Community Health Volunteer's Training Manual - Population Council

Module 4 The work of Community Health Volunteers
220
Figure 4.5.3 illustrates the signs and symptoms of patients or care that you the CHV should
refer to the CHO.
Signs and Symptoms
1. A person/ child with a fever
that goes on rising who
does not respond to antimalaria
2. Child who is convulsing/
fitting YES
3. Heavy vomiting or severe
diarrhea that lasts for more
than one day or more than
a few hours in babies
4. A pregnant woman who is
bleeding from the vagina
and has never been to
hospital
5. Loss of large amounts of
blood from anywhere in the
body
6. A person coughing up
blood
YES
YES
YES
YES
This helps the fever go down.
This helps the fever go down.
Heavy vomiting or severe diarrhea that lasts for more than one
day Heavy or more vomiting than or a few severe hours diarrhea in babies that lasts for more than one
day or more thirst is than often a the few first, hours early in sign babies of dehydration
little thirst or is no often urine; the the first, urine early is dark sign yellow of dehydration
This helps the fever go down.
sudden little or weight no This urine; loss helps the urine the fever is dark go yellow down.
This helps the fever go down.
Heavy dry sudden vomiting mouthweight
or severe loss diarrhea that lasts for more than one
day Heavy or more vomiting than or a few severe hours diarrhea in babies that lasts for more than one
day
Heavy sagging
or dry vomiting
more mouth in of
than
or the severe ‘soft spot’
a few hours
diarrhea
in
that
babies
lasts for more than one
day in or infants more thirst than is often a few the first, hours early in babies sign of dehydration
sagging thirst in is of often the the ‘soft first, spot’ early sign of dehydration
sunken, little thirst or is no often urine; the first, the urine early is sign dark of dehydration
in infants
tearless eyes
yellow
loss of little or no urine; the urine is dark yellow
sudden little elasticity or no weight urine; or loss the stretchness
sunken, tearless eyes
urine is dark yellow
of the sudden weight loss
dry sudden skin
loss of mouth elasticity weight loss or stretchness
Lift the of skin the sagging
dry mouth skin between mouth two fingers, like this... If the skin fold does not fall
in of the ‘soft spot’
right back to normal, the child is
Lift the in sagging skin infants between in in of of the the two ‘soft ‘soft fingers, spot’ spot’ like this... dehydrated. If the skin fold does not fall
sunken, in in infants
tearless eyes
right back to normal, the child is
loss sunken, of elasticity tearless tearless eyes or eyes stretchness dehydrated.
of loss
loss the of elasticity
of skin or stretchness
elasticity or stretchness
of the skin
Lift the of the skin skin between two fingers, like this... If the skin fold does not fall
Lift the skin between two fingers, like this... If the right skin back fold to does normal, not fall the child is
Lift the skin between two fingers, like this... right If the skin fold does not fall
dehydrated. back to normal, the child is
dehydrated. right back to normal, the child is
dehydrated.
born head first born head lead
born head first born head lead
born head first born born head head lead lead
born head first born head lead
The embryo of a miscarriage
may be no longer than 1 or 2
centimeters The embryo of a miscarriage
may be no longer than 1 or 2
centimeters
The The embryo embryo of a miscarriage 60 days
of a miscarriage
may may be no 30 be longer days no longer than 1 than or 21
or 2
centimeters centimeters 60 days
The 30 embryo days of a miscarriage
may be 60 no days longer than 1 or 2
centimeters 60 days
30 days
30 days
60 days
30 days