Atabo (32 years old) holds baby Maximilla (1 month old) at the paediatric ward at Lodwar county referral hospital. Atabo (32 years old) took baby Maximilla (1 month old) to Lodwar county referral hospital 10 days ago; her baby was born prematurely and is suffering from severe malnutrition and pneumonia. They came from Turkana East sub-county, 150 km from Lodwar. Atabo has 2 more children. Her husband was killed while she was pregnant. Maximilla had a twin brother (Ekuru) who died from malnutrition and other health complications 5 days after birth. Lodwar, Turkana Central sub-county, Kenya. Atabo's interview transcript: Two… I have two children and my name is Atabo Lokarach. My hut is in a bad condition. If it rains I am equal to the person who has no shelter. Because it is raining everywhere at the moment I am used to just staying in the rain. This child had a twin but the twin died… it died due to persistent drought, which meant I couldn’t get enough food to produce breast milk. I gave birth safely but the problems started after birth. Should I start with rain issue or the problem that caused death of one of my twins… okay, for the case of children it is illness that caused death of one twin after birth and I gave birth at home… I gave birth at home. After giving birth at home, one of the twins died after one week, it died on a Saturday. With the rain, the major challenge is my homestead… hut, even the father of this twins… he is not the same father to my older son and that makes a total of two living children… I am done with that point. With my illness, I have huge headaches even when I sleep on a bed like this. I get myself fallen down leading this kid alone thus unless there is another person to carry it. It is our common illness of Turkana people that needs treatment by different people… am done. It was a stomach problem, it caused a wound in the umbilical cord making in unable to breastfeed thus I tried animal milk as an option but at last
These training materials are for training of health workers on the updated management guidelines for managing sick young infant (SYI) age 0 to 59 days. The course is for training participants on the updated Management of the sick young infant age up to 2 months: IMCI chart booklet. The materials consist of a participant manual for the trainees and a facilitator guide for the facilitators.
The participant manual helps participants to systematically go through the course, to understand the rationale behind the Management of the sick young infant age up to 2 months: IMCI chart booklet. The course reflects all the recent updates particularly on Managing possible serious bacterial infection (PSBI) in young infants when referral is not feasible. The participant manual includes reading sections, written exercises, photographs, video demonstrations, role plays and group discussions. The facilitator guide contains instructions on facilitation, working and how to guide participants through the participant manual.
This 3 day generic training course combines classroom work with hands-on clinical experience. Under the guidance of course facilitators and a skilled clinical instructor, participants work in small groups (6-8 participants with 2 facilitators in a group). Each participant attends clinical sessions, seeing at least 5-10 sick young infants in an outpatient clinic or inpatient ward. Clinical sessions allow participants to practice assessment, classification, treatment and counselling skills using the SYI IMCI Chart Booklet guidelines. The course materials need adaptation according to the national IMNCI guidelines.