PACK Child | Covered in IMCI | PACK Child | Covered in IMCI |
Symptom pages | Routine care pages | ||
Assess and manage child’s fluid needs | Yes | Help baby breathe at birth | Yes |
Manage glucose | Yes | Assess and interpret growth | Yes |
Fever | Yes | First assessment of the newborn | Limited |
Pallor or anaemia | Yes | Baby <2 months old: routine care | Limited |
Wheeze | Yes | Child ≥2 months old: routine care | Limited |
Diarrhoea | Yes | Screen the child in the prep room | No |
Seizures/fits | Limited* | Routine visit (schedule) | No |
Eye/vision symptoms | Limited | Long - term health condition pages | |
Ear symptom/difficulty hearing | Limited | Breast feeding | Yes |
Mouth and throat symptoms | Limited | Formula feeding | Yes |
Cough and/or breathing problems | Limited | Eating | Yes |
Jaundice | Limited | Poor growth in the child <2 months old | Yes |
Skin symptoms | Limited | The underweight child | Yes |
Painful skin | Limited | Not growing well/growth faltering | Yes |
Generalised itchy rash | Limited | Acute malnutrition | Yes |
Localised itchy rash/itch with no rash | Limited | The child with a close TB contact | Yes |
Generalised red rash | Limited | Check for TB | Yes |
Lumps and bumps on skin | Limited | TB: routine care | Yes |
Crusts, flaky skin and ulcers | Limited | TB medication | Yes |
The emergency child | No | HIV: diagnosis | Yes |
Cardiopulmonary resuscitation | No | HIV: routine care | Yes |
Choking | No | Monitor the child with HIV | Yes |
Decreased level of consciousness | No | Start ART | Yes |
The injured child | No | Medication dosing chart | Yes |
Fracture/s | No | Prevention of mother-to-child transmission of HIV | Yes |
Bites and stings | No | Eczema | Limited |
Burns | No | Chronic malnutrition | No |
The blue child | No | Overweight | No |
Poisoning | No | The child with a drug-resistant TB contact | No |
The inconsolable crying/irritable child | No | Post-exposure prophylaxis | No |
Headache | No | The child with allergy | No |
The tired or lethargic child | No | Asthma | No |
Lumps/swellings in neck, axilla or groin | No | Epilepsy | No |
Nose symptoms | No | Bronchiectasis | No |
Face symptoms | No | Known heart problem | No |
Gum/teeth symptoms | No | Chronic arthritis | No |
Recurrent respiratory symptoms | No | Cerebral palsy | No |
Abdominal symptoms | No | Down syndrome | No |
Vomiting/refluxing | No | Life-limiting illness: routine palliative care | No |
Constipation | No | Charts | |
Anal symptoms/worms | No | Weight-for-age chart: girls | Yes |
Genital symptoms | No | Weight-for-age chart: boys | Yes |
Urinary symptoms | No | Height-for-age chart: girls | Yes |
Back pain | No | Height-for-age chart: boys | Yes |
Arm or hand symptoms | No | Weight-for-height charts: girls and boys | No |
Leg symptoms/limp/walking problems | No | BMI chart: girls | No |
Foot symptoms | No | BMI chart: boys | No |
Joint symptoms | No | Weight-for-age chart: cerebral palsy (GMFCS IV) | No |
Altered skin colour | No | Weight-for-age chart: cerebral palsy (GMFCS V) | No |
Nappy rash | No | Useful tools for clinicians | |
Hair and scalp symptoms | No | Protect yourself from occupational infection | No |
Nail symptoms | No | Protect yourself from occupational stress | No |
Suspected child abuse/neglect | No | Communicate effectively | No |
The stressed, miserable or angry child | No | Prescribe rationally | No |
Behaviour problems | No | Medication dosing tables | No |
Communication problem | No | Helpline numbers | No |
Not moving or sitting properly | No | Quick reference chart | No |
School problems/bullying | No | ||
Sleep problems | No | ||
Parenting difficulty | No |
ART, antiretroviral therapy; BMI, Body Mass Index; IMCI, Integrated Management of Childhood Illness; PACK, Practical Approach to Care Kit; TB, tuberculosis; GMFCS, Gross Motor Function Classification System.
*Limited—these topics are covered to a limited extent in the 2014 South African version of IMCI.