Check for danger signs | Yes | Yes | Regardless of multiple possible entry points, in this case, loss of weight, not growing well or cough, PACK guides the clinician to the same management steps. |
Assess cough | Yes | Yes |
Assess for TB | Yes | Yes |
Identify TB contact | Yes | Yes |
TB investigations (tuberculin skin test, gastric washing, sputum test, chest X-ray, if available) | Yes | Yes |
Relieve cough (warm water/weak tea) | Yes | Not included |
Advise when to return immediately | Yes | Yes |
Ask about diarrhoea | Yes | Symptom screen included on routine care |
Ask about fever | Yes |
Ask about ear problem | Yes |
Ask about sore throat | Yes |
Assess and interpret growth (check for malnutrition) | Yes | Yes |
Feeding assessment and counselling | Yes | Not included, unless feeding problem |
Assess HIV risk | Yes | Yes |
Deworming and vitamin A, if needed | Yes | Yes | |
Arrange follow-up | Yes | Yes |
Notify and register in TB register | Yes | Yes |
Give TB treatment (dosing tables) | Yes | Yes | |
Routine follow-up TB | Yes | Yes |
Check immunisation status | Yes | Yes |
Assess any other problems | Yes | Yes |
Check caregiver’s health | Yes | Yes |
Step-by-step guidance on how to perform a tuberculin skin test (TST) | No | Yes |
Screen for other contacts | No | Yes |
Advise about importance of treatment adherence | No | Yes |
Advise about TB treatment side effects | No | Yes |
Guidance on TB and HIV co-infection (like ART dosage adjustments) | No | Yes |