A Hole in the Head

Akram is 18 months old now. He was born to one of our teen moms in the Princess Shelter, Kampala; and she was rescued for psychosocial support and proper protection. Fortunately, the teen mom received psychosocial support and she was enrolled into main stream education in primary six. She is a bright girl and desires to become a Lawyer. However, through our regular growth and development sessions at Maisha in house clinic, it was discovered that Akram had his Anterior Fontanelle not closed. It was a concern to our Health team that the Anterior Fontanelle was still exposed just like that of a 6months old baby; and it was accommodating 5 fingers at ago during the assessment.

The baby was inactive and had failed to exhibit the expected milestones at this stage. This therefore necessitated a pediatric review at our partner hospital. The doctors confirmed a severe lack of Vitamin D3 which is a necessary requirement for closure of fontanelles in babies.

Akram was given vitamin D injections and put on daily Vitamin D supplements in form of syrups and chewable tablets as seen in the photo. He was also put on special feeding with eggs, fish and milk on a daily basis.

After one month of treatment, a review was done on 25th of May and the fontanelle had started to close. Now it is able to accommodate 1 and half fingers instead of 5 fingers like earlier diagnosed.

Akram has improved in his day-to-day activity and achieving his milestones well. Failure to arrest this condition would have caused reduced activity and a mental retardation. He will continue with treatment and special feeding until the anterior fontanelles close completely. We are so grateful for this healing.