Paediatric Services
Paediatric Services
Paediatric services provided at the main teaching and referral Hospital includes but not limited to the following:
- Children’s Emergency and Outpatient Services
- Consultation Clinics
- Inpatient’s Services
- Special Care Nursery Services
- Sick babies in Post-natal and Labor Ward
- Teaching of nursing and medical students/resident medical Officers and post graduates.
1. Children’s Emergency and Outpatient Services Department is open 24 hours a day 7 days a week. A dedicated Team of Children’s doctors do three shifts in a day to cover Children’s Emergency and Outpatient Services. Triaging of sick children that present to the Children’s Emergency Department; helps categorize them into five categories hence level of urgency to serve them is worked out. In general, the triage system has five levels or Category:
- Category 1 – Immediate: life-threatening.
- Category 2 – Emergency: could become life-threatening.
- Category 3 – Urgent: not life-threatening.
- Category 4 – Semi-urgent: not life-threatening.
- Category 5 – Non-urgent: needs treatment when time permits.
Children who fall into Category 1-3 children are attended to as and when they present, they are resuscitated and stabilised. Category 4 & 5 would be attended to once children presenting with life-threatening or emergency conditions are sorted.
In the Children’s Emergency Department Children are assessed; tests and treatment are instituted accordingly depending on the presenting problem; those that need admission are admitted, those that need monitoring are kept for observations and those not so sick are sent home on treatment and advice to review if parents are worried concern. Not-so-sick children sent home may be asked to be reviewed with test results.
Children’s Emergency Department also receive patients referred in from provincial and private hospitals around the country and clinics in NCD. Children who have been referred in for further tests and management gets assessed here and admitted when required.
2. Paediatric Consultation Clinics
Consultation clinics are scheduled from Monday to Friday. Paediatricians run the following clinics for children; who have been discharged from the wards or referred in from other health facilities:
- Neonatology clinic
- Diarrhoea/Malnutrition Clinic
- Tuberculosis Clinic
- HIV clinic
- Neurology Clinic
- Cardiology Clinic
- Echocardiography Clinic
- Well Baby Clinic
- Oncology Clinic
- General Paediatric Clinic
Duration of follow-up in the clinics is dependent on childhood conditions and the plan of management on follow-up is often discussed with parents.
3. Inpatient Services
In-patient services include Acute care and management of very sick children with any condition. Common causes of admissions to the Children’s Wards include Neonatal Conditions, Pneumonia, Meningitis, Tuberculosis, Malnutrition, Diarrhoea & HIV. Admitted sick children are worked up and managed accordingly including parents or carers being informed of their child’s conditions. Children who are admitted are stabilised and managed accordingly.
Children with heart Diseases requiring closed heart surgery (PDA ligation) are worked up for surgery as and when they present. Children for open heart surgeries are worked up and taken care of post-surgery. Open heart surgery is done with the OHI visits.
Children with Cancer are also admitted to the Children’s Cancer ward for workup and chemotherapy which can take up to several months for children referred in from other centres.
4. Newborn care
Newborn babies with Neonatal Infections and other Neonatal Conditions are also managed accordingly. The Special care Nursery admits babies up to a week of age with Prematurity, Low Birth Weight, Infections, Severe Birth Asphyxia and other Neonatal Conditions & also looks after sick babies in the post-natal ward and labour ward.
5. Training
Nursing Students, Medical Students, Resident Medical officers and Postgraduate Registrars have supervised rotations through the Paediatric Wards as part of their Child Health Training. During the rotation they are mentored, supervised and examined.
PAEDIATRIC SURGICAL DELIVERY COST EVALUATIONS
THE TABLE BELOW SHOWS ALL THE COMMON PAEDIATIC PATHOLOGIES THAT HAVE BEEN MANAGED WITH THEIR RESPECTIVE COST IN THE PUBLIC AND PRIVATE.
ALL COSTS ARE ASSUMULATED AND ARE DETERMINED BY THE USAGE OF CONSUMABLES IN THE OPERATING THEATRE.
IN-PATIENT AND OUTPATIENT COSTS HAVE NOT BEEN MODIFIED OR DETAILED IN THIS PRESENTATION.
| SYSTEM | DIAGNOSIS | PROCEDURE | PUBLIC (PGK) |
PRIVATE (PGK) |
| GENERAL | INGUINAL | HERNIOTOMY | 100.00 | 1,000.00 |
| HERNIA | ||||
| UMBILICAL | MAYOR’S REPAIR | 100.00 | 1,000.00 | |
| HERNIA | ||||
| DERMOID CYST | EXCISION | 130.00 | 1,500.00 | |
| TRAUMATIC | TETOX INJECTION | 40.00 | 300.00 | |
| WOUND | WOUND | 100.00 | 2,000.00 | |
| DEBRIDEMENT | ||||
| WOUND CLOSURE | 100.00 | 3,000.00 | ||
| SSG | 170.00 | 3,000.00 | ||
| Abscess | I&D | 100.00 | 1,500.00 | |
| HEAD & NECK | THYROID | CYST-TRUNK | 200.00 | 3,000.00 |
| GLAND | OPERATION | |||
| THYGLOSAL CYST | 200.00 | 3,000.00 | ||
| EXPLORATION AND | ||||
| RESECTION | ||||
| SUBMANDIBUL | EXCISION | 200.00 | 2,500.00 | |
| AR CYST | ||||
| SUBLINGUAL | EXCISION | 200.00 | 2,500.00 | |
| CYST | ||||
| RANULA CYST | MARSUPILISATION | 260.00 | 1,000.00 | |
| TONGUE TIE | RELEASE | 100.00 | 1,000.00 | |
| CARDIOTHORACIC | TOF/EA | THORACOTOMY | 800.00 | 5,000.00 |
| AND REPAIR | ||||
| EMPHYMA | UWSD INSERTION | 300.00 | 1,500.00 | |
| GIT | SMALL BOWEL | REPAIR | 500.00 | 5,000.00 |
| ATRESIA | ||||
| (Pylorus, | ||||
| duodenum and | ||||
| small bowel) | ||||
| CHPS | REPAIR | 300.00 | 2,000.00 | |
| SYSTEM | DIAGNOSIS | PROCEDURE | PUBLIC | PRIVATE |
| (PGK) | (PGK) | |||
| GIT | Malrotation | Ladd’s procedure | 300.00 | 2,500.00 |
| plus appendicectomy | ||||
| HIRSCHSPRUN | COLOSTOMY | 500.00 | 2,000.00 | |
| ARA | Colostomy | 500.00 | 2,000.00 | |
| Hirschsprung’s | Swenson’s or Soave | 1,000.00 | 5,000.00 | |
| disease | pull through | |||
| ARA with | Anoplasty | 1,500.00 | 7,500.00 | |
| colostomy | ||||
| Severe ARA such | Anoplasty and pelvic | 2,000.00 | 10,000.00 | |
| as cloaca | reconstructive | |||
| surgery | ||||
| Post Anoplasty and post Swenson’s Pull through |
EUA, dilatation and calibration | 150.00 | 500.00 | |
| Gastroschisis | Complete and single stage repair |
500.00 | 4,000.00 | |
| Gastroschisis | Stage reduction fees | 300.00 | 1,500.00 | |
| Exomphalus | Excision and primary closure |
300.00 | 1,500.00 | |
| Patent urachus, patent vitilo- intestinal duct remnant |
Reduction and repair | 200.00 | 2,000.00 | |
| Umbilical Hernia |
Repair | 200.00 | 2,000.00 | |
| Acute appendicitis |
Laparotomy and appendicectomy |
300.00 | 2,500.00 | |
| Intussusception | Laparotomy, reduction plus or minus bowel resection and anastomosis |
500.00 | 3,500.00 | |
| Wilms tumor or nune-functioning kidney |
Nephrectomy | 500.00 | 3,000.00 | |
| PUJO | Pyeloplasty | 500.00 | 2,500.00 | |
| Urinary tract infection |
Cystoscopy and evaluation |
400.00 | 3,000.00 | |
| UROLOGY | Undescended testis |
Orchidopexy | 1,000.00 | 4,500.00 |
| Religious or phimosis |
Circumcision | 50.00 | 500.00 | |
| Hypospadias | First stage | 200.00 | 2,000.00 | |
| Hypospadias post first stage |
Second stage | 300.00 | 3,000.00 | |
| Ambiguous genitalia |
Genitoplasty | 2,000.00 | 10,000.00 | |
*fees subject to change.
Note: Doing paediatric cases requires delicate attention to detail and the long-term effects are detrimental either in a good sense or bad sense. Hence the pricing is enlisted as stated. These prices are based on the amount of time it consumes, the attention to detail that is warranted, and the consequences thereof. Also note these fees are specifically for the surgeons and do not include the other fees such as meals, electricity, and water bills as well as the nursing fees.
Also to note that the various minor procedures that are done in the wards and the clinics are not being captured here but if warranted then they can be added too.
PAEDIATRICS DEPARTMENT
| SERVICES | FEES | |||
| PUBLIC (PGK) | PRIVATE (PGK) | |||
| 1 | Outpatient fees | 5.00 | p | |
| 2 | Consultation clinics | 5.00 | p | |
| 3 | Referral from Private | 50.00 | p | |
| 4 | Admission fee | 5.00 | ||
| 5 | Medical examination | 20.00 | 50.00 | |
| 6 | Medical reports | 50.00 | ||
| Simple suturing | 10 | |||
| 7 | Bone marrow aspirations/biopsies | 10.00 | ||
| 8 | POP | 20.00 | ||
| 9 | ECG | 20.00 | 50.00 | |
| 10 | Echo | 50.00 | 100.00 | |
*fees subject to change.
Exempted from fees – TB, HIV, and follow-up treatment for cancer patients.
On arrival, private patients pay referral fees and then all pay as public patients. Patients not able to pay the full amount may pay 10-50% of fees.
