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Module 2

Child Health & Immunization

Vaccines, nutrition, diarrhoea, pneumonia and child growth

Lessons

vaccines1. Immunization scheduleAt birth · At 6, 10 and 14 weeks · At 9-12 months · At 16-24 months and later · Your…chevron_rightrestaurant2. Child nutrition and growthFood from 6 months · Monitor growth · Severe acute malnutrition (SAM) · Vitamin A, iron…chevron_rightwater_drop3. Diarrhoea: ORS and ZincORS for every diarrhoea · Zinc for 14 days · Continue feeding · When to referchevron_rightair4. Pneumonia in childrenCount the breathing · Chest in-drawing and danger signs · Treatment and preventionchevron_righttoys5. Home-based young child care (HBYC)HBYC visits · Play and talk · Notice delays earlychevron_right

Quiz

Try these questions. Tap "Show answer" to check.

1. Which vaccines are given at birth?
  1. MR and JE
  2. BCG, OPV-0, Hepatitis B
  3. Pentavalent-1 and PCV-1
  4. Td
Show answer
Answer: BCG, OPV-0, Hepatitis B

BCG, OPV zero dose and Hepatitis B birth dose.

2. When is MR-1 (Measles-Rubella) given?
  1. At birth
  2. At 6 weeks
  3. At 9-12 months
  4. At 5 years
Show answer
Answer: At 9-12 months

MR-1 at 9-12 months, MR-2 at 16-24 months.

3. For how many days is zinc given in diarrhoea?
  1. 3 days
  2. 7 days
  3. 14 days
  4. Only until diarrhoea stops
Show answer
Answer: 14 days

Zinc for 14 days, even if the diarrhoea stops earlier.

4. A 1-year-old child breathes 48 times per minute. This is:
  1. Fast breathing
  2. Normal
  3. Slow breathing
  4. Only a cold
Show answer
Answer: Fast breathing

For a child of 1-5 years, 40 or more breaths per minute is fast breathing. 48 is fast - refer.

5. MUAC less than 11.5 cm in a child means:
  1. Normal growth
  2. Severe acute malnutrition - refer to NRC
  3. Child is overweight
  4. Needs only vitamins
Show answer
Answer: Severe acute malnutrition - refer to NRC

MUAC below 11.5 cm (red zone) is SAM.

6. When should complementary food start?
  1. At 2 months
  2. At 4 months
  3. At 6 months
  4. At 1 year
Show answer
Answer: At 6 months

Only breast milk till 6 months, then start soft food with breastfeeding.

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infoFor training ASHA workers. Always follow your ANM, Medical Officer and the latest Government guidelines. In an emergency, call 108.