GuidelinesIMCI
Routine Treatments -Vitamin A and Deworming (Age 2 Months up to 5 Years)
IMCI - Child (Age 2 months up to 5 years)
Vitamin A
- Give Vitamin A routinely to all children from the age of 6 months to prevent severe illness (prophylaxis)
- If the child has had a dose of Vitamin A in the past 30 days, defer Vitamin A until 30 days has elapsed
- Vitamin A is not contraindicated if the child is on multivitamin treatment
- Vitamin A capsules come in 100 000 IU and 200 000 IU
- Record the date Vitamin A given on the RTHB
Routine Vitamin A
| Age | Vitamin A dose |
| 6 up to 12 months | A single dose of 100 000 IU at age 6 months or up to 12 months |
| 1 up to 5 years | A single dose of 200 000 IU at 12 months, then a dose of 200 000 IU every 6 months up to 5 years |
Additional dose for Severe Malnutrition, Persistent Diarrhoea, Measles or Xerophthalmia
- Give therapeutic (non-routine) dose of Vitamin A if the child has severe acute malnutrition, persistent diarrhoea, measles or xerophthalmia (dry eyes)
- If the child has measles or xerophthalmia (dry eyes), give caregiver a second dose to take the next day
| Age | Vitamin A additional dose |
| < 6 months | 50 000IU |
| 6 up to 12 months | 100 000 IU |
| 1 up to 5 years | 200 000 IU |
Mebendazole or Albendazole
- Children older than one year of age should receive routine deworming treatment every 6 months
- Give Mebendazole or Albendazole
- Give single dose (or first dose of ) in the clinic
- Record the dose in the child’s RTHB
Mebendazole
| Age | Suspension (100 mg per 5 ml) |
Tablet (100 mg) |
Tablet (500 mg) |
| 12 up to 24 months | 5 ml twice daily for 3 days | One tablet twice daily for 3 days | |
| 2 up to 5 years | 25 ml as single dose | Five tablets as single dose | One tablet as single dose |
Albendazole
| Age | Tablet (100 mg) |
Tablet (200 mg) |
| 12 up to 24 months | One tablet as single dose | |
| 2 up to 5 years | One tablet as single dose |
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Integrated Management of Childhood Illness 2022; Child (Age 2 months up to 5 years); Assess, Classify and Identify Treatment; Routine Treatments (Vitamin A and Deworming)
Last checked for updates: June 2023