Basic Paediatric Protocols for Ages up to 5 Years - Kenya. November, 2013
(2013; 57 pages)


This pocket book is mainly aimed at doctors, clinical officers, nurses and other health workers who are responsible for the care of sick newborns and young children. We hope it helps people at all levels although it mainly targets those having to provide basic hospital care . The guidelines consider such facilities should have:

  1. capacity to do certain essential investigations such as blood smear for malaria parasites, estimation of haemoglobin or packed cell volume, blood glucose, blood grouping and cross matching, basic microscopy of CSF and urine, bilirubin determination for neonates, and chest X-rays and
  2. essential drugs available for the care of seriously sick children. They are not aimed at tertiary or university hospitals although we hope they may be found useful for less experienced practitioners even in such settings for defining basic, evidence-informed care.

These guidelines focus on the classification of illness severity, criteria for admission, and inpatient management of the major causes of childhood mortality such as pneumonia, diarrhoea, malaria, severe malnutrition, meningitis, HIV, neonatal and related conditions. Specifically they target management of the seriously ill newborn or child in the first 24 - 48 hours of arrival at hospital. The guidelines are based on specific and up to date reviews of evidence informing national recommendations for many topics or are drawn from international best practice advice such as that found in the WHO Book, “A Pocket Book of Hospital Care for Children” (2013 Edition).

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