

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.inChallenges 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