Training Manual for Preventive Malaria - Ministry of Health

-- Begin treatment for uncomplicated malaria: prescribe and observe her as she takes Artesunate-
Amodiaquine (four each) or tablets quinine, depending on client’s preference and paracetamol
(two tablets).
-- Instruct her on how to take the medication for Day 2 as well as paracetamol (two tablets every
6 hours until her temperature returns to normal).
-- Instruct her on how to take the medication for Day 3
-- Tell her to return to the clinic in 48 hours if she is not feeling better, or immediately if she has
signs and symptoms of complicated malaria (e.g., convulsions, loss of consciousness).
-- Tell her that she must take all of her medication, and describe the side effects it may cause
Tinnitus , Skin rashes, Stomach upsets , Low blood sugar, Low blood sugar, if she is on
quinine).
-- Tell her about the causes of malaria and how to prevent it, including the use of ITNs.
-- Talk to her about her need to prepare a birth plan.
-- Give iron and folate tablets, and counsel her to eat foods with adequate sources of iron. Begin
tetanus immunization if necessary.
-- Schedule an appointment for her second ANC visit at 32 weeks.
-- Record all findings and treatments on her Maternal Health Record Card.
-- Thank her for coming to the clinic
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