Pocket book of hospital care for children: Guidelines for the management of common childhood illnesses (2nd Ed)

By Maggie Sullivan Moderator | 26 May, 2013

From our NCD colleagues here at GHDonline:
NCD Child is excited to announce that the second edition contains the inclusion of important NCD-related guidelines mainly, asthma management advice, management of rheumatic fever and rheumatic heart disease, information on congenital conditions, as well as pain control and other supportive care. This will be greatly empowering to frontline workers who may not have as much experience in the management of NCDs at the level of first referral in lower income countries and extremely useful in ensuring that NCDs remain a priority for future editions.
This is a great resource for everyone involved in childhood clinical treatment and management and is highly recommended.

The pocketbook is available in PDF format on the WHO website

I would like thank you so much for your time,
Kind regards,
Yen-Thanh Mac, M.D.
NCD Child Social Media Manager
Follow us at @NCDChild

Pocket book of hospital care for children: Second edition
Guidelines for the management of common childhood illnesses
By The World Health Organization

This is the second edition of the Pocket book of hospital care for children. It is for use by doctors, nurses and other health workers who are responsible for the care of young children at the first level referral hospitals. The Pocket Book is one of a series of documents and tools that support the Integrated Management of Childhood Illness (IMCI). It is an update of the 2005 edition, and presents up-to-date evidence based clinical guidelines from several recently updated and published WHO guidelines and recommendations. The guidelines are for use in both inpatient and outpatient care in hospitals with basic laboratory facilities and essential medicines. These guidelines focus on the management of the major causes of childhood mortality in most developing countries, such as newborn problems, pneumonia, diarrhoea, malaria, meningitis, septicaemia, measles and related conditions, severe acute malnutrition and paediatric HIV/AIDS. It also covers common procedures, patient monitoring and supportive care on the wards and some common surgical conditions that can be managed in small hospitals.

Details of the evidence on which the Pocket Book is based can be found on the WHO website from the relevant published guidelines provided in the bibliography. This bedside paediatric care guidelines are applicable in most areas of the world and may be adapted to suit country specific circumstances. However, advanced and high care treatment options, such as intensive care or mechanical ventilation, are not described. The Pocket Book is also available in hard copies although the online version will be updated regularly as new evidence emerges.

To order, please visit the WHO book shop: WHO book shop

Requests for permission to reproduce or translate WHO publications – whether for sale or for non-commercial distribution – should be addressed to WHO Press:

Additional Pocketbook Topics:
Pocket book of hospital care for children (2005 edition)
In English, French, Portuguese, Russian and Turkish
Serious childhood problems in countries with limited resources
Management of the child with a serious infection or severe malnutrition
The International Child Health Review Collaboration
Integrated Management of Childhood Illness (IMCI)

Attached resource:



Bistra Zheleva Replied at 11:57 PM, 27 May 2013

Looks like a great resource!

Alice Grainger Gasser Replied at 1:17 AM, 28 May 2013

Hi all,

Re: the WHO Pocket Book, it has integrated rheumatic heart disease (after some advocacy from experts), so we like it!

On that subject, the World Health Assembly adopted the Global Action Plan on NCDs and the Global Monitoring Framework last evening at about 6. We RHD advocates were elated that at the 11th hour, the drafting group added a sentence:
"Children can die from treatable NCDs, such as rheumatic heart disease, type 1 diabetes, asthma, and leukaemia." This will really help us in our campaign in countries where RHD is prevalent to get the government to integrate RHD prevention and control in National Action Plans.

To that end, World Heart Federation worked with the governments of New Zealand and South Africa to organize a side event on RHD at the Assembly. The governments of NZ and SA, along with Australia, Fiji, and Rwanda, spoke about what they are doing in RHD. We presented our recently-published statement on RHD:

We have taken advantage of the gold mine of health officials at the WHA to talk about RHD. Several African have said something like: "We are stabilizing on HIV/AIDs, have made progress on malaria....rotavirus vaccine has really helped get a handle on diarrhea: now it is time to tackle RHD."

One official suggested that what is needed at national level is to have meetings with IMCI, school health, primary care, and hospital care departments to find how each can integrate RHD.

If any of you are in a position to advocate with governments in RHD-prevalent countries to put RHD into their national NCD plans, please let me know.

So far we know that several African countries have RHD in draft plans (few have completed them).

To note that secondary prophylaxis is already included in the WHO PEN package (Package of Essential Non-communicable disease interventions for primary care in low-resource settings.

Primary prophylaxis is not, but in the side event on RHD South African Deputy Minister of Health, Dr. Ramokgopa, referred to a newly published study from South Africa on the cost effectiveness of primary prophylaxis.

The WHO technical group evaluated the cost-effectiveness of primary prophylaxis in its technical paper in 2004 and found it to be way too expensive. This paper looks at other options including single IM injections of Benzathine Penicillin G, and finds them much more reasonable.

If you are interested in RHD, we send out periodic email RHDnews on developments.
Please sign up at Contact Rheumatic Heart Disease Network on the RHDnet homepage:
www.worldheart.org/rhd<http://www.worldheart.org/rhd> There are resources like register databases, guidelines and educational materials there.

Ed Arndt Replied at 9:23 AM, 28 May 2013

Absolutely wonderful. This is a resourceful tool. Thank you.