Immunization remains crucial regardless of what the media says. The relevance of childhood vaccinations has been relegated to the background by the antivaccination propaganda, fueled in the mainstream and social media. Providing parents with

1. I have been a pediatrician for more years than I can count on an anatomically complete set of hands. My
pediatric career started in 1998 in a city called Ibadan, in Nigeria.
My initiation into the world of children started a couple of years earlier at University of Nigeria Teaching
Hospital Enugu as an intern. Then in 1998 at the beginning of residency at the prestigious University
College Hospital Ibadan I confirmed my lifelong commitment to the health of the child.
I have stories to tell about the early days and how I learned a great life-long lesson from a very sick 4
year old boy. Today, however, we are going to talk about instructions to children. There is indeed a right
way which I know so well when wearing my pediatrician’s hat (as a Dad it is sometimes a different
story).
1. Give instructions that are developmentally appropriate
Unless we give developmentally appropriate instructions, the child may not cooperate. Usually we get
hung up on simple things when we talk to them with adult language.
An adult will understand “Its about time we started heading home” as a call to head out. However for a
child, that simply means it is “not time”. To them when it is time, you will say “it is time to go”
Always try to use language that they will understand based on their age.
2. Give specific instructions
Tell your child specifically what you want them to do and make sure your child is indeed listening. Yes,
kids think they can do many things at the same time and we all know multitasking is generally delusional
at best.We as human beings are most efficient when we focus on one task at a time.
Sometimes children focus more on the emotion surrounding what we are doing rather than the content
of your communication. Thus it is ineffectual to shout an instruction because little Johnny (or Jane) will
focus more on your emotion and may not even hear you.
Take a deep breath and repeat your instruction as if talking to a caveman who has just learned how to
speak your language.
3. Supervise the task
Giving a minor a task or directions and not supervising or looking for the outcome is not likely to yield
great result. Children need immediate feedback. Endeavor to give praise immediately a task is done well
and feedback if not done properly.
Of course we have to be mindful of excessive criticism as these “dull the senses”, literally. Children tend
to lose self esteem and confidence if they are often harshly and destructively criticized.
Give the instruction and supervise/direct and guide them to success . Then praise them for a job well
done.
4. Be warm and friendly.
When you give your child instructions, always strive to do it in your best demeanor. Do not be grouchy
or grumpy (unless you are very very old, 1 st world war old) neither should you have an unpleasant look
on your face.

2. Ensure that you are close to your child and maintain eye contact. Ask with a smile after all you need it
more than the oblivious little one since you bear the consequences of the out come. So really the child
will be doing you a favor. Be nice and warm. Body contact like a light touch can work wonders too.
5. Do not repeat.
Once you make sure you have delivered the instructions according to the aforementioned guidance, do
not repeat. Just say it once and hang around for requests for clarification. Usually the child is good and
waits for you to encourage and reassure her as she delivers the task with military (rookie) precision.
Good luck with your child rearing. It is fun and you know you will be done soon. Do your best and let
nature handle the rest.