Nutrition programme
Core meaning: Nutrition programmes prevent undernutrition, micronutrient deficiency and related illness.
Step-by-step learning
Children, adolescents, pregnant/lactating women and vulnerable households.
Growth and nutritional status.
Counselling, supplementation, fortification and food security.
Manage acute malnutrition per protocol.
Use programme indicators.
Key points to remember
- Use current national programme names and schedules.
- Growth monitoring must lead to counselling/action.
- What is the purpose of growth monitoring?
- List nutrition programmes and explain one in detail.
ARI programme
Core meaning: ARI control focuses on early recognition and appropriate management of respiratory illness in children.
Step-by-step learning
Cough/difficulty breathing and respiratory rate.
Chest indrawing, inability to feed, lethargy or severe distress.
Use current child-health guideline.
Appropriate care and oxygen/referral when severe.
Care seeking, feeding and follow-up.
Key points to remember
- Do not use outdated cut-offs without checking current guidelines.
- Danger signs require urgent action.
- Which finding suggests severe respiratory illness?
- Explain community-level ARI control.
Control of diarrhoeal disease
Core meaning: CDD prevents dehydration and death through rehydration, continued feeding, zinc and prevention.
Step-by-step learning
General condition, eyes, thirst and skin pinch.
ORS or IV according to severity.
Use current age-based protocol.
Including breastfeeding.
Safe water, sanitation, hygiene and vaccination.
Key points to remember
- Antibiotics are not routine for all diarrhoea.
- Urgent referral for severe dehydration or danger signs.
- What is the immediate priority in acute watery diarrhoea?
- Discuss assessment and management of childhood diarrhoea.
Maternal-child health and family planning programme
Core meaning: Integrated MCH programmes combine antenatal, delivery, postnatal, newborn, child and family-planning services.
Step-by-step learning
Pregnancy to early childhood.
Immunisation, nutrition and counselling.
Danger signs and growth failure.
Ensure continuity.
Use current indicators.
Key points to remember
- Integration reduces missed opportunities.
- Use current schedules and programme standards.
- Why is continuum of care important?
- List special health programmes of Nepal and explain MCH/FP programme.