Research 2022 Research 2022 Diploma of Child Health Feasibility of using a Neonatal Early Warning System in Neonates, in Port Moresby General Hospital Special Care Nursery. Dr Roy Iga Neonatal Early Warning Systems DCH 2022 Introduction Worldwide there are about 2.4 million babies that die before the 28 days of life. In Papua New Guinea, case fatality rate for neonates is 5.9% in 2021. As part of improving, quality care for neonates, recommendations were made to use color coded observational charts to assist in providing care for sick children. Even though, In Papua New Guinea there is a color-coded chart formulated and used for children, there are none specifically tailored for neonates. This study seeks to investigate the feasibility of using a Neonatal Early Warning System (NEWS) to identify neonates at risk and to promptly escalate care. Method An observational study was conducted to find out if a NEWS can be used to identify neonates at risk by using current vital observation techniques of nurses in PMGH, SCN. A color-coded observation chart was adapted from the Plymouth Hospital Neonatal Early Warning System chart, and used to collect data over an 8-week period (01 May 2022 to 30 June 2022). 157 patients were recruited in the study and followed up in the first 72 hours of life. Neonates were grouped into two groups, those that have triggers (had vitals that fell in the red zone) and stable group (had vitals that did not fall in the red zone). Results Of the 157 patients recruited 45.86% (n=72) were stable, and 54.14% (n=85) had triggers, that prompt a response. In the group that had triggers 55.29% (n=55) had appropriate interventions done, whilst 44.71% (n=38) did not have the appropriate intervention. It was also found that neonates that had fall in the red zone (triggers) were more likely to die in the first 72 hours of life as compared to neonates who did not have triggers. Conclusion NEWS is a tool that can be used to identify neonates at risk for unfavorable outcomes, however there has to be proper training of its use and knowledge of escalation of care, before implementing it in SCN. A qualitative study on the need for age-appropriate adolescent health care in Alotau Provincial Hospital Dr Leilani Suwari Adolescent health needs in Milne Bay Province DCH 2022 Introduction The adolescent population makes up 22.7% of the total population of Papua New Guinea (PNG). The lack of appropriate health and social services for adolescents in PNG, results in their marginalization. The care of sick adolescents admitted to hospitals in Papua New Guinea should be shared between the paediatric and adult medical units. The current cut-off age for admission to a paediatric ward is 12 years old while the adult wards admit 18 years and above. The management of chronic cases such as congenital or acquired heart problems, epilepsy, cerebral palsy, and multiple congenital abnormalities in this age gap is also an issue. There is currently no allocated ward space and appropriate facilities for sick adolescents in hospitals within PNG. Alotau Provincial Hospital, is no exception to this fact. Hospitals in PNG should support appropriate clinical care of sick adolescents by the introduction of an adolescent unit. This study aims to explore the perceptions of adolescents towards the quality of health care received, in Alotau Provincial Hospital. Methodology A qualitative-observational study was carried out from 26/04/22 – 11/08/22, amongst all adolescents (persons aged 10 – 19 years) admitted to a ward, or receiving out-patient care in Alotau Provincial Hospital, i.e. Paediatric Ward, Paediatric Consultation Clinic, Paediatric TB Clinic, Internal Medicine Ward, Surgical Ward, Obstetrics & Gynaecology Ward, and Antenatal Clinic. Data was collected via semi-structured interviews with participants of the study; and contextual data, obtained from their medical charts. Data analysis was done using the method of Thematic data analysis. Informed verbal consent was obtained from each participant and guardian – of children < 18 years of age; at the beginning of the interviews. Results A total of 57 adolescents were interviewed, 32 adolescents had a negative first impression of the hospital; whilst 25 of them felt the opposite way. 46 adolescents preferred an adolescent-friendly setting, as opposed to their current setting (n = 11); stating that it would allow for positive peer-interaction (n=14), improve their experience in the hospital (n=33), and improve the quality of health care received (n=2). Conclusion This study shows that adolescents are able to perceive the need for adolescent-friendly health services and advocate for improvement in the quality of health care received Master of Medicine Re-presentation of neonatal sepsis to the children’s ward in Port Moresby General Hospital Dr Venao Seta Neonatal Sepsis in PMGH MMed 2022 Introduction This study investigated the incidence of admissions of neonatal sepsis to the wards and further expanded on trying to identify what the common reasons of these presentations were. The study was conducted from November 2021 to April 2022. It was instigated by an observation where there was a rise in admissions of neonates following delivery at the PMGH. This study aimed to find the incidence of NNS admissions to the wards in PMGH. 2) To identify main admitting diagnosis of NNS. Methods Full admissions and consents were done for any neonate admitted via the Childrens’ Emergency Department. Data was collected using a data collection form that attained information on antenatal and delivery history; details of care at home; reason for current presentation and findings of examinations that may suggest sources of infection. Patient outcomes (discharge/died) were included. Results A total of 132 children were recruited to this study. 3 died (CFR 2.2%) whilst the rest recovered and discharged (n=129). The incidence in this study was about 2%. The main reasons for admissions to the wards were due to pneumonia (69), skin sepsis (28), cord sepsis (15), presumed sepsis (14) and abscesses (3). We saw more children with late onset sepsis (n=108) Most of the mothers were booked and were delivered at PMGH (n=120). Conclusions The incidence rate of 2% may not be entirely reflective of the true picture of NNS within the hospital due to the small sample size. Pneumonia was still a leading cause of admission in this study. This is also true for admissions in the older paediatric population as indicated in the Child Health Mortality report for 2021. Most of these presentations were of late onset sepsis; this finding reflects conditions and care of the newborn at home. A visit to individual households would have added more value to this study. We recommend the following: 1) A similar study be done nation-wide with more emphasis on risk factors of neonatal sepsis at the household and community level. This would provide a preventative approach to reducing neonatal sepsis at household and community levels thus reducing late onset sepsis to a certain degree. 2) There should be more emphasis for staff to advocate on KMC and essential early newborn care as in this study we identified that only 3% (n=4) out of the 132 recruited were told about and practised KMC. Survey of paediatric palliative care at Port Moresby General Hospital Dr Villa Watch Paediatric Palliative Care MMed 2022 Paediatric palliative care as defined by the World Health Organization involves the child’s body, mind, and spirit, but also involves supporting the family. Palliative Care starts from diagnosis and continues whether child is receiving curative treatment or not. As clinicians, identifying and relieving the child’s physical, psychosocial, and spiritual distress is imperative. This study aims to identify the characteristics of children admitted to the Paediatric Ward of the Port Moresby General Hospital with palliative care needs and how parents and health care workers view the palliative care services provided to these children. Data will be collected from the child’s admission chart and will be analysed using frequency and percentages while in-depth interviews will be carried out on parents and health care workers using semi-structured questionnaires which will be analysed using thematic analysis. The results will be useful in improving palliative care for children admitted with life-threatening and life-limiting illnesses in our setting. A cohort of children with HIV in Papua New Guinea during an era of anti-retroviral transition. Dr Gordon Pukai HIV and ART in children MMed 2022 Introduction 2019-2021 was an era of transition of anti-retroviral therapy from non-nucleoside reverse transcriptase inhibitor (NNRTI) based therapy to the new dolutegravir (DTG) based treatment. This study was conducted to observe the difference in the clinical and virological outcomes in the children with the new DTG and Lopinavir-ritonavir (LPVr) regimes as compared to their previous NNRTI-based ART regimens at Port Moresby General Hospital. Methods The participants were 60 children living with HIV who were followed at the Well Baby Clinic at PMGH. A survey form was filled included infants and children less than 18 years old. Results At enrollment in the study, 25 children had moderate malnutrition; 27 children had severe malnutrition; only 8 were well nourished. Fifty-three of the 60 were on an NNRTI based regimen. 2 were on a triple-NRTI based regimen, and 5 were on a lopinavir-ritonavir based regimen. 52 children underwent viral load testing and 37 had viral load levels >1000 copies per ml. Only 15 had adequate viral suppression with viral load <1000 copies per ml. Thirty-nine children out of 60 had clinical failure as defined by WHO. Of the 37 who had viral load >1000, all had evidence of clinical failure. Of the 54 children tested post change to the new ART regimen, 49 (90.7%) had viral load levels <1000. 5 had viral load >1000. 41 children had a reduction in their viral load after changing treatment, 1 had an increase, and in 5 the viral load was unchanged. Conclusion The DTG- based regimen provides adequate reconstitution of immunity, an effective reduction in the viral load and good clinical improvement. The outcome of low birth weight babies in Vanuatu Dr Annette Garai Low birth weight babies in Vanuatu MMed 2022 Background Low birth babies (LBW) are a fragile cohort. Medical technology has increased survival of these babies. In Vanuatu, improving their outcomes and survival is a significant health challenge. The objective of this study was to prospectively document the outcomes of LBW babies admitted to Special Care Nursery (SCN). Recording the mother’s experiences of caring for a LBW baby was a secondary objective. Methods This is a prospective descriptive cohort study compromising of 49 recruits weighing less than 2.5kg from April to August 2019. Patients were followed up at six and twelve months post discharge and their outcomes recorded. A qualitative study was conducted to identify experiences and challenges the mothers faced in caring for a LBW baby. Results Thirty-nine babies followed up. Thirty-four patients gained good weight in their first six months of life. At 12 months post discharge, 19 babies had pallor, 17 had normal head ultrasound scan, and 1 baby had retinal detachment. Most babies achieved their developmental milestones by 12 months. Mothers identified stress as a common risk factor for their premature delivery. Conclusions This study outlined the outcomes of LBW babies in Vanuatu and highlighted issues of concerns by their mothers. It is vital that all LBW babies are followed up well after discharge from SCN. Equally important is the support for mothers of LBW babies to achieve better outcomes. Procedural sedation for paediatric CT scans Dr Benji Daur Sedation for CT scans in children MMed 2022 Introduction Computerized Topography (CT) scans have been an important diagnostic tool since its introduction in the 1970s. The success of Paediatric CT scans are complicated by anxious uncooperative children and the administration of sedation has proven beneficial in improving success of completing the procedure. The primary aim of this study is to evaluate the safety and effectiveness of procedural sedation protocols provided by paediatric clinicians who are not trained anaesthetists for Paediatric CT scans in Port Moresby General Hospital (PMGH). Secondary aims include identifying complications and factors that could influence success of oral chloral hydrate and intravenous diazepam. Methods A prospective observational analysis of procedural sedations for CT scans between September 2020 to June 2021. Port Moresby General Hospital CT scan room. Results 99 sedation events were included in this cohort. 49 patients received oral chloral hydrate and 50 received intravenous diazepam prior to the procedure. 11 failed sedations occurred most noticeable from the diazepam group (Fisher’s exact p=0.008). Complications included vomiting (3) and over-sedation (4) in the chloral hydrate group. Significant factors that influence success include the drug used and ASA of patient prior to study. Conclusions This study has proven that paediatric clinical staff can provide safe and effective procedural sedation for children who require CT scans in hospital with oral chloral hydrate and intravenous diazepam. Children and adolescents admitted with Covid-19 infection at the Port Moresby General Hospital Dr Justin Kali Covid-19 in children and adolescents MMed 2022 Introduction COVID-19 is a global pandemic which has infected and killed millions of people throughout the world. Healthcare systems have faced are lot of challenges in fighting this disease and scientists are conducting studies to investigate this killer disease. Numerous case reports and studies have been done on the clinical characteristics, outcomes, and treatment of COVID-19 however the studies done in children are limited. There is no study on COVID-19 in children in Papua New Guinea. The aim of this study is to describe the clinical characteristics and outcomes of children and adolescents admitted with a positive test of COVID-19 at the Port Moresby General Hospital. Method This study is a retrospective descriptive study of children and adolescence admitted to the Port Moresby General Hospital who has tested positive for Covid-19 over a period of 6 months. The study mainly looked at their clinical characteristics and outcomes. Data was extracted from (1) PMGH laboratory COVID-19 data and (2) Admission charts according to a modified form derived from case information forms (CIF). Results Sixty patients tested positive for COVID-19 during the 6 months and were sick enough to be admitted to the paediatric isolation wards. The median age was 17 months. The most common symptoms were fever in 53 (18.5%), cough 47(16.4%), poor feeding 44 (15.3%) and dyspnoea 39 (13.6%). The most common clinical signs on examination were chest indrawing 35 (44.9%), nasal flaring/grunting 19 (24.4%) and pallor 15 (19.2%). Five (6.4%) had reduced level of consciousness and 2 (2.6%) had signs of shock. Clinical diagnosis saw nearly half of the patients admitted for COVID-19 pneumonia alone 28 (46.7%) and the other 33 (55.2%) was COVID-19 with other diagnosis. Twenty-eight (46.7%) of the COVID-19 patients had comorbidities. Most COVID-19 cases were mild 45 (75.0%) and 5 (8.3%) had severe COVID-19. 50 (83.3%) patients received empirical antibiotics and systemic corticosteroids. Eleven patients died (case fatality rate 18.3%), 4 (6.7%) absconded and 4 (6.7%) left hospital at their own risk. Of the 11 children that died, all had COVID-19 pneumonia, 1 (1.7%) also had multisystem inflammatory syndrome and 3 children (5.1%) had significant comorbidities that contributed to their deaths. Conclusions The clinical characteristics of children infected with COVID-19 were similar to other studies done in other countries. Most of the COVID-19 cases were mild. Children with comorbidities infected with COVID-19 have increased risk of mortality.

Research Research Below are summaries of the latest research on child and adolescent health in developing countries: evidence derived from all the randomized trials. The aim is to make this information widely available to paediatricians, child health nurses, midwives, researchers, students and administrators in places where up-to-date health information is hard to find. We hope it will be helpful in reviewing treatment guidelines and clinical and public health approaches, and in teaching about paediatrics and evidence-based medicine. RCTs in child and adolescent health in developing countries 2023-2024 RCTs in child and adolescent health in developing countries 2022-2023 RCTs in child and adolescent health in developing countries 2021-2022 RCTs in child and adolescent health in developing countries 2020-2021 RCTs in child and adolescent health in developing countries 2018-2019 RCTs in child and adolescent health in developing countries 2017-2018 RCTs in child and adolescent health in developing countries 2016-2017 RCTs in child and adolescent health in developing countries 2015-2016 RCTs in child health in developing countries 2014-2015 RCTs in child health in developing countries 2013-2014 RCTs in child health in developing countries 2012-2013 RCTs in child health in developing countries 2011-2012 RCTs in child health in developing countries 2010-2011 RCTs in child health in developing countries 2009-2010 RCTs in child health in developing countries 2008-2009 RCTs in child health in developing countries 2007-2008 RCTs in child health in developing countries 2006-2007 RCTs in child health in developing countries 2005-2006 RCTs in child health in developing countries 2004-2005 RCTs in child health in developing countries 2003-2004 RCTs in child health in developing countries 2002-2003 Healthy Beginnings. Strong Futures.

Hospital Reporting Program Hospital Reporting Program Click here to download and install PHRV12.5 on the desktop Steps to install PHRV12.5 1. Download PHRV12.5.zip 2. Go to the downloads folder and find PHRV12.zip and extract it into the computer (Please use 7ZIP to extract the file to the computer . ) 3. Go inside the PHRV12.5 folder and find PHRV12.5.exe. 4. Double click on PHRV12.5.exe and follow the installation prompts. Paediatric data form PHR 12.5 Neonatal data form PHR 12.5 Maternal and Newborn data form PHR 12.

In Memoriam In Memoriam Dr Alphonse Rongap Dr Wendy Pameh

Guidelines Treatment Guidelines PNG Standard Treatment for Common Illnesses in Children The PNG Standard Treatment manual for common illnesses in children has been continuously in print since 1975, and is now in its 10th Edition. It is one of the longest running clinical guidelines in the world. Members of the Paediatric Society revise and update the manual every 5 years, drawing on international and local evidence and experience. PNG Standard Treatment Book for Children 10th Edition 2016 WHO Pocket Book of Hospital Care for Children The Pocket Book of Hospital Care for Children is a clinical guideline used in provincial and district hospital for hospital management of serious illness. The second edition was published in 2013. There is a 4-day training course that teaches staff how to use the guidelines in clinical practice. The Paediatric Society is active in training health workers in many provinces. Training is linked to other measures to improve quality of care. Hospital Care for Children Paediatrics for Doctors in PNG Paediatrics for Doctors in PNG was originally written in the 1980s by Frank Shann and Professor John Biddulph. The book was revised in 2000 by Prof John Vince and Prof Frank Shann. It contains guidance on practical procedures and the treatment of many common conditions. Download Paediatrics for Doctors Child Health for Nurses and HEOs This third edition of the text-book on child health for nursing and HEO schools and reference for nurses looking after children was completed in 2022. Child Health for Nurses and HEOs in Papua New Guinea 3th Edition March 2022 PNG Standard Treatment Manual for Obstetrics and Gynaecology These guidelines have been produced since 1986 by the O&G Society, with input from the Society of Midwives. The latest edition, edited by Professor Glen Mola, contains many updates on new treatments, and new diagnostics, including ultrasound. PNG Standard Treatment Manual for Obstetrics and Gynaecology 7th Edition 2018 Oxygen Therapy Guidelines WHO Oxygen therapy for children 2016 Bubble-CPAP guidelines 2017 Child Health Record Book Every new baby in PNG should have a Child Health Record Book (Baby Book) for recording vaccines, weight, any illnesses and how they are treated. This is a very important book, and should be kept in a safe place and brought to the clinic at every visit. The Baby Book also contains information for parents on feeding, what signs of illness to look out for, and family planning. Weight charts are essential for growth monitoring, you can download these below. Baby Book Girls Baby Book Boys Monitoring Growth and Nutrition Weight for age chart Girls 0-5 years Weight for age chart Boys 0-5 years For older children monitoring growth is also important, especially in children with a chronic illness. Below are the WHO body mass index charts for females and males aged 5-19 years. Body mass index charts 5-19 years WHO Mid upper arm circumference (MUAC) is a useful screening test for malnutrition. The chart below shows reference ranges for different ages, so MUAC can be useful from infants to adolescents and adults. This chart was designed by the University of Rochester, adapted from WHO guidelines. Malnutrition – Guidelines and Tools for Management In this section there are tools to guide management of children with severe and moderate malnutrition. The case fatality rate for severe malnutrition in PNG hospitals was 18-20%, but this has now been reduced with a systematic approach. Our target is to eliminate all preventable deaths and have the case fatality rate for severe malnutrition well under 10%. Severe acute malnutrition PNG guidelines 2018 Management of severe malnutrition wall poster F75 and F100 Milk feeding chart Recipes for home-made F75 and F100 Inpatient Weight Chart Severe Malnutrition monthly recording form Nutrition Education Resources Frangipani Friendly Clinic Healthy Plate Poster Pasifika Plates Recipe Book HIV Treatment Guidelines These guidelines highlight the importance of using new combination ART, given the high rates of resistance to non-nucleoside reverse transcriptase inhibitors (NNRTI). All children should be transitioned or commenced on Dolutegravir (DTG) based therapy: Abacavir (ABC), Lamivudine (3TC) and DTG as 1st line treatment – see UPDATE Summary below. For adolescents over 30kg, the preferred 1st line regimen is Tenofovir (TDF) + 3TC + DTG. The new guidelines also highlights the need for regular viral load monitoring and clinical assessment to detect treatment failure. PNG HIV care and treatment guidelines 2019 UPDATE Memo from NDoH on DTG-based therapy for children Nov 2021 UPDATE Summary of ABC 3TC DTG therapy for children and adolescents Nov 2021 Instructional video: How to Administer Lopinavir/Ritonavir Pellets to Children with HIV Nurse Abigael Wanyana from Gertrudes Children’s Hospital in Kenya shows clearly how to give Lopinavir/ritonavir (LPV/r) pellets to children. LPV/r is part of second-line therapy for children and adolescents, and is bitter tasting, so mixing with expressed breast milk makes it palatable. WHO Guideline on Management of Tuberculosis in Children and Adolescents (2024) WHO Management of tuberculosis in children and adolescents Module 5 2024 This comprehensive WHO guideline covers all aspects of TB diagnosis, treatment, prevention and prophylaxis. WHO Treatment Guidelines for Multi-Drug-Resistant Tuberculosis (2019) WHO guidance on MDR Tuberculosis 2019 The MDR regimen depends on the drugs you have available and how unwell the child is. See pages 96-99 of this WHO guideline on MDR, it contains the medication doses and weight bands for children. Look at the charts, and in general choose 1-2 drugs from each class (A, B, C), until you have at 4-5 drugs. For example: A: Levofloxacin B: Cycloserine C: Ethionamide and pyrazinamide and para-amino-salicylic acid (PAS) Avoid injectable aminoglycosides (kanamycin / amikacin) if bedaquiline or delamanid are available, to avoid IM injections and serious side-effects, especially deafness which occurs in 20% of children on long-term aminoglycosides. Child Protection, Maltreatment and Gender-Based Violence Child maltreatment clinical handbook WHO 2022 Child protection resources Sexual and gender-based violence clinical guideline 2021 1-Tok-Kaunselin Helpim Lain Service Provider Directory 2017 Paediatric Cancer Protocols Click here for more details of the PNG paediatric cancer protocols, developed by Dr Gwenda Anga. Evidence-Based Care. Lifelong Impact.

Quality Improvement Quality Improvement This page contains tools for Quality Improvement in Paediatric Care. Assessment Checklist for Quality Improvement Quality Check List for Paediatrics Above is a link to a ‘self-assessment’ checklist, to identify areas where improvements are needed. It is not meant to be too detailed, just key quality indicators that you can run through, to highlight strengths, identify gaps, and make changes. Improving Monitoring and Identification of the Deteriorating Patient Paediatric Monitoring and Response Chart 2023 These charts have thresholds for escalation (Red you must call a doctor – registrar or above – to review the child ASAP; Orange , you should also be alert and escalate to a senior nurse or RMO). These charts require trained nurses who understand how to plot the charts, and RMOs and registrars who can come to review patients and make assessments if observations are in the Red zone. Depending on the frequency of observations, each chart can last 2 days (if 2nd hourly observations), 3 days (if 3rd hourly observations) or 4 days (if 4 hourly observations). The frequency of observations is prescribed by the doctor, depending on the severity of the patient, and this changes as the child improves. PNG Paediatric Quality Improvement Program The components of this program include: A quality improvement team in each hospital Use of a Quality Improvement Checklist for paediatric health services Regular mortality and morbidity audits Training on the care of seriously ill children, through the WHO Hospital Care for Children training Establishment of intensive care areas in the paediatric wards for the care of the most critically ill children Paediatric monitoring and response charts with early warning indicators and escalation processes Infection control and antibiotic stewardship , including hand hygiene Improved systems for managing children with chronic conditions (cerebral palsy or developmental problems, epilepsy, chronic cardiac, respiratory, cancer) Improved laboratory support and diagnostic tests , especially diagnostics to guide antibiotic use Continuing medical education for paediatricians and paediatric nurses Communication about seriously unwell patients – improving handover ISBAR communication tool for seriously ill patients March 2019 Clinical handover using ISBAR Registrars should be present at handover every morning Report on admissions overnight – numbers, diagnoses Say specifically which beds the sickest patients are in (all new admissions and children who have deteriorated), whether in the wards or still in emergency department Report on patients who have deteriorated or been admitted to the PICU area overnight. Start a PICU handover as part of the morning handover, with a status update of the patients in the PICU or high dependency area on your ward in provincial hospitals. For the handover of the sickest patients, and any seriously ill children who present overnight and might still be in the emergency department, hospitals may use a communication tool called ISBAR (introduction / situation / background / assessment / recommendation). Investing in Children’s Health is Investing in the Nation

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Health Policies Child Health Policies Child and Adolescent Health Plan 2021-2030 In June 2022 the 3rd edition of the Child and Adolescent Health Plan was launched by the Paediatric Society of Papua New Guinea and partners, in a meeting in Sogeri. The plan outlines the priority areas and activities in line with the National Health Plan 2021-02030, and adds practical detail. The Child and Adolescent Health Plan is for use by paediatricians and Provincial Health Authorities (PHAs) to guide their annual activity plans; and to inform health workers, the community and the Government’s partners about child and adolescent health needs and approaches being adopted. The Plan is in line with the WHO Child and Adolescent Health Redesign, and includes a life-course approach, more emphasis on preventative health, school health, adolescent health, community and social paediatrics, mental health, and chronic diseases. The Plan also updates the program recommendations on HIV, TB, pneumonia, malaria, diarrhoea, and newborn care. PNG Child and Adolescent Health Policy and Plan 2021-2030 WHO Standards for Care of Children and Adolescents in Health Facilities In 2018 WHO published standards for paediatric care in hospitals. These standards are universal and holistic. They include clinical standards aligned to WHO guidelines, and go beyond this to require child- and family-centred care, better environments to care for children, and attention to prevention of disease and protection of children’s rights. WHO Standards for Improving Quality of Health Care for Children and Adolescents 2018 School Health Policy School Health Policy 2016 Child Protection Legislation Lukautim Pikinini (Child) Act 2009 International Code of Marketing of Breast Milk Substitutes International code of marketing of breast milk substitutes WHO 1981 The World Health Assembly Code was ratified by the PNG parliament in the Infant Feeding Act, whereby the sale of feeding bottles, cups, teats and dummies is strictly controlled, and there is a ban on advertising these products as well as breastmilk substitutes. Adolescent Health Policy Youth and adolescent health policy 2014 Nurturing Children, Supporting Families, Empowering Professionals

Training Tools Training The School of Medicine at the University of Papua New Guinea runs post-graduate training in paediatrics and child health. The training consists of a 1-year Diploma of Child Health (DCH), followed by a 3-year Masters of Medicine in Paediatrics. The DCH can be done from any hospital where there is a paediatrician. The training is a mixture of clinical paediatrics and public health, with a focus on the common causes of disease in PNG children, available treatments and holistic care, determinants of health and illness prevention, and evidence-based health care. Trainees do a research project for both their DCH and Masters. Curriculum: UPNG Post graduate curriculum DCH and MMed in Paediatrics From Pregnancy to Adolescence — We’re Here Every Step of the Way

Promoting child health in Papua New Guinea through paediatric care, research, training, and advocacy. Learn more about our mission and activities. Championing Child Health Across Papua New Guinea Child Health Caring for every stage of childhood Training & Support Building skills, sharing knowledge Advocacy Championing child health for all Who Are We? The Paediatric Society of Papua New Guinea, founded in 1975, is a professional medical society dedicated to advancing child and adolescent health. With a growing membership of over 100 pediatricians, trainees, nurses, and health workers, the Society works closely with the National Department of Health and the University of Papua New Guinea. The Society's key roles include setting national standards for pediatric care, advising on health policies, raising community awareness, supporting medical training, and offering continued professional development and peer support. Articles for Parents Care for Sick Children Children are prone to get sick, especially from infections caused by germs. Infants and young children under 5 years of age are the ones... Vaccines and Immunization Vaccines (also called immunisation) save many thousands of children’s lives each year. Vaccines prevent children becoming ill from... Nutrition Breast Feeding and Good Nutrition Help Your Child Survive, Grow and be Healthy Malnutrition is very common in PNG. Many mothers have... Read More Our Role The roles of the Paediatric Society t o develop and maintain standards of paediatric clinical care and public health, according to the latest evidence. The Society is the custodian of clinical guidelines, and ensures they are kept up to date. Read more...

Disease Surveillance Case Reporting Form Disease Surveillance Case Reporting Forms Acute Flaccid Paralysis (AFP)_Case Investigation Form Acute Fever and Rash (AFR)_Case Investigation Form Pertussis Case Investigation Form Tetanus_Case_Investigation_Form Rheumatic Fever Case Reporting Form Public Health Events Case Investigation Form Contacts for Vaccine Preventable Disease Surveillance: Fiona Kupe (Paediatrician NCD): fionankupe@gmail.com Vienna Nonwo (NDOH EPI) nonwovienna@gmail.com Charlotte Kambaie (NDOH Surveillance) kambaiecharlotte9@gmail.com Masa Takamatsu (WHO VDI) takamatsum@who.int

Research 2014 Research 2014 2014: Research conducted by the Master of Medicine and Diploma of Child Health post-graduate candidates Dr Stanley Hannup Binax NOW testing in meningitis in Angau Hospital 2014 Dr Michael Landi Malnutrition at PMGH 2014 Dr Betty Antibiotic prescribing in Honiara 2014 Dr Tina Yarong Immunization in Modilon 2014 Dr Margaret Nablu Malnutrition in Angau Hospital 2014 Dr Veronia Kalit Newborn care practices at Nonga 2014