Why to learn Paediatrics?
To reduce significantly mortality and morbidity associated with major causes of diseases in children.
To contribute to healthy growth and development of children.
Medical Education
Goal
Departmental objectives
Specific objectives
Teaching Learning objectives
Evaluation Population
Disease pattern
Morbidity
Mortality Care delivery place
Level of entry students
Resources
Evidences Socio-economic Status
Education
Tradition and Beliefs
Usefulness of Medical Information
Relevance X Validity
Work
Adapted from : Slawson et al; J.Fam. Pract. 1994;38:505-513
Population Pyramid of Nepal
Population Pyramid of Nepal
Pattern of Diseases in Children
Age group dependent
Neonatal age group
Prematurity
Birth asphyxia
Sepsis
Hypothermia
Congenital conditions
Pattern of Diseases in Children
Age group dependent
Under 5 age group
Respiratory infections
Diarrhoeal diseases
Malnutrition
Measles
Skin infections
Ear infections
Pattern of disease in children
Age group dependent
School age group
Tonsillitis
Rheumatic fever
Glomerulonephritis
Worm infestations
Accidents
Pattern of disease in children
Age group dependent
Adolescent age group
Behavioral problems
Substance abuse
Inappropriate sexual behavior
Acne
Anorexia nervosa
Child Survival Indicators Vaccination Coverage
Infant Mortality Rate 74 1999 BUC
Neonatal Mortality 49 1996 FHS
Under 5 Mortality Rate 106 1999 BUC
Vaccination Coverage (%)
BCG 96% 1997 WHO
DPT3/Polio 78% 1997 WHO
Measles 85% 1997 WHO
DPT drop out 31% 1996 WHO
Child Survival Indicators ORT, ARI & Nutrition
ORT use rate 49% 1996 DHS
Children with ARI
taken to health facility 18% 1996 DHS
Under weight 59% 1996 DHS
Stunted 64% 1996 DHS
Wasted 21% 1996 DHS
Comments