Chris B., 1

Chris is the youngest child in a family of four children and lives with his parents and siblings in a two-room mud-walled house. Both of his parents are peasant farmers who rely on subsistence farming and occasional casual labor to provide for the family's basic needs. Their limited income makes it difficult to access specialized healthcare and other essential services. Chris was delivered by Caesarean section as the second twin after an unexpected intraoperative discovery of the pregnancy within the pouch of Douglas. At birth, he was noted to have a low birth weight, marked wasting, clinical dehydration, and a gaunt appearance consistent with severe intrauterine growth restriction and poor nutritional status. Owing to his fragile condition and high risk of neonatal complications, he was immediately admitted to the Newborn Unit for specialized care, including stabilization, supportive management, close monitoring, and nutritional support. His condition required continuous observation to optimize his growth and prevent life-threatening complications associated with prematurity and low birth weight.

Brighton was born with low birth weight, he was also malnourished and dehydrated, he was admitted the the new born unit for management. While in the ward he was constantly monitored, kept warm, he was fed via Ng tube on baby formula. He was able to recover and put on some weight, eventually he was discharged on orals , a follow up clinic was booked for him.

Chris was born with low birth weight, marked wasting, malnutrition, and dehydration, placing him at high risk of serious neonatal complications. His condition required immediate admission to the Newborn Unit for specialized care, including nutritional rehabilitation, fluid and electrolyte correction, temperature regulation, and close clinical monitoring. Although his initial prognosis was guarded because of his fragile condition, early intervention significantly improved his chances of survival. With continued nutritional support, regular follow-up, and appropriate neonatal care, Chris is expected to achieve satisfactory growth and development while reducing the risk of long-term complications.