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E u r o S c i C o n C o n f e r e n c e o n

PEDIATRICS

2017

Pediatrics 2017

Volume:3 Issue:4(Suppl)

Journal of Pediatric Care

ISSN 2471-805X

N o v e m b e r 1 3 - 1 4 , 2 0 1 7

L o n d o n , U K

Page 16

T

he obstacles faced by health care providers and patients in rural areas are

vastly different than those in urban areas. Economic factors, cultural and

social differences, educational shortcomings, not easy access to a physician

and other healthcare specialists being some of them. With more than seventy

percent population living in rural areas, the problem worsens. The challenges

healthcare workers experiences in rural areas because of limited resources

leads to successful innovations, which in turn helps to save lives. According

to the current studies, Diarrhea is one of the commonest cause of hospital

admission and mortality in children. It’s a proven fact, consideration of the

amount of the fluid in and out of the patient’s body is one of the most important

factors for clinical decisions. Successful measurement of fluid losses in a case

of severe diarrhea was recorded by placing indwelling rectal catheter, hence

improving chances of survival. Again, giving dextrose through rectal route in

cases of neonatal hypoglycemia, establishing intravenous line is always a big

challenge as at times access to the skilled healthcare worker is minimal to

none, increases blood sugar by twenty units within twenty-five minutes and

thus providing enough time for patient to be transferred to a bigger facility.

Similarly many more innovations like an innovative air-oxygen blender using

inexpensive fish aquarium pump for continuous positive pressure support

for neonates in resource poor locations, modifying nutrition mix with locally

available ingredients has improved malnutrition status in tribal areas, training

local people (Aarogya Doot-health messengers) to educate others and pick up

early signs of diseases like pneumonia in tribal areas to initiate early treatment

to decrease overall mortality and intelligently use smartphones to deliver

vital information to mothers regarding neonatal and infant health issues like

lactation, weaning diet, immunization and diseases has been successfully

implemented.

Biography

Kush Jhunjhunwala, MD is registered with the Maharashtra

Medical Council, the regional body affiliated to the Medical

Council of India (MCI), New Delhi. He is presently working as

Paediatric Consultant having 10 bedded own hospital with 4

bedded levels II NICU in Gandhi Bagh area of Nagpur city. He is

also working as Hon. Paediatrician to Nagpur Police for 8 years.

He is currently a Member of both Life Member of the Indian

Medical Association (IMA) and Life Member of the Indian Acad-

emy of Paediatrics (IAP).

kush_73@yahoo.co.in

Challenges and innovations: a routine for rural

child healthcare provider in developing countries

Kush Jhunjhunwala

1

, Hemant Joshi

2

and

Sanjay Deshpande

1

1

University of Nagpur, India

2

University of Mumbai, India

Kush Jhunjhunwala et al., J Pediatr Care 2017, 3:4(Suppl)

DOI: 10.21767/2471-805X-C1-002