Child health

The early years of a child’s life provide a foundation for their future health, development and wellbeing. A positive start supports children to reach their optimal potential. A mother’s health during pregnancy is paramount to her child’s wellbeing as well as her own.

The best way to ensure good child and family health is to work in partnership with parents, health professionals and support services to facilitate parent-child relationships, identify and respond to each family’s unique needs, build on their strengths and identify and respond to actual and potential health issues.


Child development

Early identification of health and developmental problems in children provides an opportunity for early intervention, ensuring optimal child development and long-term health and well-being.

My Personal Health Record (Blue Book)

All parents of children born in NSW receive a free copy of the My Personal Health Record (Blue Book).This resource provides valuable information regarding child health and help parents track their child’s developmental milestones. Each health professional that a child sees should make notes about a child's health and progress.

The “blue book” recommends parents visit a child and family health nursing service or GP for their nine routine child health checks that start at birth and continue to about 4 years of age. These health checks help parents and health professionals track the health development of the child and pick up any potential problems.

Additional copies can be ordered from Better Health Centre:
Better Health Centre, PO Box 672, North Ryde BC NSW 2113
Phone: (02) 9887 5450

The Blue Book is available in English and 18 other languages on NSW Health website 

Developmental screening

Learn the Signs. Act Early provide specific checklists at various ages to assess a child’s developmental milestones. Parents should speak to the GP or Child and Family Health Nurse if they have any concerns about how their child is growing, developing or behaving.

Milestone checks should be attended:

Commissioned projects

CESPHN are commissioning three Early Intervention Community Speech Pathology programs. The programs are administered by SLHD, SESLHD and SCH services and include outreach screening and assessment services to playgroups and child care centres for vulnerable children aged 0-5 years and their families. Children will be screened and assessed by a qualiied Speech Pathologist for communication difficulties and developmental delays. The programs aim to improve access to speech pathology assessment for socio-economically vulnerable families and other vulnerable groups such as CALD and Aboriginal families and children from families with psychosocial issues.

All GPs identified will recieve a copy of the child's report for enhance co-ordination of care.

We are investing in the establishment and strengthening of local links within the community for young children and their families via these outreach models. These programs are addressing service gaps and are improving access to primary care service providers, as well as enhancing the services by upskilling these healthcare professionals, and community workers. There is also a focus on strengthening the referral pathways for children with communication difficulties and/or other developmental or psychosocial needs.

Further information and resources 

For comprehensive information and resources regarding childhood immunisation please visit the CESPHN immunisation webpage.

Social and emotional well-being

Keeping children healthy and happy involves looking after their social and emotional health as well as their physical health. Good mental health in early childhood lays the foundations for positive mental health and wellbeing now and into the future.

Further information and resources 



Childhood asthma is a common serious chronic disease in infants and children yet is often difficult to diagnose. Asthma is one of the most common reasons that children visit doctors, miss days at school or are admitted to hospital. If a child’s asthma is well managed, they should be able to lead a healthy, active life.

Further information and resources 

Nutrition, feeding and lifestyle

To stay strong and maintain a healthy weight, children need to be physically active and eat a balance diet. Healthy eating is essential for a child’s good health, growth and development.

Further information and resources