Overview

The IMCI chart booklet is a guide for first-level health workers on assessment, management and follow up of common childhood illnesses including pneumonia, malaria, diarrhoea, ear infections, severe malnutrition and measles. The modified IMCI chart booklet for high HIV settings addresses the same problems, including identification and management of HIV-related conditions such as skin and mouth conditions.

It has guidelines on HIV-exposed and infected infants and children on infant feeding, immunization, co-trimoxazole prophylaxis, Vitamin A, zinc and other micronutrient supplementation, as well as nutritional support. It provides general information on antiretroviral drugs for children, adherence to these drugs, side effects of these drugs and how to manage them.

Contents

• ACKNOWLEDGEMENTS
• CHILD AGED 2 MONTHS UP TO 5 YEARS ASSESS AND CLASSIFY THE SICK CHILD
  • Assess, Classify and Identify Treatment
• TREAT THE CHILD
  • Teach the mother to give oral drugs at home
  • Teach the mother to treat local infections at home
  • Give preventative treatments in clinic
  • Give emergency treatments in the clinic only
  • Give extra fluid for diarrhoea and continue feeding
  • Give follow-up care
• COUNSEL THE MOTHER
  • Assess the Feeding of Sick Infants under 2 years (or if child has very low weight for age)
  • Feeding recommendations during sickness and health
  • Feeding advice for the mother of a child with confirmed HIV infection
  • “AFASS” criteria for stopping breastfeeding for HIV exposed
  • Counsel the mother about Stopping Breastfeeding (for HIV exposed)
  • Counsel the mother about feeding problems
  • Feeding recommendations: Child classified as HIV exposed
  • Counsel the mother about her own health
  • Advise the Mother to Increase Fluid During Illness
  • Advise the mother when to return to health worker
  • Advise mother when to return immediately
• ASSESS, CLASSIFY, AND TREAT THE SICK YOUNG INFANT AGED UP TO 2 MONTHS
  • Assess, Classify and Identify Treatment
  • Treat the young infant and counsel the mother
  • Give follow-up care for the young infant
• ANNEX A Skin and Mouth Conditions
• ANNEX B Antiretroviral therapy: Dosages
• ANNEX C Antiretroviral therapy: Side effects
• ANNEX D Drug dosages for opportunistic infections
• Recording Forms
• French

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