Integrated management of neonatal and childhood illness

P.vivax give chloroquine for 3 days and primaquine for 14 days. If both RDT and blood smear is negative

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module 5

FOR LOW MALARIA RISK
VERY SEVERE FEBRILE DISEASE
Give first dose of IM quinine after making smear.

P.vivax give chloroquine for 3 days and primaquine for 14 days. If both RDT and blood smear is
negative or not available, give chloroquine for 3 days. Give paracetamol to a child with high fever (axillary temperature of Cor above. Most viral infections last less than a week. A fever that persists everyday for more than 7 days maybe a sign of typhoid fever or other severe disease. If the child's fever has persisted everyday for more than 7 days, refer the child for additional assessment.
FOR LOW MALARIA RISK If risk of malaria in your area is low, use the Low Malaria Risk classification table. There are three possible classifications of fever in a child with low malaria risk. VERY SEVERE FEBRILE DISEASE MALARIA FEVER - MALARIA UNLIKELY

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VERY SEVERE FEBRILE DISEASE (Low Malaria Risk) If the child with fever has any general danger sign, bulging fontanelle or a stiff neck, classify the child as having VERY SEVERE FEBRILE DISEASE.

Treatment
Manage the child on the same lines as VERY SEVERE FEBRILE DISEASE in High Malaria Risk areas.

MALARIA (Low Malaria Risk) If a general danger signor stiff neck or bulging fontanelle is not present, look at the yellow row. If there is no NO runny nose, NO measles and NO other cause of fever (pneumonia, cough or cold, dysentery, diarrhoea, skin infection) in a low malaria risk area, classify the child as having MALARIA.

• Any general danger signor Stiff neck or
• Bulging fontanelle.

VERY SEVERE
FEBRILE
DISEASE
Give first dose of IM quinine after making smear.

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