9.3.1  Components of EOS/CHD

Activities undertaken as part of EOS/CHD include vitamin A supplementation, deworming, screening for acute malnutrition, social mobilisation for routine immunization and the promotion of infant and young child feeding. The opportunity is sometimes used to provide insecticide-treated nets. Screening for acute malnutrition is done only in food insecure woredas where there is a TSF programme. The overall objective is to enhance child survival by reducing mortality and morbidity in children under five years of age. Your role as a Health Extension Practitioner is therefore critical in supporting this objective.

This section will help you to consider the practical aspects of planning and undertaking EOS/CHD. As EOS/CHD contains many components, you will not be able to deliver the service alone. As a Health Extension Practitioner you will work with additional volunteer community health workers. The number of volunteers depends on the number of services given in EOS/CHD. Table 9.2 below summarises the target group and frequency of EOS/CHD.

Table 9.2  Target groups and frequency of EOS/CHD.

Components of EOS/CHDTarget groupFrequency
EOSCHD

Vitamin A supplementation

Children six-59 months

Six-monthly

Six-monthly

Deworming

Children 24-59 months

Six-monthly

Six-monthly

Screening for acute malnutrition

Children six-59 months

Visibly pregnant women

Lactating mothers

Six-monthly

Three-monthly

Social mobilisation for routine immunization

Age group for routine immunization

Six-monthly

Three-monthly

Promotion of infant and young child feeding

Families of under-five children

Six-monthly

Three-monthly

Insecticide-treated nets (ITNs)

Households with under-five child or pregnant woman or lactating mother

Once in three years for long lasting nets

Once in three years for long lasting nets

9.3  Enhanced Outreach Strategy/ Child Health Days (EOS/CHD)

9.4  Planning for EOS/CHD