Pre-referral rectal artesunate treatment of childhood malaria in the community
Training manual for community health workers to assess danger signs, provide emergency pre-referral treatment and refer treated children to a health facility
This manual has been developed to help health care practitioners in communities, normally referred to as Community Health Workers (CHWs), to understand how and when to provide rectal artesunate for children seriously ill with malaria, and to help them to refer patients to the nearest facility after this initial treatment. It includes information about the use of the Sick Child Recording Form, outlines the symptoms eligible for treatment with rectal artesunate, explains how to treat with the suppository, what to advise the family, how to follow the patient and document what happens. The manual should be used with a training video, Buying Time, and it complements Caring for a sick child in a community and other manuals supporting the World Health Organization’s integrated management of childhood illness (IMCI) strategy.