Family physician provides continuing comprehensive care to both well and sick children in the context of family and community. To improve the life chances for children ensure that every child, irrespective of race, gender, religious belief, age, sexual orientation, disability, background or circumstances gets the best start in life and the support they need to fulfill their potential (improve diet, reduce stress, and obtain immunizations, ensure a safe environment for their children. This is a follow up study aimed to promote the health of under-five children using missed opportunities to target children coming for outpatient care. The specific objects were to detect the main health problems of under 5 children attending a Family Health outpatient clinic, to identify some factors affecting health of under 5 children, To measure the effect of providing health promotion and preventive services on the health of attending children. The study coverd180 children from less than a month to 59 months, 51.1% boys and 48.9% girls, we find that attendance is more among children<6months (26.7%).Fever was the most common problem among examined children in the first visit, about 36.7%were affected by fever, URTI and abdominal pain was the next in frequency, Mothers were asked to bring their children after one month for the first follow up visit and then after 2month for second follow up visit. Out of 180 children 173 (96.1%) came for the first visit and 142(82.1%) came for the second follow up visit. By comparison between the three visits, malnutrition is the most common complaint in the second visit; Pallor is also a common complaint in all visits. In the third visit there is a good prognosis in the result. Nutrition was improved; adequacy of feeding significantly improved from 63.3% in the first visit to become 81.7% in the third visit also Weight per age and weight per length/height markedly improved. It is recommended to catch the opportunity of outpatient visits to implement continuity of care for health promotion and prevention of health hazards among the under-five children.