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• Some palmar pallor ANEMIA OR (VERY) • Assess the child’s feeding and counsel
or LOW WEIGHT the mother accordingly on feeding
• (Very) low weight • If there is a feeding problem, follow up in
for age 5 days
• If pallor is present, give iron (1 dose
daily)
• Syrup to a child 12 months of age
• Iron tablets if the child is 12 months or
older
• If the child is receiving antimalarial
sulfadoxine-pyrimethamine, do not give
iron/folate tablets until a follow up visit in
2 weeks, as this can interfere with the
action of the antimalarial
• In areas where hookworm or whipworm
is a problem, give mebendazole if the
child is 2 years or older and has not had
a dose in the previous 6 months
• Follow up in 14 days
• If very low weight for age, give vitamin A
• Follow up in 30 days
• Advise mother when to return
immediately
• NOT (very) low weight NO ANEMIA AND NOT • If the child is less than 2 years old,
for age and no other (VERY) LOW WEIGHT assess the child’s feeding and counsel
VITAMIN A
Treatment:
Give one dose in the health center
Supplementation:
Give one dose in health center if:
Child is six months of age or older,
Child has not received a dose of vitamin A in
the past 6 months
AGE Vitamin A capsules
100,000 IU 200,000 IU
6 months up to 1 ½ capsule
12 months
12 months up to - 1 capsule
5 years
Give one dose daily for 14 days
AGE OR WEIGHT IRON/FOLATE IRON SYRUP IRON DROPS
TABLE Ferrous Ferrous sulfate Ferrous sulfate
Sulfate 150mg per 5ml 25mg (25mg
200mg+250mcg (6mg elemental elemental iron
Folate (60mg iron per ml) per ml)
elemental iron)
3 months up to 4 2.5 ml (1/2 tsp) 0.6 ml
months (4 - <6
kg)
4 months up to 12 4 ml (3/4 tsp) 1.0 ml
months (6 - <10
kg)
12 months up to 3 ½ tablet 5 ml (1 tsp) 1.5 ml
years (10 - < 14
kg)
3 years up to 5 1 tablet 10 ml (1 ½ tsp) 2.0 ml
years (14 – 19 kg)
de Benoist, Bruno, Erin McLean, Ines Egli, and Mary
Cogswell, Worldwide prevalence of anaemia 11993-
2005 WHO Global Database on Anaemia
http://www.who.int/en/
Food and Nutrition Research Institute (FNRI)
http://www.fnri.dost.gov.ph
Hockenberry, Marilyn J. and David Wilson. 2007
Wong’s Nursing Care of Infants and Children, 8th ed.
pp. 1516-1517. Elsevier Pte. Ltd. Singapore.
Model Chapter for Textbooks IMCI (Integrated
Management of Childhood Illnesses), World Health
Organization, 2001