Cough or cold present.

PERSISTENT dehydration
DIARRHEA before referral
Any general SEVERE Give first dose of unless the child
danger sign PNEUMONIA/ an appropriate has another
stridor in VERY antibiotic severe
calm child SEVERE Refer URGENTLY classification
DISEASE to hospital Refer to
Chest PNEUMONIA Give oral hospital
indrawing or Amoxicillin for 5 No dehydration. PERSISTENT Advise the
Fast breathing days DIARRHEA mother on
Follow-up in 3 feeding a child
days who has
Soothe the throat PERSISTENT
and relieve the DIARRHOEA
cough with a safe Give
remedy multivitamins
No signs of COUGH OR Soothe the throat and minerals
pneumonia or COLD and relieve the (including zinc)
very severe cough with a safe for 14 days
disease. remedy Follow-up in 5
Advise mother days
when to return Blood in the DYSENTERY Give
immediately stool. ciprofloxacin for
Follow-up in 5 3 days
days if not Follow-up in 3
improving days

Diarrhea and dehydration FEVER

Lethargic or SEVERE Refer URGENTLY Any general VERY SEVERE Refer
unconscious DEHYDRATION to hospital with danger sign or FEBRILE DISEASE URGENTLY to
Not able to mother giving Stiff neck. hospital
drink or frequent sips of Give first dose
drinking poorly ORS on the way of an
Skin pinch goes Advise the appropriate
back very mother to antibiotic
slowly. continue Treat the child
breastfeeding to prevent low
2 years or older blood sugar
and there is Malaria test MALARIA Give
cholera in your POSITIVE. recommended
area, give first line oral
antibiotic for antimalarial
cholera Follow-up in 3
Restless, SOME Give fluid, zinc days if fever
irritable DEHYDRATION supplements, persists
Sunken eyes and food for Advise mother
Drinks eagerly, some when to return
thirsty dehydration immediately
Skin pinch goes Advise the Malaria test FEVER: NO Give
back slowly mother to NEGATIVE MALARIA appropriate
continue Other cause of antibiotic
breastfeeding fever PRESENT treatment
Follow-up in 5 Advise mother
days if not when to return
improving immediately
Not enough NO Give fluid, zinc Follow-up in 3
signs to classify DEHYDRATION supplements, days if fever
as some or and food to persists
severe treat diarrhea Any general VERY SEVERE Give first dose
dehydration at home danger signs FEBRILE DISEASE of an
Advise mother Stiff neck. appropriate
when to return antibiotic.
immediately Treat the child
Follow-up in 5 to prevent low
days if not blood sugar.
improving Refer
Dehydration SEVERE Treat URGENTLY to
 hospital edema of COMPLICATED Give first dose
No general FEVER Give both feet SEVERE ACUTE appropriate
danger signs appropriate MUAC less MALNUTRITION antibiotic
No stiff neck. antibiotic than 115 mm Treat the child to
treatment AND any one prevent low
Advise mother of the blood sugar
when to return following: Keep the child
immediately Medical warm
Follow-up in 2 complication Refer URGENTLY
days if fever present or to hospital
persists Not able to
Any general SEVERE Give Vitamin A finish RUTF or
danger sign COMPLICATED treatment Breastfeeding
MEASLES Give first dose problem.
of an WFH/L less UNCOMPLICATED Give oral
appropriate than -3 z- SEVERE ACUTE antibiotics for 5
antibiotic scores MALNUTRITION days
Refer MUAC less Give ready-to-
URGENTLY to than 115 mm use therapeutic
hospital Able to finish food for a child
Pus draining MEASLES WITH Give Vitamin A RUTF. aged 6 months
from the eye or EYE OR MOUTH treatment or more
Mouth ulcers COMPLICATIONS treat eye Assess for
infection with possible TB
tetracycline eye infection
ointment Follow up in 7
Follow-up in 3 days
days WFH/L MODERATE If feeding
Measles now or MEASLES Give Vitamin A between -3 ACUTE problem, follow
within the last 3 treatment and - 2 z- MALNUTRITION up in 7 days
months. scores Assess for
MUAC 115 up possible TB
to 125 mm. infection
Follow-up in 30
EAR PROBLEM days
Tender swelling MASTOIDITIS Give first dose WFH/L - 2 z- NO ACUTE less than 2 years
behind the ear. of an scores or MALNUTRITION old, assess the
appropriate more child's feeding
antibiotic MUAC 125 and counsel the
Give first dose mm or more. mother on
of paracetamol feeding
for pain according to the
Refer URGENTLY feeding
to hospital recommendation
Pus is seen ACUTE EAR Give an If feeding
draining from INFECTION antibiotic for 5 problem, follow-
the ear and less days up in 7 days
than 14 days, or Give
Ear pain. paracetamol for
pain ANEMIA
Dry the ear by
wicking Severe palmar SEVERE Refer URGENTLY
Follow-up in 5 pallor ANAEMIA to hospital
days Some pallor ANAEMIA Give iron
Pus is seen CHRONIC EAR Dry the ear by Advise mother
draining from INFECTION wicking when to return
the ear and Treat with immediately
discharge is topical Follow-up in 14
reported for 14 quinolone days
days or more. eardrops for 14 Some pallor NO ANAEMIA less than 2 years
days old, assess the
Follow-up in 5 child's feeding
days and counsel the
No ear pain and NO EAR No treatment mother according
No pus seen INFECTION to the feeding
draining from recommendations
the ear If feeding
problem, follow-
ACUTE MALNUTRITION up in 5 days
HIV
Positive CONFIRMED Initiate ART
virological test HIV INFECTION treatment and
in child HIV care
Positive Give
serological test cotrimoxazole
in a child 18 prophylaxis*
months or older Advise the
mother on
home care
Mother HIV- Yellow: HIV Give
positive AND EXPOSED cotrimoxazole
negative prophylaxis
virological test Start or
in a continue ARV
breastfeeding prophylaxis as
child or only recommended
stopped less Advise the
than 6 weeks mother on
ago OR Mother home care
HIV-positive,
child not yet
tested OR
Positive
serological test
in a child less
than 18 months
old
Negative HIV HIV INFECTION Treat, counsel
test in mother UNLIKELY and follow-up
or child existing
infections