infectious minds canadian institutes of health research, international infectious disease and global...
DESCRIPTION
Canadian Institutes of Health Research, International Infectious Disease and Global Health Training Programme (CIHR, IID & GHTP).This is a scholarship program run across four countries: Canada, Colombia, Kenya and India where advanced level students (PhD, Post Doctoral and Clinical fellows) undertake additional training on Infectious Diseases all geared towards being experts in matters pertaining to Global Health. Every month an 'Infectious Minds' sessionis held for two hours via a videoconference link across the four sites. On 15th May 2014 Gordon Otieno Odundo was the Guest Speaker presenting on infectious diseases in children the venue was at the University of Nairobi Institute of Tropical and Infectious Diseases, College of Health Sciences, Kenyatta National Hospital. The audience was primarily Doctoral (PhD) and Post-Doctoral students across the four sites; from Basic Science and Social Science disciplines. website: http://www.iidandghtp.com/TRANSCRIPT
GERTRUDE’S CHILDREN’S HOSPITALCanadian Institutes of Health Research, International
Infectious Disease and Global Health Training Programme (CIHR, IID & GHTP).
Infectious Minds
Gordon Otieno OdundoChief Executive
Gertrude’s Children’s Hospital
Presentation Content
Discuss the major issues faced as a leader in the field especially with a focus on infections among children under 5 - and what is really neglected and needs more work done, or more investment from key stakeholders in the health industry
The country has a young population, with 73% of residents aged below 30 years because of rapid population growth from 2.9 million to 40 million inhabitants over the last century. 1.5 million children are born each year
Hospital Entrance
Centres of Excellence
Our Network
0
50000
100000
150000
200000
250000
300000
2000 2001 2002 2003 2004 2005 2006 2007 20082009 2010 2011 2012 2013
5106654953544836020464570
93981111927
153512
178050
206487224605
247898243954263564
Total Out Patient Attendances.
Year
Total
Years.
Tota
l no
of p
atien
ts.
Hospital Morbidity
Global under-five deaths, millions, 1990-2012
North Eastern
80
Eastern52
Rift Valley
59
Nyanza149
Western121
Central51
Nairobi64
Coast87
Child Health Situation- Kenya
Deaths per 1,000 live births for the 10-year period
before the survey
Kenya National Bureau of Statistics & ICF Macro
Kenya 74
Under-five Mortality by Province
Causes of Child Mortality - Kenya
April 10, 2023
Source: World Health Statistics 2011, WHO
16%
20%
9%
11%1%10%
10%
8%3%
19%3%
Pneumonia Diarrhoeal Causes HIV/AIDS Malaria Measles Prematurity Birth Asphyxia Neonatal Sepsis Congential Anomalies Other diseases Injuries
Cause DeathsTotal Deaths 188,928
Diarrhoea 38,802
Pneumonia 30,406
Malaria 20,666
Diarrhoea
Malaria
Neonatal causes = 31% of under 5 mortality
Child Health Situation- Kenya Progress in Infant and Under-five Mortality Rates, Kenya 1990/2009 (KDHS)
National Setbacks
Inadequate resources /inefficient utilization of resources – human, commodities, financial etc
Focus on curative at expense of preventive and promotive care
Previous low focus on maternal newborn and child health
Health workers/community attitude
Government suggested Way forward
15
• Scale up interventions across the continuum of care – Pneumonia and diarrhoea plan being implemented through IMCI
• Focus on maternal and newborn care• Strengthen Health Systems and community
participation • Continue with efforts on control of malaria and HIV • Address the multi- sectoral challenges -
infrastructure, security, safe water, sanitation etc• Advocacy for increased resource allocation for
MNCH• Currently conducting countrywide Rapid Results
Initiatives (RRIs) on (a) increasing capacity to provide all the signal functions for basic emergency obstetric and newborn care and (b) on roll out of use of ORS and zinc for diarrhoea management
Discussion
• Provision of health services
• Addressing the social determinants of health
• Addressing the social determinants of equity.
Providing Health Services
Addressing the social determinants of health
Attending to the social determinants of health is especially important for children, since children’s experiences – of poverty, poor nutrition, trauma, abuse, neglect, the prenatal environment – can affect physical and mental health for an entire lifetime. As the authors of a recent commentary in JAMA write: “Pediatrics … continues to evolve clinical practice aimed at addressing social determinants because of children’s exquisite vulnerability to the deleterious effects of the social and physical environment, especially the aggregation of social factors associated with poverty.”
Addressing the social determinants of equity.
Conclusion
There is an urgent need to increase immunization of children from the current
level to 100% of all children as this will reduce the social and financial costs of
treating diseaseThis will offer opportunities for poverty reduction and greater social economic
development as improved survival improves standards of living for all