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Treatment protocol

Treatment protocol

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Treatment protocol

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  1. Treatment protocol

  2. 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

  3. 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?

  4. 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

  5. Anaemia treatment • Albendazole or Mebendazole: For children age 2 years and over: Tablet or syrup • Iron tablets or syrup:

  6. 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

  7. 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

  8. Malaria Treatment • CoArtem: • Tablets with 20 mg Artemether plus 120 mg Lumefantrine

  9. Severe malaria • Children clinically assessed by the survey nurse to have severe malaria will be transported immediately to the nearest health centre

  10. 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