mother and child protection card (mcp card) · benefits under janani-shishu suraksha karyakram for...
TRANSCRIPT
1
MINISTRY OF HEALTH AND FAMILY WELFAREMINISTRY OF WOMEN AND CHILD DEVELOPMENT
Keep this card safe and carry along with you during every visit to Village Health Sanitation and Nutrition Day, Anganwadi Centre, Health
Centre and Hospital
MOTHER AND CHILD PROTECTION CARD
(MCP CARD)
2018 Version
State logo
It is illegal to select or determine the sex of a child before birth
Benefits under Janani-Shishu Suraksha Karyakram
For Pregnant Women
• Free and cashless delivery• Free caesarean section• Free drugs and consumables• Free diagnostics (Blood, Urine tests and
Ultrasonography, etc.)• Free diet during stay (up to 3 days for normal
delivery and 7 days for caesarean section)• Free provision of blood• Exemption from user charges• Free transport from home to health institution,
between health institutions in case of referral and drop-back home
• All complications during ANC, PNC and sick infants also covered
Pradhanmantri Surakshit Matritva Abhiyaan
During the 2nd/3rd trimester of your pregnancy, avail at least one Antenatal Checkup by a doctor on the 9th day of the month
Janani Suraksha Yojana (JSY)
Eligible mother gets cash assistance for giving birth in public health facilities and in private accredited hospitals
For Sick Newborn till one year after birth
• Free treatment • Free drugs and consumables• Free diagnostics• Free provision of blood• Exemption from user charges• Free transport from home to health institution,
between health institutions in case of referral and drop-back home
• 1st Installment given to beneficiaries after early registration of pregnancy at the Anganwadi Centre/approved Health facility
• 2nd Installment given to beneficiaries when at least one ANC received (can be claimed after 6 months pregnancy)
• 3rd Installment given to beneficiaries i. After registration of child birth ii. Child has received first cycle of BCG, OPV,
DPT and Hepatitis-B or its equivalent/substitute
2
Benefits under Pradhan Mantri Matru Vandana Yojana (for the first live child in the family)
MINISTRY OF HEALTH AND FAMILY WELFAREMINISTRY OF WOMEN AND CHILD DEVELOPMENT
MOTHER AND CHILD PROTECTION CARD
Age
paste photo of child here
Is the pregnancy high risk? Yes No
Mother’s Name Father’s Name Address Mobile No. Mother Mobile No. Father MCTS/RCH ID (Mother) Eligible for PMMVY Yes No
Bank & Branch Name Account No.
FAMILY IDENTIFICATION
Date of Last Menstrual Period Expected Date of Delivery Name of Identified Delivery Institution
PREGNANCY RECORD
Child’s Aadhaar No. Mother’s Aadhaar No.
SHC / Clinic
Sub-centre Reg. No. Date
Referred to
PHC / Town
District Hospital / FRU
ASHA ANM
AWW LGD Code
Village Ward Block Postal Account Postal Code
INSTITUTIONAL IDENTIFICATION
ASHA Mobile Number ____________________________________
ANM Mobile Number _____________________________________
Ambulance Toll Free Phone Number________________________
Child’s Name Date of Birth Current Place of Delivery
Birth Weight
Birth Registration No. Male Female
BIRTH RECORD
MCTS/RCH ID (Child)
IFSC
Fixed VHSND day
Hospital Phone No.
3
Pregnancy Outcome Live Birth Still Birth
No. of Pregnancies / Previous Live Births Last Delivery Conducted at
AWC No.
State logo
4
Take two tablets of calcium per day for at least 6 months after 1st trimester
Take single dose of tablet albendazole (400 mg) after 1st trimester
Regular checkup is essential during pregnancy
1st 2nd 3rd 4th 5th 6th 7th 8th 9th
Mon
ths
ANC
BP, Blood & Urine
T.T. Injection
Iron Tablets
Weight
Register with the Health Centre in the 1st trimester.
Have at least 3 antenatal checkups, after registration.
Have blood pressure (BP) checked and blood and urine examined at each visit.
Have weight checkup at each visit. Gain at least 9-11 kg. during pregnancy. Gain at least 1 kg every month during the last 6 months of pregnancy.
Take two T.T. Injections. T.T.1 when pregnancy is confirmed and T.T.2 after 1 month. (Fill in the date) *Give one dose of T.T. if previously vaccinated within 3 years.
Take one tablet of iron folic acid a day for at least 6 months after first trimester. Take at least 180 tablets. (Fill in quantity and date issued)
Ensure nutrition counselling at every ANC
Care During Pregnancy
Consume a variety of food including fortified food items like wheat flour, edible oil etc.
Take at least two hours of rest during the day and in addition to 8 hours of rest at night.
Consume Supplementary Nutrition from the AWC regularly.Rinse the mouth after every meals brush the teeth atleast twice a day.
Use only adequately iodised/double fortified salt.
Consume more foods- around 1/4
th times extra than the normal diet.
Registration
Yes No
___/___/_____
Urine Pregnancy
Test
Date:
4
____/____/________
5
Height (cms)
Heart Lungs Breasts (check for inverted nipple)
ANTENATAL VISITS
EXAMINATION
OPTIONAL INVESTIGATIONS
1 2 3 4 5
DatePOG (Weeks)Weight(Kg)Pulse RateBlood PressurePallorOedemaJaundiceAny Complaints
ABDOMINAL EXAMINATIONFundal Height Weeks in cmLie/PresentationFetal Movements Normal/
Reduced/ Absent
Normal/Reduced/
Absent
Normal/Reduced/
Absent
Normal/Reduced/
Absent
Normal/Reduced/
Absent
Fetal Heart Rate per MinuteP/V if Done
ESSENTIAL INVESTIGATIONSHemoglobin (Gms)Urine AlbuminUrine SugarHIV ScreeningSyphilisUltrasonography (Y/N)Gestational Diabetes Mellitus
Blood Group & Rh Typing Date
(Under PMSMA)
ANTENATAL CARE
A. APH
A. Tuberculosis
C. PIH
C. Heart Disease
B. Eclampsia
B. Hypertension
D. Anaemia
D. Diabetes
F. PPH
F. Others (Specify)
E. Obstructed Labor
E. Asthma
G. LSCS
J. Other
I. AbortionH. Congenital Anomaly
OBSTETRIC COMPLICATION IN PREVIOUS PREGNANCY (Please tick ( ) the relevant history)
PAST HISTORY (Please tick ( ) appropriate response/s)
Participate in monthly fixed Village Health Sanitation and Nutrition Day
2. Hbs Ag. Date
3. Blood sugar Date
4. Others Date
1. Thyroid-Stimulating Hormone Date
5
6
If you or anyone in your family sees any of these danger signs, take the pregnant woman to the
nearest appropriate hospital immediately
High fever during pregnancy or within one month of delivery
Labour pain before term/Labour pain for more than
12 hours/Reduced fetal movment
Contact ASHA/ANM/AWW
Identify hospital in advance
Clean handsClean surface & surroundingsClean bladeClean thread to tie the cordClean set of clothes for newbornClean perineumEnsure safe
delivery by ANM
*It is advisable to conduct birth at health facility by skilled birth attendant
Arrange transport to hospital
Intiate Breastfeeding within 1 Hour of Birth
Family planning counselling
Ensure family care & support
Obtain Benefits under JSY
Ensure 48 hours of stay after delivery in
the facility
Register under Janani Suraksha Yojna (JSY)
Register under PMMVY (if applicable)
Arrange for transport in advance
Severe Anemia with or without breathlessness
Headache, blurring of vision, fits and swelling all over the body
Bursting of water bag without labour pains/Preterm labour
pains (<37 weeks)
Ensure Institutional Delivery
Preparation in case of Home Delivery*
In case of EmergencyAfter Delivery
Early breastfeeding helps in sustaining breastfeeding so that mother can exclusively breastfeed for 6 months
• Bleeding during pregnancy• Excessive bleeding during
delivery or after delivery
6
7
Date of Delivery
Term/Preterm/Abortion
Sex of baby *Weight of baby
If at Institution, Period of Stay Post Delivery
Initiated exclusive breast feeding within 1 hour of birth
Injection Vitamin K
Take one tablet of iron folic acid per day for atleast 6 months after delivery
Take two tablets of calcium per day for atleast 6 months after delivery
If baby is less than 2 kg, contact ANM for support, for continued breastfeeding and Kangaroo mother care
Complications, if any (Specify)
Cried immediately after birth
Place of Delivery
POST NATAL CARE
POST PARTUM CARE
Institution: Normal Assisted CS
kg. gmsM
YY
Y
F
NN
N
1st Day
3rd Day
7th Day
6th Week
Any complaintsPallorPulse RateBlood PressureTemperatureBreasts (Soft/Engorged)Nipples (Cracked/Normal)Uterus Tenderness (Present/Absent)Bleeding P/V (Excessive/Normal)Lochia (Healthy/Foul Smelling)Episiotomy/Tear (Healthy/Infected)Family Planning Counselling (Y/N)Any other Complications and Referral Requirements (Y/N)
CARE OF BABY1st
Day3rd
Day7th
Day6th
WeekWeightUrine passedStool passedDiarrhoeaVomitingConvulsionsActivity (Good/Lethargic)Sucking (Good/Poor)Breathing (Fast/Difficult)Chest Indrawing (Present/Absent)TemperatureJaundiceCondition of Umbilical Stump
*(Three extra visits if birth weight < 2.5kg)7
Live Birth Still Birth
Home: SBA Others
Home Based Child Care visits after 6 weeks ()
Please Remember:• Keep the baby warm. • Start breastfeeding within 1 hr of birth • Feed the baby only mother’s milk • Do not bathe the baby for the first 48 hours • Keep the cord dry• Keep the baby away from sick people • Special care if baby < 2.5 kg at birth
Danger Signs:
Contact your Health Worker immediately if baby:• Not able to feed • Convulsion • Fast breathing more than 60 breaths per minute• Severe chest indrawing • Axillary temperature 37.5º C or above (feels hot to touch)• Axillary temperature less than 35.5º C (feels cold to touch)• Movement only when stimulation or no movement at all
Care of Newborn
ASHA to verify at age 3 months
6 months
9 months
12 months
15 months
Whether child sick
Breastfeeding continued
Com
plem
enta
ry fo
od g
iven
2-3 tsps of food at a time,2-3 meals each day with 1-2 snacks between meals
½ cup serving at a time, 2-3 meals each day with 1-2 snacks between meals
¾ to 1 cup serving at a time, 3-4 times a day with 1-2 snacks between meals
Weight recording by AWW
Developmental delay checked
Immunization status checked
Measles vaccine given
Vitamin A given
ORS at home
IFA syrup at home
ASHA to provide services at age
3 months
6 months
9 months
12 months
15 months
Counsel for exclusive breastfeeding
Counsel for complementary feeding
Counsel for hand washing
Counsel on parenting
Family planning counselling
ORS given
IFA syrup given
8
×
×
×
× ××
×
×
× ×
× × ×
Dissolve and mix 1 packet of ORS in 1 litre of potable water
Immediately give ORS solution
to child as soon as diarrhoea
begins and after each episode of
diarrhoea
Mix Zinc tablet in one teaspoon
of water or mother’s milk
and give it to the child once a day
for 14 days
Continue feeding, including
breastfeeding during and after
episodes of diarrhoea
Wash both hands with soap before preparing food,
feeding the child, after defecation
and after cleaning child’s excreta
Always use toilet, do not practice open defecation.
Practice safe disposal of
child’s faeces
FeverFast breathing Chest indrawingCoughing gets worse
Keep children covered in warm woollen
clothes during winters and do not let them
walk barefoot
Do not keep new born without clothes
Use LPG gas stove for cooking to avoid smoke in the house
On seeing symptoms of Diarrhea or Pneumonia Contact ASHA or ANM immediately
9
Ensure drinking water is clean and
stored in safe, covered
container
Ensure that the child’s
surroundings are hygienic
and wash hands of children frequently
Treatment of Diarrhoea
Prevention of Diarrhoea
Prevention of Pneumonia
Identification of Pneumonia
For less than 2 month baby when
breath count is more then 60 per minute
For 2 month to 1 year baby when
breath count is more then 50 per minute
For 1 year to 5 year child when breath count is more than
40 per minute
Pneumonia can be identified by breath counts
10
Your
bab
y ha
s a
smal
l and
tend
er
stom
ach
that
onl
y ne
ed m
othe
r’s
brea
st m
ilk. S
omet
imes
, you
r bab
y cr
ies
beca
use
he/s
he w
ants
to
be h
eld
clos
e. K
eep
your
bab
y in
cl
ose
cont
act w
ith y
our s
kin.
Whi
le
brea
stfe
edin
g, s
mile
, tal
k an
d lo
ok
into
you
r bab
y’s
eyes
, but
don
’t ro
ck
him
/her
whi
le fe
edin
g.
Feed
ing,
pla
ying
and
com
mun
icat
ing
with
chi
ldre
n he
lps
them
to g
row
and
dev
elop
phy
sica
lly a
nd in
telle
ctua
lly
Birth to 6 months: Early and exclusive breastfeeding
Put
you
r bab
y to
you
r bre
ast
imm
edia
tely
afte
r bi
rth, d
efini
tely
w
ithin
1 h
our.
This
hel
ps in
es
tabl
ishi
ng
lact
atio
n an
d bo
ndin
gM
othe
r’s fi
rst y
ello
w m
ilk p
rovi
des
imm
unity
and
pro
tect
s th
e ba
by
from
dis
ease
s &
infe
ctio
ns
Con
sult
the
AN
M, A
SH
A an
d AW
W o
f you
r are
a in
ca
se y
ou h
ave
any
prob
lem
in b
reas
tfeed
ing
your
ba
by
Your
bab
y sh
ould
be
bre
astfe
d on
de
man
d bo
th
durin
g th
e da
y an
d ni
ght.
Freq
uent
fe
edin
g in
crea
ses
brea
st m
ilk fl
ow.
Don
’t fo
rget
to fe
ed
the
baby
at n
ight
Bre
ast m
ilk p
rovi
des
all n
utrie
nts
and
cont
ains
suf
ficie
nt w
ater
. Do
not g
ive
your
ba
by a
nyth
ing
else
to e
at o
r drin
k, n
ot e
ven
hone
y or
wat
er in
the
first
6 m
onth
s. Y
our
baby
nee
ds o
nly
brea
stfe
edin
g til
l 6 m
onth
s of
age
.
Bre
astfe
edin
g im
prov
es in
telli
genc
e
E
ven
if yo
ur b
aby
is il
l, co
ntin
ue b
reas
tfeed
ing
till 6
mon
ths
A
fter 6
mon
ths,
you
r bab
y re
quire
s sm
all
frequ
ent m
eals
, alo
ng w
ith b
reas
t milk
and
ot
her l
iqui
ds d
urin
g ill
ness
10
W
ash
your
han
ds w
ith s
oap
and
wat
er b
efor
e pr
epar
ing
food
and
bef
ore
feed
ing
the
baby
.
If f
eedi
ng e
ggs,
ens
ure
they
are
wel
l-coo
ked
T
horo
ughl
y rin
se ra
w fr
uits
and
veg
etab
les
unde
r run
ning
wat
er b
efor
e co
okin
g
Coo
k th
orou
ghly,
use
saf
e w
ater
, dis
card
all
lefto
vers
on
child
ren’
s pl
ates
and
do
not s
ave
them
for l
ater
U
se o
nly
iodi
zed
salt
for c
ooki
ng; i
odin
e im
prov
es in
telle
ct
Giv
e iro
n dr
ops/
syru
p to
mai
ntai
n th
e bo
dy’s
iro
n st
ore
for i
mpr
ovin
g in
telli
genc
e an
d ph
ysic
al s
treng
th
Talk
, sm
ile a
nd b
e pa
tient
to en
cour
age
the
child
to e
at
6 months to 2 years: Continue frequent on demand breastfeeding
until 2 years and beyond. Also introduce soft foods
C
ontin
ue b
reas
tfeed
ing
O
n co
mpl
etio
n of
6 m
onth
s, s
tart
feed
ing
baby
with
2–3
tabl
e sp
oons
of
sof
t, w
ell-m
ashe
d fo
ods
2–
3 tim
es a
day
Int
rodu
ce o
ne fo
od a
t a ti
me,
suc
h as
a s
mal
l am
ount
of v
eget
able
s,
follo
wed
by
fruits
, dal
and
cer
eals
Inc
reas
e am
ount
of t
he fe
ed s
low
ly
Giv
e iro
n dr
ops/
syru
p to
mai
ntai
n th
e bo
dy’s
iron
sto
re fo
r im
prov
ing
inte
llige
nce
and
phys
ical
stre
ngth
C
ontin
ue b
reas
tfeed
ing
C
hang
e co
nsis
tenc
y to
lum
py fe
eds
give
n 3–
4 tim
es a
day
F
eed
2–3
times
and
1–2
sna
cks
I
ncre
ase
quan
tity
and
dive
rsity
of t
he fe
eds
I
ntro
duce
one
new
food
at a
tim
e su
ch a
s kh
ichr
i, da
lia
I
nclu
de a
t lea
st 4
food
gro
ups
such
as:
1)
cer
eals
, 2) g
reen
veg
etab
les
and
fruits
, 3)
oil,
ghe
e; 4
) mas
hed
dal/fi
sh/e
gg (o
nly
hard
-boi
led)
G
ive
iron
drop
s/sy
rup
to m
aint
ain
the
body
’s
iron
stor
e fo
r im
prov
ing
inte
llige
nce
and
phys
ical
stre
ngth
C
ontin
ue b
reas
tfeed
ing
A
fter 9
mon
ths,
feed
at l
east
hal
f kat
ori o
f fo
od th
at re
quire
s ch
ewin
g 3–
4 tim
es a
day
A
fter 1
2 m
onth
s, in
trodu
ce fa
mily
food
s, g
ive
3/4th
–1 k
ator
i, 3–
4 tim
es e
ach
day
alon
g w
ith
1–2
snac
ks
Giv
e fin
ely
chop
ped
food
s th
at b
aby
can
pick
up
usi
ng th
umb
and
finge
rs. A
llow
chi
ldre
n to
ea
t with
ow
n ha
nds,
eve
n if
they
mes
s up
G
ive
Vita
min
A s
yrup
for i
mpr
ovin
g ey
esig
ht
Giv
e iro
n dr
ops/
syru
p to
mai
ntai
n th
e bo
dy’s
iro
n st
ore
for i
mpr
ovin
g in
telli
genc
e an
d ph
ysic
al s
treng
th
6 m
onth
s6–
9 m
onth
s9–
12 m
onth
sG
ener
al ti
ps:
11
Wha
t mos
t bab
ies
do (p
aren
ts to
tic
k as
per
age
)Pa
rent
ing
tips
Rai
se h
ead
at ti
mes
, whe
n on
tu
mm
y
By 2–3 months
Mas
sage
gen
tly, s
tretc
h an
d ex
erci
se a
rms
and
legs
of
babi
es
E
ncou
rage
bab
ies
to li
e on
tum
my
for s
ome
time
ever
y da
y
Cud
dle
and
play
with
ba
bies
dai
ly. C
uddl
ing
or
quic
kly
resp
ondi
ng to
eac
h cr
y do
es n
ot s
poil
babi
es
Ta
lk to
bab
ies
in y
our
mot
her t
ongu
e da
ily
Han
g co
lour
ful m
ovin
g ob
ject
s 30
cm (1
foot
) aw
ay, f
or b
abie
s to
focu
s on
and
follo
w
Av
oid
use
of d
igita
l med
ia
in c
hild
ren
youn
ger t
han
24
mon
ths
B
egin
to re
cogn
ize
the
mot
her’s
face
Dev
elop
soc
ial s
mile
M
ake
eye
cont
act
M
ove
both
ar
ms
and
both
le
gs, w
hen
exci
ted
K
eep
hand
s op
en a
nd
rela
xed
12
AS
HA
/AW
W p
leas
e ex
amin
e an
d m
ark
or
on th
e ca
rd a
s pe
r the
age
of t
he c
hild
“War
ning
” si
gns
: Con
tact
AN
M/A
WW
/hea
lth c
are
prov
ider
imm
edia
tely
if y
ou s
ee a
ny o
ne o
f the
se
At 3 months
No
soci
al s
mile
Doe
s no
t mak
e an
y ey
e co
ntac
t whe
n be
ing
fed,
cu
ddle
d or
spo
ken
to
Hea
d pu
shed
ba
ck, w
ith s
tiff
arm
s an
d le
gs
Per
sist
ently
hol
d th
umb
insi
de th
e pa
lm, w
ith h
ands
ke
pt o
pen
or fi
sted
Per
sist
ent s
quin
ting
afte
r 2 m
onth
s
Doe
s no
t sta
rtle/
w
ake
up/ c
ry
in re
spon
se to
su
dden
loud
sou
nd
13
ah e
e
oo
Pare
ntin
g tip
s
Put
inte
rest
ing
thin
gs o
n th
e flo
or fo
r bab
ies
to
reac
h ou
t and
exp
lore
Com
mun
icat
e w
ith
babi
es; i
mita
te th
eir
soun
ds a
nd p
rais
e th
em w
hen
they
im
itate
you
rs
K
eep
head
ste
ady
whe
n he
ld u
prig
ht
and
can
sit w
ith s
uppo
rt
Tu
rn h
ead
tow
ards
dire
ctio
n of
sou
nd
B
egin
to b
abbl
e “a
h, e
e, o
o” o
ther
than
w
hen
cryi
ng
Li
ke to
look
at s
elf i
n a
mirr
or
A
ttem
pt to
re
ach
and
gras
p an
obj
ect
La
ugh
alou
d or
m
ake
sque
alin
g so
unds
Take
chi
ldre
n ou
tdoo
rs,
and
intro
duce
them
to th
e ou
tsid
e w
orld
Chi
ldre
n su
ck o
n th
eir fi
nger
s an
d th
umb
for
com
fort.
It is
no
t a c
ause
fo
r con
cern
. Do
not s
top
this
at a
n ea
rly a
ge
By 4–6 months
ah e
e oo
14
Wha
t mos
t bab
ies
do (p
aren
ts to
tic
k as
per
age
)
AS
HA
/AW
W p
leas
e ex
amin
e an
d m
ark
or
on th
e ca
rd a
s pe
r the
age
of t
he c
hild
At 6 months
Lack
s he
ad c
ontro
lC
anno
t sit
up e
ven
with
hel
p
Doe
s no
t vo
caliz
e by
m
akin
g di
ffere
nt
soun
ds s
uch
as
“ah”
, “eh
”, “o
o”
Hea
d an
d ey
es d
o no
t m
ove
to fo
llow
/trac
k a
mov
ing
obje
ct
Una
ble
to ra
ise
head
w
hen
on tu
mm
y
Doe
s no
t gra
sp
thin
gs w
ithin
reac
h
15
“War
ning
” si
gns
: Con
tact
AN
M/A
WW
/hea
lth c
are
prov
ider
imm
edia
tely
if y
ou s
ee a
ny o
ne o
f the
se
Rol
l ove
r in
both
dire
ctio
ns
Let c
hild
ren
drop
, ba
ng a
nd th
row
thin
gs
repe
ated
ly. R
espo
nd to
th
e no
ise
that
chi
ldre
n m
ake
in a
gen
tle a
nd
patie
nt m
anne
r
Giv
e ch
ildre
n cl
ean,
saf
e ho
useh
old
uten
sils
to p
lay
an
d ex
plor
e
Pla
y ga
mes
like
pee
k-a-
boo.
Hid
e th
e ch
ildre
n’s
favo
urite
to
ys u
nder
a c
loth
or b
ox. S
ee
if ch
ildre
n ca
n fin
d it
G
rasp
a to
y by
us
ing
all fi
nger
s
Tu
rn h
ead
to
visu
ally
follo
w
fam
iliar
face
s or
to
ys
Lo
ok fo
r toy
s th
at h
ave
been
hid
den
in fr
ont o
f th
em
R
espo
nd to
na
me
bein
g ca
lled
By 7–9 months16
Wha
t mos
t bab
ies
do (p
aren
ts to
tic
k as
per
age
)Pa
rent
ing
tips
Wha
t mos
t bab
ies
do (p
aren
ts to
tic
k as
per
age
)
AS
HA
/AW
W p
leas
e ex
amin
e an
d m
ark
or
on th
e ca
rd a
s pe
r the
age
of t
he c
hild
At 9 months
Can
not r
oll o
ver
Nee
ds s
uppo
rt to
sit
Doe
s no
t utte
r pa.
. pa.
.pa,
ma.
. m
a, b
a.. b
a..b
a, e
tc
Doe
s no
t tur
n to
war
ds a
sou
nd(o
ut o
f sig
ht)
Tilts
hea
d al
way
s to
one
sid
e ea
ch
time
whe
n lo
okin
g at
obj
ects
17
“War
ning
” si
gns
: Con
tact
AN
M/A
WW
/hea
lth c
are
prov
ider
imm
edia
tely
if y
ou s
ee a
ny o
ne o
f the
se
18
Pla
ce a
toy
slig
htly
out
of
reac
h to
enc
oura
ge
stan
ding
and
wal
king
w
hile
usi
ng s
uppo
rt
Whi
le e
xplo
ring,
bab
ies
mig
ht h
urt o
ther
s ac
cide
ntal
ly. S
how
them
ho
w to
touc
h ge
ntly.
Do
not
shou
t at t
hem
Tell
your
bab
ies
stor
ies
and
read
pic
ture
boo
ks a
loud
. S
how
and
nam
e th
ings
in th
eir
envi
ronm
ent
Cra
wl t
o ge
t des
ired
toys
with
out
bum
ping
into
any
obj
ects
S
it w
ithou
t sup
port
and
reac
h fo
r toy
s w
ithou
t fal
ling
R
aise
arm
s to
be
pick
ed u
p
Use
one
or t
wo
com
mon
wor
ds in
mot
her
tong
ue
Res
pond
to s
impl
e re
ques
ts li
ke “n
o/ c
ome
here
”
No!
By 10–12 months18
Pare
ntin
g tip
sW
hat m
ost b
abie
s do
(par
ents
to
tick
as p
er a
ge)
AS
HA
/AW
W p
leas
e ex
amin
e an
d m
ark
or
on th
e ca
rd a
s pe
r the
age
of t
he c
hild
19At 12 months
Can
not p
ick
smal
l ob
ject
s w
ith fi
nger
an
d th
umb
Doe
s no
t stre
tch
hand
s to
be
pick
ed u
p
Doe
s no
t sea
rch
for h
alf h
idde
n to
ys th
at th
e ch
ild
sees
you
hid
e
Doe
s no
t res
pond
to
own
nam
e
Doe
s no
t pla
y so
cial
gam
es li
ke
peek
-a-b
oo (j
hala
k/ a
nakh
-mic
haul
i)
Bitt
oo
19
“War
ning
” si
gns
: Con
tact
AN
M/A
WW
/hea
lth c
are
prov
ider
imm
edia
tely
if y
ou s
ee a
ny o
ne o
f the
se
Pro
vide
pus
h to
y fo
r bab
ies
to le
arn
wal
king
Giv
e so
me
fruits
, toy
s, e
tc. t
o ch
ildre
n. A
sk th
em to
iden
tify
the
obje
cts,
put
them
in a
nd ta
ke th
em
out o
f con
tain
ers
Ask
you
r chi
ldre
n si
mpl
e qu
estio
ns. E
ncou
rage
them
to
talk
Put
peb
bles
/sm
all o
bjec
ts in
a
cont
aine
r
Nam
e an
d id
entif
y co
mm
on o
bjec
ts a
nd
thei
r pic
ture
s in
a b
ook
S
tand
and
take
se
vera
l ind
epen
dent
st
eps
U
se a
var
iety
of
fam
iliar
ges
ture
s lik
e w
avin
g, c
lapp
ing,
etc
.
By 18 months20
Pare
ntin
g tip
sW
hat m
ost b
abie
s do
(par
ents
to
tick
as p
er a
ge)
AS
HA
/AW
W p
leas
e ex
amin
e an
d m
ark
or
on th
e ca
rd a
s pe
r the
age
of t
he c
hild
At 18 months
Can
not s
tand
on
his/
her o
wn
with
out
supp
ort
Can
not p
ut s
mal
l ob
ject
s in
a
cont
aine
r
Doe
s no
t res
pond
to
mot
her’s
ges
ture
s an
d se
ems
to b
e in
his
/her
ow
n w
orld
Doe
s no
t use
bot
h ha
nds
for e
very
day
activ
ities
(s
how
s pr
efer
ence
for
one
hand
)
Doe
s no
t say
sin
gle
wor
ds li
ke “m
ama”
or
“dad
a”Doe
s no
t poi
nt
finge
r at a
n ob
ject
w
hen
nam
ed
Bab
li, p
oint
ou
t whe
re is
your
toy
Am
ma,
papa
, dad
a
21
“War
ning
” si
gns
: Con
tact
AN
M/A
WW
/hea
lth c
are
prov
ider
imm
edia
tely
if y
ou s
ee a
ny o
ne o
f the
se
Wal
k st
eadi
ly,
even
whi
le p
ullin
g a
toy
Pro
vide
opp
ortu
nitie
s fo
r ch
ildre
n to
wal
k, ru
n an
d cl
imb
in s
afe
envi
ronm
ents
Allo
w c
hild
ren
to im
itate
yo
u an
d m
aste
r the
ir sk
ills.
Be
patie
nt w
ith
them
if th
ey m
ake
a m
ess
Enc
oura
ge c
hild
ren
to fo
llow
a
daily
rout
ine
such
as
slee
ping
an
d w
akin
g up
at a
fixe
d tim
e
Rea
d al
oud
to c
hild
ren,
ofte
n re
peat
ing
stor
ies.
Pro
vide
bo
oks
and
pape
r, ch
alk,
co
lour
s, e
tc. f
or s
crib
blin
g
Imita
te
hous
ehol
d ch
ores
Cor
rect
ly p
oint
out
and
nam
e on
e or
mor
e bo
dy p
arts
in
per
son
or in
boo
ks
By 24 months22
Pare
ntin
g tip
sW
hat m
ost b
abie
s do
(par
ents
to
tick
as p
er a
ge)
AS
HA
/AW
W p
leas
e ex
amin
e an
d m
ark
or
on th
e ca
rd a
s pe
r the
age
of t
he c
hild
At 24 months
Doe
s no
t wal
k st
eadi
ly w
hile
pul
ling
a to
y
Can
not s
crib
ble
Doe
s no
t mak
e ap
prop
riate
resp
onse
to
ges
ture
s su
ch a
s re
spon
ding
to b
ye-b
ye/
nam
aste
Doe
s no
t poi
nt to
bo
dy p
arts
D
oes
not s
eem
to
unde
rsta
nd a
nd fo
llow
si
mpl
e in
stru
ctio
ns
Doe
s no
t use
two
wor
d ph
rase
s su
ch a
s “g
ive
milk
”
Bye
-bye
Bitt
oo, g
ive
m
e th
e bl
ock
Pin
ky, s
how
m
e yo
ur n
ose
Giv
e m
ilk,
amm
a co
me…
23
“War
ning
” si
gns
: Con
tact
AN
M/A
WW
/hea
lth c
are
prov
ider
imm
edia
tely
if y
ou s
ee a
ny o
ne o
f the
se
Clim
b up
and
do
wn
the
stai
rs
Pla
y ou
tdoo
r gam
es w
ith y
our c
hild
ren
whi
ch
requ
ire m
ovem
ent a
nd p
hysi
cal a
ctiv
ity
Allo
w c
hild
ren
to u
se th
eir h
ands
and
fing
ers
in
diffe
rent
way
s to
impr
ove
thei
r ski
lls
Giv
e va
riety
of
mat
eria
ls (i
nclu
ding
bl
ocks
, puz
zles
, rin
gs, e
tc.)
to
child
ren
Drin
k fro
m a
cup
w
ithou
t spi
lling
Cat
Dog
B
ird
N
ame
mos
t fam
iliar
thin
gs c
onsi
sten
tly.
Iden
tify
colo
urs,
sha
pes,
etc
.
M
ake
a se
nten
ce b
y jo
inin
g 3
or m
ore
wor
ds
By 3 years24
Pare
ntin
g tip
sW
hat m
ost b
abie
s do
(par
ents
to
tick
as p
er a
ge)
AS
HA
/AW
W p
leas
e ex
amin
e an
d m
ark
or
on th
e ca
rd a
s pe
r the
age
of t
he c
hild
At 3 years
Has
trou
ble
clim
bing
up
and
clim
bing
dow
n st
airs
Can
not e
at w
ithou
t he
lp
Doe
s no
t pla
y “P
rete
nd”
gam
es
Con
tinuo
us d
rool
ing,
un
clea
r spe
ech
Doe
s no
t spe
ak in
si
mpl
e an
d th
ree
wor
d se
nten
ces
such
as
“mum
my
give
milk
”
Doe
s no
t com
mun
icat
e m
eani
ngfu
lly a
nd
frequ
ently
repe
ats
othe
rs’
spee
ch
Bab
loo,
let’s
feed
the
baby
Mum
my
give
milk
Wha
t is
your
nam
e?Yo
urna
me
25
“War
ning
” si
gns
: Con
tact
AN
M/A
WW
/hea
lth c
are
prov
ider
imm
edia
tely
if y
ou s
ee a
ny o
ne o
f the
se
26
Mai
ntai
ning
spa
cing
of 3
yea
rs b
etw
een
two
child
ren
has
a he
alth
y im
pact
on
both
the
mot
her a
nd b
aby’
s he
alth
. Yo
u ca
n av
ail a
ny s
paci
ng m
etho
d fr
om th
e w
ide
bask
et o
f cho
ices
offe
red
unde
r the
Fam
ily P
lann
ing
Pr
ogra
mm
e su
ch a
s:
If yo
ur fa
mily
is c
ompl
ete,
you
/you
r sp
ouse
can
opt
for a
per
man
ent
met
hod
of c
ontr
acep
tion
IUC
D 3
80A
(e
ffect
ive
for
10 y
ears
)
IUC
D 3
75
(effe
ctiv
e fo
r 5
year
s)
Inje
ctab
le C
ontra
cept
ive
(Ant
ara
Pro
gram
me)
Fem
ale
Ste
riliz
atio
n
Mal
e S
teril
izat
ion
IUC
D c
an b
e in
sert
ed a
s:•
Inte
rval
IUC
D: a
fter 6
wee
ks o
f de
liver
y•
Post
par
tum
IUC
D: w
ithin
48
hour
s of
del
iver
y
• M
ala
N-C
ombi
ned
Ora
l Con
trace
ptiv
e P
ills
• C
hhay
a-C
entc
hrom
an•
Prog
este
rone
onl
y Pi
lls
Niro
dh- C
ondo
m
26
27
Bi-weekly Iron-Folic Acid Supplementation and bi-annual deworming for children aged 6 months to 5 years
(Compliance Card)
Mention date of provision of IFA bottle to
mother
Bottle 1 Bottle 2 Bottle 3 Bottle 4 Bottle 5
Bottle 6 Bottle 7 Bottle 8 Bottle 9 Bottle 10
Important things to remember:1. Provide iron folic acid (IFA) syrup every Wednesday and
Saturday 2. Give 1 ml of Iron folic acid syrup using the auto-dispenser 3. Don’t give iron folic acid syrup to a child when s/he is sick or
severly undernourished4. Always give iron folic acid syrup to the child after consumption
of food5. One 50-ml iron folic acid syrup bottle lasts for six months and
once its finished, contact your ASHA/ANM didi for a new bottle6. After giving a dose of iron folic acid syrup, mark a tick in the card
7. In case of any problem after consumption of iron folic acid syrup, contact your ANM immediately
Albendazole (write date)Age 1-2 Year 2-3 Year 3-4 Year 4-5 YearDose - 1
Dose - 2
27
Mon
th-w
ise
Bi-w
eekl
y IF
A sy
rup
supp
lem
enta
tion
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
Wee
k
1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
Age 6-12 month 1-2 Year 2-3 Year 3-4 Year 4-5 Year
28
yr.
Growth Curves
Wei
ght (
kg)
GoodNormalModerately Underweight (Below - 2SD to - 3SD)Severely Underweight (Below - 3SD)
Talk to the AWW/ANM immediately
Dangerous
Very Dangerous
yr.
Birt
h
Age (completed weeks, months and years)Services at Anganwadi Centre
Supplementary nutritional support, growth monitoring and promotion
Nutrition and health education
GIRL: Weight-for-age - Birth to 3 years (As per WHO Child Growth Standards)
Ensure equal care for the girl child
Anganwadi CentreAnganwadi Centre of MWCD, GOI, reaches out to young children under 6 years, pregnant women and breastfeeding mothers and women 15-45 years with an integrated package of servicesContact your AWW for child care services at the nearest AWC
28
29
Services at Anganwadi Centre
GIRL: Weight-for-age - Birth to 3 years (As per WHO Child Growth Standards)
yrs. yrs.
yrs.
yrs.
Ensure equal care for the girl child
The First Three Years are Forever
Anganwadi Centre
Participate in Anganwadi Centre ActivitiesPromote Universalisation with Qualtiy
Anganwadi Centre of MWCD, GOI, reaches out to young children under 6 years, pregnant women and breastfeeding mothers and women 15-45 years with an integrated package of servicesContact your AWW for child care services at the nearest AWC
Immunization Early childhood care and preschool education
Health check-up
Referral services
29
30
Growth Curves
Wei
ght (
kg)
GoodNormalModerately Underweight (Below - 2SD to - 3SD)Severely Underweight (Below - 3SD)
Talk to the AWW/ANM immediately
Dangerous
Very Dangerous
yr.
yr.
Birt
hBOY: Weight-for-age - Birth to 3 years
(As per WHO Child Growth Standards)
Age (completed weeks, months and years)Services at Anganwadi Centre
Anganwadi Centre
Have your child weighed at the AWC every month30
Supplementary nutritional support, growth monitoring and promotion
Nutrition and health education
Anganwadi Centre of MWCD, GOI, reaches out to young children under 6 years, pregnant women and breastfeeding mothers and women 15-45 years with an integrated package of servicesContact your AWW for child care services at the nearest AWC
31
BOY: Weight-for-age - Birth to 3 years (As per WHO Child Growth Standards)
yrs. yrs.
yrs.
yrs.
Services at Anganwadi Centre
The First Three Years are Forever
Anganwadi Centre
Participate in Anganwadi Centre ActivitiesPromote Universalisation with Qualtiy
Immunization Early childhood care and preschool educationHealth check-up
Referral services
Have your child weighed at the AWC every month31
Anganwadi Centre of MWCD, GOI, reaches out to young children under 6 years, pregnant women and breastfeeding mothers and women 15-45 years with an integrated package of servicesContact your AWW for child care services at the nearest AWC
32
Weight (kg)
Leng
th/h
eigh
t (cm
)
-3-2-1 0 1 2 3
4550
5560
6570
7580
8590
9510
010
511
011
512
0
246810121416182022242628303234
246810121416182022242628303234
Wei
ght-f
or-le
ngth
/hei
ght G
irls
(As
per W
HO
Chi
ld G
row
th S
tand
ards
)
32
Weight (kg)
33
Weight (kg)
Leng
th/h
eigh
t (cm
)
-3-2-1 0 1 2 3
4550
5560
6570
7580
8590
9510
010
511
011
512
0
246810121416182022242628303234
246810121416182022242628303234
33
Leng
th/h
eigh
t (cm
)
Weight (kg)
34
-3-2-1 0 1 2 3
4550
5560
6570
7580
8590
9510
010
511
011
512
0
246810121416182022242628303234
246810121416182022242628303234
Wei
ght-f
or-le
ngth
/hei
ght B
oy(A
s pe
r WH
O C
hild
Gro
wth
Sta
ndar
ds)
34
Weight (kg)
35
-3-2-1 0 1 2 3
4550
5560
6570
7580
8590
9510
010
511
011
512
0
246810121416182022242628303234
246810121416182022242628303234
35
Leng
th/h
eigh
t (cm
)
Weight (kg)
36
BIR
TH2
1 /2
MO
NTH
S1
1 /2
MO
NTH
S3
1 /2
MO
NTH
S9
MO
NTH
S
BC
G
Pent
a-1
IPV-
1IP
V-2
Pent
a-2
Pent
a-3
OPV
-0O
PV-1
OPV
-2O
PV-3
MR
-1
JE-1
Vita
min
A
-1R
ota-
1R
ota-
2R
ota-
3
PCV-
1PC
V-2
PCV
boos
ter
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
Nex
t Vac
cina
tion
Dat
e:N
ext V
acci
natio
n D
ate:
Nex
t Vac
cina
tion
Dat
e:N
ext V
acci
natio
n D
ate:
Dat
e of
Del
iver
y
Hep
Bgi
ve w
ithin
24
h of
birt
h
FOU
R K
EY
ME
SS
AG
ES
ON
IM
MU
NIZ
ATI
ON
Wha
t vac
cine
w
as g
iven
and
w
hat d
isea
se it
pr
even
ts
Wha
t min
or
adve
rse
even
ts
coul
d oc
cur a
nd
how
to d
eal w
ith
them
.
Whe
n an
d w
here
to
com
e fo
r the
ne
xt v
isit
To k
eep
the
imm
uniz
atio
n ca
rd
safe
and
brin
g it
alon
g fo
r the
nex
t vi
sit
01 03
02 04
Con
grat
ulat
ions
! You
r chi
ld is
va
ccin
ated
for t
he 1
st y
ear o
f life
.
36
37
SIA
/ O
THE
R
VAC
CIN
E N
AM
ED
ATE
OF
VAC
CIN
ATIO
N
(mm
/dd/
yyyy
):
VIT
AM
IN A
CH
ILD
AG
ED
ATE
OF
AD
MIN
ISTR
ATIO
N (m
m/d
d/yy
yy):
Vit-A
-32
year
s
Vit-A
-42.
5 ye
ars
Vit-A
-53
year
s
Vit-A
-63.
5 ye
ars
Vit-A
-74
year
s
Vit-A
-84.
5 ye
ars
Vit-A
95
year
s
16-2
4 M
ON
THS
10 Y
EA
RS
5-6
YE
AR
S16
YE
AR
S
Nex
t Vac
cina
tion
Dat
e:N
ext V
acci
natio
n D
ate:
Nex
t Vac
cina
tion
Dat
e:
TTTT
Vita
min
A
-2 JE-2
MR
-2
DPT
B
oost
er-1
DPT
B
oost
er-2
OPV
Boo
ster
Con
grat
ulat
ions
! You
r chi
ld is
va
ccin
ated
for t
he 2
nd y
ear o
f life
.
MIS
SED
DO
SE T
RA
CK
ING
NA
ME
&
DO
SE O
F M
ISSE
D
VAC
CIN
E
DAT
E O
F VA
CC
INE
DO
SE
MIS
SED
REA
SON
WH
Y VA
CC
INE
DO
SE M
ISSE
D
NEX
T SE
SSIO
N
DAT
E FO
R
MIS
SED
DO
SE
SIG
N O
F A
NM
37
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
38
VACCINATION NAME BIRTH 11/2
Months
21/2
Months
31/2
Months
9 Months
11/2
Years
BCG
prevents tuberculosisHepB prevents liver diseaseOPV prevents polio IPV prevents polioPenta
prevents whooping cough, diphtheria, tetanus Hep B and Hib infections PCV prevents pneumoniaRotaprevents diarrhoeaMR prevents measles, rubellaJE Prevents brain feverDPT prevents whooping cough, diphtheria and tetanus
Immunization Essentials
Continue vaccinating your child. Thank You!
MINISTRY OF HEALTH AND FAMILY WELFAREMINISTRY OF WOMEN AND CHILD DEVELOPMENT
With your help, we have eradicated polio and eliminated
maternal and neonatal tetanus!
38
Additional information
2018 Version
39Chi
ld’s
nam
e
Chi
ld’s
birt
h da
te
/
/
Mot
her’s
nam
e
Par
ents
Mob
ile N
umbe
r
Fath
er’s
nam
e
Add
ress
MC
TS/R
CH
No.
AN
M S
igna
ture
Rout
ine
Im
mun
izat
ion
Cou
nter
foil
BIR
TH2
1 /2
MO
NTH
S1
1 /2
MO
NTH
S3
1 /2
MO
NTH
S9
MO
NTH
S
BC
G
Hep
BPe
nta-
1
IPV-
1IP
V-2
Pent
a-2
Pent
a-3
OPV
-0O
PV-1
OPV
-2O
PV-3
MR
-1
JE-1
Vita
min
A
-1R
ota-
1R
ota-
2R
ota-
3
PCV-
1PC
V-2
PCV-
B
oost
er
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
Nex
t Vac
cina
tion
Dat
e:N
ext V
acci
natio
n D
ate:
Nex
t Vac
cina
tion
Dat
e:N
ext V
acci
natio
n D
ate:
Dat
e of
Del
iver
y
FAM
ILY
IDEN
TIFI
CAT
ION
give
with
in
24h
of b
irth
39
40ASH
A IN
CEN
TIVE
TR
AC
KIN
GFu
ll Im
mun
izat
ion
(FIC
):C
ompl
eted
on
/
/
Ince
ntiv
e re
ceiv
ed?
Y
es
N
o
If ye
s, d
ate
rece
ived
/
/
Com
plet
e Im
mun
izat
ion
(CIC
):
Com
plet
ed o
n
/
/
Ince
ntiv
e re
ceiv
ed?
Y
es
N
o
If ye
s, d
ate
rece
ived
/
/
16-2
4 M
ON
THS
10 Y
EA
RS
5-6
YE
AR
S16
YE
AR
S
TTTT
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
DAT
E O
F VA
CC
INAT
ION
(m
m/d
d/yy
yy):
Nex
t Vac
cina
tion
Dat
e:
[Ret
urn
Car
d to
AN
M]
Nex
t Vac
cina
tion
Dat
e:N
ext V
acci
natio
n D
ate:
Vita
min
A
-2 JE-2
MR
-2
DPT
B
oost
er-1
DPT
B
oost
er-2
OPV
Boo
ster
VIT
AM
IN A
3–9
DAT
E O
F A
DM
INIS
TRAT
ION
(m
m/d
d/yy
yy):
Vit-A
-3
Vit-A
-4
Vit-A
-5
Vit-A
-6
Vit-A
-7
Vit-A
-8
Vit-A
-9
MIS
SED
DO
SE T
RA
CK
ING
NA
ME
DAT
E O
F VA
CC
INAT
ION
REA
SON
NEX
T VA
CC
INAT
ION
DAT
EA
NM
INIT
IAL
NO
TES