Integrated management of neonatal and childhood illness

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module 5

NOT VERY
LOW WEIGHT
If child is less than 2 years old, assess the child’s feeding and counsel the mother on feeding according to the FOOD box on the
COUNSEL THE MOTHER
chart.
- If feeding problem, followup in 5 days. Advise mother when to return immediately.
SEVERE MALNUTRITION If the child has visible severe wasting or oedema of both feet, classify the child as having SEVERE MALNUTRITION
Treatment Children classified as having SEVERE MALNUTRITION are at risk of death from pneumonia, diarrhoea, measles, and other severe diseases. These children need urgent referral to hospital where their treatment can be carefully monitored. They may need special feeding and antibiotics. Before the child leaves for hospital, give the child a single dose of vitamin A. Prevent low blood sugar, while referral is being organized initiate active treatment for hypothermia and keep the child warm on the way to hospital.

VERY LOW WEIGHT
If the child is severely underweight forage, classify the child as having VERY LOW WEIGHT
Treatment A child classified as having VERY LOW WEIGHT has a higher risk of severe disease. Assess the child's feeding and counsel the mother about feeding her child according to the recommendations in the FOOD box on the COUNSEL THE MOTHER chart.

Advise the mother to return for followup in 1 month.
NOT VERY LOW WEIGHT If the child is Not Severely Underweight, classify the child as having NOT VERY LOW WEIGHT.
Treatment If the child is less than 2 years of age, assess the child's feeding. Counsel the mother about feeding her child according to the recommendations in the FOOD box on the COUNSEL THE MOTHER chart. Children less than 2 years of age have a higher risk of feeding problems and malnutrition than older children.
***

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