PEDIATRIC
DEPARTMENT
By –
Rincy
Definition
It is a study of the child from conception through childhood
and adolescence. It include childcare, prevention and
treatment of disease .
Doctors Role in Pediatrics
Pediatricians are medical doctors who have
specialized training in evaluating, diagnosing and
treating children.
Responsibility :-To improve children's
physical,mental,behavioural,psychological and
social health ;reduce their morbidity &mortality.
Why Pediatrics
Pediatrics is an independent subject
because;
✓ Problems of children differ from those of adults in many ways
✓ Children response to an illness is influenced by age.
✓ Children needs special care because they are among the most
vulnerable in society.
History of Pediatrics
Pediatrics was born just over a centaury
ago in the prosperous countries of the
West. It is however, young in Tanzania and
other developing countries. The first
pediatric ward in Tanzania was
operational in 1970 at Muhimbili National
Hospital. Training of pediatricians and
other Medical Specialists in Tanzania
started in 1973.
Stages of Children by Age
Infant period
Toddler age
Pre-school age
School age
Adolescence
Layout & staffing
Ground floor
Pediatrician -1
Staff nurse- 1
Equipments
Factors which Affect Health
Climate
Environment
Geography
Education
Prevalence and ecology of infectious agents and hosts
Social and cultural considerations.
Diseases pattern in
developing countries
Relative frequency of diseases responsible for admissions in
developing countries.
The major causes of admissions include;
Protein energy malnutrition(severe)
Acute watery diarrhea
Malaria
Pneumonia
HIV/AIDS(pediatric Aids)
TB
Cont.…..
These account for 75%of the admissions.
Miscellaneous diseases account for only 25% of the
cases.
At the OPD,the following dominate the list
Malaria
ARI
Protein energy Malnutrions
TB
Measles
Emergency drugs
Nebulizations
Steroids
Antibiotics
Complications of newborns
Asphyxia Neonatorum
Neonatal septicemia
Low birthweight
New Problems
Drug abuse among adolescents.
Child abuse and neglect
Street children
Child labor
Discrimination against the female child
Strategies to improve child
survival
Primary health care (PHC)-Alma Ata declaration
health for all by the year 2000
Reproductive health
ARI mgmt.
Rx of AWD
Immunizations
IMCI(Integrated Management of child
illness)schemes
Strategies to improve child
survival[cont..]
Control of malaria
Control of HIV/AIDS
Essential drug program
Control of TB
Breast feeding