| 2 | INTEGRATION OF CURATIVE AND PREVENTIVE CARE | ||
| Example: 18-month-old child presents with 2-day history of diarrhoea. No danger signs. No blood or mucus. No dehydration. No feeding problem. | |||
| Management steps | IMCI | PACK Child | Comments |
| Check for danger signs | Yes | Yes | This clinical scenario aims to demonstrate that PACK Child aims to streamline the use of the guide in response to presenting symptom: Number of pages consulted in IMCI guide to manage this case=23 pages. Number of pages consulted in PACK Child to manage this case=8 pages |
| Assess level of dehydration | Yes | Yes | |
| Give fluid according to level of dehydration | Yes | Yes | |
| Advise when to return immediately | Yes | Yes | |
| Zinc therapy | Yes | Yes | |
| Follow-up of diarrhoea | Yes | Yes | |
| Assess and interpret growth (then check all children for malnutrition) | Yes | Yes | |
| Assess feeding | Yes | Yes | |
| Developmental screen | Yes | Yes | |
| Basic examination | Yes | Yes | |
| Check HIV risk | Yes | Yes | |
| Check TB risk | Yes | Yes | |
| Check immunisation status | Yes | Yes | |
| Symptom screen | Yes | Yes | |
| Assess caregiver health | Yes | Yes | |
| Advice for caregiver at home | Yes | Yes | |
| Vitamin A and deworming, if needed | Yes | Yes | |
| Follow-up for routine child visit | Yes | Yes | |
| Psychosocial risk (like parenting, neglect/abuse and grants) | No | Yes | |
| Mental health (behaviour) | No | Yes | |