Child Health and Primary Care

At the end of this course, students should be able to: 1. list vaccine types and storage; 2. describe national programme on immunisation/schedule, implementation and challenges in Nigeria; 3. define poisons and examples; 4. list the clinical features of childhood poisoning-clinical toxidromes; 5. describe how to evaluate a patient with suspected childhood poisoning; 6. enumerate the principles of management of poisoning in children; 7. list the common childhood poisonings and how to manage them; 8. discuss dog and snake bite, epidemiology, clinical features, management; 9. define child abuse; 10. explain paediatric emergency; 11. discuss triaging in the emergency unit and how to recognise a paediatric emergency, urgent and non-urgent conditions in the emergency; 12. enumerate the principles of management of paediatric emergencies; 13. list the common paediatric emergencies and how to manage; 14. describe how to improve the case management skills of health workers and the health system work at the health facility level; and 15. describe how to improve family and community practice.

Immunisation, availability, awareness and implementation. Introduction, vaccine types and storage. National programme on immunisation/schedule. National immunisation days, implementation and challenges in Nigeria. Childhood poisoning. Definition of poisons and examples. Clinical features of childhood poisonings-clinical toxidromes. How to evaluate a patient with suspected childhood poisoning. Principles of management of poisoning in children. Common childhood poisonings and how to manage them. Dog and snake bite, epidemiology, clinical features, management. Non-accidental childhood injuries introduction, epidemiology, at risk groups, clinical presentation, evaluation of a suspected case, management, prevention. Child abuse; introduction, epidemiology, at risk groups, clinical presentation, evaluation of a suspected case, management, prevention. Paediatric emergencies, definition of paediatric emergency. Triaging and how to recognise a paediatric emergency, urgent and non- urgent conditions in the emergency. Principles of management of paediatric emergencies. Common paediatric emergencies and how to manage. Primary care. Diarrhoea training, demographic characteristics of children attending clinic and anthropometry. Clinical characteristics of children attending primary health care clinic. Talking to mothers about hygiene and illnesses. economic disposition of mother attending primary health care clinic. Triage in the primary health care clinic. Nutritional issues in primary health care. Integrated management of childhood illnesses (IMCI), background, rationale, components of the integrated approach. IMCI strategy. Benefits and limitations. IMCI case management process.