Anupriya P S
Asst.Professor
Children – by nature prone to disease.
Constitute 40 % of population and 15 % under 5 yrs
Majority of the childhood sickness and death are
prevented by simple low-cost measures
Prevention is the best measure for maintaining their
health.
DEFINITION
Preventive pediatrics has been defined as the
prevention of disease, promotion of health,
maintaining and restoration of physical, mental and
social well-being of children to attain a positive
health.
AIMS
To prevent occurrence of disease or delay the
occurrence of disease.
To timely detect a disease.
To provide early treatment, to avoid complications.
To treat the disease and achieve maximum level of
rehabilitation.
To avoid premature death.
To improve efficiency
ASPECTS
To achieve the aims of preventive pediatric following
aspects of child’s life has to be given importance are
1. Growth monitoring
2. Nutritional surveillance
3. Promotion of exclusive breast feeding
4. Prevention of preventable diseases through
immunization
5. Control of diarrheal diseases
6. Control of infectious diseases
7. Provision of iodized salt
8. Prevention of malaria in children
9. Institutional deliveries
10.Supplementary nutrition to children and pregnant
and lactating mother.
11. Health education regarding services and facilities
provided to mother and child to maintain growth and
development
12. Special care to challenged children.
13. Child welfare programmes and legal rights of
children.
TYPES OF PREVENTIVE PEDIATRICS
1. Antenatal preventive pediatrics
2. Postnatal preventive pediatrics
3. Social preventive pediatrics
ANTENATAL PREVENTIVE
PEDIATRICS
It includes care of pregnant mothers.
To get healthy baby from healthy mother, care of
mother during pregnancy is essential.
For healthy mother – prepregnancy health of the
mother, girl child’s health, parental counseling before
pregnancy are essential elements.
During antenatal period – early registration, adequate
nutrition, correction of anemia, prevention of
communicable disease, TT vaccine, iron and folic acid
tablets, preparation of mother for delivery,
Hospitalized delivery, preparation of mothercraft,
motivation and preparation of breast feeding
influence the status of mother and also influence the
health of child in uterus.
POSTNATAL PREVENTIVE PEDIATRICS
Includes promotion of health of mother & child by
promotion of breastfeeding, exclusive breastfeeding 4
to 6 months of age
Introduction of complementary feeding in appropriate
age and technique
Tender bond between mother and child, emotional
security
Immunization and growth monitoring
Prevention of diarrheal disease, ORS rehydration
knowledge
Periodic medical supervision and prevention of
accidents
SOCIAL PREVENTIVE PEDIATRICS
It includes the social environment essential to obtain
positive health.
It needs organized health services to promote their
adequate growth and development, to prevent and
treat disease.
It is concerned with the delivery of comprehensive
and continuous child health care services and to bring
services within the reach of community.
It includes the various social welfare measures – local
and international which aims to meet the health
needs of a child
LEVELS OF PREVENTIVE PEDIATRICS
Primary prevention
Any measures aimed at helping future parents
provide their upcoming child with adequate
attention, as well as secure physical and effective
environment from conception to first birth day.
There are many services which are given prior the
birth of baby to pregnant mother, for e.g.
immunization, maintaining a healthy diet, exercise
regimen, avoid alcoholism and smoking.
Secondary prevention
Methods to detect and address an existing disease
prior to the appearance of symptoms. e.g. – treatment
of risk factors and screening as in hypertension or
cancer.
Tertiary prevention
Methods to reduce the harm of symptomatic disease
to prevent disability. The objective is to maximize the
remaining capabilities and functions of an already
disabled child.