Integrated management of neonatal and childhood illness

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c.
When should he return for his next immunizations d.
Should he be given vitamin A today e.
Should he be given IFA today

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10.0 ASSESS OTHER PROBLEMS
The last box on the ASSESS side of the chart reminds you to assess any other problems that the child may have. Since the ASSESS & CLASSIFY chart does not address all of a sick child's problems, you will now assess other problems the mother told you about. For example, she may have said the child has a skin infection, itching or swollen neck glands. Or you may have observed another problem during the assessment. Identify and treat any other problems according to your training, experience and clinic policy. Refer the child for any other problem you cannot manage in clinic.
* * * * * The last box on the "Classify" side of the chart has an important warning. It says Tell your facilitator when you have completed this exercise.
MAKE SURE CHILD WITH ANY GENERAL DANGER SIGN IS REFERRED
after first dose of an appropriate antibiotic and other urgent treatments.
EXCEPTION:
Rehydration of the child according to Plan C may resolve danger signs so that referral is no longer needed.

This note reminds you that a child with any general danger sign needs urgent treatment and referral. It is possible, though uncommon, that a child may have a general danger sign, but may not have a severe classification for any of the main symptoms. How to decide and plan for referral of a child with a general danger sign and without any other severe classification is taught in the module Identify Treatment.

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