4RAINING#OURSEON#HILD'ROWTH!SSESSMENT 7(/#HILD'ROWTH3TANDARDS #HILDSNAME $ATEOFBIRTH Boy’s Growth Record For use by parents and other care providers to monitor and promote his health, growth, and development This is the main record of your son’s health, growth and development. This booklet contains recommendations for feeding and caring for your son at different ages: as a child grows, his needs change. The record is to be used jointly by you and others who care for him. Therefore, keep it in a safe place and carry it with you whenever you bring him to: x a health centre (whether it is for a well-baby visit or because he is sick) x a doctor or other health care provider x a hospital outpatient department or emergency department x any other health appointment Personal Data Child’s name _____________________________________ Boy If a girl, must use a Identification/Record number ___________________ Girl’s Growth Parents’ names ______________________________________________ Record _____________________________________________________ Address ___________________________________________________ _____________________________________________________ Birth information: Date of birth _______________________ Gestational age at birth ____________ Single/multiple birth? ________ Measurements at birth: Weight _________ Length __________ Head circumference _________ Birth rank _________ Date of birth of next younger sibling (born to mother)________ Feeding: Age at introduction of any foods or fluids ____________ More details of feeding history Age at termination of breastfeeding ___________ may be recorded in Visit Notes Adverse events (dates): (such as death of parent, death of sibling age <5 years) ________________________ ________________________________________________________________ 1 Table of Contents Page Personal data ..........................................................................................................................1 Table of contents...................................................................................................................2 Recommended immunization schedule ............................................................................4 Other national programme recommendations...............................................................5 Visit notes.........................................................................................................................6–11 When special care or advice may be needed............................................................... 12 Recommendations for feeding Up to 6 months of age ........................................................................................ 14 Recommended foods for babies and children age 6 months to 5 years .. 15 Age 6 months to 1 year....................................................................................... 16 Age 1 to 2 years .................................................................................................... 18 Age 2 to 5 years .................................................................................................... 19 Recommendations for food safety and hygiene ............................................. 20 Care for development messages Key messages about care for all times............................................................. 21 Age 0 to 4 months................................................................................................ 22 Age 4 to 6 months................................................................................................ 23 Age 6 months to 1 year....................................................................................... 24 Age 1 to 2 years .................................................................................................... 25 Age 2 years and older.......................................................................................... 26 2 Growth charts for boys.....................................................................................................27 Understanding growth charts ....................................................................................................28 Birth to 6 months BOYS Length-for-age ........................................................................................................29 Weight-for-age.......................................................................................................30 Weight-for-length .................................................................................................31 BMI-for-age .............................................................................................................32 Age 6 months to 2 years BOYS Length-for-age ........................................................................................................33 Weight-for-age ......................................................................................................34 Weight-for-length .................................................................................................35 BMI-for-age .............................................................................................................36 Age 2 to 5 years BOYS Height-for-age ........................................................................................................37 Weight-for-age.......................................................................................................38 Weight-for-height..................................................................................................39 BMI-for-age .............................................................................................................40 Gross motor milestones....................................................................................................41 Annex: Immunization schedule for infants recommended by the WHO Expanded Programme on Immunization............................................42 3 Sample Immunization Schedule (EPI) Date Age Vaccine Place received received DPT-1 2–3 Hib months Hepatitis B OPV-1 DPT-2 4–5 Hib months Hepatitis B OPV-2 DPT-3 6–7 Hib months Hepatitis B OPV-3 12–15 MMR months Yellow fever DPT 18 months OPV DPT 5 years OPV MMR Bring your child back for the next immunizations on: ________________ ________________ _____________ ______________ ________________ ________________ _____________ ______________ 4 Other National Programme Recommendations for Children under Age 5 Years (Recommendations to be inserted with space to record supplements given, etc)) Micronutrient supplementation given, such as iron, Vitamin A: (note date, supplement, amount given) Deworming: Developmental assessment: 5 Date of birth: Visit Notes Age Measurements today (Record below; then plot on Date of charts) Reason for visit, observations, (Completed Length/ visit Weight recommendations years/months Height BMI* (kg) or weeks) (cm) * BMI (body mass index) = weight in kilograms divided by length or height in meters squared (kg/m2) 6 Visit Notes Feeding: Notes on history, any problems, counselling given Other information (such as drug or food allergies, chronic conditions): 7 Date of birth: Visit Notes Age Measurements today (Record below; then plot on charts) Reason for visit, observations, (Completed Length/ Date of Weight recommendations years/months Height BMI* visit (kg) or weeks) (cm) * BMI (body mass index) = weight in kilograms divided by length or height in meters squared (kg/m2) 8 Visit Notes Feeding: Notes on history, any problems, counselling given Other information (such as drug or food allergies, chronic conditions): 9 Date of birth: Visit Notes Age Measurements today (Record below; then plot on charts) Reason for visit, observations, (Completed Length/ Date of Weight recommendations years/months Height BMI* visit (kg) or weeks) (cm) * BMI (body mass index) = weight in kilograms divided by length or height in meters squared (kg/m2) 10 Visit Notes Feeding: Notes on history, any problems, counselling given Other information (such as drug or food allergies, chronic conditions): 11 When Special Care or Advice May be Needed Any time that you have concerns about your child’s growth or development, seek the advice of a health care provider. He or she can assess your child and advise you. Other times that special care or advice may be needed include: j If the child’s growth curve is too far from the centre line (labelled '0'), it may be a sign that he is undernourished or overweight. If he is not within the normal range, a health care provider can help you find ways to help him grow normally. For example, changes may be needed in the type of foods he is given, or the frequency or quantity of feeding. Or he may need more emotional support, or stimulation, or physical activity that will help him become healthy. j If the child is severely undernourished, he needs urgent specialized care. j If the child is obese, he needs medical assessment and specialized management. Discuss this with the health care provider. j If a mother suspects that she may be HIV positive, she should be encouraged to go for counselling and testing. j If a pregnant woman or the mother of an infant knows that she is HIV positive, she needs specialized counselling about her options for feeding the baby. 12 Recommendations for feeding and care of infants and children j If your child is sick, feed him according to the recommendations for his age group provided in this section. Also give more fluids (breastfeed more for a breastfed child) and encourage him to eat soft,