REPORT ON STUDENT HOSPITAL PRATICAL

EXPERIENCE SCHEME
AT
SANGO PRIMARY HEALTH CARE CENTRE,
SAKI WEST, OYO STATE.
BY
OWOADE NOFISAT AJOKE
MATRIC NO: 23481

SUBMITTED TO:
DEPARTMENT OF PUBLIC HEALTH NURSING,
ISEYIN COLLEGE OF SCIENCE AND
HEALTH TECHNLOGY, ISEYIN, OYO STATE

IN PARTIAL FULFILMENT OF THE

REQUIREMENTS FOR THE AWARD OF NATIONAL
DIPLOMA IN PUBLIC HEALTH
 NOVEMBER 2024

DEDICATION
This Industrial Work Experience Report is firstly dedicated to the
Almighty God for is guidance and preservation during the
process/research of the project and secondly dedicated to my
parents MR. OWOADE and MRS. OWOADE for their love and
support and their great contribution for the smoothly running of
my academic programme.
In gratitude to my amicable colleagues Omotoyosi, Oluwaseun
where collaboration and teamwork enrich this work.
 ACKNOWLEDGEMENT
My profound gratitude goes to the Almighty God for the successful completion
of this project write up.
I wish the express my gratitude to ISEYIN COLLEGE OF SCIENCE AND HEALTH
TECHNOLOGY for giving me the opportunity to attend this great institution and
also the department of Public Health. I’m sincerely grateful to my supervisor
MRS. AYANLOLA E.A for her persistent support; encouragement and
assistance during the research work (project) also to Sango PHC, Saki West
Local Government. I’m also grateful to all the lecturers of Public Health for the
knowledge they all instilled in me.
A very big thank you to my project colleagues for their help and support
towards the success of this project.
The support and love of the Owoade families and Owoade Olabanjo is greatly
appreciated. I love you all.
With humility i express my gratitude to my parents for always being there God
bless u all.
TABLE OF CONTENT
Cover page
Title page........................................................................................... i
Dedication......................................................................................... ii
Acknowledgement............................................................................ iii
Table of content................................................................................. iv
Attestation......................................................................................... v
Certification....................................................................................... vi
Executive summary............................................................................ vii
CHAPTER ONE: INTRODUCTION
1.1 Background information on SIWES......................................
1.2 Objectives of SIWES...........................................................
CHAPTER TWO: DESCRIPTION ON PLACE OF ATTACHMENT
2.1 Brief history/profile of institution or establishment of posting.....
2.2 Vision, mission and core values of the institution....................
2.3 Organogram of the establishment..........................................
2.4 Departments/ unit of rotation during posting.........................
CHAPTER THREE: REPORT OF ACTIVITIES CARRIED OUT
3.1 General activities...................................................................
3.2 Specific activities....................................................................
CHAPTER FOUR: EXPERIENCES AND LESSONS LEARNT
4.1 Experiences gained...............................................................
4.1.1 Equipment, industrial tools etc. Used and functions
4.1.2 Trainings, workshops, on-the job experience.....................
4.2 Lessons Learnt......................................................................
4.2.1 Mentoring and coaching received......................................
4.2.2 Major skills and competencies acquired.............................
4.2.3 Industrial Standards, protocols, Guidelines, processes etc...
CHAPTER FIVE: CHALLENGES AND MITIGATING STEPS
5.1 Challenges encountered during the posting..........................
5.2 Mitigating Steps taken.........................................................
CHAPTER SIX: CONCLUSION AND RECOMMENDATIONS
6.1 Conclusion..........................................................................
6.2 Recommendations..............................................................
Appendix
Activity photographs
ATTESTATION

I OWOADE NOFISAT AJOKE hereby table that i completed my practical

posting at SANGO PRIMARY HEALTH CARE, SAKI WEST LOCAL GOVERNMENT
OYO STATE. From August 25th to November 1st.
The information presented in this report is accurate and reflects my
genuine experience learning outcome during the posting. I have actively
participated in the maternity activities and the reports are based on my
personal observation, experiences and skills.
 CERTIFICATION

This is to certify that OWODE NOFISAT AJOKE, Public Health/Nursing

student with Matric No: 23481 have successfully completed the
practical field posting in partial fulfilment of the requirement for the
Award of National Diploma (ND) and successful submitted to the
Department of PUBLIC HEALTH of ISEYIN COLLEGE OF SCIENCE AND
HEALTH TECHNOLOGY. This report embodies that the student
experience original work.
SUPERVISOR:
Prince Adelakun Taofeek Signature: ___________ Date: _______
Ajayi Jeremiah .O Signature:____________ Date:________

HEAD OF DEPARTMENT (HOD)

Mr. Victor Arise Signature: ___________ Date: __________

 EXECUTIVE SUMMARY

Title: Practical posting experience at SANGO PHC SAKI WEST

Duration: august 26th to November 1st 2024
Location: SANGO PHC SAKI WEST GOVERNMENT, OYO STATE.
Objectives: To gain experience on how to treat and check patients
vital signs and understand patients health.

KEY FINDIND:
 I develop skills on how to relate with patients and vital signs
 I develop how to advice my patients and put smile on their
face
 Immunization and vaccination

I acquired acknowledge on the concepts of healthcare, diseases

preventions, health education, immunization, nursing mothers or
delivery, ANC care and management of several medical issues’
across different units within the PHC.
This report contains relevant information of the SIWES program
including the major activities engaged in, experiences gained,
lessons learnt, equipment used, challenges faced and
recommendations.
 CHAPTER ONE

INTRODUCTION

1.1 Background information on SHPES

Clinical Experience is a skills development program initiated by the Industrial

Training Fund (ITF) in 1973, to bridge the gap between theory and practical by

providing a platform to apply knowledge learnt to real-work-life-situation.

1.2 Objectives of SHPES

 To Gain practical experience

 To bridge the gap between theoretical knowledge and practical skills

 Provide avenue for students to acquire skills and experience in their

study course

 To prepare students for the industrial work situation they are to meet

after graduation

 To develop new skills

 CHAPTER TWO
Description on place of Attachment
2.1 Brief history/profile of institution or establishment of posting

Sango Primary Health Care (PHC), Saki West Local Government, Oyo State,
Nigeria is a key healthcare facility that serves the local population in the Saki
West area. It is part of the broader Oyo State Primary Health Care system,
which aims to provide accessible, affordable, and quality healthcare services,
especially to rural and underserved communities.

Brief History

 Establishment: Sango PHC was established under the National Primary

Health Care Development Agency (NPHCDA) initiative, which was
introduced in Nigeria to strengthen grassroots healthcare delivery. It
likely emerged as part of the government's push in the 1980s and 1990s
to decentralize healthcare services and bring them closer to rural
populations.
 Local Integration: As a key health facility in Saki West, Sango PHC
operates under the supervision of the Saki West Local Government and
collaborates with the Oyo State Ministry of Health to implement health
programs.
 Evolution: Over the years, the facility has adapted to include
immunization drives, maternal and child health services, and treatment
for common illnesses.
Functions and Services

1. Maternal and Child Health Services:

o Antenatal care
o Childbirth support
o Immunization programs
o Postnatal care
2. Disease Prevention and Control:
o Immunization campaigns (e.g., polio and measles)
o Health education and awareness on communicable diseases like
malaria and tuberculosis
3. Basic Medical Services:
o Treatment of minor illnesses and injuries
o Provision of essential drugs
o Nutrition counseling
4. Community Health Engagement:
o Outreach programs to educate the community about hygiene,
sanitation, and preventive healthcare.
o Collaboration with local leaders for health interventions.
5. Family Planning and Reproductive Health:
o Counseling and services for contraception and reproductive
health.

Challenges

Like many PHCs in Nigeria, Sango PHC faces challenges such as:

 Inadequate funding and resources

 Limited availability of trained healthcare professionals
 Overcrowding and increasing demand for services
  Inconsistent supply of essential medicines and equipment

Importance

Sango PHC remains vital in delivering primary healthcare to the Saki West Local
Government, reducing the burden on secondary and tertiary healthcare
facilities. Its role is critical in achieving the Sustainable Development Goals
(SDGs), particularly those related to health and well-being.

For specific data, history, or recent developments about Sango PHC, consulting
local government health records or contacting the Oyo State Ministry of Health
would provide detailed insights.

2.2 Vision, mission and core values of the institution.

Mission
To render a quality free health
Vision
To make the community people feel healthy
GUIDELINES
Use of standing orders
Prol
1. Punctuality
2. Uses of uniform (neatly dress)
3. Referral method
Standards
1. Accessibility
2. Quality
3. Affordability
4. Acceptability
 CORE VALUES
 Patient-centered care: putting patients first in all that we do, ensuring
their needs are met with empathy, respect, and compassion.
 Teamwork: we work collaboratively and effectively with our colleagues
to achieve our shared goals
 Excellence: we strive for excellence in all that we do, continually seeking
opportunities for improvement and innovation
 Diversity and Inclusion: we value diversity and inclusion, fostering a
welcoming environment for all patients and staffs.
 Integrity: we act with integrity and transparency, holding ourselves to
the highest ethical standards in all our actions and decisions.
 Community Engagement: we are committed to engaging with our
community and promoting health and wellness in the local area.

2.2 Organogram of the Establishment

OFFICER IN CHARGER (OIC)

DEPUTY OFFICER IN CHARGE (DOIC)

FACULITY FOCAL PERSONS FOR ALL PROGRAMS FACULITY RECORD OFFICER

IMMUNIZATION NUTRITION MALARIA FAMILY PLANNING ANTENATAL CLINIC (ANI)

Department/ units of rotation during posting

During the practical Experience, i worked in different units at the primary
health care facility as highlighted below:
1. ANC at palpation room where we palpate
2. Immunization
3. Delivery room
4. Family planning ward
5. Counselling
6. Treatment of minor ailments e.g. (injuries, malaria, typhoid)
 CHAPTER THREE
Report of activities carried out
3.1 General activities
During the SIWES attachment at the SANGO PHC SAKI WEST, I engaged in
activities including:
 Immunization
 Family planning
 Malaria
 Circumcision
 Delivery
 Anc (Antenatal care)
 Post natal care services
MALARIA
Malaria is a life threatening disease caused by plasmodium parasite
transmitted through infected mosquito bites.
SYMPTOMS OF MALARIA
- Fever
- Headache
- Diarrhea
- Fatigue
- Shivering or sweating
- Muscle and joint pain etc.
TRANSMISSION OF MALARIA
- Infected mosquitoes bites
- Blood transfusions
- Congenital transmission
DIAGNOSIS OF MALARIA
- RDTs (Rapid Diagnostic tests) commonly use
TREATMENT OF MALARIA
Ant malarial medications
Artemisinin drugs (Artemether and artesunate)
Chloroquine phosphate
PREVENTION OF MALARIA
- Insecticide- treated bed nets (mosquitoes net)
- Apply permethrin to clothing and gear
- Drainage of gutters and stagnant waters around your environment
- Clearing and burning of bushes in the environment
KEY FACTS ON MALARIA:
- Malaria is preventable and treatable
- Prompt treatment can reduce mortality
- Mosquito control is crucial
I participated in the MRDT room I did checking of the patient’s blood sample
and record if positive nor negative.

IMMUNIZATION
The objectives is to reduce mortality and morbidity caused by childhood and
other preventable diseases, such as poliomyelitis, yellow fever, Tuberculosis,
Measles, Tetanus, Hepatitis B etc. Immunization is the process of inducing
immunity to specific diseases through vaccination.
COMMON VACCINES AND THEIR ROOTS:
1. MMR (Measles, Mumps, Rubella)
The MMR vaccines are a combined vaccine that protects against three serious
viral infections: measles, mumps, and rubella.
Measles causes fever, rash, cough, runny nose, and red eyes which can lead to
complications like Pneumonia, encephalitis, and death.
Mumps causes swelling of the salivary glands which can lead to complications
like meningitis, encephalitis, and deafness.
Rubella complications in pregnant women and unborn babies.
ADMINISTRATION: two doses, typically given at 12-15 months and 4-6 years
given by subcutaneous injection usually in the upper arm at the age of 9
months
Vaccine type: live attenuated

2. DTaP (Diphtheria, Tetanus, Pertussus (whooping cough))

Diphtheria causes respiratory and cardiac complications which can lead to
suffocation and death.
Tetanus causes muscle stiffness, spasms, and rigidity which can lead to
respiratory failure and death.
Pertussis causes severe coughing fits, vomiting, and breathing difficulties which
can lead to pneumonia, seizures and brain damage.
ADMINISTRATION: 5 doses, typically given at 2, 4, 6, 15-18 months, and 4-6
years given intramuscularly at the left upper arm
Vaccine types: Toxoid and inactivated
 3. Polio vaccines
Humans are the only reservoirs of the polio viruses. The viruses belong to
three strains (type 1, 2, and 3).
Inactivated Poliovirus vaccine (IPV)
ADMINISTRATION: 4 doses, typically given at 2, 4, 6-18 months, and 4-6 years
injected into the arm or leg
Vaccines types: inactivated (killed) virus

Oral Poliovirus vaccine (OPV)

The oral vaccine is given at birth (OPVO), at six weeks (OPV1), ten weeks
(OPV2) and fourteen weeks (OPV3). On each occasion, two drops of the
vaccine are carefully dropped into the babies’ mouth.
ADMINISTRATION: 4 doses, typically given at 2, 4, 6-18 months, and 4-6 years
oral drops (mouth)
Vaccines types: Live, attenuated virus
4. Hepatitis B
Hepatitis B is a serious liver infection caused by the Hepatitis B virus (HBV). It
can be either acute, lasting less than six months, or chronic, lasting more than
six months.
Symptoms of Hepatitis B:
- Pain in the stomach area
- Dark urine
- fever
- joint pain
- loss of appetite
- weakness and extreme tiredness
- jaundice (yellowing of the whites of the eyes and the skin)
 5. BCG
The BCG vaccine protects against (TB) tuberculosis, a serious bacterial
infection.
Tuberculosis causes respiratory, pulmonary, and extra pulmonary
complications which can lead to death, severe illness, and disability.
ADMINISTRATION: Intradermal injection, typically given at birth or in early
childhood with a sterile needle and a sterile syringe at the right arm just below
the insertion of the deltoid 0.05ml for children under the age of one year but
0.1ml if over one year old.
Vaccines types: Live, attenuated bacteria

6. Hib (Haemophilus influenza type b)

The Hib Vaccine protects against Haemophilus influenza type b, s bacteria that
causes serious infections.
Haemophilus influenza type b causes meningitis, pneumonia, epiglottitis, which
can lead to brain damage, hearing loss and death.
ADMINISTRATION: Intramuscular injection, typically given at 2, 4, 6, and 12-15
months.
Vaccines types: conjugate vaccine
7. HPV (Human papillomavirus)
HPV causes cervical, anal, vaginal, vulvar, penile, and oropharyngeal cancers
also causes genital warts and precancerous lesions
ADMINISTRATION: intramuscular injection, typically given at 11-12 years (2-3
doses)
Vaccines types: Recombinant, quadrivalent or nonavalent
 8. Yellow fever
Caused by: Yellow fever virus (YFV)
Transmitted by: infected mosquitoes (Aedes spp.)
Symptoms: fever, chills, nausea, vomiting, and haemorrhaging
ADMINISTRATION: single dose, subcutaneous injection
Vaccines types: Live, attenuated

 FAMILY PLANNING
The process of deciding and planning the number of children to have, and
when to have them
Methods of Family Planning
1. Contraceptives:
Reversible method
- Hormonal Contraceptives: birth control pill, patch, ring, injection(Depo-
Provera), implant (impleanon, Nexplanon)
- Barrier method: male condom, female condom, Diaphragm, cervical cap
- Intrauterine Devices (IUDs): copper IUD, Hormonal IUD
2. Natural Family Planning:
- Fertility awareness method (FAMs)
- Ovulation Method (OM)
- Withdrawal Method
- Lactational Amenorrhea method (LAM)
3. Sterilization:
Permanent method
- Tubal ligation (female)
- Vasectomy (male)
- Hysteroscopy sterilization
 4. Emergency Contraception:
- Copper IUD (Intaruterine Device)
- Plan B (levonorgestrel)
- Ella (ulipristal acetate)

5. Behavioural Methods:
- Abstinence
- Delayed intercourse

Benefits of Family Planning Methods

- Effective pregnancy prevention
- Reduced risk of STLs
- Increased reproductive control
- Improved maternal and child health
- Enhanced economic stability
Considerations when choosing a Method
- Effectiveness
- Safety
- Convenience
- Cost
- Personal preferences
- Health conditions
- Lifestyles
ANC (ANTENATAL CARE)
Antenatal care is the regular check-ups and care for pregnant women to
ensure a healthy pregnancy, delivery, and postpartum period.
Objectives of ANC:
1. Monitor fatal growth and development
2. Identify potential complications
3. Provide preventive care for the baby
4. Educate women on pregnancy, childbirth, and parenting
5. Improve maternal and newborn health outcomes
Components of ANC
1. Initial assessment (booking visit)
2. Routine check-ups (every 4-6 weeks))
3. Vital monitoring (ultrasound, Doppler)
4. Blood pressure monitoring
5. Blood tests (HIV, syphilis, anaemia)
6. Weight and body mass index (BMI) monitoring
7. Nutrition and lifestyle counselling
8. Immunization (tetanus, influenza)
9. Urine test (protein, glucose)
10.Birth planning and preparation
WHO Recommendations:
1. Minimum 8 ANC visits
2. First visits by 12 weeks
3. Subsequent visits at 20, 24, 26, 30, 32, 34, 36 and 38 weeks
Benefits of ANC
1. Reduced maternal mortality
2. Improved vital outcomes
3. Early detection of complications
4. Enhanced maternal health and well being
5. Increased birth preparedness
6. Better newborn care

 Post natal care services

Medical care and support provided to women and their newborns after
childbirth, typically up to 6-8 weeks postpartum.
Objectives of PNC:
1. Monitor fatal growth and development
2. Prevent complications
3. Provide education and support
4. Ensure successful breastfeeding
1.1 Specific Activities
During the two months practical at the primary health care centre, I
participated in activities across different units, including:
1. Immunization units
I participated in knowing different types of vaccines which are BCG, Men
A..IPV, PCV, OPV, and vitamin A and Penta.
Engaged in administering the vaccines to the infants to the immune system
and protect them from specific diseases.
2. Health Records
I participated in health records books at the maternity.
Engaged in writing different clients name individual in different records books
which includes Outpatients department (OPD), Immunization register, Family
planning register, Malaria rapid diagnostic test (MRDT) register, Delivery
register and general activities register.
3. Malaria Rapid Diagnostic Unit (MRDT)
I participated in collecting patient’s blood to testing with the MRDT kits to
detect if the patient is positive or negative of malaria
I engaged in checking few patients’ weight and height to known which anti
malaria drugs to give them
4. Family planning units
I participated in counselling clients or couples about the types of family
planning we have either the short period and long acting period and also
lecture them on each so they can know which one to go for maybe pills,
injectable, implant, and Sayanna and also the year each take to work
5. Antenatal units
I participated in checking of pregnant women`s vital signs which are BP,
temperature, weight, and height.
Engaged in palpating the pregnant women to know the weeks of the
pregnancy and also listen to fetal Heart rate to know the well being of the
fetus and the position of the baby.
 CHAPTER FOUR
Experiences and lessons learnt
Experiences gained
During the two months SIWES program and my stay in SANGO PHC I focused
on immunization, malaria, family planning, ANC care and pregnancy. And
which all focused has been explained in UNITS 3.1.

4.1. 1. Equipment/Tools used and Functions

- MUAC: mid-upper arm circumference is a measurement of the
circumference of the middle upper arm, used as an indicator of
nutritional status, particularly in children aged 6-59 months.
FUNCTIONS:
For monitoring growth and development and also for Nutritional
assessment.

- MRDT: Malaria Rapid Diagnostic Test is a quick, simple and accurate test
used to diagnose malaria infection.
FUNCTIONS:
To detects malaria parasites in blood
- SPHYGMOMANOMETER: A medical device used to measure blood
pressure.
FUNCTIONS:
For measuring systolic and diastolic blood pressure, also helps diagnose
hypertension, hypotension, and cardiovascular diseases.

- THERMOMETER: device used to measure

body temperature.
FUNCTIONS:
To measures body temperature

- FETAL STETHOSCOPE: used to listens to fetal

heart sounds during pregnancy.
FUNCTIONS
To monitors fetal heart rate (FHR) and to
assesses fetal well-being
- NEEDLE AND SYRINGE: A medical device used to administer injections,
vaccinations, and medications.
FUNCTIONS
To collect blood or tissue sample, to
inject local anaesthetics

- MEDICAL TRAY & KIDNEY DISH: medical tray is a flat, shallow container
used to hold medical instruments, supplies, and equipment while,
kidney dish is a curved shallow dish used to hold medical supplies,
instruments, and waste.
FUNCTIONS:
Medical tray – facilitates easy transportation
of equipment, and to provides a clean surfaces for procedures
Kidney dish – to holds supplies and instruments within reach

- ICE PACK: A cold compress or pad filled with a cold substances (block
water) used to reduce temperature, relieve pain and inflammation.
FUNCTIONS:
To relaxes muscles and joints and reduces pain and inflammation
 - WEIGHING SCALE: used to measures to weight of a person
FUNCTIONS:
To measures weight in units (e.g. kg, ibs, oz). And to monitor growth and
development

4.1. 2.Training, workshops, on-the-job experience

Various training on how to carry out Malaria Rapid Diagnosis Test (MRDT) was
carried out at the maternity.

4.2. Lessons Learnt

I learnt how to carry out MRDT on patients
I learnt how to communicate with patients on some occasions like ANC care
day speech given and Lectures
Also learnt how to write down patient’s information’s on the maternity record
files such as out patients department (OPD), family planning record, vaccines
record book, and general activities record.

4.2. 1. Training, Mentoring and coaching received

Various training on how to carry out Malaria Rapid Diagnosis Test (MRDT) was
carried out at the maternity and lit educational talks by the Matron was giving
in her office on how family planning, immunization, delivery, and ANC works.
4.3. 2. major skills and competencies gained
Health communication skills gained at the practical posting were:
1. Effective communication with patients, families, and healthcare
professionals.
2. Active listening and empathy
3. Conflict resolution and negotiation
4. Presentation and public negotiation
Teamwork:
1. Collaboration with healthcare professionals from diverse backgrounds.
2. Adaptability and flexibility
3. Ability to work in fast-paced, dynamic environments.
4.2 3. Industrial Standards, Protocols and Guidelines.
1. Patients care protocols: such as isolation protocols, blood Transfusion
protocol
2. Infection control protocols: such as hand hygiene policy, personal
protective equipment (PPE), sterilization and disinfection protocol
3. Medication safety protocols
4. Safety protocols: emergency preparedness plan, radiation and chemical
safety protocol
 CHAPTER FIVE
Challenges Faced and Mitigation Steps Taken
5.1 Challenges encountered during posting
During the hospital practical, challenges encountered was not more than me
being new in the field. It was like all treatment, ANC, Family planning and
others health related issues was new haven’t seen when a pregnancy women
in labour was in the delivery room expecting a baby, also change of
environment which totally make ones feel odd. The water in the practical
environment was a problem also because it caused rashes, enzymes, and
scabies in the body and also the environment lack water supply system, power
supply was the worst no light all through the practical posting.
5.1 Mitigation Steps Taken
During the practical after noticing all changeless like the change of
environment in less than two months i got used to the environment things was
cool, people were friendly and it was nice but as for the water reactions in the
body the PHC i was in i made complaint to the matron in charged and i was
given drugs which stops the water reactions. But the light issue was just like
that oh no steps were taken.
 CHAPTER SIX
Conclusion and Recommendations
Conclusion
In summary major topics learnt was on
Immunization
Family planning
Malaria
Circumcision
Delivery
Anc (Antenatal care)
Post natal care services
And in practical aspects
I learnt how to carry out MRDT on patients
I learnt how to communicate with patients on some occasions like ANC care
day speech given and Lectures
Also learnt how to write down patient’s information’s on the maternity record
files such as out patients department (OPD), family planning record, vaccines
record book, and general activities record.

Recommendation
Infrastructure should be enhanced at PHC faculty, develop innovative solution
to address systematic challenges, community participation should also be
fostered disciplinary and team work should be promoted.
 APPENDIX
APPENDIX A: SIWES PLACEMENT SCHEDULE
DATE TIME ACTIVITY
27-10-2024 8:00am – 4:00pm Observation of patient
consultations
28-10-2024 8:00am – 4:00pm Participation in patient
Assessments and diagnosis
29-10-2024 8:00am – 4:00pm Observation of treatment
and management plans

APPENDIX B: PATIENT ASSESSMENT AND DIAGNOSIS FORM PATIENT

INFORMATION
Name: ADEOLA ADEBAYO
Age: 20 years
Sex: Female
Complaint: fever, weakness of the body, loss of appetite, headache.
ASSESSMENT AND DIAGNOSIS
 Vital signs:
Temperature- 38.1° C
Weight- 60kg
Blood pressure- 120/60mmHg
 Medical History:
MRDT- POS
 Physical Examination:
Not pale, loss of appetite, weakness of the body
 Diagnosis:
Uncomplicated malaria
APPENDIX C:
TREATMENT AND MANAGEMENT PLAN
Medication: - Tab AL4 bd x 3/7
Tab P.C.M. II tds x 3/7
Tab Albendazole 1 start
APPENDIX D:
GLOSSARY OF TERMS
Malaria: A mosquito borne infectious disease caused by plasmodium parasites.
AL (Artemether Lumefantrine):- is a commonly used treatment for
uncomplicated malaria, particularly in areas where the parasite is persistent to
other antimalarial medications. It is usually administered orally, and the
dosage and duration of treatment depends on the patient`s age and weight.
 REFERENCES
 Moore J. The History of the Smallpox. London, Longman, Hurst,
Rees, Orme & Brown, 1815
 World health Organization (2019) Malaria.
 Canters for diseases control and acid prevention (2020).Malaria
 McNeill WH. Plagues and People. Garden City, NY, Anchor
Press/Doubleday, 1976.
 Hopkins DR. Princes and Peasants. Smallpox in History.
Chicago, University of Chicago Press, 1983.
 Creighton C. History of Epidemics in Britain. Cambridge,
Cambridge University Press, 1894. Reprinted London, Cass,
1965.
 Dixon CW. Smallpox. London, Churchill, 1962. (pdf)
ACTIVITY PHOTOGRAPH