James O., 3

James is a three-year-old kindergarten pupil from Nyakunguru and the youngest of three children. He is normally cheerful, sociable and enjoys playing with his siblings and other children. His father works as a cane cutter and is the family’s sole provider while also supporting his late brother’s children. His mother is a housewife. With many dependants and an irregular income, the family often struggles to afford healthcare and sometimes relies on over-the-counter medicines. During a Saturday outreach, James was brought by his mother looking visibly ill, weak and unusually tired. He had persistent fever, cough and repeated vomiting, with poor appetite and significantly reduced activity. When asked how she had been managing his illness, his mother explained that she had only been giving him paracetamol because it was all she could afford. Through the Awasi Catholic Mission Health Centre and Helpster Charity outreach, James was assessed and diagnosed with pneumonia, gastritis and malaria. Given his poor clinical condition, he required immediate hospital admission for treatment and close monitoring.

Ouma, was admitted to the ward after diagnosed with gastritis, pneumonia and malaria at the time of admission. Upon examination, he appeared weak and dehydrated, requiring close medical observation and supportive care. During his stay in the ward, he received intravenous fluids to correct dehydration, medications, as well as treatment to control the symptoms of gastritis. He was also given appropriate antibiotics and antiemetic drugs to manage infection and vomiting. The medical team closely monitored his vital signs, fluid balance, and nutritional

James was diagnosed with pneumonia, malaria and gastritis after presenting with persistent fever, cough, repeated vomiting, poor appetite and marked weakness. The combination of these illnesses in a three-year-old can rapidly lead to dehydration, breathing difficulties, anaemia and other serious complications if untreated. His admission for appropriate antimalarial and pneumonia treatment, rehydration, supportive care and close monitoring was therefore necessary. With timely treatment and a good clinical response, James has a favourable prognosis, with full recovery expected.