10. Limited number of carefully selected clinical
signs are used
A combination of individual signs helps in
classification than diagnosis
Addresses most but not all, of the major
reasons a sick infant or child brought to a
clinic
18. OH
CHECK FOR DANGER SIGNS
ASSESS MAIN SYMPTOMS
CHECK FOR OTHER SYMPTOMS
CLASSIFY SYMPTOMS ACCORDING
TO COLOR CODE
•PREREFERAL
TREATMENT
•ADVISE PARENTS
•REFERALL SERVICES
•TREATLOCAL INFECTION
•ORAL DRUGS
•ADVISE AND TEACH CARE
TAKER
•FOLLOWUP
HOME CARE TAKER IS
COUNSELLED:
•HOW TO GIVE
MEDICATIONS
•TREAT LOCAL INFECTION
AT HOME
•FEEDING
•FOLLOWUP
19. OUTPATIENT HEALTH FACILITY
CHECK FOR POSSIBILE BACTERIL INFECTION
ASSES THE SYMPTOMS OF DIARRHOEA
CHECK FOR FEEDING PROBLEM/MALNUTRITION
CLASSIFY OTHER PROBLEM
CLASSIFY CONDITIONACCORDINGTO COLORCODE
OUT PATIENT HEALTH
FACILITY
•PREREFFERALTREATMENT
•ADVISETO PARENTS
•REFERAL
•EMERGENCY TRIAGE AND
TREATMENT
•DIAGNOSISANDTREATMENT
•TREATLOCAL
INFECTION
•GIVE ORAL DRUGS
•ADVISEAND TEACH
CARE TAKER
•FOLLWUP
CARE TAKER IS
COUNSELLED ON
HOW TO:
•GIVEORAL DRUGS
•TREATLOCAL
INFECTION
20.
21. SIGN CATEGORY TREATMENT
•ANY GENERAL DANGER SIGN
•CHEST INDRAWING
•STRIDER IN CALM CHILD
SEVERE PNEUMONIA
OR
VERY SEVERE DISEASE
•GIVE FIRST DOSE OF APPROPRIATE
ANTIBIOTIC
•TREATTHE CHILD TO PREVENT LOW
BLOOD SUGAR
•REFER URGENTLY TO HOSPITAL
FAST BREATHING PNEUMONIA •Give an appropriate antibiotics for
5 days
•Soothe the throat and relive the
cough with safe remedy
•Advise mother when to return
immediately
•Follow up
NO SIGNSOF
PNEUMONIA
NO PNEUMONIA OR
COUGH OR COLD
•Cough more than 30 days
refer assessment
•Relive cough with safe
remedy
22. SIGNS CATEGORY TREATMENT
DEHYDRATION PRESENT SEVERE PERSISTANT
DIARRHOEA
•TREAT DEHYDRATION BEFORE
REFERRAL UNLESS THE CHILD
HAS ANOTHER SEVERE
CLASSIFICATION
NO DEHYDRATION PERSISTANT
DIARRHOEA
• Advise the mother on
feeding a child who has:
PERSISTENTDIARRHOEA.
• Give
multivitamins/minerals and
zinc for 10 days Follow-up
in 5 days.
Blood in the stool DYSENTRY Treat for 5 days with an
oral antibiotic
recommended for Shigella
in your area.
Follow-up in 2 days.
23. SIGNS CATEGORY TREATMENT
Two of the following signs:
• Lethargic or unconscious
•Sunken eyes
• Not able to drink or
drinking poorly
Skin pinch goes back very
SEVEREDEHYDRATION If child has no other severe classification:
Give fluid for severe dehydration (Plan
C).
• If child also has another severe
classification:
• Refer URGENTLY to hospital with
mother giving frequent sips of ORS on the
way.
• Advise the mother to continue
breastfeeding
• If child is 2 years or older and there is
cholera in patient’s area, give antibiotic for
cholera.
Two of the following signs:
•Restless, irritable
• Sunken eyes
•Drinks eagerly, thirsty
SOME DEHYDRATION Give fluid, zinc and food for some
dehydration (Plan B).
• If child also has a severe classification:
- Refer URGENTLY to hospital with
mother giving frequent sips of ORS on the
way.
•Advise the mother to continue
breastfeeding.
Not enough signs to classify
as some or severe
dehydration
NO DEHYDRATION •Give fluid, zinc and food to
treat diarrhea at home
(Plan A).
24. SIGN CATEGORY TREATMENT
•Not able to feed
•No attachment at all
•Very low weight for age
SEVERE MALNUTRTION •Give Vitamin A if Visible
Sever Wasting and /or Edema
of both feet present.
•Refer URGENTLY to
hospital.
•Treat the child to prevent low
blood
•Not well attached to breast
•Not sucking well
•Less than 8 breastfeed in 24
hrs
•Thrush
•Low weight for age
Feeding problem or low
weight
•If not well attached ,teach
correct positioning
•Increase frequency of breast
feed
•Treat thrush at home
•Teach low weight measures
at home
•Follow up
Not low weight for age ,no
feeding problem
No feeding problem •Advise mother to give home
care
•Advise follow up
