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Treatment protocol. Who will be treated?. People will be treated based only on the results of diagnostic tests performed, not on any other clinical assessment Who will be treated? Children with severe anaemia (<8 g/dl haemoglobin) Anyone with positive RDT for malaria. Decision rules.
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Who will be treated? • People will be treated based only on the results of diagnostic tests performed, not on any other clinical assessment • Who will be treated? • Children with severe anaemia (<8 g/dl haemoglobin) • Anyone with positive RDT for malaria
Decision rules • Things to consider • Is haemoglobin <8 g? • Is the RDT positive? • Is the woman pregnant? • What is the person’s age? • Is child 2 years or older?
Anemia • Is Hb <7g/dl in child under 6 years? • If yes, treat with • 1) CoArtem • 2) Iron • 3) Mebendazole (if 2 years or older) • If no, do not give iron and albendazole.CoArtem depends on RDT results • Also refer to health facility based on clinical judgment
Anaemia treatment • Albendazole or Mebendazole: For children age 2 years and over: Tablet or syrup • Iron tablets or syrup:
Malaria and anaemia • RDT Pf + (simple malaria) and mild anaemia (Hb between 8-11.5 g/dl) • treated with Coartem® • given a 2 weeks course of folic acid
Malaria parasite testing • RDTs • Children (>5kg) with positive RDT results clinically not fitting into the severe malaria classification (severe aneamia, prostration, impaired consciousness, respiratory distress, convulsions, circulatory collapse, abnormal bleeding, jaundice and passing black/brown[dark] urine) : • Will immediately receive Coartem® • Children treated within the past 2 weeks with Coartem® will be referred to a facility for further evaluation • Children (<5kg) with positive RDT results: • Will immediately receive SP • Panadol
Malaria Treatment • CoArtem: • Tablets with 20 mg Artemether plus 120 mg Lumefantrine
Severe malaria • Children clinically assessed by the survey nurse to have severe malaria will be transported immediately to the nearest health centre
What about other sick people? • You will be approached by others in the village. • Do not use RDT for non-participants in other households • Explain that you are there mainly for the survey and your supplies have been calculated accordingly • Give presumptive treatment according to clinical judgment • Refer or transport to health facility if necessary