The Integrated Case Management Process OUTPATIENT HEALTH FACILITY

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					                 The Integrated Case Management Process
                                                 TH ACILITY
                                   OUTPATIENT HEAL F
                                       Check for D ANGER SIGNS
                                       - Convulsions
                                       - Lethargy/unconsciousness
                                       - Inability to drink/breastfeed
                                       - Vomiting

                                       Assess MAIN SYMPTOMS
                                       - Cough/difficulty breathing
                                       - Diarrhoea
                                       - Fever
                                       - Ear problems

                                            Assess nutrition
                                      and IMMUNIZA TION STATUS
                                       and POTENTIAL FEEDING
                                              PROBLEMS

                                      Check for O THER PROBLEMS

                                        CLASSIFY CONDITIONS
                                      and IDENTIFY TREATMENT
                                               ACTIONS
                                          According to colour-
                                            coded treatment



       Urgent referral                Treatment at outpatient              Home management
OUTPATIENT HEAL FACILITY
              TH
                                           health facility                          HOME
    - Pre-referral treatments        OUTP          TH
                                         ATIENT HEAL FACILITY            Caretaker is counselled on how to:
    - Advise parents                  - Treat local infection            - Give oral drugs
    - Refer child                     - Give oral drugs                  - Treat local infections at home
                                      - Advise and teach caretaker       - Continue feeding
                                      - Follow-up                        - When to return immediately
                                                                         - Follow-up
    REFERRALFACILITY
- Emergency triage and treatment                                                             Source: (77).
  (ETAT)
- Diagnosis
- Treatment
- Monitoring and follow-up