Health Disparities Of Children And Young People Dr. Uzma Amir

Case Report 1-Health Inequity in Children and Young People DR. UZMA AMIR Health Inequity Health inequity means avoidable factors in provision of better and fair health services to an individual or a community. These factors include lack of resources, medicines or health care facilities, low finances, lower socioeconomic status, geographical area, uneducated population or cultural beliefs which result in high rates of mortality and morbidity in a particular group of a community. According to WHO, health inequities are avoidable inequalities in health status between population groups. These inequities arise from inequalities and between societies. Socioeconomic conditions and their effects on life of an individual determine the†¦show more content†¦His birth was by SVD without any complication, cried immediately after birth. He has been given only BCG vaccine after birth and was not immunised for the follow up scheduled vaccines, nutrition and development was normal. No allergic reaction reported before. He has 3 siblings and live in a crowded home with 15 household members. He belonged to a poor family with no chronic condition in a family. On Examination: Weight: 10.5 kg (at 50th percentile) height is 82 cm (at 46th percentile). T: 102o F, HR: 95beats / minutes, RR: 54 breaths / minutes, oxygen saturation 94%. AB was generally appeared lethargic, mildly dehydrated and dyspneic. Cyanosis has been noted at end of cough bouts. Whooping sound on inspiration has been observed during cough. His ENT examination revealed only mild inflammation of pharynx. His respiratory examination revealed centrally located trachea, vesicular breath sound with mild crepitation at left side and chest in drawing .His cardiovascular and abdominal examination detected no abnormality. He was diagnosed clinically with whooping cough with pneumonia and dehydration. To confirm that some investigation needed, nasopharyngeal swab for PCR and Urea, creatinine and electrolytes were advised but unfortunately only full blood examination and chest X-ray has done due to financial issues of the family. The X-ray was suggestive of pneumonia. The management included hospital admission, oxygen inhalation, antibiotics, IV fluids