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SIGNS CLASSIFY
Not very low weight for age NO ANEMIA AND NOT VERY LOW
No other signs of malnutrition WEIGHT
CLASSIFICATION TREATMENT
SEVERE MALNUTRITION Give vitamin A
OR SEVERE ANEMIA Refer urgently to hospital
ANEMIA OR VERY LOW Assess the child’s feeding and counsel
WEIGHT mother on feeding
If with feeding problem – follow-up in 5
days
If with some pallor: GIVE
iron
mebendazole if child is 2 yrs.
or older and had not had a
dose in the past 6 months
Follow-up in 14 days
If very low weight for age: Give vit. A ;
follow up in 30 days
Advise mother when to return immediately
NO ANEMIA AND NOT VERY LOW If the child is less than 2 years
WEIGHT old, assess child’s feeding and
counsel mother on feeding
If feeding is a problem
follow-up in 5 days
Advise mother when to return
immediately
Give one dose of vitamin A in the health
center if: child is 9 months of age or older and
child has not received a dose of vitamin A in
the past 6 months
6 months up to 12 months : 100,000 IU
12 months up to 5 years : 200,00 IU
Give 500 mg Mabendazole as a single dose in
HC if:
hookworm/whipworm are a problem in children in
the area
The child is 2 years of age or older
The child has not had a dose in previous 6 mos.
AGE OR WEIGHT IRON/FOLATE TABLET IRON SYRUP
Ferrous Sulfate 200 Ferrous Sulfate 150
Give 1 dose daily x 14 mg + 250 mcg Folate mg/5 ml (6 mg
days (60 mg elemental elemental iron per
iron) ml)
1 kg 0.5 ml
2 kg 1.0 ml
3 kg 1.5 ml
4 kg 2.0 ml
5 kg 2.5 ml
WEIGHT BENZYL PENICILLIN
Dose: 50,000 “U”/kg
Pus draining from the ACUTE EAR INFECTION Give antibiotic for 5
ear days
Discharge reported Give paracetamol for
for < 14 days or pain
With ear pain Dry the ear by wicking
Follow-up in 5 days
SIGNS CLASSIFICATION TREATMENT
Pus is seen draining CHRONIC EAR Dry the ear by wicking
from the ear INFECTION Follow-up in 5 days
Discharge is reported
for 14 days or more