Table 2

Clinical scenarios illustrating alignment and differences between IMCI24 and PACK Child guides arranged according to six key features of child healthcare

1IDENTIFICATION AND MANAGEMENT OF THE SICK CHILD
Example: 2-year-old child presents with signs and symptoms of severe pneumonia—worsening cough and difficulty breathing for 4 days. Now with lower chest indrawing.
Management stepsIMCIPACK ChildComments
Check for danger signsYesYesThis clinical scenario aims to demonstrate that PACK Child management steps align well with IMCI management steps.
Assess coughYesYes
Oxygen therapyYesYes
Management of wheeze offeredYesYes
Management of stridor offeredYesYes
Pre-referral ceftriaxoneYesYes
Co-trimoxazole therapyYesYes
Hypoglycaemia managementYesYes
Urgent referralYesYes