This document provides guidance for community health volunteers in Turkana County, Kenya on identifying and classifying common childhood illnesses through integrated community case management (ICCM). It contains 13 cards with information on identifying signs of cough, diarrhea, fever, convulsions, difficult feeding/drinking, vomiting, fast breathing, chest in-drawing, severe malnutrition, and edema. The cards describe how to observe, assess, classify, and record findings for each sign in a sick child recording form. The document aims to help volunteers properly identify, treat, or refer children under 5 for common illnesses.

1. a
MINISTRY OF HEALTH
REPUBLIC OF KENYA
Integrated Community
Case Management (ICCM)
for sick children under 5
Turkana County
Community Health Volunteers Job Aid

2. Session
CARE SEEKING AND COMMUNICATION SKILLS 1

3. 11
Card 1: Ekiyan Loajokon Good Communication
1
3
2
4

4. 2
 Kimala ekayaunan aikoku
 Kisiboik keci niajokon
2. Ekiyan loajokon
Good communication skills
1. Topupok ejok ngakiro na iyani ekayaunan aikoku
2. Kiyan ngakiro naikeuna na epupi ekayaunan
aikoku
3. Nak ekayaunan aikoku alolom na etacunia
ngakingiseta nguna
Card 1: EKIYEN LOAJOKON GOOD COMMUNICATION SKILLS

5. Session
IDENTIFICATION OF CHILDREN’S HEALTH
PROBLEMS
2

6. 4
Card 2: AWALA Cough

7. 5
Nyo echanit aikoku?
What is the problem of the child?
Ewal ikoku a?
Does the child cough?
Ng’irwa ng’iai awalar ikoku?
How long has the child been coughing?
Record it in the child recording form
Card 2: AWALA Cough

8. 6
Card 3: AKIREM/AKUURUT Diarrhoea

9. 7
Nyo erai akirem/akiurut?
What is diarrhoea?
Arai akirem akiurut ng’acin nakaliwak ng’alooso ng’auni kori
nakaalak anakwaar apei?
(It is diarrhoea when there are 3 or more episodes of loose or
watery stools in a 24-hour day)
Eremorit/iurusi ikoku a?
Does the child have diarrhoea?
(Kigirak nakaad aikoku? Record it in the child recording form)
Ee anibo-keremi/kiurusi, ng’irwa ng’iai?
If yes, for how many days?
(Kigirak nakaad aikoku? Record it in the child recording form)
Eya ng’aakot nachin aikoku?
Does the child have blood in stool?
(Kigirak nakaad aikoku? Record it in the child recording form)
Turkana Translation comes here
Assess for dehydration
Card 3: AKIREM/AKUURUT Diarrhoea

10. 8
Card 4: Arirare Akwaan Fever

11. 9
Nyo erai arirare akwaan?
What is fever?
Erirae ikoku akwaan kilimok iyong itwaan nikating’an aikoku
atamar erirae, kori kemona akwaan na itapia iyong.
A child has a fever when caregiver reports, or feels hot to touch.
Itemokino toyen kerirae ikoku akwaan tokona, kori ng’irwa
ng’ikankaarei lu alunyar.
It is important to find out if the child has fever now or anytime
during the last 7 days.
Pekeyeni ekayaunan aikoku atamar erirae ikoku; totap ereet,
akook, ka tooma akirididi. Anikemona, erirae ikoku ngini akwaan
tokona dir.
If the caregiver does not know, feel the child’s forehead, stomach
or underarm. If the body feels hot, the child has a fever now.
Erirae ikoku akwaan a? Does the child have fever?
(Kigirak nakaad aikoku?
Record it in the child recording form)
Ani kerirae, ng’irwa ng’iai? If yes, for how many days?
(Kigirak nakaad aikoku? Record it in the child recording form)
Card 4: Arirare Akwaan Fever

12. 10
Card 5: Akirakanar Convulsions/Fits

13. 11
Akirakar aikoku ngesi eger loiledunia
edeke ikoku, kipetapetakin topetonori
ng’akan, ka ng’akejen, tobunbunie
ngakan. Ace pak, ibelukae ikoku
ng’akonyen keng talakakinite
ng’iguototoi. A convulsion happens
when a child has fits or spasms and the
arms and legs stiffen, and may have jerky
movements and sometimes foaming from
the mouth.
IRAKANAR Ikoku a?
Does a child have a convulsion?
(Kigirak nakaad aikoku)
Record it in the child recording form
Card 5: Akirakanar Convulsions/Fits

14. 12
Card 6: Ikoku nipenyepedori akimuj kori
akimat kotere edeke Difficult Feeding or Drinking

15. 13
Nyepedori ikoku akimat kori akinak ngisikin arai
kelilimiorit akwaan noi kisipiyo anakakin kori
akilikor ibore ni einakinio tamat.
A child is not able to drink or breast feed if the child
is too weak to suckle or swallow when offered a drink
or breastfeed.
Instructions: (Record it in the Child Recording Form)
Akidodikin: (kigirak nakaad aikoku)
Kitam: Ani kingayakinit atamar nyepedori ikoku
akimat ibore nikaliwan tolimok itwaan ni eyaunit
ikoku nak ngesi ibore nimatat. Ani ikoku ni enaki,
kingolik kepedori akinak kori akimat ngakile
angisikin nasek elepokinitoe lokopo.
TIP: If you are unsure whether the child can drink,
ask the caregiver to offer a drink to the child. For a
child who is breastfed, see if the child can breastfeed
or take breast milk from a cup.
Card 6: Ikoku nipenyepedori akimuj kori
akimat kotere edeke Difficult Feeding or Drinking

16. 14
Card 7: Akilek Vomiting

17. 15
Ikoku nipe nyemamakini ibore daang nienyami
anakook, idodiunit atamar ‘‘ELEKI IBORE DAANG’’
A Child who is not able to hold anything down at all
has the sign “VOMITS EVERYTHING”
Ikoku ni eleki ibore daang, nyepedori akilikor edewa
lomatat.
The child who vomits everything will not be able to
use the oral medicine.
AKIDODIKINET Kining kotere akingit itokeng,
kitanakak kori ekayaunan aikoku nak ibore nimatat.
Kitiek mono.
INSTRUCTIONS Confirm by asking the mother/
caregiver to offer a breast feeding or a drink and
Observe.
Card 7: Akilek Vomiting

18. Session
TASAKU EPITE EEDEKE -TOKIENYIK
ANIERUMOR TOTIAK Look for Signs of Illness-Assess and Classify
3

19. 17
Card 8: AKIYANG’A LOKIJAN
Fast Breathing

20. 18
iborosit ni kimaret akiyang’a
Respiratory timer
ngakoromwa nakimaret akiyanga
aikoku angilapio ang’iarei tanang
ngilapio ngitomon ka ng’iarei
For assessment of children age 2
months up to 12 months
ngakoromwa nakimaret akiyanga
a ngide a ngilapio ngitomon ka
ngiarei tanang ngikaru ngikan
For assessment of children age
over 12 months up to 5 years
Card 8: AKIYANG’A LOKIJAN Fast Breathing
(Idodiunit akiyanga atipei akichum
erarum, tokienyik akiyanga atipei
anierumor kigirak nakaad aikoku)
Fast breathing is a sign of pneumonia,
look for fast breathing and record in
the sick child recording form
Echamakina ikoku ni ewala ililingi,
kidatakinite, sodi kimarunia ekiyang’e
keng ejok (tolem iborosit nikimaret
akiyang’a ka ng’akoromwa kimarea
akiyang’a aikoku).
To asses a child with cough, he/ she
must be quiet and calm when you
count breaths (use the respiratory
timer and the appropriate beads)
(ani keriangakina ikoku,
igoro,kipetapeta, nyipedori kimar
akiyang’a keng ejok)
If the child is frightened, crying, angry
or moving around, you will not be
able to do an accurate count.
(akimarun akiyang’a adakikatapei) To count
the breaths in one minute:
• (tolemiborosit nikimaret akiyang’a ka
ng’akoromwa na itemem kang’ilapio
aikoku- kiwaak ni iteo yong akiyang’a
aikoku) use watch with second hand,
digital watch or a timer – put the watchin
a place where you can see the watch and
child’s breathing
• (tokienyik akiyedukare awadaang a
lo rarum kori akookaikoku) look for
breathing movements anywhere on the
childs chest or stomach
• kisiekakimarun akiyanga aikoku idatakinit
start counting the child breath when the
child is calm
• tobongok akimarunngakiyangakineta
aikoku nabo arai king’ayakinitkiiliila
ikoku kori kisiek akigoro ,kidarou kidatak
kisiekakipim nabo. Repeat the count if
you have difficulty. if the child moves or
starts to cry, wait until the child is calm,
then start again.

21. 19
include the two kids in this document. see
page 19 of reference -participants manual
card sent to and include the arrows showing
chest in-drawing
Card 9: ANOKOYONOR ANGAKABWO
ANGINGERETAN Chest in drawing

22. 20
Card 9: Anokoyonor angakabwo
angingeretan Chest in drawing
Nikisemo/niisemeo anikoku anikadekan tongichunia
ni enokoyonor ang’akabwo ang’ing’eretan:
Where to look for chest in drawing in a sick child:
Tokienyik – kop ng’amaran long’eretan
Site – Lower chest wall,below the ribs Ori itemio?–
Mati iyang’a ikoku tooma kidatakinite
Timing – Only when the child breathes in and is
calm.
Kitam: Isaki angichun anokoyonor angakabwo
angingeratan, echamakina ikoku idatakinit, pe enaki
kori pe imuji. ani kejotoe, nyiitekieny.
Tip: To look for chest indrawing, the child should be
calm and not breastfeeding or eating. If asleep, try
not to awaken the child.

23. 21
Ngide lu irogoit noi
Severely malnourished children
Card 10: Erogo siit Severe malnutrition

24. 22
ARIPUN EPITE EEROGO SIIT
LOOKING FOR SIGNS OF SEVERE
MALNUTRITION
Eya ngirotin ngiarei lu eripunere erogo siit
There are 2 ways to look for severe
malnutrition
1. Akitem erogo alokeper kotere apokot/
arebiet na emacaritae
Using the MUAC tape ( Red on MUAC
tape)
2. Kebutok ngakejen daang
Assessing the childs feet
(Sir anakejen daang)
Odema of both feet
Card 11: Etich apokot /Arebiet Use of MUAC
Ngideluirogoitnoi
Severelymalnourishedchildren
Card 10: Erogo siit Severe malnutrition

25. 23
Card 11: Etich apokot /Arebiet Use of MUAC

26. 24
1. Tasaku akou eseget
Locate the tip of the shoulder
2. Akou eeseget
Tip of the shoulder
3. Akou ekurunyunyu
The tip of the elbow
4. Tatapak apokot/arebiet nakou
ekurunyuny
Place tape at the tip of the
shoulder
5. Kitorwaa apokot/arebiet kipor
ekurunyuny lo ekudokinitae
Pull tape past the tip of the
bent elbow
6. Klimak kiding eekunyuk
Mark mid point
7. Toriik apokot/arebiet
Correct tape tension
8. Apokot irijakina
Tape too tight
9. Apokot ilajalaja
Tape too lose
10. Apokot naitemem lokunyuk
Correct tape
Card 11: Etich apokot /Arebiet Use of MUAC
Ikeper nidiim noi ni itebeikina lomachar loareng’an anapokot itoodiunit
Erogo siit.
A small arm circumference (red on the MUAC strap) identifies severe
malnutrition in children with severe wasting (very thin), a condition
called Marasmus.

27. 25
Card 12: Sir Oedema

28. 26
Tokienyik ngakejen daang
aikoku kebuto (sir).
Look at both of the child’s feet
for swelling (oedema).
Kiciamak ang’imoyo aluarei
aluapolok kidiama ng’akejen
nidapal tomamak icamakinit.
Press your thumbs gently for a
few seconds on
the top of each foot.
Itodiunit acukulior/adooyor
aniicamakinio ang’imoyo
anakejen kadaang, emacar sir.
For the sign to be present, the
dent must clearly show on both
feet
Kingolik niechukul/niedoyoorit
na ikeunia
iyong ng’imoyo luapolok.
Look for the dent that remains
after you lift your thumb
Tochoik: Anikitemokino apokot
nakitemiet erogo niarengan,
kori kebutok ngakejen daang,
kigirak ngakiro na ingolik yong
nakaad aikoku aniedeka
Note:
If a child has Red on MUAC
tape or Swelling (Oedema)
of both feet, RECORD these
observations in the Sick Child
Recording Form.
Card 12: Sir Oedema

29. Session
DANGER SIGNS FOR REFERRAL 4

30. 28
Card 13: TOTIEUK KEYARIO IKOKU LOSIBITAR KORI KITEDEKI
ANAWI Decide to refer or treat the child

31. 29
Ng’ichan edeke a ikoku lu
ing’iuch iyong, kingarekinete
iyong CHV akiyen ikoku ni eyario
losibitar ka ni itedekio anawi.
The problems identified will help
you decide whether to REFER
the child to the health facility or
TREAT the child at home.
Eya ngigerio ngice a
ngidekesinei lu epotiok. Ngigerio
a ngedekesinei alu epotiok,
idodiunito ikoku ni edeka noi
nipe nyipedori iyong CHV ka
ekayaunan a ikoku akitedek.
Some problems are Danger
Signs. A danger sign indicates
that the child is too ill for you
and the family to treat in the
community.
Card 13: TOTIEUK KEYARIO IKOKU LOSIBITAR KORI KITEDEKI
ANAWI Decide to refer or treat the child
Isaki aking’arakin ikoku ni
edeke alokapotion toyar,
topea losibitar KAATIPEI.
To help this child survive, you
must URGENTLY refer the
child to the health facility.
Anikiriam iyong CHV ikoku ni
eger aloapotion; topea ikoku
ngini losibitar.
For any danger sign; REFER
the child to a health facility.
Keya ngichan edeke aikoku
ngice, lupe nyipedori
iyong akitedek, topea
ikoku ngini losibitar.
For any other health problem
that you cannot treat, refer the
child to the health facility.
EGER AIKOKU ANIEDEKA NOI
SICK CHILD WITH DANGER SIGNS

32. 30
Card 14: Ani Keyei eger eedeke aloapotion, topea
ikoku ngini losibitar loaapi. IF ANY DANGER SIGN REFER TO THE
NEAREST HEALTH FACILITY

33. 31
Card 14: TuRkana translation comes here
DANGER SIGNS COLOUR CODE FOR REFERRAL
DANGER SIGN
PICTORIAL
DANGER SIGN COLOUR
CODE
DANGER
CODE
Awala ng’irwa ngitomon
ka ng’omwon kori
lukaalak.
Cough for 14 days or more
Akirem ng’irwa
ng’itomon ka ng’omwon
kori lukaalak.
Diarrhea for 14 days or more
Ng’aakot a nachin
Blood in Stool
Arirare akwaan ng’irwaa
ng’ikan-kaarei kori
lukaalak.
Fever for the last 7 days or
more
Akirakanar aikoku.
Convulsions
Ikoku ni edeak nipe
nyemasi ibore ca daang
kori nyimuji.
Not able to drink or feed
anything
DANGER SIGN
PICTORIAL
DANGER SIGN COLOUR
CODE
DANGER
CODE
Ikoku ni edeak ni eleki
ibore daang nicha eina-
kinio.
Vomits everything
Anokoyonor Angakabwo
Angingeretan aikoku
kotere edeke. Chest In
drawing
Akilura kori akiridakin!
Unusually Sleepy or uncon-
scious
Apokot naitebeikina
niareng’an.
Red on MUAC
Sir anakejen
(Swelling of both feet)

34. 32
Card 15: NG’AKIRO NAISUBAKINI IYONG CHV IMEARI ITWAAN NI
AIKOKU ANIEDEKA LOSIBITAR. WHAT TO DO: Assisting Referral

35. 33
• Kitatamik itwaan aikoku ng’ichan edeke
lu eyaaritere ikoku losibitar.
Explain why child needs to go to the
health facility
• Ikoku ni eremi tamasi ejok, nak ORS
atipei tanang’ia losibitar.
If child has diarrhea and can drink,
begin giving ORS solution right away
• Ikoku daang ni edeka tamasi ejok,
tolimok itwaan aikoku naanak idiobore
nikaliwan tamat ka akitanak jiik.
For any sick child who can drink,
advice to give more fluids and continue
feeding or breastfeeding.
• Tolimok itwaan aikoku kimuk ikoku
sodi nyelilimer akwaan naetapere arai
kemam ni erirae akwaan.
Advice to keep the child warm if child
does not feel hot on touch.
• Ikoku ni erirae akwaan, nak edewa
lo itoyoni akwaan atipei, anierumor,
kilajalajak kori talacha ngiwori keng
If child has fever, give first dose of
Paracetamol and ask the mother to
remove extra clothing.
Card 15: NG’AKIRO NAISUBAKINI IYONG CHV IMEARI ITWAAN NI
AIKOKU ANIEDEKA LOSIBITAR. WHAT TO DO: Assisting Referral
• Ikoku ni irakara napeingina, kidodik
ekadakan a ikoku eger lo inapakini
ikoku ngini. Neni neni, tolimok
nabo tochoik nyirepak ibore ca
daang nakituk aikoku.
If convulsing now, show care giver
how to position the child. Do not
put any object in the mouth.
• Kigirak awaragat na idodiunit
edeke aikoku sodi ananget
ekadakan aikoku ta losibitar
kidodik edaktar.
Write a referral note
• Kigang, ekadakan aikoku alotooma
elote keng losibitar nabo alotooma
ngichan lukooche.
Support transportation and help
solve other difficulties in referral.
• Ikoku ni etedek alosibitar tobong’
nawi, kilaanak kerai bo dae
akiwalaret apei alotooma ng’irwa
ng’ikan-kareei tanang ngirwa lu
ejokeror.
Follow up the child on return at
least once a week until the child is
well.

36. Session 5
TOTIEUK KEYARIO IKOKU LOSIBITAR
KORI KITEDEKI ANAWI Decide to Refer or Treat the Child
5

37. 35
Card 16: AKIREM/AKUURUT NA EMAM NG’AKOT ANACHIN KORI
AMAMAU EGER EEDEKE ALOAPOTION. TREAT DIARRHEA WITH NO
BLOOD IN STOOL AND NO DANGER SIGN
wimbi porridgeillustration of breastfeeding

38. 36
Ainakin ikoku akimuj nakaliwan epedori akiteyar ikoku ngini.
Giving more fluids can be life saving.
Nak ikoku edewa ORS tamat.
Give ORS solution.
Nak ngamuja nakaliwak na ikote euju.
Food based fluids such as porridge.
Kitanak ikoku ngalooso nakos kaalak.
Breast feed more frequently and longer at each feeding.
Nak ikoku edewa lo a zinc tong’oba daang loger lo kilimo-
ki-nitor iyong edakitar kori CHV.
Give zinc as advised by the health worker or Community
Health worker (CHW) until it is finished.
wimbi porridgeillustration of breastfeeding
Card 16: AKIREM/AKUURUT NA EMAM NG’AKOT ANACHIN KORI
AMAMAU EGER EEDEKE ALOAPOTION. TREAT DIARRHEA WITH NO
BLOOD IN STOOL AND NO DANGER SIGN

39. 37
Card 17: EGER LO ESUBERE ORS. ORAL REHYDRATION THERAPY
(ORS) PREPARATION DEMONSTRATION
16
2
34
5

40. 38
Kilota ngakan a ngakipi ka esabuni.
Wash your hands with soap or ash and clean
water
Kitem ngakipi ekopo alo eekasukut/echipis
aloochi.
Use a clean container to measure half litre
(500ml) of safe drinking water.
Tobukok ngakipi na eekasukut/echipis nibore
nikasegan
Transfer the measured water from the bottle
into a clean container.
Totub apakit apei alokwaas anierumor
tobukok edewa nibore nita angakipi
anaasegak.
Cut the Satchet across and pour all the
contents from 1 packet of ORS into the clean
container with water.
Kigurok edewa lo eyei nakipi lokojon
kimorikin ka ngakipi, anierumor nak ikoku.
Stir well using a clean spoon until the salts
completely dissolve and give the child.
16
2
34
5
Card 17: EGER LO ESUBERE ORS ORS PREPARATION DEMONSTRATION

41. 39
Card 18: Akitedek Kotere Edewa-Lobe ORS.
Treatment using ORS

42. 40
Eger lo eremi ikoku.
Child’s condition
Ng’ikaru aikoku
Age
Etiae edewa alo ORS lo emasi
ikoku
Amount of ORS
Ikoku ni eremi tamam ng’aakot
anachin
Diarrhoea in a child without blood
in stool
Nak ngapakito ng’omwon na anus
kilo
a ORS tamat ikoku anawi
Give caregiver 4 packets of half
litre (500 ml sachet) ORS to take
home.
Ngilapio 2 tonang 24
2 to 24 months
Nak Ngakichikoi nakabet 5 tanang
10 napei ca eremoria ikoku.
5 to 10 tablespoonfuls after ev-
ery loose stool
Ngikaru 2 kiporo
2 years and above
Nak Ngakichikoi nakabet 10 tonang
20 napei ca eremoria ikoku.
10 to 20 tablespoonfuls after
every loose stool
Card 18: AKITEDEK KOTERE EDEWA-LOBE ORS
TREATMENT USING ORS

43. 41
Card 19: EKIPOTORE EDEWA A ZINC KOTERE AKITEDEK
AREMOR/AKUURUT: GIVING ZINC IN TREATMENT OF DIARRHOEA

44. 42
Anikerai
aremor
(na angirwa
alupe
nyenang’ito
ng’itomon ka
ng’womon,
nabo tamam
ng’aakot)
If Diarrhoea
(less than
14 days &
no blood in
stool)
Edewa lo a Zinc etubi akirem nyeerem ikoku akooyen.
Zinc helps to make the diarrhoea less severe.
Edewa lo a Zinc etubi ngirwa lu eremio ikoku.
Zinc shortens the number of days of diarrhoea.
Edewa lo a Zinc isiitani ikoku akimuj nabo kiyatak ng’ikilinga keng.
Zinc increases the child’s appetite and makes the child stronger.
Ainakin edewa lo a Zinc ngirwa ng’itomon ingarakini akiratakin akirem
ngilapio nguuni luepote.
Giving Zinc for the full 10 days can help prevent diarrhea for up to the
next three months.
Nak edewa lo a Zinc: Zinc supplement:
Nak edewa epei akiwalaret tanang ng’irwa ng’itomon.
Give 1 dose daily for 10 days:
Ikoku ni ang’ilapio 2 tanang 6 – nak atutube edewa (daang ngidewae 5)
Age 2 months up to 6 months—1/2 tablet (total 5 tabs)
Ikoku ni ang’ilapio 6 tanang ng’ikaru 5 – nak edewa epei (daang
ngidewae 10)
Age 6 months up to 5 years—1 tablet (total 10 tabs)
King’arak akayaunan aikoku akitamat ikoku edewa lo ekingaren kaneni.
Help caregiver to give first dose now.
Card 19: EKIPOTORE EDEWA A ZINC KOTERE AKITEDEK
AREMOR/AKUURUT: GIVING ZINC IN TREATMENT OF DIARRHOEA

45. Card 20: EKIRETAKINE AKIREM/AKUURUT
DIARRHOEA PREVENTION
43

46. 44
1. Napei irumoria alosit kingaa.
After visiting the toilet
2. Napei irumoria amudar ngachin kori akijut ikoku.
After changing or touching baby bottoms
3. Eroko nyidorokino akimuj.
Before preparing or handling food
4. Eroko nyisiekina akisimuj ikoku.
Before eating or feeding the baby
Card 20: EKIRETAKINE AKIREM/AKUURUT
DIARRHOEA PREVENTION
Kilota ngakan a ngakipi ka esabuni arumoret asubakin ngakiro nu:
Wash your hands with soap and water at these critical times:
4 critical times of handwashing

47. 45
Ao ka ngamuchunkae nakadwarak
Honey and lemon drink
Emejen lo eyei amuchungat
Local tea leaves - oosugu
Ngakipi naamonak
Warm drink (water, milk, uji, tea) with no
sugar. not brown tea;
Akitanak
Breastfeeding
Card 21: Turkana translation comes here
TREAT COUGH WITH NO DANGER SIGN

48. 46
Card 21: Turkana translation comes here
TREAT COUGH WITH NO DANGER SIGN
Ngikito lukitedeket arukum napasit anawi
Simple remedies
Tolimok ilope aikoku nak ikoku ngakipi ka ngamuja nakaliwak nakaalak.
Soothe the throat and relieve the cough with a safe remedy (warm fluids, lemon tea, tea
with honey, breast milk. Advise caregiver to increase fluids.
Tolimok ilope aikoku nyeinak ikoku edio dawa kotere edeke lo.
Advise caregiver not to give any drugs to the child for this condition.
Tolimok ilope aikoku apak na epea ikoku losibitar, lo eiyapi katipei
Advice caregiver when to go to health facility immediately.
Awala na iyangar ikoku atipei itoodiunit atamar elegerit ikoku erarum. Nabo awala
na nyenangit ngirwa ngitomon ka ngwomwon erai arukum pas. Kemam eger eedeke
aloaronon tamam akiyanga atipei, epedori arukum ngina kichan ikoku kipii ngooroi.
Cough with fast breathing is a sign of pneumonia refer the child urgently to the nearest
health facility. In addition, a cough for less than 14 days may be a simple cough or
cold, if the child does not have a danger sign AND does not have fast breathing. A
cough can be uncomfortable and can irritate the throat.
Topea Losibitar REFER
1. Awala na eyakar eger eedeke aloapotion
Cough with any danger sign
2. Awala na eyei akiyanga atipei
Cough with fast breathing (a sign of pneumonia)

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Card 22: Akichok Emalaria
MALARIA TESTING WITH RAPID DIAGNOSTIC TESTING (RDT)

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KITEDEK ARIRARE AKWAAN NA LOPENYENANG’A NGIRWAA NGIKANKAREI TAMAM NABO EGER
EDEKE ALOAPOTION. TREAT FEVER FOR LESS THAN 7 DAYS WITH NO DANGER SIGN
Tomunok akipim ngiikot lu eekimon aikoku kotere arirare akwaan. Kitoodiu ngimacarin ngiarei, nak edewa
be ACT/AL. It is important to do a rapid diagnostic test (RDT) in children with fever. If RDT is positive, treat
the child with ACT/AL.
Eger lo ichokere emalaria anakwaan kotere RDT. How to perform a Rapid Diagnostic Test (RDT)
Kichum eemutu
ngaren ekimoon lo
Prick the ring finger of
the less used Hand
Kiriwok achupa na kiriet
ngaakot tanang nilikid
aachupa
Put the thin tip of the pipette
onto the drop of blood at
a slanting angle & allow
the blood to flow in slowly
until it touches the RAISED
PLASTIC RING (line) at the
neck of the pipette.
Kidokak ngiikot ngiarei
nichukule ni alongaren -
Ni igiritae be T.
Squeeze two (2) drops
of blood from the pipette
into the ‘well‘- labeled T.
kidokak edewa lo kutuuriania
– ni igiratea be B
Add 5 to 6 drops of buffer
into ‘well’ - labeled B
Card 22: AKICHOK EMALARIA
MALARIA TESTING WITH RAPID DIAGNOSTIC TESTING (RDT)
1
3
2
4

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Card 23: Eropot ka ngakitoodiunet aakipimo
Reporting/interpretation of RAPID DIAGNOSTIC TESTING (RDT) result

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Kisoma eropot arumoret anadankae 15 - 20
Read the results after 15-20 minutes
1 Akitoodikinet emacar aloa arengan epei ani
be C = emam elekes/emalaria
One band (Control-C) = Negative
2. Ngakitoodiuneta naarengak ngaarei ani be
C ka T = Eyei elekes/emalaria
Two bands – (Control, C & Test, T) = Positive
3. Kemam etoro loarengan awadaang –
esechech akichok
No line – Invalid test
4. More than two (2) lines – Invalid test –
ngitoroi ngiarei kori lukalak - esechech
akichok
More than two (2) lines
Record the results of the test in the Recording form
RDT NEGATIVE RESULT-ONE LINE -
mam elekes – etoro loarengan epei
RDT POSITIVE RESULT-TWO LINES-
eyei elekes – ngitoroi luarengak ngiarei
RDT POSITIVE RESULT-TWO LINES -
eyei elekes- ngitoroi luareng’ak ngiarei tani kemuimui
INVALID RESULT-NO LINES OR MORE THAN TWO LINES-
esechech ekitem lo - kotere mam ngitoroi eya
Card 23: Eropot ka ngakitoodiunet aakipimo
Reporting/interpretation of RAPID DIAGNOSTIC TESTING (RDT) result

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Card 24: Edewa eelekes/emaleria loetekunitoe
Recommended malaria medicines

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Arai edewa AL lo tokona etiekunit arek/nangolenyang MOH kitedekere elekes/emaleria
Artemesinin-based Combination Therapy (ACT) of the type AL is currently recommended by the MOH for treating malaria
Ngulu lu angichun/echokun emaleria anaakot kechi itedekio bon.
Only those who test positive should be treated for malaria.
Etiae edewa AL lo einakinio ngide lu erirate ng’awat:
Dosage of AL for sick children with fever:
Etiae a edewa Dosage
Ngilapio/ngikaru
Age
Akwaar na Eking’aren
Day 1
Akwaar na ng’aarei
Day2
Akwaar na ng’auni
Day 3
Ng’asain 0
0hrs
Ng’asain 8
8hrs
Nataparach
Morning
Ebong’
Evening
Nataparach
Morning
Ebong’
Evening
Ngilapio 2 tanang 5
2months -5months
1 tablet 1 tablet 1 tablet 1 tablet 1 tablet 1 tablet
Ngide lu nyenangito ng’ikaru 3
Below 3yrs
1 tablet 1 tablet 1 tablet 1 tablet 1 tablet 1 tablet
Ng’ikaru 3 – todol ng’ikaru 5
3yrs-upto 5yrs
2 tablets 2 tablets 2 tablets 2 tablets 2 tablets 2 tablets
Ngide lu nyenanga ngilapio 5, nak edewa AL 1 nitiiyokokinit. For children below 5 months, give 1 tablet under supervision.
Eyekasi tani ngakirim a AL na ekeeyarete anakipi kotere ngide luuchik. Dispersible AL tablets that easily dissolve in
water are also available for children.
Card 24: Edewa eelekes/emaleria loetekunitoe
Recommended malaria medicines

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Card 25: Toper tooma eneet lokiretakinet ngisuru
SLEEP UNDER A NET

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Kitatam ilope awi kichikak ngitunga
anawi topero tooma eneet lo
iwaakinitae edewa
Advice caregiver to ensure that
everyone in the family sleeps under
long lasting insecticidal net (LLIN)
Card 25: Toper tooma eneet lokiretakinet ngisuru
SLEEP UNDER A NET

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Card 26: TURKANA TRANSLATION COMES HERE
COUNSEL THE MOTHER ABOUT FEEDING PROBLEMS

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content
Card 26: TURKANA TRANSLATION COMES HERE
COUNSEL THE MOTHER ABOUT FEEDING PROBLEMS

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Card 27: TURKANA TRANSLATION COMES HERE
COUNSEL THE MOTHER ABOUT FEEDING NORMAL CHILD

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content
Card 27: TURKANA TRANSLATION COMES HERE
COUNSEL THE MOTHER ABOUT FEEDING NORMAL CHILD

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Card 28: TURKANA TRANSLATION COMES HERE
COUNSEL THE MOTHER (Care for development)

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content
Card 28: TURKANA TRANSLATION COMES HERE
COUNSEL THE MOTHER (Care for development)

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Akaad Aikoku Aniedeka
(Arai Akaad Na Naitedekere ikoku anadakar. Ikoku ni ang’ilapio ang’iaarei todol ngikaru ngikan)
NGITAREHE/DATE: 27/04/2016 EKIRO A CHV/NAME OF CHV: Akiru Ekai NG’ANAMBAE ASIM/ASIM/PHONE NO: 0709XXXXXXX
NGIKARU/AGE: 3 /4 NG’ILAPIO/MONTH: xxxxxxx EKIRO AIKOKU/ NAME OF THE CHILD:______________ EKIRO LO EKIING’AREN/FIRST NAME: James
EKIRO LO AWI/ /FAMILY NAME: EDAPAL ISAPAT/BOY IPESE/GIRL EKIRO EKAYAUNAN/NAME OF CAREGIVER: NAPETET EKIRU
AYAN AIKOKU KA EKAYAUNAN/RELATIONSHIP: ITIOKENG/MOTHER APAKENG/FATHER LUCHIE/OTHERS
EKIRO ADAKAR/HOUSEHOLD NAME: Kawalathe EKIRO ESIBITAR/FACILITY NAME: Nayanae angikalalio Dispensary ALOEYEI DIYE AWI/HOUSEHOLD
NO.: Nayanae angikalalio Dispensary ANAMBA AWI: 015 NG’ANAMBAE ASIM EKAYAUNAN AIKOKU/CARETAKKER’S PHONE NO.: 0715XXXXXX
1. ANG’ICUN NG’ICHAN AIKOKU/ IDENTIFY THE CHILD’S PROBLEMS
KING’IT anierumor TOKIENYIK. Ask and Look
Ayakau EGER AEDEKE
ALOAPOTION. Any
Danger Sign
EDEAKA, TAMAM eger
aedeke aloapotion. Sick
but no danger sign
KING’IT: Nyo ngichan aikoku? Pekelimu, kingit nabo tongicunia. kigirak nakaad aikoku/ASK: What are the child’s problems? If not sure
ask to be sure Ee/yes, Keyei eger edeke/ Sign Present, toketa/Tick Kemam/No sign, tolukak/Circle
Ewal a? anikewala ngirwa ng’iai?___________________
Cough? If yes, for how long?___________________day
Awala ngirwa ngitomon
ka nguomon todol ngirwa
lukaalak
Cough for 14 days or more
Card 29: AKAAD AIKOKU ANIEDEKA
SICK CHILD RECORDING FORM

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KING’IT anierumor TOKIENYIK. Ask and Look
Ayakau EGER AEDEKE
ALOAPOTION. Any
Danger Sign
EDEAKA, TAMAM eger
aedeke aloapotion. Sick
but no danger sign
Eremia/iurusia (ngacin nakaliwak ngalooso 3 kori na
kaalak anakwaar apei)?
Diarrhoea (3 or more episodes of loose stools in 24 hours
Anikeremi, ngirwa ng’iai?___
If yes for how long?___days
Akirem/akuurut ng’irwa
ng’itomon ka ng’omwon
kori lukaalak
Diarrhoea for 14 days or
more
Akirem/Akuurut (Ang’irwa
alupe nyenangito ng’itomon
ka ng’omwon nabo tamam
ng’aakot anachin)
Diarrhoes (less than 14days
and no blood in stool)
Ani keremorit, eya ng’aakot nachinia?
If diarrhoea, blood in stool
Ng’aakot anachin
Blood in stool
Arirare (na kilimokinitae yong, kori arirare na
tokonakona)?
Fever (reported or now)?
Anikerirae, ngirwa ng’iai?_____
If yes started ____days ago
Arirare na anang ng’irwaa
ng’ikan-kaarei kori ng’irwaa
lukaalak.
Fever for the last 7days or
more
Arirare (napenyenang’ito
Ng’irwa keng ng’ikankaarei)
anakwap anaelalaa elekes/
emaleria
Fever(less than 7days) in a
Malaria area
IRAKANARIA?
Convulsions?
Akirakanar
Convulsions
Card 29: AKAAD AIKOKU ANIEDEKA
SICK CHILD RECORDING FORM

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KING’IT anierumor TOKIENYIK. Ask and Look
Ayakau EGER AEDEKE
ALOAPOTION. Any
Danger Sign
EDEAKA, TAMAM eger
aedeke aloapotion. Sick
but no danger sign
Ipiyorit akimat kori akimuj?
Difficulty in drinking or feeding?
Ee Ipeyorit, nyepedori Akimat kori akinyam idio bore?
If yes not able to feed or drink anything?
Nyepedori akimat kori
akinyam ibore idio
Not able to drink or feed
anything
Eleki? Ee eleki, Eleki kisuny ibore ca daang
nginieinakinio a?
Vomiting? If yes, vomits everything?
Eleki ibore ca daang
nieinakinio
Vomits everything
TOKIENYIK/LOOK
Anokoyonor ang’akabwo ang’ing’eratan (TOKIENYANAK
ALODE KADAANG)
Chest Indrawing? (FOR ALL CHILDREN)
Anakoyonor
ang’akabwo ang’ing’eratan
Chest Indrawing
Card 30: AKAAD AIKOKU ANIEDEKA
SICK CHILD RECORDING FORM

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KING’IT anierumor TOKIENYIK. Ask and Look
Ayakau EGER AEDEKE
ALOAPOTION. Any
Danger Sign
EDEAKA, TAMAM eger
aedeke aloapotion. Sick
but no danger sign
Ani kewala, kimaru akiyanga adakikat aapei:/If
cough count breathes in 1 minute ____ akiyanga
adakikat aapei:/breaths per minute Akiyanga atipitipei: /
fast breathing Ikoku ang’ilapio ang’iarei todol’ ng’itomon
ka ngiarei:/ enangete ng’akiyang’eta keng 50 anadakikat
apei, kori iporete dae.
Age 2 months upto 12 months: 50BPM or more
Ikoku ang’ilapio ngitomon kangiarei tanang ngikaru
ngikan: Enang’ete ngakiyang’eta keng 40 anadakikat
apei, kori iporete dae
Age 12months upto 5 years: 40BPM or more
Akiyanga atipei
Fast breathing
akidopore kori akiridanakin?/Unusually sleepy or
unconscious? Akidopore kori akiridanakin/
Akidopore kori
akiridanakin
Unusually sleepy or
unconscious
Card 30: AKAAD AIKOKU ANIEDEKA
SICK CHILD RECORDING FORM

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KING’IT anierumor TOKIENYIK. Ask and Look
Ayakau EGER AEDEKE
ALOAPOTION. Any
Danger Sign
EDEAKA, TAMAM eger
aedeke aloapotion. Sick
but no danger sign
Alode alu angilapio angikan kapei todol ngikaru ngikan;
kitem aapokot toyen keyei lo macar: loarengan ___
lonyang’ ____ lopus aliban_____
For child 6 month upto 5 years, MUAC strap colour:
Red_____Yellow_____Green_______
Apokot naitebeikina lo
macar lorengan
Red on MUAC strap
Apokot na itebeikina ninyang
Yellow on MUAC strap
Sir anakejen kaadang
Swelling of both feet? Sir anakejen kaadang
Swelling of both feet
2. TOTIEUK KITEDEKI IKOKU ANAWI KORI KIPEA LOSIBITAR Anikeyei eger a edeke
aloapotion TOPEA IKOKU
LOSIBITAR KAATIPE
If any danger sign, REFER
URGENTLY to health
facility
Anikemam eger aedeke
aloapotion kitedek anawi,
kori tolimok ekadakan aikoku
ngirotin luitemokino
If no danger sign, treat at
home and advice care giver
Card 31: AKAAD AIKOKU ANIEDEKA
SICK CHILD RECORDING FORM

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MINISTRY OF HEALTH
REPUBLIC OF KENYA
Integrated Community
Case Management (ICCM)
for sick children under 5
Turkana County
Community Health Volunteers Job Aid