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Textbook of Community and Social Paediatrics
SR Banerjee
1:
Newborn Health around the Globe
INTIMATE INTRINSIC LINK BETWEEN THE HEALTH OF MOTHERS AND NEWBORN INFANTS
SOCIAL, CULTURAL, ECONOMIC AND ENVIRONMENTAL INFLUENCES AND NEWBORN HEALTH
NEWBORN HEALTH: GLOBAL SCENARIO
CURRENT LEVEL OF PERINATAL AND NEONATAL MORTALITIES
PATTERN OF PERINATAL AND NEONATAL MORTALITY
CAUSES OF NEONATAL MORTALITY (Table 1.1)
SIGNS OF PROGRESS IN THE HEALTH STATUS OF NEWBORN
Family Planning Programs
Code of Marketing of Breast milk Substitutes and Baby-friendly Hospital Initiative
Three International Events in 1990
STRATEGIES FOR THE ORGANIZATION AND DELIVERY OF NEWBORN HEALTH CARE
2:
Perinatal Care in the Community: Current Perspectives
PERINATAL AND MATERNAL HEALTH INDICES
THE EXISTENT HEALTH INFRASTRUCTURE
ESSENTIAL PERINATAL/NEONATAL CARE
BASIC ANTENATAL CARE
MAJOR CAUSES OF NEONATAL DEATHS
HOME CARE OF NEWBORN BABIES
RESEARCH ISSUES AND PRIORITIES
CONCLUSION
3:
Breastfeeding Today's Infant
INTRODUCTION
THE TREND
CHILD SURVIVAL AND OPTIMAL IYCF
GOAL
OBJECTIVES
THE STRATEGY
OPERATIONAL TARGETS SET BY INNOCENTI DECLARATION 2005
SETTING UP A NATIONAL BREASTFEEDING COMMITTEE AND STATE BREASTFEEDING COMMITTEES
ROLE OF BREASTFEEDING COMMITTEES
THE IMPORTANCE OF EARLY INITIATION AND EXCLUSIVE BREASTFEEDING
Total Duration versus True Duration of Exclusive Breastfeeding
GROWTH OF EXCLUSIVELY BREASTFEEDING CHILDREN
THE RIGHT AGE FOR ADDITION OF COMPLEMENTARY FOODS
SUSTAINED BREASTFEEDING FOR TWO YEARS OR BEYOND
OPERATIONAL GUIDELINES FOR PROMOTION OF PROPER INFANT FEEDING
Through RCH-I and II, ICDS and other Developmental Programs for Women and Children
Institutional Promotion of Appropriate Breastfeeding
Skill Training on IYCF Courses
3-in-1 Training Courses
BFHI (Baby-friendly Hospital Initiative)
Improving the Nutrition of Pregnant and Lactating Women and Extension of Maternity Leave and Community Support for a Breastfeeding Mother Extension of Maternity Leave
COMMUNITY SUPPORT FOR A BREASTFEEDING MOTHER
IMPROVING THE NUTRITION OF PREGNANT AND LACTATING WOMEN
IMPLEMENTATION OF “THE INFANT MILK SUBSTITUTES, FEEDING BOTTLES AND INFANT FOODS (REGULATION OF PRODUCTION, Supply and Distribution) Act, 1992”
THE ACT AND THE IAP/IMA
INFORMATION, EDUCATION AND COMMUNICATION (IEC) IN SUPPORT OF BREASTFEEDING
STRATEGIC INTERVENTIONS TO ACHIEVE OPTIMAL IYCF
What Could be a ‘Minimum Basic Package’?
CONCLUSION
ACKNOWLEDGMENTS
4:
Gender Issues in Reproductive and Child Health
5:
Baby-friendly Hospital Initiative
6:
Diagnosis and Management of Acute Respiratory Tract Infections in the Community
INTRODUCTION
EPIDEMIOLOGY AND ETIOLOGY
DIAGNOSIS
Clinical Presentation
Laboratory Diagnosis
MANAGEMENT
Treatment
Duration of Treatment
Problems in Management
The Family
The Medical Community
Resources
RECOMMENDATIONS
7:
Epidemiology of Allergy and Childhood Asthma
FACTORS INFLUENCING THE DEVELOPMENT OF ASTHMA AND ALLERGY
Prevalence, Morbidity and Mortality of Asthma
Prevalence of Asthma
Occupational Asthma
Morbidity from Asthma
School Absences
Mortality from Asthma
NATURAL HISTORY OF ASTHMA
NATURAL HISTORY OF ALLERGIC RHINITIS
SUMMARY
8:
Tuberculosis in Children
MAGNITUDE
DEFINITION AND TERMINOLOGY
TUBERCULOUS INFECTION AND DISEASE
Risk Factors and Rate of Primary Infection
CHILDHOOD TUBERCULOSIS
Pulmonary Tuberculosis
Hematogenous Dissemination
EXTRAPULMONARY TUBERCULOSIS
Tuberculous Pleural Effusion
TUBERCULOSIS ADENITIS
ABDOMINAL TB
SKELETAL TUBERCULOSIS
TUBERCULOSIS MENINGITIS (TBM)
DISSEMINATED (DTB)/MILIARY TB (MTB)
DIAGNOSIS
INVESTIGATION
TUBERCULIN TEST
CONTACT TRACING
RADIOLOGICAL DIAGNOSIS
BACTERIOLOGY
BODY FLUIDS
STAINING
CULTURE
POLYMERASE CHAIN REACTION (PCR)
TREATMENT
DIRECTLY OBSERVED TREATMENT SHORT COURSE (DOTS)
Case Definitions
MONITORING AND EVALUATION
ACTIONS IN INTERRUPTION OF TB TREATMENT
CHEMOPROPHYLAXIS
NEONATES BORN TO MOTHERS HAVING INFECTIOUS TB
ANTITUBERCULOSIS THERAPY (ATT)
HIV and TB
TB TREATMENT IN HIV-INFECTED PATIENTS
MULTIDRUG RESISTANCE IN TREATMENT OF TUBERCULOSIS (MDRTB)
PRINCIPLES OF TREATMENT
CONCLUSION
9:
Acute Diarrhea in Children
DEFINITION
EPIDEMIOLOGY
TYPES OF DIARRHEA AND ASSESSMENT OF DEHYDRATION
IMPORTANT PATHOGENS CAUSING DIARRHEA
Bacteria
Virus
Protozoa
Entamoeba histolytica, Giardia lamblia, Cryptosporidium parvum
Bacterial Diarrhea
Vibrio cholerae
Other Vibrios
SHIGELLA SPP
Enterovirulent Escherichia coli
Campylobacter
Nontyphoidal Salmonella Species
Clostridium difficile
Aeromonas and Plesiomonas
Viral Diarrhea
Rotavirus
Enteric Adenovirus
Human Caliciviruses (Norovirus and Sapoviruses)
Astrovirus
Parasitic Diarrhea
Giardia lamblia
Entamoeba histolytica
Cryptosporidium
INDICATIONS OF INVESTIGATION
LABORATORY DIAGNOSIS
MANAGEMENT
Intravenous Therapy for Severe Dehydration
Recent Concept of Use of Hyposmolar ORS
Role of Zinc Supplementation
Possibility of Use Probiotics
Role of Antimicrobials
Use of Antiemetics and Antimicrobials in Combinations
Food during and after the Episode
PREVENTION
Vaccines
10:
Waterborne Noninfectious Diseases
IDENTITY
MAJOR USES
ENVIRONMENTAL FATE
OCCURRENCE OF ARSENIC IN GROUNDWATER
ENVIRONMENTAL LEVELS AND HUMAN EXPOSURE
STANDARD AND GUIDELINES
Health Effect
PRESENCE OF ARSENIC
Remediation
Removal of Arsenic from Groundwater
Co-precipitation
Adsorption
Ion Exchange
Reverse Osmosis
Fluorosis
SOURCES OF FLUORIDE
Standard and Guidelines
EXCESS FLUORIDE IN DRINKING WATER
Health Effect
Remedial Measures
Water for Drinking and Cooking
Methemoglobinemia
DISEASES FROM LEAD CONTAMINATION IN WATER
STANDARD AND GUIDELINE VALUE
HEALTH EFFECT
Diseases from Mercury Contamination in Water
OTHER NON-COMMUNICATION DISEASES FROM CHEMICAL CONTAMINATION OF WATER
11:
Nutritional Problems in the Young
INTRODUCTION
PROTEIN ENERGY MALNUTRITION (PEM)
Classification
Weight for Age Classifications
Welcome Trust Classification
Current Nomenclature
Etiology
Prevalence and Trends
Infant Feeding Practices
IRON DEFICIENCY ANEMIA (IDA)
VITAMIN A DEFICIENCY
IODINE DEFICIENCY DISORDERS (IDD)
OBESITY
Definition
Burden
Causes of Obesity
Prevention and Treatment
12:
Nutritional Anemia in Children
IRON DEFICIENCY ANEMIA IN CHILDREN
Epidemiology
Stages of Iron Deficiency
Iron Metabolism
Etiology of IDA in Children
Etiological Factors in IDA
Clinical Features
Anemia-related Symptoms
Other Features
Other Features
Investigations
Examination of the Peripheral Smear
Reticulocyte Count
Confirmatory Tests
Serum Iron
TIBC
FEP
Serum Ferritin
Bone Marrow Iron
Soluble Plasma Transferrin Receptors (TfR)
Confirmatory Tests for IDA
Therapeutic Test
Management of Iron Deficiency Anemia
Treatment of Cause
Iron Therapy
Oral Iron Therapy
Type of Iron Salt
Side-effects
Combination with Other Nutrients
Newer Iron Preparations
Response to Therapy
Failure of Oral Iron Therapy
Daily versus Weekly Supplementation
Parenteral Iron Therapy
Dose
Parenteral Iron Therapy
Dietary Modification
Diet
Community Level
Conclusion
MEGALOBLASTIC ANEMIA
Clinical Features of Megaloblastic Anemia
Diagnosis of Megaloblstic Anemia
Peripheral Blood Smear
Estimation of Serum Vitamin B12 and Folate Levels
Treatment of Nutritional Megaloblastic Anemia Folate Deficiency
Vitamin B12 Deficiency
13:
National Nutrition Programs—Objectives Evaluation, Critical Analysis and Remedies
INTRODUCTION
Integrated Child Development Services Scheme (ICDS)
Beneficiaries
Objectives
Activities
Organization
Evaluation
National Program for Prevention of Nutritional Blindness due to Vitamin A Deficiency
Objectives
Activities
Organization
Evaluation
Strategies
What Needs to be Done
National Nutritional Anemia Control Program (NNACP)
Objectives
Beneficiaries
Activities
Organization
Evaluation
Strategies
National Iodine Deficiency Disorders Control Program (NIDDCP) in India: Current Status and Future Strategies
Objectives
Beneficiaries
Activities and Services
Production and Distribution of Iodized Salt
Notification for Banning Use of Noniodized Salt
Establishment of Goiter Cell
Information Education and Communication Activities
Intersectoral Coordination
Laboratory Support
Training under NIDDCP Program
Monitoring and Reporting System
Iodized Salt versus Iodized Oil in Prevention of IDD
Evaluation
Areas Requiring Strengthening
Mid Day Meal Program (MDM)
Objectives
Beneficiaries
Activities
Organization
Special Nutrition Program
Objectives
Beneficiaries
Activities
Organization
Evaluation
Applied Nutrition Program(ANP)
Objectives
Beneficiaries
Activities
Organization
Evaluation
Wheat-based Supplementary Nutrition Program (WNP)
Objectives
Beneficiaries
Activities
Evaluation
The Balwadi Nutrition Program (BNP)
Objectives
Beneficiaries
Activities
Organization
Evaluation
Annapurna Scheme
Beneficiaries
Activities
Evaluation
Nutritional Program for Adolescent Girls (NPAG)
Objectives
Beneficiaries
Activities
Organization
Evaluation
National Food for Work Program (NFFWP)
Organization
Activities
Evaluation
14:
Child Nutrition in 11th Five-year Plan
15:
Nutrition Programs and Policies in India
INTRODUCTION
NUTRITION AND ECONOMICS
PRODUCTIVITY AND MALNUTRITION
NUTRITION AND POVERTY
NUTRITION IN DEVELOPMENTAL TRANSITION
MAJOR PUBLIC HEALTH NUTRITION PROBLEMS
ISSUE OF UNDERNUTRITION IN YOUNG CHILDREN
ROUTES TO BETTER NUTRITION
NATIONAL PROGRAMS
Direct Impact
Indirect Impact
CURRENT STATUS OF POLICIES AND PROGRAMS IN INDIA
UNIVERSALIZATION OF ICDS
OTHER SCHEMES (NUTRITION)
CONCLUDING REMARKS
16:
Integrated Management of Neonatal and Childhood Illness
OBJECTIVES
RATIONALE OF INTEGRATED APPROACH
COMPONENTS OF IMNCI STRATEGY
PRINCIPLES OF IMNCI STRATEGY
INTERVENTIONS CURRENTLY INCLUDED IN THE IMNCI STRATEGY
INTEGRATED CASE MANAGEMENT PROCESS
BIBLIOGRAPHY
ANNEXURE 16.1
ANNEXURE 16.2
17:
Impact of Immunization Program in India
INTRODUCTION
DEMOGRAPHY
THE MAGNITUDE
Diphtheria
Pertussis
Tetanus
Poliomyelitis
The Global Polio Eradication Initiative
India
Measles
18:
School Health Program
INTRODUCTION
GOALS OF A SCHOOL HEALTH PROGRAM
COMPONENTS OF SCHOOL HEALTH SERVICES
School Health Services
School Health Education
School Health Environment
School Community Projects Outreach
Mid-day Meal
School Health Program in India
School Health Scheme in Delhi
Target Number of Children
School Health Screening
Global School Health Initiative
WHO Strategies include
CONCLUSIONS AND RECOMMENDATIONS
19:
Chikungunya
GEOGRAPHICAL DISTRIBUTION
Transmission
DIAGNOSIS
Animal Reservoirs
Treatment
20:
Thalassemias and Hemoglobinopathies in India—Growth, Gene Expression and Care
INTRODUCTION
PATHOGENESIS OF β-THALASSEMIA
Sickle Cell Hemoglobinopathy
Compound Disorders of Hemoglobin
Spread of β-gene Mutation
Genetic Expression and Phenotypic Alterations
PRENATAL DIAGNOSIS OF THALASSEMIA
CARE AND MANAGEMENT
Transfusion
Iron Chelation
Splenectomy in Thalassemia
CONCLUSION
21:
Childhood Cancers in India and Other Developing Nations: A Social Perspective
INTRODUCTION
GLOBAL POPULATION AND HEALTH CANCER STATISTICS
Tumor Subtypes
PROBLEMS FACED BY COUNTRIES WITH LIMITED RESOURCES
STATUS OF PEDIATRIC ONCOLOGY IN INDIA AND OTHER DEVELOPING NATIONS IN ASIA
PSYCHOSOCIAL ASPECTS OF CHILDHOOD CANCER IN DEVELOPING COUNTRIES
STRATEGIES FOR IMPROVING MANAGEMENT OF PEDIATRIC CANCER IN DEVELOPING COUNTRIES
CONCLUSION
22:
Problems Concerning Community Dermatology as Related to Pediatrics
INTRODUCTION
MAJOR SKIN PROBLEMS AS RELATED TO PEDIATRICS (Figs 22.1 to 22.47)
Malnutrition, Avitaminosis and Kwashiorkor
Miliaria
Scabies
Pediculosis (Lice)
Insect Bites or Licks
Pyoderma
Impetigo
Furunculosis
Leprosy
Indeterminate Leprosy
Borderline Tuberculoid Leprosy
Borderline Lepromatous Leprosy
Tuberculosis of Skin
Lupus Vulgaris
Scrofuloderma
Tuberculosis Verrucosa Cutis
VIRAL EXANTHEMS
Measles
Varicella (Chickenpox)
MOLLUSCUM CONTAGIOSUM
COMMON WARTS (VERRUCA VULGARIS)
Verruca Plana
Plantar Warts
Epidermodysplasia Verruciformis
Pityriasis Rosea
HERPES SIMPLEX INFECTION
Herpetic Gingivostomatitis
Herpes Genital
Keratoconjunctivitis
Herpes Zoster
TINEA CORPORIS AND TINEA FACIEI
PITYRIASIS VERSICOLOR
CANDIDAL INTERTRIGO
BIBLIOGRAPHY
23:
Blindness and Visual Impairment in Childhood
VISION 2020—THE RIGHT TO SIGHT
24:
AIDS in Children
EPIDEMIOLOGY
HIV Transmission in Children
Virology
Etiology
Clinical Features
Manifestations
Laboratory Diagnosis
Differential Diagnosis
Treatment
Prognosis
ISSUES RELATED TO PEDIATRIC AIDS
Immunization
Breastfeeding
Other Related Issues
Prevention
25:
Poisoning in Children
INTRODUCTION
INCIDENCE
MODE OF POISONING IN CHILDREN
GENERAL LINE OF TREATMENT
Removal of Unabsorbed Poisons from the System
Indication of Dialysis
COMMON POISONS IN CHILDREN
Mineral Acids
Incidence
Clinical Feature
Fatal Dose
Treatment
Organic Acid
Carbolic Acid or Phenol
Fatal Dose
Incidence in Children
Clinical Feature
Treatment
Corrosive Alkalies
Fatal Period
Mode of Action
Symptoms
Treatment
METALLIC AND NONMETALLIC IRRITANTS
Arsenic
Feature of Chronic Arsenic Poisoning
Iron Poisoning
Fatal Dose
Fatal Period
Clinical Features
Diagnosis
Treatment
Lead Poisoning
Features of Chronic Poisoning
Diagnosis
Treatment
Mercury Poisoning
Diagnosis
Treatment
Copper Poisoning
Symptoms
Treatment
Nonmetallic Irritant
Commercial Use
Fatal Dose
Fatal Period
Clinical Features
Treatment
Insecticide Poisoning
Organophosphorus Compound
Features
Diagnosis
Treatment
Atropinisation
Cholinesterase Reactivator
Carbamates Compound
Symptoms
Treatment
OTHER RODENTICIDE
Mosquito Repellent
Prallethrine and d-transallethrine
Symptoms
Treatment
Acetaminophen Poisoning (Paracetamol)
Symptoms
Treatment
Asphyxiant
Carbon monoxide
Character
Fatal Dose
Symptoms
Diagnosis
Treatment
Vegetable Poisons
Opium
Fatal dose
Symptoms
Treatment
Dhatura
Fatal Dose
Symptoms
Treatment
Cocaine
Origin
Fatal Dose
Symptoms
Treatment
Cerbera thevetia (Yellow Oleander)
Origin
Fatal Dose
Symptoms
Treatment
Inebrient Poison
Fatal Dose
Symptoms
Treatment
Snakebite
Fatal Dose
Manifestation
Cobra or Krait Group
Viper Group
Treatment
First Aid
Immediate Management
Specific Therapy
26:
Hearing Loss in the Newborn
INTRODUCTION
DEFINITIONS
EFFECTS OF CPHL
Effects of CPBHL
Effects of CPUHL
Prevalence
Etiology
EARLY DETECTION AND INTERVENTION FOR CPHL
The Methods, Accuracy and Efficacy of UNHSP
Parental Views Regarding UNHSP
Intervention Following Detection of Hearing Loss—Outcome of UNHSP
UNHSP—THE GLOBAL AND INDIAN PERSPECTIVE
United Kingdom
The World
United States
Canada
Europe
Latin and South America
Africa
Asia
Australia and New Zealand
The Indian Perspective
CONCLUSION
27:
Conduct Disorder and Juvenile Delinquency
CONCLUSION
ACKNOWLEDGEMENTS
28:
The Child with a Cognitive Impairment in Community Setting
INTRODUCTION
Terminology
Mental Retardation
AUTISM
DEVELOPMENTAL DISABILITY
INCIDENCE
ETIOLOGY
GENETIC FACTORS
SOCIAL IMPACT
THE FAMILY INSTITUTION
THERAPEUTIC MANAGEMENT
Treatment
29:
Developments in Modern Genetics in the Context of Community Medicine
GENETIC DISEASES EARLY DETECTION
ADVANCES IN HUMAN GENETICS
EPIDEMIOLOGY OF GENETIC DISORDERS AND SERVICE NEEDS
Community Genetics and Public Health Genetics
Study of Environmental Effects on Genetic Load
PREVENTION OF GENETIC DISEASE
RECENT ADVANCES IN SCREENING METHODOLOGY
Molecular Methods of Population Screening
30:
Child Abuse and Neglect
INTRODUCTION
Every Child in School
Historical Aspects
Indian Perspective
Concepts, Nomenclature and Definition
Epidemiology and Incidence
Factors Leading to Child Abuse
Sociocultural Factors
Child Producing Stresses
Parent Producing Stresses
Predictions
The Parents
The Child
Social Factors
CLINICAL MANIFESTATIONS
Physical Abuse
History
Physical Examination
Presentation
Surface Marks
Orthopedic
Skeletal
Head Injury/Neurological
Thermal Injury
Abuse by Burns
Ophthalmic Manifestations
SOME PERSONAL OBSERVATIONS
MUNCHAUSAN'S SYNDROME BY PROXY
Nature of Abuse
Nutritional Neglect/Failure to Thrive
Neglect of Toddlers
Neglect of Older Children
Radiological Aspects
Psychiatric Aspects
Sexual Abuse
Presentations
Evaluation
Emotional Abuse and Neglect
Drug Abuse and Nonaccidental Poisoning
Abandonment
Exploitation of Children and Child Labor
Diagnosis of Child Abuse
Effects of Child Abuse
Management
Who is Then a Child?
Provision for Safeguard/Child Protection in India
Legal Aspects
Criminal Proceedings
Care Proceedings
A Unified Approach to Protection/Prevention
31:
Every Child in School
INTRODUCTION
MAGNITUDE OF THE PROBLEM
ENROLLMENT, RETENTION AND DROPOUT
Important Landmarks in the Field of Education
RECOMMENDATIONS
Are Our Parliamentarians Interested?
CONCLUSION
32:
Child Labor
INTRODUCTION
Historical Background
DEFINITION OF CHILD LABOR
Evolution of Child Labor
Demographic Profile
Forms of Child Labor
Working Conditions
Causes of Child Labor
Different Sectors of Child Labor
Child Work and Education
Domestic Child Labor
Rag Picking
Bonded Child Labor
Earning and Over-exploitation
Determinants of Child Labor and Health
Health and Nutritional Status of Working Children
Health Hazards
Occupational Health Hazards
Exploitation of Child Labor
Child Labor and its Effects on Psychological and Physical Health
Education and Rehabilitation of Child Labor
Methods of Education and Training of the Working Children
Agricultural Child Labor
Types of Agricultural Work
Nature of Employment in Agriculture
Remuneration in Agriculture
Occupational Hazards in Agriculture
Education in Agricultural Child Labor
Action-oriented Rehabilitation Program for the Working Children
Constitutional Provisions and Regulations on Child Labor
Elimination of Child Labor
NATIONAL CHILD LABOR PROJECT (NCLP)
Millennium Developments Goal
Role of Pediatricians
CONCLUSION
33:
Street Children
INTRODUCTION
Historical Background
Who are street children?
Magnitude of the Problem
Perspective on the etiology of origin of street children
Health status of street children
Sociocultural vacumn
Occupational involvement of street children
Health hazards and psychological problems of street children
Specific problems
Girl street children
Integrated program for street children
Health care
Education
Existing laws concerning street children
Role of pediatrician
CONCLUSION
34:
Adoption
INTRODUCTION
HISTORICAL OVERVIEW
Why parents adopt?
Why children are given up for adoption?
Adoptive Infants/Children
The Process of Adoption
Agencies Involved for Adoption and their Function
Procedures and Paperwork for Adoption: Role of Social Worker
Home Study and Counseling
Selection of a Child for Adoption
Role of Foster Homes for Children Awaiting Adoption
Problems Faced by Adoptive Parents
Problems Faced by Adoptees
Personality Disorders
Adoptee Fantasies about being Given up
The Birth Parents and their Reactions to Adoption
Legal Provisions Regarding Adoption
Adoption in Foreign Countries
Procedure for Intercountry Adoption
Special Adoption Situation
Combination Families
Adoption of an Older Child and ‘Special Needs’ Child
Secret Adoptions
Single Parent Adoption
After Adoption
Post-adoption counseling
CONCLUSION
35:
Community and Impact on Adolescent Health
INTRODUCTION
Community programs should focus on the various aspect of adolescent development
Community programs should concentrate of providing opportunities for
How adolescents spend their time outside school timings is very crucial for their positive development
Community needs to be motivated for creating more adolescent based programs
Programs should be made sustainable
Adolescent friendly health services
What are the community programs available in India
Family Life Education Program
Adolescent Reproductive and Sexual Health Education (ARSHE)
Life Skills Education Program
Better Life Options Program (BLP), India
Teen-clubs
Objectives in the Teen-club
Activities in the Teen-club
Prevention programs
Nutritional counseling
Program strategies used during adolescence to improve adolescent nutritional status
Youth involvement
Adolescent girls
Reaching boys
36:
Substance Misuse in Children and Adolescents
INTRODUCTION
TERMINOLOGY
Substance Use May Be
Prevalence of adolescence substance use
Drinking
Smoking
Volatile substance abuse
Illegal drugs
International comparisons
Etiology
Risk factors
Environmental risk factors
Individual risk factors
Associated problems
Social, educational and legal problems
Psychological problems
Physical problems
Assessment
Screening
Taking a history of substance use
Physical examination
Mental state examination
Laboratory and other investigation
Drug urinalysis
Hair analysis for drugs
Testing for blood—borne viruses
Investigation for alcohol misuse
Treatment
Requirements of young people's substance misuse services
General Interventions
Specific Interventions
Prevention
37:
Violence in Children and Adolescents
INTRODUCTION
CONCEPTUAL FRAMEWORK
Development of Violent and Antisocial Behavior
Prevalence
Etiology and risk factors
Predictors of prognosis
Interventions
CONCLUSION
38:
Environmental Health Risks for Children
INTRODUCTION
ENVIRONMENTAL RISK FACTORS AND CHILDREN'S HEALTH
Burden of Childhood Diseases
Perinatal Diseases
Respiratory Diseases
Diarrheal Disease and Other Water and Sanitation-related Infections
Lack of safe water at homes and poor hygiene behavior: Major cause of childhood mortality and morbidity in India
Relative Cost of Interventions for Preventing Child Mortality and Morbidity
Vector-borne Diseases
SUMMARY AND CONCLUSION
39:
Reproductive and Child Health Program
INTRODUCTION
Concept of Reproductive Health
Reproductive Health Approach
Reproductive and Child Health (RCH) Program in India
Main Highlights of the Program
RCH Package of Services
For Mothers
For children
For eligible couples
Other new services
RCH Program Strategies
Service delivery
Interpersonal communication
Technical factors
Social aspects
RCH Program Interventions
Essential Obstetric Care
Emergency obstetric care
24-hour delivery services at PHCs/CHCs
Essential newborn care
Referral Service
Medical Termination of Pregnancy
Control of Reproductive Tract Infections (RTIs) and Sexually Transmitted Diseases (STDs)
Adolescent health and reproductive hygiene
Indian Systems of Medicine (ISM)
RCH Camps
Reproductive and Child Health Program: Phase II
Weaknesses identified in RCH-I
Vision of RCH-II
Objectives of RCH-II
Components of RCH-II
Strategies to achieve RCH Phase II (Table 39.5)
Strategies to reduce maternal mortality
Newborn and child health strategy
Strategies for addressing adolescent reproductive and sexual health
Initiatives with respect to vulnerable groups including urban disadvantaged and tribal population
40:
Health and Development of Rural Children
INTRODUCTION
Urban Rural Divide and Regional Disparities
National Rural Health Mission (NRHM 2005-2010)
Goals of NRHM
Strategies
Plan of action
Traditional systems of medicine
Panchayati Raj Institutions
Private—Public Partnership
Compulsory and free primary education
Constraints and concerns
41:
Dengue
INTRODUCTION
Clinical types of dengue
Complicated types
Presenting features
Subsequent clinical development
Use of clinical and laboratory criteria in dengue
Tourniquet Test
Differential diagnosis of dengue
Laboratory Tests in Dengue Fever
Dynamics of antibody development in case of dengue
Treatment
42:
Physically Challenged Children
INTRODUCTION
Recognition of the large number of physically challenged children
Incidence of physically challenged children in India
Basic concept of physically challenged, the disability process and Intervention levels
Methods of management constitutes
Management program for the physically challenged children
Early recognition and evaluation
Prevention and Interventions to reduce the impact of disability
CONCLUSION
INDEX
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