Integrated management of neonatal and childhood illness

INTEGRATED
MANAGEMENT OF
NEONATAL AND
CHILDHOOD
ILLNESS










Assess and Classify the Sick Child Age 2 Months up to 5 Years MODULE

ii


INTRODUCTION……………………………………………………………………… 1 ASK THE MOTHER WHAT THE CHILD’S PROBLEMS ARE .……………. 1 CHECK FOR GENERAL DANGER SIGNS ………………………………….. 2 ASSESS AND CLASSIFY COUGH OR DIFFICULT BREATHING ………… 4 ASSESS COUGH OR DIFFICULT BREATHING …………………….. 5 CLASSIFY COUGH OR DIFFICULT BREATHING ………………… 7 EXERCISE A ……………………………………………………………10 ASSESS AND CLASSIFY DIARRHOEA ……………………………………..11 ASSESS DIARRHOEA …………………………………………………11 EXERCISE B ……………………………………………………………13 CLASSIFY DIARRHOEA ……………………………………………...14 EXERCISE C ……………………………………………………………17 EXERCISED EXERCISE E ……………………………………………………………22 ASSESS AND CLASSIFY FEVER …………………………………………….24 ASSESS FEVER ………………………………………………………..25 EXERCISE F ……………………………………………………………30 EXERCISE G ………………………………………………………….. 31 EXERCISE H …………………………………………………………...33 CLASSIFY FEVER …………………………………………………….34 CLASSIFY MEASLES …………………………………………………37
CONTENTS

iii
EXERCISE I …………………………………………………… ……. 39 EXERCISE J …………………………………………………… . 44 ASSESS AND CLASSIFY EAR PROBLEM ………………………………44 ASSESS EAR PROBLEM ………………………………………….45 CLASSIFY EAR PROBLEM ………………………………………46 CHECK FOR MALNUTRITION …………………………………………. 48 ASSESS FOR MALNUTRITION ………………………………… 48 EXERCISE K ……………………………………………………... 50 CLASSIFY NUTRITIONAL STATUS …………………………… 53 EXERCISE L ……………………………………………………… 55 CHECK FOR ANAEMIA ………………………………………………… 57 ASSESS FOR ANAEMIA …………………………………………57 EXERCISE M …………………………………………………….. 58 CLASSIFY ANAEMIA ………………………………………….. 59 CHECK THE CHILD’S IMMUNIZATION, PROPHYLACTIC VITAMIN A & IRON-FOLIC ACID SUPPLEMENTATION STATUS 60 CHECK THE CHILD’S IMMUNIZATION STATUS …………... 60 CHECK THE CHILD’S PROPHYLACTIC VITAMIN A SUPPLEMENTATION STATUS ………………………………… 61 CHECK THE CHILD’S PROPHYLACTIC IRON-FOLIC ACID SUPPLEMENTATION STATUS ………………………………… 62 EXERCISE N ……………………………………………………… 63 ASSESS OTHER PROBLEMS …………………………………………… 64 EXERCISE O ……………………………………………………………… 65 EXERCISE P ……………………………………………………………… 69

1