Kubang Pasu District

Second session (Evening Session)

Date: 12th July 2009

Time 2:00pm

Location: School Unit, District Health Office Kubang Pasu, Jitra

Topic: Excursion to KKIA Jitra, School Unit, briefing on School Health Programme

Person in charge: JK Zulfadzilah bt. Ahmad

In the afternoon, we were briefed on the function of School health unit which is responsible on vaccination of the school children, personal hygiene, food and nutrition monitoring, Programme Doktor Muda and PROSTAR. There are 55 primary school, 25 secondary and 44 preschools in Kubang Pasu district. A School Team is comprised of 2 nurses, 1 attendant, 1 driver and MA (STUDENT)

Standard 1 students:

· OPV, MMR & DT is given

· Talk on personal hygiene, methods of brushing teeth and visual assessment.

Standard 6 students:

• Rubella is given to female students ( will be stoped in year 2010)
• Boys are checked for colour blind.

Form 3 students:

• ATT is given and physical examination is carried out

After the briefing, we went to the School Health Unit to observe the method of vaccine storage, 2 types of thermometer which are MINMAX THERMOMETER AND DIAL THERMOMETER used to monitor the temperature of the vaccine, temperature chart. Cold chain and the method and the importance of maintaining the required temperature of the vaccine was explained by KJ Zulfadzilah bt. Ahmad.

Child Health - Sik district

Child Health

There are various aspects of child health:

- Nutrition
- Growth & Development
- Immunization
- Maternal and Child Health Clinic
- School Health

Millennium Development Goals (for child health)

- Goal 4: Reduce child mortality
- Target 5: Reduce by two-thirds, between 1990 and 2015, the under-five mortality rate
Under-five mortality rate
Infant (under 1) mortality rate
Proportion of 1-year-old children immunised against measles

The National Breastfeeding Policy (2006) states:
“All mothers are encouraged to breastfeed their babies exclusively with breast milk from birth until 6 months of age and thereafter to continue until the child is 2 years old. Complementary foods should be introduced when the baby is 6 months old.”

World Breastfeeding Week 2009 is 1-7 August 2009

Baby Friendly Hospital Initiative
Ten steps to successful breastfeeding [A joint WHO/UNICEF statement (1989)]
Every facility providing maternity services and care for newborn infants should :
1. Have a written breastfeeding policy that is routinely communicated to all health care staff.
2. Train all health care staff in skills necessary to implement this policy.
3. Inform all pregnant women about the benefits and management of breastfeeding.
4. Help mothers initiate breastfeeding within half-hour of birth
5. Show mothers how to breastfeed, and how to maintain lactation even if they should be separated from their infants.
6. Give newborn infants no food or drink other than breast milk unless medically indicated.
7. Practise rooming-in allows mothers and infants to remain together-24 hours a day.
8. Encourage breastfeeding on demand.
9. Give no artificial teats or pacifiers (also called dummies or soothers) to breastfeeding infants.
10. Foster the establishment of breastfeeding support group and refer to them on discharge.

Breastfeeding and Child Survival
1. Follow the breastfeeding policy
- exclusive breastfeeding from birth to first 4-6 months
- no pacifier
- additional food only be given after the baby 4-6 months old

2. Advantages of breast milk compare to formulated milk
- prevent infection(bacteria, virus), respiratory infection and diarrhea
- prevent the baby from allergic
- sudden infant rate decreases

3. Colostrums
- high proteins, fat soluble vitamins (Vit A, D, E, K), zinc and sodium
- Low lactose(4%), fats and water soluble vitamins (Vit B complex, C)
- High vitamin K (prevent Haemorrhagic Disease of Newborn)
- High sIgA
- Passive immunization
- Stimulate passing out of meconium – to prevent neonatal jaundice
- Contain “Bifidus factors” which encourage the growth of Lactobacillus Bifidus – to prevent the growth of pathogenic E.coli.
- Active enzymes like lipase, lactase, lysozyme
- Antioxidant, Beta kerotene

4. Advantages for the mother
- oxytocin produced during breastfeeding will help the involution of uterus and prevent postpartum hemorrhage.
- Natural contraception
- Decrease the risk of breast cancer
- Decreases post partum psychosis


To overcome nutritional diseases and deficiencies, especially prevalent in rural areas, the Government initiated the multi-agency “Applied Food and Nutrition” programme in the 1970s and the “School Supplementary Feeding Programme” to provide children from low income families with food supplements including milk.
As a result, acute malnutrition is no longer a problem in our country.
Trends between 1990 and 2001 in under-five weight for age show that not more than 1% are severely underweight. On the other hand, Malaysia has begun to see the emergence of overweight and obesity in both children and adults.

School Supplementary Feeding Program (SSFP)[Rancangan Makanan Tambahan(RMT)]

• The main objective of SSFP is to improve the health and nutritional status of children, especially those from the rural areas, through a provision of a wholesome and balanced meal.


• To improve health and food habits and to prevent the occurrence of malnutrition among school children


• To educate children on food selection


• To encourage the participation of parents, teachers and public in the welfare of the school


• To strengthen health and nutrition programs in schools

Other informations will be posted soon. .. .

Kubang Pasu District

Second session (Evening Session)

Date: 12th July 2009
Time 2:00pm
Location: School Unit, District Health Office Kubang Pasu, Jitra
Topic: Excursion to KKIA Jitra, School Unit, briefing on School Health Programme
Person in charge: JK Zulfadzilah bt. Ahmad

In the afternoon, we were briefed on the function of School health unit which is responsible on vaccination of the school children, personal hygiene, food and nutrition monitoring, Programme Doktor Muda and PROSTAR. There are 55 primary school, 25 secondary and 44 preschools in Kubang Pasu district. A School Team is comprised of 2 nurses, 1 attendant, 1 driver and MA (STUDENT)
Standard 1 students:
• OPV, MMR & DT is given
• Talk on personal hygiene, methods of brushing teeth and visual assessment.
Standard 6 students:
• Rubella is given to female students ( will be stoped in year 2010)
• Boys are checked for colour blind.
Form 3 students:
• ATT is given and physical examination is carried out

After the briefing, we went to the School Health Unit to observe the method of vaccine storage, 2 types of thermometer which are MINMAX THERMOMETER AND DIAL THERMOMETER used to monitor the temperature of the vaccine, temperature chart. Cold chain and the method and the importance of maintaining the required temperature of the vaccine was explained by KJ Zulfadzilah bt. Ahmad.