MANAGEMENT PROTOCOL FOR WELL-BABY CHECK-UP, PATIENT IS MORE THAN ONE MONTH OLD (Flowchart No. 33-B) PLAN A: 1. 0 Determine the knowledge of the companion on the care of the child. 2. 0 Based on 1. 0, advise the companion to stnrt giving solid food at· the age of four months. 3. 0 4-0 s. o 2..1 Ad,-ise companion on bow to prepare delicious, nutritious but economical supplementary feeding. Refer to Chapter 14 for preparation of protein powders.. 2. 2 lntrodoce one kind of food at a time and observe if the patient is allergic to any of the food introduced. 2. 3 Observe cleanliness when prepari ng the food. Based on 1. 0, give/prescribe o,·er-the-counter multi-vitamin preparations, specif)in g accurately the dose and frequency of intake. Ba....<:ed on L. O. advi...-=:e the companion to have the patient immunized using the following scbedu. le: 4. 1 If the family cou Jd afford to buy ·the vaccine 4. 1. 1. 2 months old : firs-t dose of DPT and OPV 4,. 1. 2. 4 months old : second dose of DPT, OPV and Hepatiti s B 4.. 1. 3. 6 months old: third dose of DPT and OPV 4. 1. 4. 12 mont~ old: Ml\,f R 4. 1. 5. a1 lea. "1 6 months from 3rd dose of DPT: fourth dose of DPT 4. 1. 6. 14 months old: third dose of Hepatitis B 4-2 If the family could not afford to buy the vaccine, advise the companion to have the baby iinmun. i7..ed during the scheduled dates sel by the health center (~ledicine is supplied by the Department of He. c-ilth). 4. 3 If the schedule given in 4. 1 could not be followed for some reasoo (like the patient was sick at the time), the fol Jo,...,j. ng schedule should be followed: 4. 3. 1 DPT-a. Fir.-t d=e given at the earliest possible pe. riod. b. Second dose given ·within si>C months aft-er the first dose. c. Tiiird dose given within s L" months (or at least within one year) af1cr the second dose. d. Booster do<:e given one y<mr after t J1e third dose. 4. 3. 2 OPV-4--3-3 4. 3-4 a. First do:;e given together.,... ;th first dose of DPT or al Lhe earliest possihlc period. h. &-crmd do<c to be given within six to eight mo11t J1s after the firs1 dose. c. TI1ird dose to be given within six lo twelve months after the second dose. BCG-anv-rime be{',,'een the doses o-f OPV Measles :_ anytime after t. he 9th month of age Advise compa. nioo 10 bring patient for well baby check-up 11s. ing the following schedule: S. t Up to one p,ar old: monthly (m..inlmum of eight visits the whole year). 