyenye rangi na maumbo tofauti bakora ili achague. Mpatie mtoto wako kitu kisafi na salama ashike, kengele na chupa. Sampuli ya toiz: Vibakuli na mifuniko yake, Sufuria na Kijiko. Ifiche Toiz ambayo mtoto anaipenda chini ya nguo au boksi, halafu uangalie kama anaweza kuifichua play peek-a-boo Mpe vitu mtoto apange, pia aviweke kwenye kontena na kisha avitowe. - Njia mzuri ya kuwasiliana na mtoto wako katika umri huu: (onesha kwa vitendo) Tabasamu na cheka na mtoto wako. Ongea na mtoto wako. Fatilia mazungumzo kwa kujaribu kuiga sauti na jinsi mtoto anavyotumia lugha za ishara za mwili wake FANYA: Muombe Mlezi kuigiza lugha za ishara na sauti; kuigiza sauti ya mtoto na lugha ya ishara_ajaribu kutabasamu na kuona mtoto atafanyaje. MSHAURI mlezi kwamba ajaribu kuzungumza na mtoto sana. Watoto huanza kutambua maneno mengi kabala hawajaanza kuongea, lakini kama hatutoongea na watoto wetu hawataweza kujifunza maneno mapya. Watoto huwa wanawasiliana na sisi wakiwa wachanga sana, na hata kabla hawajaanza kuongea huwa wanatwambia wanachohitaji na pia wanajua muda tukiwa tumefurahi au tumekasirika. Kucheza ni muhimu sana kwa maendeleo ya afya ya mtoto. Mtoto asiye na fursa ya kucheza na kujifunza mambo mapya hatakuwa na maendeleo bora ya afya. Tunapaswa kuhakikisha watoto wetu wanapata fursa ya kutosha ya kucheza, kujifunza kufanya mambo mapya, kuona vitu vipya na kuiga watu wengine wanachokifanya. Kwamfano wanapotikisa kengele hujifunza ile sauti inayotoka wakati unapoitikisa kengele, pia hujifunza jinsi ya kuizungusha kengele. Pendekeza mchezo mmoja ambao mlezi anaweza kujaribu kucheza na mtoto wake na waelekeze jinsi kuucheza na mtoto. Kisha sisitiza jinsi mtoto anavyofurahi pale anapochezana mlezi wake. Kwa umri huu, njia mzuri ya kucheza na mtoto ni: (Onesha) Andaa njia za mtoto wako kuona, kusikia, kuhisi, kutembea kwa uhuru, na kukugusa. Jaribu kuhamisha polepole vitu anavyovipenda mtoto wako ili avione na kuvifikia. (Mfano wa toiz: kengele, pete kubwa iliyofungwa kwenye kamba) Katika umri huu watoto wana tabia ya kuingiza mdomoni kila wanachokipata. Walezi wasiwakataze kufanya hivyo kwasababu mdomo ndio kiungo kikubwa cha hisia kwao kipindi hiki, ambacho wanakitumia kuonja ladha, ulaini na ugumu wa kitu. Ni njia ya kujifunza. Cha msingi ni kuhakikisha unampatia mtoto kitu kilicho salama na safi na kiwe kikubwa ili kuhakikisha hawakimezi. Haongei na mtoto Muangalie mtoto machoni na uongee nae kwa upole sana Anajaribu kulazimisha tabasamu au hamjibu mtoto. Fanyia kazi sauti na vitendo vya mtoto ili kupata tabasamu la mtoto Je unaweza kunionesha jinsi unavyoongea na mwanao au kumfanya atabasamu? Onesha jinsi mlezi anavyoingiliana na mtoto. Hachezi na mtoto Mfanye mtoto ashughulike nawe kwa kutumia cherewa au kitu chengine cha kuchezea. Chezesha miguu na mikono ya mtoto au mpige pige mtoto kwa upole sana Je unaweza ukanionesha jinsi unavyocheza na mtoto wako? Naomba nioneshe tafadhali. Unafikri watoto wako wanajifunza kitu gani wakati mkicheza? Onesha jinsi mama anavyoingiliana na mtoto wake. MPONGEZE mlezi kwa kuwasiliana vizuri na mtoto. Watoto huwa wanawasiliana na sisi hata pale wanapokuwa katika umri mdogo. Hata kabla hawajaanza kuongea huwa wanatwambia wanachohitaji na pia wanajua nyakati tukiwa tumefurahi au tumekasirika. Kupitia kuzungumza na watoto wetu na kuwaambia majina ya vitu kunawafanya wayatambue majina na hili linawasidia kuweza kuongea kwa urahisi. Kurejea rejea ni njia ya mzuri ya mtoto kujifunza. MPONGEZE mama kwa jinsi alivyocheza na mtoto wake vizuri. Mtoto anajifunza kupitia michezo na hujaribu kufanya baadhi ya vitu. Huchunguza na kuiga kile watu wanachokifanya kwamfano wakitikisa kengele hujifunza sauti inayotoka kwenye kengele pia hujifunza kuizungusha kengele. - Mama Watu wengine au walezi Nani mara nyingi humlea mtoto? Ningelipenda kuongea na nyinyi kuhusu tabia na maendeleo ya mtoto wenu. Chunguza jinsi wanavyofatilia mazungumzo yako. Hizi ni nyakati muhimu sana kwa watoto katika maisha yao, kipindi hiki watoto ndio hujifunza hivyo inategemea na matendo yenu kwani mnachokifanya ndio watachojifunza. Ningependa kukuuliza maswali kuhusu jinsi mtoto wako anavyojifunza na kujadili jinsi ya kucheza na kuwasiliana na mtoto wako ili kuwasaidia wakuwe vyema na waweze kujifunza. Wakaribishe walezi na familia na wahamasishe kushiriki kwenye mjadala. Matunzo kwa ajili ya Maendeleo ya Mtoto. (CCD): Tathmini maendeleo na fundisha kuhusu mawasiliano na michezo Hapana Ndiyo Je mtoto anaona baridi au ana kiwango cha chini cha joto? Hapana Ndiyo Je mtoto amewahi kupata degedege kwa siku za karibuni? Hapana Ndiyo Je mtoto anakohoa? Mtoto anaonesha kuwa ana dalili za hatari. Mshauri mama aende kituo cha afya kilichopo karibu naye ndani ya saa 24 ili daktari amuone mtoto na kumsaidia. Hapana Ndiyo Je mtoto anaharisha? Hapana Ndiyo Je mtoto anapumua kwa tabu au kwa haraka (anapumua mara 60 au zaidi kwa daikika moja)? Hapana Ndiyo Je mtoto anaweza kunywa au kunyonya maziwa ya mama? Hapana Ndiyo Je mtoto anaweza kula na kunywa? Hapana Ndiyo Je mtoto anaweza kunyonya maziwa ya mama? Hapana Ndiyo Je mtoto an homa au joto kali? Hapana Ndiyo Je mtoto analegea na kupoteza fahamu? Hapana Ndiyo Je mtoto ana majipu katika ngozi? Hapana Ndiyo Je mtoto anatapika kila kitu? Dalili za hatari za mtoto Hakuna dalili ya hatari yoyote iliyoonekana kwa mtoto wako, lakini ikitokea mtoto ameonesha dalili yoyote ya hatari tulizojadili, hakikisha unamuwahisha kituo cha afya kilichopo karibu nawe haraka. Hapana Ndiyo Ningependa tujadili jinsi ya kukihifadhi vinyesi vya Watoto, kinyesi cha mtoto kinaweza kuwa hatari au chanzo cha maradhi. Ni wapi mtoto wako anajisaidia? Ni wapi unapokitupa kinyesi cha mtoto wako? Hapana Ndiyo Je una choo nyumbani mwako? Choo cha flashi Vyengine Choo cha shimo kisicho na paipu Choo chenye kikalio ambacho kina paipu Ni aina gani ya choo? Kutumia choo inaweza kusadia kukuepusha na usambaaji wa maradhi. Ikiwa upo uwezekano, ni vyema ukawa na choo ndani mwako. Mueleze mama hatari ya kinyesi cha mtoto na njia salama ya kukihifadhi: Njia salama ya kukihifadhi kinyesi cha mtoto ni kumsaidia mtoto aweze kujisaidia chooni au kukitupa kinyesi cha watoto wachanga kwenye shimo la choo. Upo ushahidi unaoonesha kuwa kinyesi cha mtoto ni hatari zaidi kuliko cha mtu mzima. Vinyesi vya watoto ni vyema vikahifadhiwa kama vya watu wazima, kutumia njia salama ya kuvitupa ambayo itahakikisha watu hawakutani navyo au havileti uchafuzi kwenye kaya. Utupaji wa kinyesi cha mtoto Habari mama? Kama tulivyozungumza wakati wa matembeleo yetu yaliyopita kuwa ntakuja kukutembelea kwa ajili ya kujua maendeleo na afya ya mtoto/watoto, na pia kujadiliana na wewe pamoja na familia juu ya malezi na makuzi bora ya mtoto/watoto wako. Nafahamu kuwa unajua jinsi ya kumtunza mtoto wako na kumkuza vizuri, lakini hii ni kama nyongeza tu ya elimu kutokana na ongezeko la maradhi na matatizo mbali mbali yanayoweza kudhoofisha afya na makuzi bora ya mtoto. Tarehe ya mwisho ya tembeleo: Jina: Umri: miaka, miezi, siku Mtu wa karibu kwa mawasiliano: Namba ya nyumba: Kitongoji: . Aina ya tembeleo: Mtoto/Mchanga Mawasiliano: Maelezo ya Mteja Hapana Ndiyo Je! Wewe au mlezi ana matatizo yoyote kwamba mtoto hajibu au inaonekana kuwa mgumu wa kujifunza? Naomba nikuulize baadhi ya maswali maalumu yanayohusu maendeleo ya mtoto wako Kuwa na mtoto ambaye ni mzito wa kujifunza kunaweza kukufanya ujiskie vibaya. Mtoto anayechelewa katika maendeleo anahitaji msaada zaidi wa kulishwa na kujifunza mambo mapya. Muda wa ziada unahitajika kumsaidia kula, kucheza naye na kuwasiliana naye ili mtoto aweze kupata uwezo mpya. Asante kwa kueza kuzungumza na mimi leo kuhusu mambo haya, nimegundua tatizo ambalo nakushauri uwende kumuona daktari ili akusaidie, nitakupa rufaa uende kituo cha karibu nawe. Ipe rufaa familia kwenye vipimo vya usikivu na uoni kama kuna hitajio. Hapana Ndiyo Ukilinaganisha na watoto wengine je mtoto wako anaonekana ni mzito kiakili, si mchangamfu au ni mgumu kujifunza? Hapana Ndiyo Je, mtoto wako anaweza kuita jina la kitu japo kimoja (kwa mfano, mnyama, toiz, kikombe au kijiko)? Hapana Ndiyo Je, mtoto wako anajifunza kufanya baadhi vitu kama vile wanavyofanya watoto wa umri wake? Hapana Ndiyo Ukilinganisha na watoto wengine je mtoto wako ana tatizo lolote linahusiana na kuchelewa kukaa, kusimama au kutembea? Hapana Ndiyo Je, mtoto wako ana tatizo la kusikia( anatumia kifaa kinachomsaidia kusikia, anasikia kwa shida, hasikii kabisa)? Hapana Ndiyo Ukilinganisha na watoto wengine je mtoto wako ana tatizo la uoni nyakati za usiku au machana?. Hapana Ndiyo Je, mtoto wako anapata shida wakati wa kutembea au anapojaribu kuzungusha mikono yake au Je ana udhaifu wowote kwenye miguu na mikono? Hapana Ndiyo Je, mtoto wako anaweza kuzungumza Je anaweza kuzungumza maneno yanayoeleweka? Hapana Ndiyo Je, mtoto wako wakati mwingine ana degedege/kukukutika/mdudu, inakuwa ngumu, au kupoteza fahamu? Hapana Ndiyo Je, mtoto wako anazungumza tofauti na inavyopaswa kuwa (mazungumzo yake hayaeleweki vizuri na watu wengine isipokuwa watu wa karibu wa familia yake)? Hapana Ndiyo Unapomuambia mtoto wako afanye kitu fulani je anaonekana anakuelewa ulichomwambia? Matunzo kwa Maendeleo ya Mtoto (CCD): Mambo Yanayohusu Maendele ya Mtoto ULIZA na CHUNGUZA: Je vipi mtoto anahifadhiwa? Mpongeze mlezi ikiwa mtoto huwa anafunikwa vizuri na kuwa karibu na mama yake, na ikiwa anakoshwa kwa maji ya vuguvugu na kukaushwa haraka. Ikiwa sio, jaribu kutatua tatizo. Angalia ukurasa wa 10 wa Bango Kitita kwa melezo zaidi. Je unamuekaje mtoto ukitaka kumnyonyesha? Unanyonyesha kila baada ya kipindi gani? mtoto anachukua muda gani kunyonya kwa mara moja? SIKILIZA: Mruhusu mama kueleza uzoefu wake wa kunyonyesha punde baada ya kujifungua. Hapana Ndiyo Je bado mtoto wako ananyonya? Ningependa kuzungumza na wewe kuhusu unyonyeshaji wa mtoto. Muelimishe mama umuhimu wa kumnyonyesha mwanawe maziwa ya mama pekee kwa miezi sita ya mwanzo na muhamasishe kunyonesha mtoto mwara kwa mara. Fungua kadi namba 13 katika bango kitita kwa maelezo zaidi. Hapana Ndiyo Je mtoto ananyonyeshwa maziwa ya mama peke yake? Ipongeze familia ikiwa mtoto ananyonyeshwa maziwa ya mama peke yake. Je unaendeleaje na kunyonyesha? Je una tatizo lolote unahitaji tujadili? Jadili tatizo na mama. Jadiliana na mama kwanini hamnyonyeshi mtoto maziwa yake tu. Mshauri na kutatua tatizo. CHUNGUZA: kama kuna uwezekano muombe mama amnyonyeshe mtoto wake na chunguza, ikiwa hakuna uwezekano muulize mama maswali kuliko kumchunguza. Osha mikono yako. CHUNGUZA Je mama anayenyonyesha anaelewa hili ? Je umegundua kuna tatizo lolote kwenye kunyonyesha? Toa muongozo kwa kile ulichokiona. Jaribu kutatua tatizo lolote uliloliona au alilolisema mama. hajui Chini ya saa 1 saa 1 mpaka 2 masaa 3 au zaidi Baada ya kujifungua, ni muda gani ulichukua kuanza kumnyonyesha mtoto wako? - Huduma muhimu ya watoto wachanga: Kuhifadhi na kunyonyesha Muelimishe mama njia nzuri za upakataji na uwekaji wa mtoto katika ziwa ili kufanikisha unyonyrshaji. Fungua bango kitita kadi namba 16 na 17. jr://images/attachment_pic_1.png jr://images/attachment_pic_2.png Hapana Ndiyo Je, upakataji na uwekaji wa mtoto katika titi uko sawa? Hii inamaanisha kuwa kidevu kinagusa titi,kinywa cha mtoto kimeachama sawasawa, mdomo wa chini wa mtoto unabinuka kwa nje, sehemu kubwa nyeusi ya titi inaonekana zaidi juu ya kinywa cha mtoto kuliko chini. Msaidie Mama kufanya haya yafuatayo: Kukaa au kulala vizuri. Mshike mtoto mwili mzima, sio shingo tu na mabega. Hakikisha kichwa cha mtoto na mwili vimenyooka. Mtoto atazame ziwa la mama. Pua ya mtoto iwe mkabala na kinyonyeo. Alishike ziwa na mgusishe mtoto nalo kwenye mdomo wake ili mtoto afungue mdomo. Hakikisha mdomo wa mtoto umekaa vizuri kwenye ncha ya ziwa la mama. Hakikisha mtoto amewekwa vyema ili kuweza kunyonya vizuri. Agusishe mdomo wa mtoto na kinyonyeo. Mpongeze mama kwa kumuweka vizuri mtoto wake wakati wa kumnyonyesha. Msaidie mama kujua Zaidi kumuweka vizuri mtoto kwa ajili ya kumnyonyesha. Muongozo wa kumuweka mtoto vizuri wakati wa kunyonya: Kama mtoto analala sana na anakosa kunyonya, muamshe kwa kupapasa mwili wake, miguu au mikono. Ikiwa mtoto bado hanyonyi baada ya saa moja, kamua maji maji ya mwanzo ya njano kutoka kwenye maziwa kwenye kikombe au kijiko kilicho safi. Mpe mtoto anywe mara kwa mara na kwa kiwango kidogo, hakikisha mtoto anaweza kumeza. Kugusisha midomo ya mtoto kwa kinyonyeo chake. Asubiri hadi mdomo wa mtoto umefunguka sana. Amuweke mtoto haraka kwenye maziwa akitega mdomo wa chini wa mtoto vizuri chini ya kinyonyeo. Kama maziwa yamevimba, pakaza kiwango kidogo cha maziwa kabla ya kuanza kumnyonyesha mtoto ili kulainisha kinyonyeo na iwe rahisi kwa mtoto kunyonya. Hapana Ndiyo Je mtoto ananyonya vizuri? Mpongeze mama na mshauri kuendelea kufanya hivyo. Huduma muhimu ya watoto wachanga: Upakataji na uwekaji wa mtoto katika titi. Usafi ni muhimu wakati wa chakula cha ziada, mshauri hivi mama: Usafi ni muhimu huzuiya mtoto kuharisha. Tumia kjiko na kikombe safi wakati wa kumlisha na kumnywesha mtoto. Kosha mikono yako kwa sabuni na maji yanaotiririka mara kwa mara. Usafi ni muhimu wakati wa chakula cha ziada, mshauri hivi mama: Usafi ni muhimu huzuiya mtoto kuharisha. Kosha mikono yako kwa sabuni na maji yanaotiririka mara kwa mara. Sasa naomba tuongee kuhusu usafi wa chakula: Usafi ni mzuri na muhimu kwa kujikinga na maradhi ya kuharisha. Tumia kijiko au kikombe safi wakati wa kumlisha au kumnywesha mtoto. Kosha mikono yako kwa sabuni na maji yanayotiririka mara kwa mara, hasa kabla ya kuanza kumlisha mtoto. Ikiwa mtoto wako hanyonyi tena, tafadhali hakikisha anapata chakula chenye afya na kilicho bora. Hapana Ndiyo Je bado unamnyonyesha mtoto wako? Endeleae kumnyonyesha mtoto wako kwa mujibu wa mahitaji yake muda wote, usiku na mchana. Hili litafanya afya ya mtoto kutengemaa na kumfanya awe na nguvu, kwani maziwa ya mama ni chakula muhimu sana kwa mtoto. Jaribu kupika vyakula tofauti tofauti kwa ajili ya mtoto: Kila wiki unaweza kuongeza aina mpya ya chakula kwa mtoto. Mlishe mtoto chakula cha ziada mara mbili kwa siku. Mpe mtoto ladha tofauti mara mbili au tatu kwenye kila mlo. Maziwa ya mama yabaki kuwa ni chakula kikuu kwenye umri huu wa mtoto. Endelea kunyonyesha kwa mujibu wa mahitaji ya mtoto. Kunywa maji masafi na ya kawaida ni kitu kizuri kwa afya ya mtoto. Mlishe mtoto kwenye chombo cha peke yake. Matunzo muhimu ya mtoto mdogo -- Lishe Kikawaida kamba iliyopo kwenye kitovu cha mtoto wako hukauka na kudondoka chenyewe ndani ya wiki moja ua mbili baada ya mtoto kuzaliwa. Katika kipindi hiki hakikisha unakitunza kipaswavyo: Hakikisha kinakuwa kikavu: jaribu kukiruhusu kipate hewa ili iwe rahisi kukauka. Unapomfunga mtoto wako hakikisha unamfunga kwa chini ya kitovu ili kuepuka kukifunika. Usiingize kitu chochote kwenye kitovu cha mtoto_unapoeka kitu chochote inaweza kusababisha madhara kwa mtoto. Muogeshe kwa kumfuta. Kumuogesha kwa kumfuta ni vizuri, itasaidia kuafanya kitovu kikauke haraka. Iache kamba ya kitovu idondoke yenyewe epuka kujaribu kuivuta ili kidondoke. Huduma muhimu kwa watoto wachanga: Jinsi ya kukitunza kitovu. [Siku 0-7:] Ongea na mwimbie mtoto. Mhamasishe aweze kuangalia, kusikiliza, kurusha miguu na mikono na kugusa vitu. Muoneshe tabasamu. Mshike mtoto wa upendo. [Siku 8 hadi miezi 6]: MCHEZO: Toa njia za mtoto wako kuangalia, kusikiliza, kurusha mikono na miguu kwa uhuru, na kukugusa. Pole pole msogezee mtoto wako vitu vya rangi kwa ajili ya kuviangalia na kuvifuatilia. Mfano: Vitu vya kuchezea: kitairi kikubwa kwenye uzi, mwiko. WASILIANA: Tabasamu na cheka. Zungumza na mtoto wako. Hojiana kwa kuiga sauti ya mtoto wako au ishara. Wewe na mwenzako/ mume wako au familia muna jukumu la kuhakikisha maendeleo ya akili ya mtoto na katika kipindi hiki cha miezi na miaka ya mwanzoni ni vyema kutumiwa vyema ili kuifanya akili yake ikuwe vizuri Mtoto mchanga anaweza kuona vitu, kuvihisi, na anaweza kujibu sauti na milio huwa anasikia. Mtoto anaweza kutuambia kuwa anaona njaa au hana furaha kwa kwa sauti yake. Mtoto huwa anapenda kuona sura ya mama na baba yake (walezi wake wa karibu.)[ angalia tafsiri kwenye muongozo wa kazi] Kadiri tunavyowapa nafasi watoto wetu kudadisi wanayaona (kwa kucheza, kufanya mambo mapya, kuona vitu vipya na kuiga) ndio kadiri tunavyoweza kuwafanya wawe na akili. Kwa mtoto wako unaweza : Huduma muhimu/za lazima kwa mtoto mchanga: Kuchangamsha Hapana Ndiyo Je uzito wa mtoto alipozaliwa umeandikwa kwenye kadi? Lengo ni kukagua kama mtoto amezaliwa na uzito mdogo au la! ingiza nambari baina 0.5 na kilo 7 Ingiza uzito wa mtoto kwa Kilo. Hapana Ndiyo Kadi la mtoto lipo? Mkubwa Kawaida Mdogo Kwa kukisia mtoto aliazaliwa na ukubwa wa kiasi gani? Nyumbani kituo cha Afya Njiani kuelekea kituo cha Afya Je ni wapi mtoto alizaliwa? Iangalie kadi ya mtoto au Kijitabu cha huduma za mtoto njiti ili kupanga matembeleo ya ufatiliaji. Mshauri mama arudi kituo cha afya kwa matembeleo ya ufatiliaji. Hapana Ndiyo Je umepatiwa huduma maalumu wanayopatiwa watoto waliozaliwa wadogo hospitali? Huu ni ukubwa wa kawaida wa mtoto kwahivyo anahitaji apate uangalizi wa kawaida. Utajifaunza ni jinsi gani tunapaswa kutunza watoto waliozaliwa na ukubwa wa kawaida baadae. Mpe rufaa kwenye wodi ya watoto njiti. Mtoto huyu amezaliwa mdogo hivyo anahitaji uangalizi wa ziada kutoka kwa wahudumu wa afya wa jamii wa kujitolea na familia. Tutazungumza kuhusu uangalizi maalumu anaopaswa kupatiwa mtoto wako. Tembeleo la kwanza anaaendelea vyema na hahitaji kwenda kituo cha Afya kwa sasa. Utarudi kumkagua tena wakati wa tembeleo jengine. Ili kushughulikia upungufu wa damu. Ili kushughulikia dalili za hatari za dharura za mtoto. Ili kushughulikia maswala ya kujifunza na maendeleo ya mtoto. Ili kushughulikia utapiamlo. Ili kushughulikia dalili za hatari za dharura za mtoto mchanga. anahitaji kupelekwa kituo cha Afya kwa sababu zifuatazo: Ili kushughulikia dalili za hatari za mtoto mchanga. Apate huduma maalum kwa ajili ya watoto wadogo. Ili kuhakikisha amepokea chanjo stahiki. Umekataa kupata huduma ya Afya ya jamii. Sitofanya tembeleo lolote linalohusu Afya ya jamii kwake . Wahamasishe wazazi kumpeleka mtoto kituo cha Afya haraka iwezekanavyo ili kupata huduma. Wataarifu kwamba utarejea baada ya siku tatu kuhakikisha kwamba wameweza kupata huduma stahiki kituo cha Afya. Muhtasari wa Tembeleo Ni muhimu kunawa mikono yako kwa maji na sabuni kabla ya kushika mtoto. Watoto wachanga wanaweza kupata maambukizi kwa urahisi zaidi kuliko mtu mzima au Maambukizo yanayoweza kuhama kutoka kwa mtu mzima kwenda kwa mtoto yanaweza kuwa hatari kwa sababu kinga ya watoto bado ni dhaifu / haijatengenezwa kikamilifu hivyo unawaji wa mikono kwa usahihi ni mojawapo ya njia bora sana za kuzuia maambukizi. Mambo yanayopaswa kuwepo ili kukosha mikono vizuri: Tunahitaji maji safi yenye kutiririka na sabuni. Ikiwa maji na sabuni hamna unaweza kutumia jivu. Nyakati muhimu za kukosha mikono ni: Baada ya kutoka chooni. Kabla ya kumlisha mtoto. Kabla ya kula. Baada ya kumsafisha mtoto. Kabla ya kuandaa chakula. Baada ya kutengeneza nyama, samaki au kuku. Uoshaji wa mikono Muombe mama ahakikishe kuwa wahudumu wa kituo cha afya wanaandika rikodi kuhusu chanjo kwenye kadi la afya la mtoto. Naomba uniitie Mumeo au wanafamilia ili nipate kuwaeleza umuhimu wa chanjo. Hapana Ndiyo Sasa nitapendelea kupitia kadi la kliniki la mtoto kuhakikisha amepata/wamepata chanjo zote stahiki mpaka sasa. Je, Una kadi la kliniki la mtoto wako? Usimsomee, jaza wewe (CHV). Hakikisha umeingiza tarehe sahihi Ingiza tarehe mtoto aliyopata chanjo ya BCG (Kifua kikuu). Hakikisha umeingiza tarehe sahihi Ingiza tarehe mtoto aliyopata chanjo ya bOPV 0 (Polio, Kupooza, anapozaliwa). Hakikisha umeingiza tarehe sahihi Ingiza tarehe mtoto aliyopata chanjo ya bOPV 1 (Polio, Kupooza, wiki 6). Hakikisha umeingiza tarehe sahihi Ingiza tarehe mtoto aliyopata chanjo ya bOPV 2 (Polio, kupooza, wiki 10). Hakikisha umeingiza tarehe sahihi Ingiza tarehe ya ambayo mtoto amepata chanjo ya bOPV 3 (Polio, kupooza, wiki 14). Hakikisha umeingiza tarehe sahihi Ingiza tarehe mtoto aliyopata chanjo ya DTP-HepB-Hib 1 (Penta) (Donda koo, kifaduro, pepopunda, Hipatitis B, Wiki 6). Hakikisha umeingiza tarehe sahihi Ingiza tarehe ambayo mtoto amepata chanjo ya DTP-HepB-Hib2 (Penta) (Donda koo, kifaduro, pepopunda, Hipatitis B, Wiki 10). Hakikisha umeingiza tarehe sahihi Ingiza tarehe ambayo mtoto amepata chanjo ya DTP-HepB-Hib 3 (Penta, Donda koo, kifaduro, pepopunda, Hipatitis B, Wiki 14). Hakikisha umeingiza tarehe sahihi Ingiza tarehe ambayo mtoto amepata chanjo ya IPV. Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). INGIZA chanjo zilizoanishwa kwenye kadi ya mtoto ya kliniki ndani ya kitendea kazi chako (chanjo ambazo unaweza kuwa umeingiza wakati wa tembeleo lililopita hazitooneshwa). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Kawaida mtoto akishachomwa sindano ya chanjo ya BCG inabidi baada ya miezi mitatu kovu ionekanwe kwenye bega la kulia la mtoto. Kama hutoona kovu imetokea, mshauri mama ampeleke mtoto kituo cha Afya na kuwaambia watoa huduma waliopo kituo cha Afya ili apatiwe chanjo tena. Hakikisha umeingiza tarehe sahihi Ingiza tarehe mtoto aliyopata chanjo ya PCV 1 (Penumococcal , Nimonia, Wiki 6). Hakikisha umeingiza tarehe sahihi Ingiza tarehe mtoto ambayo amepata chanjo ya PCV 2 (Penumococcal , Nimonia, Wiki 10). Hakikisha umeingiza tarehe sahihi Ingiza tarehe ambayo mtoto amepata chanjo ya PCV 3 (Penumococcal , Nimonia, Week 14). Hapana Ndiyo Je mtoto amepata chanjo ya BCG (Kifua kikuu)? Hapana Ndiyo Je mtoto amepata chanjo ya bOPV 0 (Polio, Kupooza, anapozaliwa)? Hapana Ndiyo Je mtoto amepata chanjo ya bOPV 1 (Polio, Kupooza, wiki 6)? Hapana Ndiyo Je mtoto amepata chanjo ya bOPV 2 (Polio, kupooza, wiki 10) ? Hapana Ndiyo Je mtoto amepata chanjo ya bOPV 3 (Polio, kupooza, wiki 14)? Hapana Ndiyo Je mtoto amepata chanjo ya DTP-HepB-Hib1 (Penta) (Donda koo, kifaduro, pepopunda, Hipatitis B, Wiki 6)? Hapana Ndiyo Je mtoto amepata chanjo ya DTP-HepB-Hib2 (Penta, Donda koo, kifaduro, pepopunda, Hipatitis B, Wiki 10)? Hapana Ndiyo Je mtoto amepata chanjo ya Penta DTP-HepB-Hib 3 (Penta, Donda koo, kifaduro, pepopunda, Hipatitis B, Wiki 14)? Hapana Ndiyo Je mtoto amepata chanjo ya IPV? Hapana Ndiyo Je mtoto amepata chanjo ya PCV 1 (Penumococcal, Nimonia, Wiki 6)? Hapana Ndiyo Je mtoto amepata chanjo ya PCV 2 (Penumococcal , Nimonia, Wiki 10)? Hapana Ndiyo Je mtoto amepata chanjo ya PCV 3 (Penumococcal , Nimonia, Week 14) ? Hapana Ndiyo Je mtoto amepata chanjo ya Rota 1 (Kuharisha, Wiki 6)? Hapana Ndiyo Je mtoto amepata chanjo ya Rota 2 (Kuharisha, Wiki 10)? Hapana Ndiyo Je mtoto amepata chanjo ya Surua -Rubella 1 (Miezi 9) ? Hapana Ndiyo Je mtoto amepata chanjo ya Surua-Rubella 2 (miezi 18) ? Hakikisha umeingiza tarehe sahihi Ingiza tarehe mtoto aliyopata chanjo ya Rota 1 (Kuharisha, Wiki 6) . Hakikisha umeingiza tarehe sahihi Ingiza tarehe ambayo mtoto amepata chanjo ya Rota 2 (kuharisha, Wiki 10). Hakikisha umeingiza tarehe sahihi Ingiza tarehe ambayo mtoto amepata chanjo ya Surua-Rubella1 (Miezi 9). Hakikisha umeingiza tarehe sahihi Ingiza tarehe ambayo mtoto amepata chanjo ya Surua-Rubella 2 (Miezi 18). - Sawa, taafadhali hakikisha unaendelea kumtunza mtoto wako vizuri. Mpongeze mama na mkumbushe kuhusu tarehe ya chanjo nyengine kama kadi ilinavyoonesha. mkumbushe kuwa kuna umuhimu mkubwa ikiwa mtoto wake atapatiwa chanjo zote kwa muda uliopangwa. Ikiwa mtoto wako analia kwa zaidi ya masaa 3 au ukiwa unahofu jinsi anavyooneka au anavyojiskia, nenda kituo cha afya haraka. Ni mara chache sana kujitokeza kwa athari yoyote mbaya. Lakini inaweza kujitokeza baadhi ya muda mtu anapotumia dawa yoyote ile. Baada ya kupata chanjo, mtoto wako anaweza kupata homa, upele au maumivu kwenye mkono au mguu katika maeneo ambayo amechomwa sindano. Mnyonyeshe mtoto wako. Hii hali ni ya kawaida kujitokeza wala sio tatizo ikiwa hali hii itachelewa kuondoka au una shaka yoyote nenda kituo cha afya na ufate ushauri wataokupatia. Toa ushauri nasaha kuhusu umuhimu wa chanjo na mpe rufaa aende kituo cha afya. Washauri kuhusu ratiba ya chanjo kituoni na wape taarifa kuhusu upatikanaji wake, jitahidi uhakikishe kuwa mama anahudhuria kwenye chanjo siku iliyopangwa. Ikiwa kuna umuhimu, mkumbushe mama kuwa chanjo zote ni muhimu kwa ajiili ya kumkinga mtoto na maradhi kama vile kuharisha, polio,surua, Kifua kikuu, nimonia, na mengineyo. Hapana Ndiyo HAKIKI kwenye kadi ya mtoto. Je chanjo zote zimeorodheshwa? Nimeambiwa na wahudumu nirudi tarehe nyengine Mtoto ni mkubwa mno kwa chanjo hiyo Kliniki ilikuwa imefungwa familia imekataa Chanjo ilikuwa hamna Kwanini mtoto hapatiwa chanjo? Unaweza kunieleza kwa nini chanjo ni muhimu? Zinakinga maradhi gani? Chanjo - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Unaweza kupata chandarua kimoja bure kituo cha afya. Hapana Ndiyo Munaweza kujikinga na malaria ikiwa mtalala kwenye chandarua chenye dawa. Je unacho chandarua? Je unajua wewe na mtoto wako mupo katika hatari ya kuugua malaria? wewe na mtoto wako mupo katika hali ya hatari zaidi endapo mtaugua malaria, malaria ni moja kati ya maradhi mabaya kwa mtoto wako hasa kipindi cha mwanzoni akiwa mchanga. Kuhusu Chandarua Hapana Ndiyo Je Mwenza/Mkuu wakaya alikaa mda wote wa temebeleo lako? Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe. (CHV). Mwenza amekasirika Mwenza hakuonesha ushirikiano, hakuuliza maswali au anaonekana hayaafiki maelezo. Mwenza ameuliza maswali machache na ameonekana kuzingatia na kufurahishwa na maelezo. Mwenza ameuliza maswali mengi na ameonekana kuzingatia na kufurahishwa na maelezo. Kivipi unamuona wenza/ mkuu wa kaya alivyoshiriki katika mazungumzo yenu wakati wa tembeleo lako? Hapana Ndiyo Je Mume au Mwenza wake ambaye ndio mkuu wa kaya alikuwepo wakati wa tembeleo lako Kuwashirikisha Wanaume Mtoto wako ana uzito pungufu hakikisha unamuwahisha kituo cha afya kilichopo karibu na wewe ukamuone daktari ili ampime mtoto wako? zaidi ya 2 kati ya 2 na chini ya 2 Chini ya 3 kati ya chini ya 2 na chini ya 3 Tazama kitabu cha mtoto cha makuzi. Ingiza makadirio ya grafu ambayo mtoto yupo. Kijani Nyekundu Manjano Mpime MUAC na onesha kama je yupo kwenye kijani, manjano au nyekundu. Mtoto yupo sawa. _Mpongeze mlezi._ Kutokana na kipimo cha lishe cha mtoto wako kinaonesha ana utapia mlo mkali. Ili kukusaidia mtoto wako kurudia katika hali yake bora ya lishe, nakupatia rufaa na nitarudia siku chache kufatilia kuhusu rufaa. Mtoto yupo katika hatari ya utapia mlo Mtoto wako anahitaji uangalizi wa ziada ili kumuepusha na utapia mlo. Nitapokuja kukutembelea tena tutajadili kuhusu lishe na kipi cha kufanya ili kupata lishe b Kiganja si cha njano na hakiina mpauko Kiganja ni cha njano au kina mpauko Sasa nitaangalia wingi wa damu wa mtoto wako?ha mtoto. Je kiganja chake cha mkono ni cheupe sana?Linganisha kiganja cha CHV na c Ili kukusaidia mtoto wako apate matibabu, nitahakikisha nitampa rufaa ya wa tatizo la upungufu wa damu. Kuchunguza utapia mlo na upungufu wa damu Kuchunguza Dalili za hatari kwa mtoto mchanga Mtoto wako ana dalili za hatari hizi zinahitaji kushungulikiwa kwa haraka. Mpeleke mtoto kituo cha afya kilichopo karibu. Ikiwa kituo kimefungwa nenda hospitali iliyopo karibu nawe. Hapana Ndiyo Je mtoto anajisikia baridi au ana kiwango cha chini cha joto? Hapana Ndiyo Je kitovu cha mtoto ni chekundu, kutoka damu au usaha? Muelimishe mama jinsi ya kutambua dalili za hatari kwa mtoto mchanga na umuhimu wa kutafuta msaada wa matibabu katika kituo cha afya haraka. Tumia bango kitita kadi namba 18. Nihitaji kumchunguza mtoto wako dalili za hatari. Je, mwanao ameonesha dalili zote kati ya hizi katika masaa 24 yaliyo pita? Hapana Ndiyo Je mtoto anaharisha? Hapana Ndiyo Je mtoto anapumua kwa tabu au kwa haraka (anapumua mara 60 au zaidi kwa daikika moja)? Hapana Ndiyo Je mtoto analia sana au kwa mfululizo bila kumpuzika kwa zaidi ya saa moja? Hapana Ndiyo Je mtoto anatapika sana ? Hapana Ndiyo Je macho ya mtoto yanatoka usaha? Hapana Ndiyo Je mtoto ana homa au joto kali? Hapana Ndiyo Je mtoto ana degedege? Hapana Ndiyo Je mtoto anacheza pale anapoguswa tu? Hapana Ndiyo Je mtoto hawezi kunyonya tangu azaliwe au amesita kunyonya vizuri? Hapana Ndiyo Je mtoto ana majipu katika ngozi? Hapana Ndiyo Je viganja, mikono na mdomo viko na rangi ya njano au nyeupe ? (inapaswa iwe nyekundu au pink). Hapana Ndiyo Kuchunguza dalili nyengine za hatari kwa mtoto Hapana Ndiyo Je mtoto amevimba tumbo? Hapana Ndiyo Je mtoto amebadilika rangi kuwa buluu,njano au zambarau? Hapana Ndiyo Je mtoto amevimba utosi? Hapana Ndiyo Je mtoto ana ulemavu wakuzaliwa nao au kasoro za kuzaliwa nazo? Hapana Ndiyo Je macho yamezama ndani? Hapana Ndiyo Je mtoto ana tatizo la kutopata choo kikubwa kwa siku? Hapana Ndiyo Je mtoto ana tatizo la kutokukojoa kwa siku? Hapana Ndiyo Je mtoto halii au hapumui kama kawaida? Hapana Ndiyo Je ana upele kwenye ngozi? Hapana Ndiyo Je mtoto ana tapika mara moja moja? Hakuna dalili yoyote ya hatari iliyogundulika, lakini iwapo mtoto ataonesha dalili yoyote kati ya tulizojadili, unapaswa kwenda kituo cha Afya haraka iwezekanavyo. Dalili ya hatari imegundulika. Mshauri mama aende kituo cha Afya kilicho karibu nae ndani ya masaa 24 yajayo ili Daktari aweze kumuangalia mtoto na kutoa msaada. Hapana Ndiyo Ikiwa ulikuwa unamtebelea mama yake wakati wa ujauzito, basi punde tu utakapomaliza temebeleo la mtoto, tafadhali endelea na tembeleo la baada ya kujigungua. Ukumbusho wa kufanya tembeleo la mama mjamzito Watu wengi hupata changamoto wakati wanapocheza na kuwasiliana na watoto wao, ili kuhamasisha maendeleo ya mtoto. Ningependa nizungumze nawe kuhusu baadhi ya changamoto maarufu ambazo wazee zinawakuta. Hapana Ndiyo Wakati wa tembeleo lako je uliona hali yoyote inayoonesha mtoto analelewa vibaya au ukali? Hapana Ndiyo Je unakwazwa na hali ya wewe kuondoka na kumuacha mtoto kwa mtu mwengine kwa kipindi fulani? Hapana Ndiyo Je mazingira ya familia ni yenye malumbano na yenye kusabisha msongo wa mawazo? Hapana Ndiyo Je unahisi kutokuwa na toiz ni tatizo? Ni siku ngapi katika wiki iliyopita mtoto aliachiwa mtoto mwenziwe aliye chini ya miaka 10 amlee kwa zaidi ya saa moja? Baadhi ya mda walezi huondoka nyumbani na kwenda dukani, kuosha nguo au kwa sababu nyengine tofauti na ikabidi kuwaacha watoto. Ni siku ngapi nyuma mtoto aliachwa peke yake nyumbani kwa zaidi ya saa moja? Mtoto ametajiwa, amehesabiwa, amechorewa vitu kwa ajili yake. Hakuna kimoja wapo kati ya hivyo. Kufanya michezo na mtoto. kusoma vitabu au kuangalia picha za vitabu Mtoto huimbiwa nyimbo Mtoto husimuliwa hadithi Mtoto hutolewa nje ya nyumba. Huwez kuchaguwa "Hakuna moja wapo" na chaguo jengine Siku tatu zilizopita nyuma, Je mama au mwanafamilia yoyote aliye na umri wa miaka 15 au zaidi amefanya akiwa na mtoto shughuli hizi zifuatazo? Hapana Ndiyo Je huwa unajiskia vibaya au mwenye kuchoshwa kucheza na kuwasiliana na mtoto wako? Hapana Ndiyo Je unahisi huna muda wa kutosha wakucheza na kuwasiliana? Chagua mchezo 1 na shughuli moja ya mawasiliano kutoka kwenye muongozo wa michezo na mawasiliano kulingana na umri wa mtoto. Waoneshe wazee picha na waelezee shughuli. Wape nafasi walezi wafanye shughuli. Chunguza maingiliano na wasaidie walezi wawe wanafatilia mienendo ya mtoto. Dhamiria kuwasaidia walezi na mtoto kuwa na mafanikio ya maingiliano ya pande mbili jinsi mlezi akiangalia, kusikiliza na kumjibu mtoto. Ikiwa mtoto hawezi kufanya shughuli yoyote chagua mchezo unaoendana na umri wa mtoto au pendekeza njia ya kufanya mchezo uwe rahisi. Ikiwa mtoto ni mkubwa kidogo na anaweza kwa urahisi, pendekeza njia za kumsaidia mtoto kujifunza kitu kipya au chagua shughuli kutoka kwa umri mkubwa kidogo unaolingana na yeye. Muhimize mlezi kuendelea na mchezo na shughuli za mawasiliano. Usimsomee, jaza wewe (CHV). Usimsomee, jaza wewe (CHV). Je nyumbani kwako kuna vitabu vingapi vya watoto au vitabu vyenye picha au kadi? Hapana Ndiyo Je mtoto huwa anachezea na toiz zilizotengezwa nyumbani kama vile midoli, magari au toiz nyengine zinazotengezwa nyumbani. Hapana Ndiyo Je mtoto anacheza na vitu vinavyopatikana nyumbani kama vile upawa, masufuria au vitu anavyoukutana navyo nje kama vile bakora, vipuri vya wanyama au majani? Hapana Ndiyo Je mtoto anachezea toiz kutoka madukani au zilizosanifiwa? Wacha tujifunze michezo mipya na njia nyengine za kuwasiliana. Mambo haya yatamsaidia mtoto wako kwenye uoni, usikivu, kugusa, kubadilisha mawazo au hisia. Ikiwa una shaka kwamba huenda mtoto hayupo salama kutokana na adhabu kali mpe rufaa haraka iwezekanavyo kwa Mratibu wa Wanawake na Watoto wa Shehia au Sheha ambaye atakusaidia kuwasiliana na mamlaka sahihi au mtu sahihi. Pia unaweza kumpeleka kituo cha police kilichopo karibu nawe au kituo cha mkono kwa mkono. Adhabu kali kwa mtoto hazitamsaidia kuwa na maendeleo mazuri ya afya. Kuwarekebisha na kuwafundisha watoto kwa namna nzuri ni kitu kinachoshauriwa zaidi. Msifie mtoto akifanya jambo zuri mpe uhuru mtoto achague lipi la kufanya badala ya kusema "usifanye''. Hali ya kuwaacha watoto kwa mtu mwengine pia ni moja ya changamoto inayowakumba mama na walezi wengi, orodhesha angalau mtu mmoja (aliye na umri wa zaidi ya miaka 10) ambaye atakuwa anawatunza watoto wako, kuwaandalia na kuwapa upendo. Mtu huyu ni lazima ashauri njia mzuri ya kuwatunza watoto. Mmoja kati ya changamoto unazoweza kupata ikiwa mtoto wako analelewa na mlezi mwengine na mtoto hataki kukaa mbali nawe, kila mda anapenda awe na wewe tu, kama ukimuacha mtoto wako atalia hii sana huwa linajitokeza. Ila itafika mda watoto watomzoea mlezi wao mpya, unachopaswa kufanya kuwa na subra. Wala usiogope. Washajihishe mama na baba watenge muda wa kucheza na mtoto ikiwa kuna uwezekano Tafadhali kuwa na tahadhari unapomuacha mtoto na walezi wengine ili kuepuka majanga yanayoweza kutokezea. Msikilize mlezi jinsi anavyojiskia na msaidie kuorodhesha mtu muhimu ambaye anaweza kumsimulia hisia zake na kumsaidia mtoto wake Muhamasishe mlezi na ndugu wa familia wawe pamoja kumsaidia mama kucheza na kuwasiliana na mtoto Wajengee uwezo/Imani kwa kuwaonesha uwezo walio nao kufanikisha jambo dogo Watoto huiga matendo ya wazee. Jaribu kupunguza hasira na msongo wa mawazo: Waepushe watoto na malumbano na migogoro? Jaribu kuwahakikishia watoto kuwa migogoro na malumbano yanayojitokeza siyo makossa yao na unawapenda sana. Tatizo la Kuwa muda wakutosha ni kitu ambacho mama na walezi wengi kinawakuta, njia moja unaweza kujaribu ni kucheza na mtoto muda wowote unapokuwa naye, kwamfano ukiwa unapika mlo wa usiku na mtoto akiwa yupo karibu nawe, unaweza kujaribu kutenga mda kidogo kucheza na mtoto wako. Changamoto nyengine ni kuwa unaweza kujikuta huna muda wa kutosha wa kuwasaidia wanafamilia. Nashauri ni vyema ukazungumza na wanafamilia waambie kuwa unajikuta umeelemewa majukumu mengi nyumbani na kumshughulikia mtoto. Unaweza kujaribu kuwahamasisha wanafamilia kutenga mda kucheza na mtoto. Ukweli ni kwamba karibu kila kitu kinaweza kuwa toiz. Siyo lazima utumie pesa nyingi kununa toiz. Unaweza kutumia baadhi ya vitu vinavyopatikana majumbani ambavyo ni visafi na salama. Unaweza kutumia kitambaa kwa ajili ya kutengeza toiz. La msingi hakikisha ni safi na salama. Sasa ningependelea nikusaidie kufikiri ni toiz zipi tunaweza kutengeneza kwa kutumia mambo tuliyonayo nyumbani. Onesha jinsi gani mlezi anaweza kutumia mambo yanayopatikana nyumbani kufanya toi kwa mtoto. Onesha mifano inayoendana na umri wa mtoto. Ikiwa watoto ni wakubwa, washajihishe wazee kutengeza mambo ambayo hayatawagharimu au kutumia fedha nyingi kutengeza toi kwa watoto wao. Cheza na mtoto. Mtoto hujifunza kupitia kucheza na walezi na watu wengine. Bibi na Babu Wanaume (mume/mwenza/baba) mama wengine Ndugu wengine Je ni nani huwa anacheza na kuwasiliana na mtoto? Ni jumla ya masaa mangapi umetumia wewe au mwanafamilia yoyote aliye na zaidi ya miaka 15 kucheza na mtoto kipindi cha siku tatu nyuma? Tafadhali taja Matunzo kwa Maendeleo ya Mtoto (CCD): Kutatua Tatizo Hapana Ndiyo Je mtoto ananyonyeshwa maziwa ya mama peke yake? Eleza yafuatayo kuhusu umuhimu wa kumnyonyesha mtoto njiti angalau kwa masaa 2-3: Maziwa ya mama ni chakula bora sana kwa mtoto njiti kwani humkinga na maambukizi. Watoto njiti wanatakiwa mwanyonyeshwe mara kwa mara kwasababu huwa wananyonya kidogo tu. Ikiwa mtoto atalala zaidi ya masaa 2 , muamshe kwa kugusagusa kwenye viganja au migunii ili umnyonyeshe hata nyakati za usiku. Hapana Ndiyo Je mtoto wako ananyonya vizuri? Hapana Ndiyo Je unanyonyesha saa hivi? Fungua mjadala kwa kuanza kutoa maana ya "Mtoto njiti'': Mtoto njiti ni mtoto aliyezaliwa na uzito usiozidi kilogram 2 ambao ni uzito mdogo ambao si wa kawaida kwa watoto wanaozaliwa sasa. Uzito mdogo zaidi ni ule usiozidi kilogram 1.5 wakati mtoto anapozalia Hapana Ndiyo Ningependa kuzungumza na wewe kuhusu kunyonyesha Je ushawahi kunyonyesha? Wapongeze wanafamilia ikiwa mtoto ananyonyeshwa maziwa ya mama tu. Wacha tujifunze jinsi ya kumueka mtoto vizuri mtoto wakati wa kumnyonyesha. Je unaweza kunionesha jinsi gani unamueka mtoto wako? _Msaidie mama kuboresha jinsi ya kumueka mtoto: muombe amgusishe mtoto ncha ya ziwa kwenye midomo yake, subiria hadi mtoto afungue mdomo wake vizuri, na muingizie mtoto ziwa karibu na mdomo wa chini._ _Muombe mama akuoneshe jinsi anavyomueka mtoto wake wakati wa kumnyonyesha._ Jadiliana na mama kwanini hamnyonyeshi mtoto wake mara kwa mara na kama inavyopaswa. Mtoto aliyezaliwa mdogo anaweza kuwa na mambo mengi ya kuzingatia kifya kuliko mtoto mwengine. Hivyo kuna umuhimu wa kumuangalia dalili za hatari, kumueka katika hali ya ujoto na kuwanyonyesha inavyopaswa ili kumfanya awe afya bora. Tutajifunza kuhusu mambo ambayo mtoto njiti yanaweza kumkuta na jinsi ya kumsaidia Hapana Ndiyo Je mtoto anapewa/analishwa kitu chochote zaidi ya maziwa ya mama? Hongera sana,maziwa ya mama yana virutubisho vya kutosha na chakula kamili kwa mwanao. Endelea kumnyonyesha mwanao maziwa ya mama tu kwa muda wa miezi 6 bila ya kumpa kitu kingine chochote. Si vyema mtoto ambaye ana umri wa chini ya miezi 6 kupewa vitu/vyakula vingine vyovyote ziaidi ya maziwa ya mama. Hili litasababisha maziwa kupungua na kumletea mtoto madhara kama kuumwa na tumbo na kuharisha. hajui Chini ya saa 1 saa 1 mpaka 2 masaa 3 au zaidi Ni muda gani mama alianza kumshonyesha mtoto wake punde baada ya kumzaa? zaidi ya mara tano kwa siku mara nne kwa siku mara tatu kwa siku mara mbili kwa siku Ni kwa kiasi gani unamnyonyesha mtoto wako, Ikiwemo usiku na mchana? Matunzo ya mtoto mdogo: Kunyonyesha Kamba ya kitovu cha mtoto wako kinakauka na hata kuanguka, kikawaida ndani ya wiki au wiki mbili baada ya kuzaliwa, kwa sasa jaribu kuitunza seheme vizuri: Weka kitovu kikavu, kiwache kipate upepo kusaidia kukauka. Ishushe pempas/kitambaa cha mtoto wako chini kwa mbele kuzuia kukifunika kitovu. Usiweke kitu chochote kwenye kitvou inaweza kuwa hatari kwa mtoto wako ikiwa utaingiza kitu chochote kwenye kitovu. Endelea kusafisha mtoto kwa kitambaa. Ikiwa hakuna madhara kitovu kikipata maji maji, kumkogesha mtoto kwa kitambaa kunaweza kusaidia kitovu kuwa kikavu. Kiache kitovu kianguke chenyewe. Jizuie kutamani kukivuta kitovu. Matunzo ya mtoto Njiti -- Matunzo ya kitovu Mshauri mama juu ya kudumisha usafi, ikiwemo kuosha mikoni mara kwa mara kwa sabuni na maji, mueleze kwamba kujikinga na maambukizi ni muhimu Zaidi kwa mtoto mtoto Njiti kuliko mtoto wa kawaida kwa sababu mtoto Njiti yupo kwenye hatari Zaidi ya maambukizi. Matunzo ya mtoto Njiti- Usafi Matunzo ya ngozi kwa ngozi (KMC) ni njia ya matunzo kwa mtoto Njiti kwa ajili ya kumfanya mtoto aendelee kuwa na joto stahiki. Njia hii huhusisha mtoto kuchukuliwa kwa kutumia makutano ya ngozi kwa ngozi. _Sisitiza kwamba mtu yoyote anaweza kufanya KMC._ Pitia hatua zifuatazo katika kumuweka mtoto kwa njia ya ngozi kwa ngozi na muangalie mama wakati anafanya KMC: Mvue nguo mtoto isipokuwa nepi, kofia na soksi. Muweke mtoto upright kati ya kifua cha mlezi pamoja na kifua cha mtoto. Weka miguu ya mtoto sambamba na mbavu za mama na kilekeze kichwa cha mtoto upande mmoja. Mfunike mtoto na nguo maalum itakayofungwa kumzunguka mama na mtoto. Sasa mama anaweza kuvaa shati, au sweta akitaka. _Mwambie mama amnyonyeshe mtoto mara kwa mara kadri ya mtoto anavyotaka kunyonya lakini angalau masaa 2._ Ni muhimu sana mtoto kupata makutano ya ngozi kwa ngozi kwa muda wa masaa 20 kila siku. Je unajua kwa nini watoto njiti wanatakiwa kukaa sehem yenye joto la ziada kwa siku zao za mwanzo baada ya kuzaliwa? Watoto njiti wana mafuta kuliko watoto wakubwa, kwa hyo kuwa na joto lisilotosha linaweza kuwa ni tatizo. Hakikisha mtoto wako yuko mkavu na mwenye joto mda wote. Matunzo ya ngozi kwa ngozi (KMC) ni njia nzuri Zaidi kwa mamam kumfanya mtoto awe na joto stahiki mda wote. Muingiliano wa ngozi kwa ngozi unasaidia joto la mtoto kuwa la kawaida. jr://images/thermal_care_pic_1.png jr://images/thermal_care_pic_2.png Matunzo ya ngozi kwa ngozi (KMC) ni njia ya matunzo kwa mtoto njiti ya kumfanya mtoto aendelee kuwa na joto stahiki. Njia hii huhusisha mtoto kuchukuliwa kwa kutumia makutano ya ngozi kwa ngozi. Sisitiza kwamba mtu yoyote anaweza kufanya KMC. Wewe na mwenzako/ mume wako au familia muna jukumu la kuhakikisha maendeleo ya akili ya mtoto na katika kipindi hiki cha miezi na miaka ya mwanzoni ni vyema kutumiwa vyema ili kuifanya akili yake ikuwe vizuri Mtoto mchanga anaweza kuona vitu, kuvihisi, na anaweza kujibu sauti na milio huwa anasikia. Mtoto anaweza kutuambia kuwa anaona njaa au hana furaha kwa kwa sauti yake. Mtoto huwa anapenda kuona sura ya mama na baba yake (walezi wake wa karibu.)[ angalia tafsiri kwenye muongozo wa kazi] Kadiri tunavyowapa nafasi watoto wetu kudadilisi wanayaona (kwa kucheza, kufanya mambo mapya, kuona vitu vipya na kuiga) ndio kadiri tunavyoweza kuwafanya wawe na akili. Kwa mtoto wako unaweza: [Siku 0-7]: Ongea na mwimbie mtoto. Mhamasishe aweze kuangalia, kusikiliza, kurusha miguu na mikono na kugusa vitu. Muoneshe tabasamu. Mshike mtoto wa upendo. [Siku 8 hadi miezi 6]: MCHEZO: Toa njia za mtoto wako kuangalia, kusikiliza, kurusha mikono na miguu kwa uhuru, na kukugusa. Pole pole msogezee mtoto wako vitu vya rangi kwa ajili ya kuviangalia na kuvifuatilia. Mfano: Vitu vya kuchezea: kitairi kikubwa kwenye uzi, mwiko. WASILIANA: Tabasamu na cheka. Zungumza na mtoto wako. Hojiana kwa kuiga sauti ya mtoto wako au ishara. Matunzo ya mtoto njiti - Kumchangamsha <_id/> yes no at_home health_facility on_way_health_facility yes no yes no small regular large yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no above_2 btw_2_neg_2 neg_2_neg_3 lt_neg_3 green yellow red present not_present lt_1_hour one_two_hours three_more_hours dont_know yes no yes no yes no yes no yes no lt_1_hour one_two_hours three_more_hours dont_know yes no twice_day three_times_day four_times_day five_more_times_day yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no stage_3mo_to_6mo stage_6mo_to_9mo stage_9mo_to_12mo stage_12mo_to_2yr stage_2yr_plus yes no moves does_not_move yes no yes no distracts scolds yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no yes no frustrated_aggressive indifferent somewhat_concerned_interested very_concerned_interested yes no latrine_pit latrine_vip latrine_flush_toilet latrine_other yes no