Free Pediatric Health Camp 2023
1. Registration of the child
2. Measuring height and weight
3. Blood test (haemoglobin) and urine test and/or malaria test when indicated
4. Physical examination by a medical doctor
5. Giving medication (pharmacy)
6. Education on tooth brushing (a toothbrush was given to each child)
7. Enter children’s files in data base.
Most important findings are described below, and detailed tables of the findings are given in Annex A.
In the announcement of the medical children of age below 12 years were invited to come with their caretakers. Of the 1117 children, 38% was below the age of 5 years, 48% of the children was between 5 and 10 years of age, and 14% was above 10 years old. Children below 5 years of age are considered to benefit most from a medical camp, so we were happy to see these young children and their parents visit the MCC medical camp (86% of the children was accompanied by a parent, 13% by a teacher). The following findings can be highlighted:
• High prevalence of underweight (low weight for age): 30% for all children and 30% for children under 5, with the highest prevalence of underweight in Kaule of 45% for all children. Overall prevalence of underweight is equivalent to the overall prevalence of underweight in 2022 (30%).
• High prevalence of stunting (low height for age): 40% for all children, and 39% for children under 5, with the highest prevalence in Hattibang (58% for all children and 49% for children under 5) and Kaule (47% for all children and 46% for children under 5), compared to 32% for children under 5 in Nepal reported by Unicef1. Overall prevalence of stunting is worse than the overall prevalence of stunting in 2022, which was 34%.
• Prevalence of wasting (low weight for height): 6% for all children and 9% for children under 5, with a higher incidence in Kaule of 10% in all children and 13% for children under 5, compared to 12% for children under 5 in Nepal reported by (WHO, 20191). Overall prevalence of wasting is equivalent to the overall prevalence of wasting in 2022 (10%).
• A prevalence of anaemia of 25% (overall 16% in 2022) for all children and 27% for children under 5, with a significant higher prevalence in Sapana (50% for all children and 44% for children under 5), which is even higher compared to the 44.6% anaemia reported for children under 5 in Nepal by the WHO (20192) and compared to the prevalence of anaemia in the Netherlands (15.5% for children under 5 (WHO, 20193).
• Other frequent diagnoses: pneumonia (1%), otitis media acuta (2%), dermatomycosis (1%), impetigo/furunculosis (4%), infected wounds (2%), other skin diseases (2%), lice (12%) and scabies (2%), with the highest prevalence in Hattibang and Kaule.
• With regard to dental diagnoses: 20% of the children had caries and 3% cariës with pain. Highest prevalences were noted in Sapana (34% cariës and 12% cariës with pain).
• Most frequent treatment given to the children was deworming (43%), iron (11% of the children and 3% of the mothers), multivitamin (48%), antibiotics (3%), various cremes for skin diseases (10%).
• Only 47% of the children received deworming in the last 6-months. In Nepal a governmental program is available for deworming of children below 5 years of age, which is reflected in a higher percentage receiving deworming treatment of the children between 1 and 5 years of age, 79%.