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Child to child approach Introduction Health promotion for and by the children has got greater potential for bringing about positive and perceptible changes in their health, knowledge, attitude, and above all practices and behaviors. The emphasis is on the child to child approach
The concept The concept of child to child approach had evolved from the recognition of the role that older children can play in caring for their younger siblings. In rural areas, older children are often required to share bath, dress and play with younger brothers and sisters and also protect them from getting injured. The child to child concept is 1st introduced by Dr. David Morley 1978 Institute of Child Health, University of London. He used older children of age 0614 yrs for passing massage on health matters to their parents, siblings, and also to their neighbors Later in India at 1979 introduced in Kerala. Now it is functioning all through the country as a part of school health services
Principles of child to child approach The child to child approach will work in two main principles 1. Developing children knowledge on health 2. Change their attitude, behaviors on health
Objectives of child to child concept To improve the level of health, nutrition and development of children through child to child activities To make learning a relevant, meaningful and enjoyable experience for the children
2 | Page To enable children to make qualitative improvement in life of their younger sisters, and brothers, their parents, neighbors. Thus applying facts learnt in school in daily life To improve the school and neighborhood environment through organized activities To help the children feel a sense of being control of their lives
Criteria to select the sutiations •
Do the activities address important health priorities, central to the concepts of the ‘primary health care’?
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Are the priorities selected those in which the power of the children would be effectively used?
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Are the children are interested?
Topics for the child to child approach 1. Personal and community hygiene and safety 2. Prevention and control of disease 3. Child simulation and development 4. Recognizing and helping the handicapped 5. Better nutrition
Activities Personal and community hygiene and safety Prevention of accidents Identify accidents hazards and eliminate them Water younger children Care of teeth Pass the good habit to younger children Neighborhood hygiene Be aware of un healthy surroundings
3 | Page Individually and together seek to improve them and teach other children to do so
Prevention and control of disease Oral rehydration/ diarrhea Recognize the signs of dehydration Teaching about domestic preparation of ORS Care of sick children Taking care of younger children Finding danger signals of RTI Care of fever
Child stimulation and development Recognize the stages of growth and development Making toys for younger children Helping in play
Recognizing and helping handicapped Recognizing the children with these kind of problems Learn to do simple test for vision and hearing Learn to help the integrate children with these disabilities
Better nutrition Recognize the signs of malnutrition in younger children Spread the message about better nutrition
Steps in Child to Child Activities Step I Developing real understanding of health and health problems being addressed Step II Finding out about the problem
4 | Page Step III Take over solution, what I can do? How can I do? Step IV Apply solution Step V Evaluate the sutiations
Delivery of the services For school children School children will be taught in their curriculum regarding all aspects of health For better understandings health workers, especially community health nurse will visit the school to have teaching to the children as well as teachers regarding health
For non school going children Community health nurse must encourage the child and family to attend the school School children will be used s teachers Health workers will also used for approaching non school going children
Conclusion Health promotion for and by the children has got greater potential for bringing about positive and perceptible changes in their health, knowledge, attitude, and above all practices and behaviors. The emphasis is on the child to child approach