Child Protection, Recognition and Response’

‘Child Protection, Recognition and Response’ a 2 days Training course organized at Kanti Children’s Hospital, Kathmandu

Dr R Chapagain, Consultant Paediatrician, Kanti Children Hospital, Kathmandu

Dr D Upadhyay, Consultant Paediatrician, Community & Child Health, North Cumbria Integrated Trust, UK

Background: The Child Protection: Recognition and Response (CPRR) Course was developed by the Royal College of Paediatrics and Child Health (RCPCH), Advanced Life Support Group (ALSG) and National Society for the Prevention of Cruelty to Children (NSPCC), UK in mid-2000.  This one day child protection training course is designed for healthcare professional including doctors and nurses and is run in several centers in the UK as well as in some overseas countries including Nepal. The aim of the course is in Nepal

1. To raise awareness of child abuse and neglect in Nepal. 

2. To encourage effective response including referrals to the appropriate agency.  

3. To support the development of a multiagency response in the Nepalese context when child abuse is suspected

This report is a summary of training at the Kanti children’s  Hospital on 9th  and 10th December 2021 .This is  a part of an ongoing child protection training programme supported by So the Child May live (STCML) and Health Exchange Nepal ( HeXN) UK and organized by Nepal Paediatric society (NEPAS) and Paediatric Nursing Association Nepal (PNAN). It is aimed to increase the awareness of child safeguarding among doctors and nurses mainly working with the children and the young people.

NEPAS had developed a manual with reference to RCPCH module which is being used for this course.  These session were organized by Nepal Paediatric society (NEPAS) and Paediatric Nursing Association Nepal (PNAN). This course is aimed for the pediatricians, nursing staff, post graduate residents and post graduate nursing students   working in Paediatric OPDs and Wards of the different hospitals of Kathmandu and Dhulikhel.

 The workshop/Training was financially supported from ‘So  The Child May Live (STCML)’ and the ‘Health Exchange Nepal (HExN)’ UK. The local arrangements and resource people were managed from Nepal Paediatric Society (NEPAS), Paediatric Nursing Association Nepal (PNAN) and Kanti Childrens Hospital

Facilitators: Dr Deepak Upadhyay, Consultant Paediatrician, UK.

The NEPAL team

·         Dr. Ram Hari Chapagain,  Consultant Pediatrician, KCH/ Associate Professor NAMS /course Director

·         Dr Samana Sharma, Consultant Paediatrician,  Sreecheer Memorial Hospital,   Banepa

·         Dr. Smriti Mathema,  Assistant Professor of Paediatrics,  Kathmandu Medical College

·         Dr. Jasmeen Maa: Consultant  Child Psychiatrist, Kanti Children’s Hospital

·         Advocate  Mr. Kedar Chalise,  NCRC ( national council for Right of children), Nepal

·         Ms. Apsara Pandey, Associate professor, Nursing Campus, TU

·         Dr Moon Thapa , HOD and Associate professor,  Nepal Army Hospital

·         Ms. Sita Karki, Associate Professor,   KU school of Nursing

·         Dr Anshu Jha  , Consultant Paediatrician, Kanti Childrens Hospital

Course:  Twenty five participants each day (total 50) took part as trainees consisting of pediatricians, Paediatric nurses and resident doctors from Kathmandu Medical College, Kanti Children’s Hospital, NAMS, Nepal Army Hospital, and Dhulikhel hospital.

The pre training meeting (virtual) of the faculties\ facilitators was hold 2 day prior to the training date. The faculties discussed the content as well as few additions to the training materials. On the 9th December 2021 Dr Ganesh Rai, President of NEPAS and Dr Deepak Upadhyay joined and the faculty meeting took place at 9.00 AM and the training started on time.

Feedback/Recommendation from trainees and the trainers: This training is good and gives holistic idea of Child protection in Nepal with global prospective. NEPAS has to take lead role in distribution of this material and also for the continuation of training. The training was highly valued by the trainees. The materials will be useful resources for the training conducted by the government agencies. Till now, the Government, medical universities, NMC and other organization were the potential parties to use this training module.  We should incorporate this material in Nepal Health Training centers and Ministry of women and children’s for wide acceptance and for intensification in large scale, till the government institutions, medical and nursing universities own and recognize this training.

Conclusion

This joint program highlights an example of effective collaboration between professionals from high –income and low-income countries for the best interest of children worldwide.  The aim was also to identify the Named doctors and nurses in each hospital which has been achieved in many centers. It also aims for the establishment of an effective multi-agency referral and management pathways for the children presenting with suspected abuse or neglect.