Course Number: CHS231A
Course Title: Maternal and Child Health I
STUDENT LEARNING OUTCOMES
General
To
develop the
knowledge, skills and attitudes needed for CHWs to provide specific
preventive care services (well child care, immunizations, recognition of
conditions needing referral, school health interventions, and counseling for
family planning, breastfeeding, infant weaning, prenatal and postpartum health).
(Basic curative care for women and children is covered in CHS 240a- MCH II and
CHS 251a-Health Problems in Children).
Specific
Students will be able to:
-
Explain the 10 principles
for health workers in the Code of Conduct of the International Red
Cross as they apply both to disaster
relief and community health (see
Community Health. Wood, CH. AMREF, 2nd ed. Nairobi Kenya,
1997.)
-
Define confidentiality and explain
why it is important for all health workers to preserve.
-
Demonstrate 3 techniques for
establishing rapport with a patient.
-
Use illustrations and live model or manikin to identify
the major female and male pelvic structures
(including the
penis, testes,
spermatic cord, prostate gland, ovaries, fallopian
tubes, uterus, vagina, vulva, placenta, umbilical cord, amniotic sac, anus,
rectum, kidneys, ureters, urinary bladder and urethra
) and explain their functions.
-
Describe stages of
the normal menstrual cycle,
including
the follicular phase, ovulation, the luteal phase and
menstruation, and recognize when the menstrual pattern is abnormal
-
Explain the time
course and anatomy of
fertilization and implantation
-
Identify which important diseases are suggested by the presence of common
symptoms in pregnant and non
-pregnant women of reproductive age.
-
Recognize
indications for referral of patients with menstrual abnormalities
-
Explain
false, true and stages of labor
-
Identify safe traditional remedies for common disease symptoms
-
Identify situations when it is dangerous to delay or interrupt modern medical
treatments for these diseases.
-
Recognize indications for referral of the prenatal patient.
-
Counsel
pregnant women correctly with regard to optimal nutrition.
-
Describe
the schedule of visits recommended in the WHO New Model Antenatal Care.
-
Advise
mothers on the proper techniques for breastfeeding, including:
o
when to start
o
establishing
attachment of baby
o
what is colostrums, and what good is it,
o
when to expect the "regular milk" to come in
o
how often to feed,
o
how to position the infant,
o
how to assure good latching on,
o
the importance of emptying the breasts throughout each day
-
Calculate infant and maternal mortality rates from raw data and explain what
these indicators mean.
-
Explain the "ABC's" of HIV/STD prevention to clients.
-
Describe signs, symptoms, and complications of gonorrhea, chlamydia, HIV,
hepatitis B, HPV, and syphilis in
males and females (per WHO Syndromic
Management of STI guidelines).
-
Persuade a contact of a patient with an STI to seek testing and treatment
(Community Health,
Ch ) Family Planning.
-
Describe how soon after delivery it
is possible for a woman to get pregnant again
-
Explain what is the ideal spacing
between births for the health of mother and infants
o
Explain how the following contraceptive methods work, and the
advantages and disadvantages of each (including failure
rates and side effects)
and which are available in your setting: Condoms,
o
Abstention
o
Rhythm,
o
Exclusive breast feeding
o
Oral contraceptive pills
o
Depo-Provera injection
o
IUD
o
Male and female sterilization
- Describe
danger signs to report and follow-up needed for each type of contraception
- Explain
and demonstrate correct use of condom for prevention of pregnancy and/or HIV/STIs.
(Community Health, Ch 9) Childhood
Vaccination
-
Define disease "immunity" and
explain how vaccines work to prevent disease
-
Explain why vaccines must be given
according to a schedule and why some should be given at the time of birth while
others should
be given later and why some require multiple doses while others
only a single dose.
-
Describe the effects of the
following vaccine-preventable diseases: TB, Hepatitis B, Polio, Measles, Mumps,
Rubella, Diphtheria,
Pertussis, Tetanus and Hemophilis B.
-
List barriers to childhood
immunization and how to overcome each one.
-
Define the vaccine "cold chain" and
explain why it is important
-
Decide whether and which vaccines are indicated based on a child's age, history
or reactions to previous vaccines,
current state of health, contraindications
and vaccine record
-
Decide whether and which vaccines are indicated based on a child's age, history
or reactions to previous vaccines,
current state of health, contraindications
and a vaccine program master list
-
Select the correct route and site for each vaccine type.
-
Correctly record vaccinations given on master list, patient's chart, and "Road
to Health" card.
-
Counsel parents about how to care for the child post-vaccination and what side
effects to look for with each
vaccine type.
(Community Health, Ch 14) Well Child
Care
-
List the 4 functions of an MCH clinic
-
Correctly perform each of the following tasks for a well child clinic:
o
Registration
o
Check developmental milestones based on age
o
Weigh child and plot weight on "Road to Health" chart
o
Determine whether development and growth are normal and select the correct
actions if abnormal
o
Examine child and advise parents about child's current growth, development and
physical status
o
Give standardized key health education messages based on child's age.
o
Record findings correctly on child's clinic chart, MCH registry, and take-home
"Road to Health" card.
-
Explain the reasons and demonstrate the technique for each of the interventions
that is a component of your
State's school health program.
-
Explain why lead poisoning is a
problem in Micronesia and what can be done to protect children from it.