Definitions | HBC [16] | CHPS [53] |
---|---|---|
Malaria | All fever cases when no laboratory tests are available | All fever cases when no laboratory tests are available or when malaria test was positive |
General danger signs | Vomiting, convulsions, unconscious or not breastfeeding | Vomiting, convulsions, unconscious or not breastfeeding |
Severe malaria signs | Little or no urine, dark coloured urine, marked jaundice or abnormal bleeding | Little or no urine, dark coloured urine, marked jaundice or abnormal bleeding |
Appropriate treatment of malaria | Children aged 6Â months to 5Â years diagnosed with malaria receiving 3Â days of ACT If more than 7Â days with fever, general danger signs or severe malaria signs, child must be referred with rectal artesunate | Children aged 2Â months to 5Â years diagnosed with malaria receiving 3Â days of ACT If more than 7Â days with fever, general danger signs or severe malaria signs, child must be referred with IM quinine, IM or EV or rectal artesunate plus an IM dose of chloramphenicol |
Prompt treatment of malaria | Malaria cases that received an antimalarial drug in within the first 24Â h of the onset of symptoms | Malaria cases that received an antimalarial drug in within the first 24Â h of the onset of symptoms |
Diarrhoea | Three or more loose or watery stools in a 24-h period | Three or more loose or watery stools in a 24-h period |
Appropriate treatment of diarrhoea | Children older than 6Â months with diarrhoea of less than 7Â days that receive ORS and zinc for 14Â days If the child is less than 6Â months, had diarrhoea for 7Â days or more, blood in stools or is dehydrated, he/she should be referred with ORS | Children with diarrhoea of less than 14Â days receiving ORS and zinc for 14Â days If diarrhoea for 14Â days or more, blood in stools or is severely dehydrated, he/she should be referred to hospital with ORS |
ARI or suspected pneumonia | Cough with fast or difficult breathinga | Cough with fast or difficult breathingb |
Severe pneumonia | Noisy breathing or chest in-drawing | Noisy breathing or chest in-drawing |
Appropriate treatment for suspected pneumonia | Children older than 6Â months with cough and fast or difficult breathing of less than 7Â days receiving amoxicillin for 5Â days If the child is less than 6Â months or had symptoms for 7Â days or more, he/she should be referred If there are signs of severe pneumonia, he/she should be referred with amoxicillin | Children older than 2Â months with cough and fast or difficult breathing of less than 14Â days receiving amoxicillin or cotrimoxazole for 5Â days If the child is less than 2Â month or had symptoms for 14Â days or more, he/she should be referred If there are signs of severe pneumonia, he/she should be referred with IM chloramphenicol |