Treatment protocol
Who will be treated?
• People will be treated based only on the
results of diagnostic tests performed, not
on any other clinical assessment
• Who will be treated?
– Children with severe anaemia
(<8 g/dl haemoglobin)
– Anyone with positive RDT for malaria
Decision rules
• Things to consider
– Is haemoglobin <8 g?
– Is the RDT positive?
– Is the woman pregnant?
– What is the person’s age?
– Is child 2 years or older?
Anemia
• Is Hb <7g/dl in child under 6 years?
– If yes, treat with
• 1) CoArtem
• 2) Iron
• 3) Mebendazole (if 2 years or older)
– If no, do not give iron and albendazole.
CoArtem depends on RDT results
– Also refer to health facility based on clinical judgment
Anaemia treatment
1. Albendazole or Mebendazole:
For children age 2 years and over:
Tablet or syrup
2. Iron tablets or syrup:
Malaria and anaemia
• RDT Pf + (simple malaria) and mild
anaemia (Hb between 8-11.5 g/dl)
– treated with Coartem®
– given a 2 weeks course of folic acid
Malaria parasite testing
• RDTs
– Children (>5kg) with positive RDT results clinically not
fitting into the severe malaria classification (severe
aneamia, prostration, impaired consciousness,
respiratory distress, convulsions, circulatory collapse,
abnormal bleeding, jaundice and passing
black/brown[dark] urine) :
• Will immediately receive Coartem®
• Children treated within the past 2 weeks with Coartem® will
be referred to a facility for further evaluation
– Children (<5kg) with positive RDT results:
• Will immediately receive SP
• Panadol
Malaria Treatment
1.CoArtem:
Tablets with 20 mg Artemether plus 120 mg Lumefantrine
Weight
(kg)
Age
(Years)
Number of tablets per dose
Twice daily for 3 days
Day 1
Day 2
Day 3
Morning
Evening
Morning
Evening
Morning
Evening
5 – 14
3 m – 2 yrs
1
1
1
1
1
1
15 – 24
3 – 7 yrs
2
2
2
2
2
2
25 – 34
8 – 10 yrs
3
3
3
3
3
3
35+
>10 yrs
4
4
4
4
4
4
Severe malaria
• Children clinically assessed by the survey
nurse to have severe malaria will be
transported immediately to the nearest
health centre
What about other sick people?
• You will be approached by others in the village.
• Do not use RDT for non-participants in other
households
• Explain that you are there mainly for the survey
and your supplies have been calculated
accordingly
• Give presumptive treatment according to clinical
judgment
• Refer or transport to health facility if necessary