5	LONG-TERM HEALTH CONDITIONS—IDENTIFICATION AND MANAGEMENT
	Example: 4-year-old boy known with epilepsy has had 3 fits in the last month, lasting 5 minutes each. Not fitting now. No associated illness or fever reported.
Management steps	IMCI	PACK Child	Comments
Prompted to integrate routine care into every visit	No	Routine care itemised in scenario 3
Check adherence	No	Yes
Check side effects	No	Yes
Check other medication interactions	No	Yes
Review fit diary: assess triggers	No	Yes
Ask about mental health (behaviour)	No	Yes
Ask about school problems	No	Yes
Check development	No	Yes
Advise the caregiver	No	Includes health education and support
Doctor review of medication:	No	Yes
Medication table provided
When to refer to a specialist	No	Yes
When to follow up routinely	No	Yes
When to consider reducing treatment	No	Yes