Kau U Fong Clinic in the Central District. The staff was increased during the year by one Medical Officer, seven Health Visitors, and three Health Nurses,
286. Three additional ante-natal clinics were organized during the year and a total of thirty four clinics are now held weekly. Post-natal clinics have also been increased to fourteen sessions each week,
287. Sixty six infant and child health clinic sessions are conducted each week and a total of 246,013 attendances was recorded for 1957.
288. The immunization of children against infectious disease is an important part of the preventive medical work of Maternal and Child Health Clinics. The majority of infants now attending these clinics have already received B.C.G. vaccine without preliminary tuberculin testing, but much effort has been made to seek out and test those who have not been vaccinated. 8,702 children were tested and 6,853 negative reactors vaccinated in 1957.
289. Immunization against diphtheria was offered throughout the year; for infants between 3 and 6 months of age a combined vaccine against diphtheria, whooping cough and tetanus is used; in later months diphtheria toxoid alone is employed: 26,782 immunizations were recorded.
290. Dietary supplements were provided to both mothers and children by means of milk powder and vitamin capsules from U.N.I.C.E.F. and canned protein foods, meat and liver, from C.A.R.E. A special provision of supplementary meals for selected undernourished patients is made daily at midday in the main clinic centres. Other forms of milk powder. protein foods, and vitamins are also supplied by Government for dis- tribution in these clinics.
391. Health Education forms a major part of the work of this service, particularly by means of home visits by Health Visitors. The increased staff of Health Visitors made it possible to reorganize completely, on a district basis, the home visiting system.
292. Liaison and co-operation with the Registrar of Births and Deaths has resulted in the notification of names and addresses of all new births registered to the Maternal and Child Health staff. 38,638 visits were made to individual homes in 1957.
$4
293. Table 22 sunumarizes the figures for the main activities of the Maternal and Child Health Service in 1956 and 1957;
TABLE 22
MATERNAL AND CHILD HEALTH WORK
1956
1957
P
៨ ។ ។
4
14
21
23
27
Staff
Medical Officer
Health Sisters
Health Visitors
Health Nurses ...
Clinics:
No. of full time centres
No. of part time centres
New attendances
-་་
k
5
14
20
Ante-natal clinics (excluding Hospital Clinics)
Total attendances
41,521
52,714
New attendances
11,699
15.447
Post-natal clinics (excluding Hospital Clinics)
Total attendances
3,653
4, 817
2,425
3,575
Child Health Clinics
241,591
246,013
18.930
23,393
25.225
30,638
Total attendances at talks, discussions.
demonstrations, etc,
309,024
No. of cases referred to Family Planning Clinics
3,520
274,085 4.604
SCHOOL HEALTH
Total attendances New attendances
Health Education
Home visitk
LLL
294. There was no alteration in the scope of this service during the year and no new schools were admitted to the service. Staff and facilities remained as in 1956.
295, The number of participants in the service dropped to 32,339 pupils and teachers from 386 schools distributed as shown in the following Table:
L
Status of Schrood
Governmeni
Subsidized
Private and Grant-in-Aid
TABLE 13
No. of Schools
47
83
No. of Participants
19.370 8.396
256
4.573
296. With the decreased numbers of participants the number of routine medical inspections carried out was less than in the previous
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