Anaemia (Age 2 months up to 5 years)

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Look

• Look for palmar pallor. Is there:
  - Severe palmar pallor?
  - Some palmar pallor?
• If any pallor, check haemoglobin (Hb) level

NOTE:

• Do not give Iron if the child is receiving RUTF. Small amounts are available in RUTF
• Iron is extremely toxic in overdose, particularly in children.
• All medication should be stored out of reach of children.

Classify all Children for Anaemia

Severe Anaemia
Severe palmar pallor OR  HB < 7g/dl	Refer URGENTLY
Anaemia
Some palmar pallor OR Hb 7 g/dl up to 11 g/dl.	Give iron and counsel on iron-rich foods  Assess feeding and counsel regarding any feeding problems  Treat for worms if due  Advise caregiver when to return immediately  Follow-up in 14 days
No Anaemia
No pallor	If child is less than 2 years, assess feeding and counsel

 

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Integrated Management of Childhood Illness 2022; Child (Age 2 months up to 5 years); Assess, Classify and Identify Treatment; Anaemia

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Last checked for updates: June 2023