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PICHEAM project aims to contribute in reducing childhood mortality in Burundi by collaboration between a team of paediatricians based in the United Kingdom and child health professionals based in Burundi.
PICHEAM has put together a package of clear, simple teaching materials to be used by visiting paediatricians. These are flexible, to suit different audiences, but are based on the WHO’s Integrated Management of Childhood Illness (IMCI), the Emergency Triage Assessment and Treatment course (ETAT+) and Newborn Life Support course. IMCI and ETAT were designed specifically for resource-poor settings.
PICHEAM is unique in that it is the first initiative to organise short 1-2 week-long regular placements, which allow UK paediatricians to teach, support and learn in a short period of time; facilitating local management and a sustained improvement. This allows many paediatricians to participate and should make long-term commitment to the charity more practical.
The doctors included in the project are senior registrars or consultants who are involved in service improvement in their own hospitals in the UK. They travel as a team with an experienced nurse with a good understanding of triage and paediatric early warning systems.
PICHEAM plans to develop a distant clinician support system where clinical cases can be discussed between professionals in different geographical sites to share expertise and improve the management of sick kids (telemedicine). This will be facilitated initially in country but once the program me is established, the same UK professional would continue to remotely support their counterparts.
PICHEAM also funds and loans teaching materials: mannequins, course manuals and the WHO's Pocket Book of Hospital Care for Children. Both the Burundian paediatricians and their UK colleagues continually evaluate the project by collecting mortality and morbidity data. Local clinicians are encouraged to conduct surveys on services they provide and learn from results.
This collaborative approach improves the way child health care is delivered in Burundi and ultimately leads to a reduction in childhood mortality.
The under 5 mortality rate (a measure of how many children die before their fifth birthday in a given country) remains unacceptably high in poor third world countries. Resources directed at vaccination campaigns, the provision of bed-nets against the malaria carrying mosquito, improvements in health infrastructure and many other interventions in the last decade have made a significant impact in improving child survival.
A group of child health professionals in the UK realised from experience that international organisations like the World Health Organisation (WHO) who have invested significant resources in setting up excellent guidelines aimed at decreasing childhood mortality often lack the means to deliver them.
They decided to set up a system whereby UK-based paediatricians make short but frequent missions to a chosen country to work alongside local paediatricians and other healthcare staff. The aim of these missions is to improve skills and knowledge to help implement evidence-based guidelines that will save children’s lives. In this way both sides should collaborate and benefit, with UK paediatricians exposed to a very different set of health challenges
The project will start in the east African state of Burundi and once established will be expanded to other neighbouring countries at a later stage.