Neobook — clinical reference

Care for the child who returns for follow-up using ALL the boxes that match the child’s previous classifications
If the child has a new problem, assess, classify and treat the new problem as on the ASSESS AND CLASSIFY Chart

Poor Growth / Not Growing Well

After 14 days:

Weigh the child and determine if the child is still low weight for age
Determine weight gain
Reassess feeding

Treatment:

If the child is gaining weight well, praise the caregiver. Review every 2 weeks until growing well
If the child is still not growing well:
- Check for TB and manage appropriately
- Check for HIV infection and manage appropriately
- Check for feeding problem. If feeding problem, counsel and follow-up in 5 days
- Counsel on feeding recommendations
If the child has lost weight or you think feeding will not improve, refer. Otherwise review again after 14 days: if child has still not gained weight, or has lost weight, refer
Check if the child is accessing other additional care and support (e.g. Social security (grants))

Feeding Problem

After 5 days:

Reassess feeding
Ask about feeding problems and counsel the caregiver about any new or continuing feeding problems
If child is not growing well, review after 14 days to check weight gain

Integrated Management of Childhood Illness 2022; Child (Age 2 months up to 5 years); Give Follow-up Care; Not Growing Well, Feeding Problem

Last checked for updates: June 2023