MALNUTRITION AND ANEMIA

VISIBLE SEVERE WASTING, PALMAR PALLOR, EDEMA OR BOTH FEET, WEIGHT FOR AGE

What to LOOK and FEEL?

SEVERE MALNUTRITION/SEVERE ANEMIA

SIGNS:

• Visible severe wasting

• Severe palmar pallor

• Edema of both feet

TX:

• Give Vitamin A

• Refer URGENTLY to hospital

ANEMIA/VERY LOW WEIGHT

SIGNS:

• Some palmar pallor

• Very low weight for age

TX:

• Assess the child`s feeding and counsel the mother on feeding according to the FOOD box on the COUNSEL THE MOTHER chart.

• If feeding problem, follow-up in 5 days

If pallor:

• Give iron

• Give oral antimalarial if high malaria risk

• Give mebendazole if child is 2 years or older and has not had a dose in the previous 6 months

• Advise mother when to return immediately

• If pallor, follow-up in 14 days

• If very low weight for age, follow-up in 30 days

NO ANEMIA AND NOT VERY LOW WEIGHT

SIGN: Not very low weight for age and no other signs of malnutrition

TX:

• If child is less than 2 years old, assess the child’s feeding and counsel the mother on feeding according to the FOOD box on the COUNSEL THE MOTHER chart. -

• If feeding problem, follow-up in 5 days

• Advise mother when to return immediately

5 DAYS

If feeding problem, follow-up in?

14 DAYS

If pallor, follow-up in?

30 DAYS

If very low weight for age, follow-up in?

ORAL ANTIMALARIAL

If high malaria risk, give?

MEBENDAZOLE

If child is 2 years or older and has not had a dose in the previous 6 months, give?

RN

IMMUNIZATION SCHEDULE

BIRTH

BCG, OPV-0

6 WEEKS

DPT-1, OPV-1

10 WEEKS

DPT-2, OPV-2

14 WEEKS

DPT-3, OPV-3

9 MONTHS

MEASLES