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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

Discover the history of the PNG Paediatric Society and its journey in advancing child health, paediatric care, and medical training in Papua New Guinea. History On the 40th Anniversary of the PNG Paediatric Society, Dr Mobumo Kiromat summarised the history and achievements of the Society. History of the Paediatric Society 40th Anniversary Dr Mobumo Kiromat

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

Annual General Meeting Current Activities The Paediatric Society met in Port Moresby in June 2014 at the Annual Mid-Year Meeting. The National Child Health Plan 2009-2020 was revised and updated. Some of the key points of progress highlighted in the first 5 years of the Plan were Reductions in malaria Vaccines: Hib in 2008 and Pneumococcal Conjugate Vaccine (2014) Slowing of HIV epidemic, introduction of PCR for early infant diagnosis Increased training of paediatricians through the UPNG DCH and Master of Medicine program, and improved paediatrician coverage in provinces Better surveillance and outcome data at hospital level through the Paediatric Hospital Reporting program Introduction of zinc and better coverage of vitamin A Changes beyond the health sector Improved education, some provinces with free education Primary school enrolments up 300,000 It was recognised that there are still gaps Old conditions not solved Tuberculosis HIV Measles Pneumonia Severe malnutrition Dysentery, typhoid The “new morbidities” Developmental disability Long-term implications of chronic illness Adolescent health Cancer, heart disease Obesity Child mental health

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

PHR Reports Paediatric Hospital Reporting Annual Child Morbidity and Mortality Reports The National Health Department’s Child Health Advisory Committee has produced an Annual Morbidity & Mortality Report since 2010. These reports summarise paediatric admissions and outcomes in hospitals in PNG. The reports contain important clinical and public health recommendations for improving child health. Disease Surveillance Case Reporting Forms The World Health Organisation declared Papua New Guinea free of polio and leprosy in 2000. However surveillance is still essential for polio and for other diseases. PNG has a program for reporting of acute flaccid paralysis (for polio surveillance), and acute fever and rash (for measles and rubella surveillance). Reporting forms for these and other notifiable diseases can be downloaded here. Reporting of these diseases requires that health workers know how to identify a suggestive clinical syndrome and take the appropriate test to confirm or exclude the diseases under surveillance. PNG also has surveillance for rheumatic fever and rheumatic heart disease, and severe acute watery diarrhoea (to identify cholera outbreaks). Stronger Communities Begin with Healthier Children

Research 2019 Research 2019 Master of Medicine Dr Rupert Marcus Congenital malformations among 1000 consecutive live births in Milne Bay Province Background: Birth defects contribute 7-10% to neonatal mortality, worldwide 2.3 million children survive each year with lifelong disabilities from birth defects and 90% of birth defects occur in developing nations. Data on birth defects from developing countries such as Papua New Guinea are scarce. We describe the profile of birth defects seen in a birth cohort in a provincial hospital in Papua New Guinea. Aim: To describe the specific types of birth defects in the cohort, to identify possible risk factors, and to direct prevention measures. Methods: Between February and August of 2018, one thousand consecutive babies born alive were assessed for birth defects at Milne Bay Provincial Hospital. Cases were identified and described by the use of the World Health Organization Classification of Disease (ICD-9). Controls were compared with cases utilizing pretested questionnaires. Results: In this study the incidence of birth defect was 28/1000 live births. Defects of the nervous system was most common with 17.9% of cases followed by cardiovascular, genitourinary, ENT and musculoskeletal defects which all comprised 14.3% each. Some characteristics were more represented in cases compared to controls, including maternal age <19 years (OR: 11.9), maternal smoking (OR: 3.8) and lack of folate supplements (OR: 3.5), however, in this relatively small sample of birth defects these were not statistically significant. Conclusion: Birth defects will increasingly play a major part in child mortality and morbidity in developing nations such as Papua New Guinea. Strategies in family planning, adolescent health, maternal health care and folate supplementation/fortification appear important in Papua New Guinea. Dr Allanie Rero Child neglect in Modilon Hospital, Madang – incidence and characteristics Neglect is an important form of child maltreatment which can result in death or permanent poor health throughout life. For the purpose of this study, child neglect was defined when a child’s basic developmental and health needs have not been met by acts of omission by parents or guardians, leading to ill health and hospitalization. Between March 2017 and December 2017 there were 231 patients admitted to the Paediatric ward, 91 of whom fulfilled the definition of neglect. From those that had been neglected in some way 30 (33%) of children were adopted compared to 3 (3.3%) of controls, bottle fed 21 (23.1%) compared to (4.4%), unvaccinated 41 (45%) from 17 (18.7%) respectively. Among the children who had been neglected, severe acute malnutrition 42 (46.2%), followed by tuberculosis 26 (28.6%) and acute gastroenteritis 12 (13.2%), were the leading causes of hospital admissions, while malaria, pneumonia and anaemia were the leading causes in the controls. Mortality was high in the neglected group with a case facility rate of 23%, with severe acute malnutrition accounting for 9 of the 21 deaths (43%). Associated with child neglect were financial stress 25 (28%), parental issues 23 (25%), uneducated parents 15 (17%), closely spaced pregnancies 13 (14.3%), domestic violence 4 (4.4%) and a child with disability 3 (3.3%). Diploma of Child Health Dr Dasha Pomat Management of severe pneumonia in Nonga Base Hospital, a systematic audit In PNG pneumonia remains the most common cause of admission in children with CFR of 9.62% in 2018 for severe pneumonia. This systemic audit was aimed at identifying where care is adequate and where it is lacking and needs improvement in the current management practices of severe pneumonia in Nonga General Hospital, East New Britain Province. The objective of the study was to audit the clinical standard of practice of the management of severe pneumonia in children aged 1 month to 59 months, using a proforma checklist of clinical standards outlined by the Paediatric Society of PNG and the WHO. Dr Clyde Kamo Child death audit meetings at Mt Hagen General Hospital – processes and outcomes Auditing is a vital tool to improve quality of any endeavour. Good auditing with regard to death auditing and reviews depends on the availability of updated credible records, a standard widely accepted auditing protocol and the objective to make adjustments and needed changes to ultimately improve patient care. Over 5 months, the paediatric team in Western Highland Provincial Health Authority has been carrying out monthly death reviews based on the WHO death reporting forms with the aim of identifying common avoidable modifiable causes of deaths. Strategies can then be put in place to improve these factors. This paper looks at the effects of establishing a regular death auditing program and the implications it has for the future care of paediatric patients. Dr Maxon Lifigao Congenital syphilis at National Referral Hospital in Honiara, Solomon Islands This presentation discusses the incidence and clinical features of congenital syphilis, and the incidence of mothers who are VDRL positive delivering at the National Referral Hospital in Honiara, Solomon Islands. In Honiara in 2018-19 of 1535 live births: 130 (8.5%) mothers were VDRL positive; 72 babies (4.7%) babies were VDRL positive; 67 (4.3%) babies were TPHA positive; 7 (0.5%) babies had clinical features of congenital syphilis. The rates doesn’t take into account still births, which are likely to have higher VDRL positive rate. Dr Wilma Luan-Kasso Kangaroo Mother Care amongst preterm newborns in Modilon General Hospital, Madang Kangaroo Mother Care (KMC) was introduced to Modilon General Hospital in 2015 but there were many implementation challenges due to limited resources and a limited level of a supportive and enabling environment. Aim: To assess the impact of intermittent KMC on preterm/low birth weight neonates on discharge outcomes. Methods: This prospective observational study included educational sessions for special-care-nursery staff and mothers about KMC. This was followed by an assessment provided on the care of 38 neonates with birth weights between 1200-2000 grams who received intermittent KMC. Results: Overall, 84% were preterm with 83.3% of the newborns delivered at health facilities with hypothermia on admission. KMC hours ranged from 0-8 hours per day. More than half absconded/leaving hospital against medical advice and 72.7% and 41.7% had weight gains of <5 grams/kg/day and 10 grams/kg/day, respectively. Conclusion: Early essential newborn care practices for preterm/low birth weight newborn and an enabling supportive environment and resources for both the health care worker and mother/career would improve the implementation of intermittent KMC.

Paediatric Teaching Resources Paediatric Teaching Resources Below are the links to some good teaching videos about clinical history taking and examination for different systems, and some procedures. They are all freely available from the Internet, and the sources are acknowledged. Thanks to Dr Paulus Ripa and others for finding these. Gastrointestinal assessment https://www.youtube.com/watch?v=932E4B9UApg&t=103s https://www.youtube.com/watch?v=oJ1CsJJHZCQ https://www.youtube.com/watch?v=H0e8XkYe7uQ&t=47s Respiratory assessment https://www.youtube.com/watch?v=gcS7RS8pXqs https://www.youtube.com/watch?v=gcS7RS8pXqs&t=11s https://www.youtube.com/watch?v=rKgbIEPYqQ8&t=44s Cardiovascular assessment https://www.youtube.com/watch?v=Mu0C_of6Aw0 https://www.youtube.com/watch?v=hTClmf8egGM&t=343s https://www.youtube.com/watch?v=y-n6MWmT1YA Neurological assessment https://www.youtube.com/watch?v=_XTY8YYhkGU https://www.youtube.com/watch?v=HDDVqEa_MpY How to perform a lumbar puncture This is an excellent video from Dr Osama Naga on how to safely perform an LP and how to interpret the CSF findings. https://youtu.be/Md4Bp4HD5xE Developmental assessment https://www.youtube.com/watch?v=RfemPAlDzN4 https://www.youtube.com/watch?v=ThNsIohZzAY&t=208s https://www.youtube.com/watch?v=nxvAaQm659M Airway videos by Sydney intensive care ambulance officers (input the same password to watch each video: “AiRblogVideos”) https://sydneyhems.com/airway-registry/cmac-videos/

Privacy Policy Privacy Policy Effective Date: 01/06/2025 The Paediatric Society of Papua New Guinea ("we", "our", or "us") is committed to protecting the privacy of our website visitors. This Privacy Policy outlines how we collect, use, and safeguard your personal information when you visit https://pngpaediatricsociety.org . 1. Information We Collect We may collect the following types of information: Personal Information: Such as your name, email address, and professional details if you voluntarily submit them through contact forms, event registrations, or membership applications. Non-Personal Information: Such as your browser type, IP address, device type, and pages visited. This helps us improve website performance and user experience. 2. How We Use Your Information We use the information we collect to: Respond to inquiries and provide requested information Manage membership applications and communications Share updates about society activities, events, and child health resources Improve our website and services Ensure the security and integrity of our website 3. Cookies and Tracking Our website may use cookies to enhance your browsing experience. You can choose to disable cookies through your browser settings, but this may affect some features of the site. 4. Sharing Your Information We do not sell, trade, or rent your personal information. We may share information with trusted third parties only when necessary to operate our website or services, or if required by law. 5. External Links Our website may contain links to external websites. We are not responsible for the content or privacy practices of these third-party sites. We encourage users to read the privacy policies of those websites. 6. Data Security We take reasonable measures to protect your personal data from unauthorized access, misuse, or disclosure. However, no method of internet transmission or electronic storage is 100% secure. 7. Children’s Privacy This website is not intended to collect personal information from children under the age of 13. If we discover such information has been provided without parental consent, it will be deleted promptly. 8. Changes to This Policy We may update this Privacy Policy occasionally. All changes will be posted on this page with a revised effective date. 9. Contact Us If you have any questions or concerns about this Privacy Policy or how your information is handled, please contact us at: Email: info@pngpaediatricsociety.org Website: https://pngpaediatricsociety.org

About Us About About the Paediatric Society of Papua New Guinea Established in the 1970s, the Paediatric Society of Papua New Guinea has evolved into a vital professional body committed to improving the health and well-being of children and adolescents across the country and the Pacific region. From its modest beginnings with just 10 to 20 members in the 1980s and 1990s, the Society now boasts a membership of over 80 dedicated professionals. While most members are paediatricians and postgraduate paediatric trainees, the Society also welcomes paediatric nurses, health extension officers, and other child health practitioners, reflecting its inclusive and collaborative approach. The Society plays a pivotal role in shaping the future of child health in Papua New Guinea. It maintains strong partnerships with key institutions such as the National Department of Health and the School of Medicine and Health Sciences at the University of Papua New Guinea. The Society also includes active members from neighboring Pacific Island nations, especially the Solomon Islands and Vanuatu, fostering regional collaboration. Core responsibilities of the Paediatric Society include developing and regularly updating clinical and public health guidelines based on the latest scientific evidence. As the custodian of national paediatric clinical standards, the Society ensures that healthcare providers across the country have access to best-practice protocols. The Society advises the Department of Health on a broad spectrum of child and adolescent health issues, from clinical care and disease prevention to social and environmental health factors. It also plays a critical role in public education, raising awareness on vital topics such as breastfeeding, immunization, nutrition, and school attendance. Further, the Society works closely with medical and nursing education institutions to ensure health training programs align with national child health policies. It supports continuous professional development by organizing training opportunities for paediatricians and child health nurses, helping them maintain up-to-date skills and knowledge. Beyond its technical work, the Society serves as a collegial body, offering professional and peer support to its members, and fostering a shared commitment to the health of future generations. The roles of the Paediatric Society include the following: To 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. To provide guidance to the Department of Health on all aspects of child and adolescent health, including clinical practice, quality and safety and outcomes, social, environmental and preventative health, vaccine-preventable diseases, and emerging or neglected child and adolescent health issues. The advice is based on scientific evidence and professional experience and wisdom. To provide advice to the community on important aspects of child health, for example through involvement in public awareness about breastfeeding, immunization, nutrition and school attendance. To work closely with training institutions to provide input on health training curricula, so that nursing, under-graduate medical training and courses for other health workers reflect the national child and adolescent health policies and guidelines. To develop continuing professional development for paediatricians and child health nurses to ensure the maintenance of professional skills, knowledge and standards To be a collegiate society providing professional and peer support to members This web-site contains information relevant to child health in PNG and other Pacific Island countries. COVID-19 Resources COVID-19 Guideline for Paediatric Health Care Workers August 4th 2020 Download Hospital Reporting Program Weekly Paediatric Lectures - 2022 Every child deserves a chance to grow, thrive, and shine — and we’re here to make it happen. Our Mission Our Mission To advance child and adolescent health in Papua New Guinea and the Pacific by: Promoting evidence-based clinical care and public health practices. Providing expert guidance to health authorities and communities. Supporting ongoing education and training for health professionals. Advocating for child health policies that reflect equity, quality, and sustainability. Fostering collaboration among healthcare workers, institutions, and regional partners to strengthen paediatric care at every level. Our Vision A Papua New Guinea where every child and adolescent enjoys the highest standard of health, supported by compassionate care, informed policies, and empowered health professionals. Together, for a Brighter, Healthier Future

CME Continuing Medical Education Q&A 2018 2017 2016 2015 Because Every Child Counts

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