turkana job 02092016

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MINISTRY OF HEALTH

REPUBLIC OF KENYA

Integrated Community Case Management (ICCM) for sick children under 5

Turkana County

Community Health Volunteers Job Aid

SessionCARE SEEKING AND COMMUNICATION SKILLS 1

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Card 1: EKIyAN LOAjOKON Good Communication

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Kimala ekayaunan aikoku Kisiboik keci niajokon

2. Ekiyan loajokon Good communication skills

1. Topupok ejok ngakiro na iyani ekayaunan aikoku

2. Kiyan ngakiro naikeuna na epupi ekayaunan aikoku

3. Nak ekayaunan aikoku alolom na etacunia ngakingiseta nguna

Card 1: EKIyEN LOAjOKON GOOD COMMUNICATION SKILLS

SessionIDENTIFICATION OF CHILDREN’S HEALTH PROBLEMS

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Card 2: AWALA COUGh

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Nyo echanit aikoku?What is the problem of the child?

Ewal ikoku a?Does the child cough?

Ng’irwa ng’iai awalar ikoku?how long has the child been coughing?

Record it in the child recording form

Card 2: AWALA COUGh

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Card 3: AKIREM/AKUURUT DIARRhOeA

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Nyo erai akirem/akiurut? What is diarrhoea?

Arai akirem akiurut ng’acin nakaliwak ng’alooso ng’auni kori nakaalak anakwaar apei?(It is diarrhoea when there are 3 or more episodes of loose or watery stools in a 24-hour day)

Eremorit/iurusi ikoku a? Does the child have diarrhoea? (Kigirak nakaad aikoku? Record it in the child recording form)

Ee anibo-keremi/kiurusi, ng’irwa ng’iai? If yes, for how many days? (Kigirak nakaad aikoku? Record it in the child recording form)

Eya ng’aakot nachin aikoku? Does the child have blood in stool? (Kigirak nakaad aikoku? Record it in the child recording form)

Turkana Translation comes here Assess for dehydration

Card 3: AKIREM/AKUURUT DIARRhOeA

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Card 4: ARIRARE AKWAAN FeveR

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Nyo erai arirare akwaan? What is fever?

Erirae ikoku akwaan kilimok iyong itwaan nikating’an aikoku atamar erirae, kori kemona akwaan na itapia iyong. A child has a fever when caregiver reports, or feels hot to touch.

Itemokino toyen kerirae ikoku akwaan tokona, kori ng’irwa ng’ikankaarei lu alunyar. It is important to find out if the child has fever now or anytime during the last 7 days. Pekeyeni ekayaunan aikoku atamar erirae ikoku; totap ereet, akook, ka tooma akirididi. Anikemona, erirae ikoku ngini akwaan tokona dir. If the caregiver does not know, feel the child’s forehead, stomach or underarm. If the body feels hot, the child has a fever now. Erirae ikoku akwaan a? Does the child have fever? (Kigirak nakaad aikoku? Record it in the child recording form)

Ani kerirae, ng’irwa ng’iai? If yes, for how many days? (Kigirak nakaad aikoku? Record it in the child recording form)

Card 4: ARIRARE AKWAAN FeveR

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Card 5: AKIRAKANAR CONvULSIONS/FITS

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Akirakar aikoku ngesi eger loiledunia edeke ikoku, kipetapetakin topetonori ng’akan, ka ng’akejen, tobunbunie ngakan. Ace pak, ibelukae ikoku ng’akonyen keng talakakinite ng’iguototoi. A convulsion happens when a child has fits or spasms and the arms and legs stiffen, and may have jerky movements and sometimes foaming from the mouth.

IRAKANAR Ikoku a? Does a child have a convulsion?

(Kigirak nakaad aikoku) Record it in the child recording form

Card 5: AKIRAKANAR CONvULSIONS/FITS

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Card 6: IKOKU NIPENyEPEDORI AKIMUj KORI AKIMAT KOTERE EDEKE DIFFICULT FeeDING OR DRINKING

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Nyepedori ikoku akimat kori akinak ngisikin arai kelilimiorit akwaan noi kisipiyo anakakin kori akilikor ibore ni einakinio tamat. A child is not able to drink or breast feed if the child is too weak to suckle or swallow when offered a drink or breastfeed.

Instructions: (Record it in the Child Recording Form) Akidodikin: (kigirak nakaad aikoku)

Kitam: Ani kingayakinit atamar nyepedori ikoku akimat ibore nikaliwan tolimok itwaan ni eyaunit ikoku nak ngesi ibore nimatat. Ani ikoku ni enaki, kingolik kepedori akinak kori akimat ngakile angisikin nasek elepokinitoe lokopo. TIP: If you are unsure whether the child can drink, ask the caregiver to offer a drink to the child. For a child who is breastfed, see if the child can breastfeed or take breast milk from a cup.

Card 6: IKOKU NIPENyEPEDORI AKIMUj KORI AKIMAT KOTERE EDEKE DIFFICULT FeeDING OR DRINKING

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Card 7: AKILEK vOMITING

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Ikoku nipe nyemamakini ibore daang nienyami anakook, idodiunit atamar ‘‘ELEKI IBORE DAANG’’ A Child who is not able to hold anything down at all has the sign “vOMITS eveRYThING”

Ikoku ni eleki ibore daang, nyepedori akilikor edewa lomatat. The child who vomits everything will not be able to use the oral medicine. AKIDODIKINET Kining kotere akingit itokeng, kitanakak kori ekayaunan aikoku nak ibore nimatat. Kitiek mono.INSTRUCTIONS Confirm by asking the mother/ caregiver to offer a breast feeding or a drink and Observe.

Card 7: AKILEK vOMITING

SessionTASAKU EPITE EEDEKE -TOKIENyIK ANIERUMOR TOTIAK Look for Signs of Illness-Assess and Classify

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Card 8: AKIyANG’A LOKIjAN FAST BReAThING

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iborosit ni kimaret akiyang’a Respiratory timer

ngakoromwa nakimaret akiyanga aikoku angilapio ang’iarei tanang ngilapio ngitomon ka ng’iarei For assessment of children age 2 months up to 12 months

ngakoromwa nakimaret akiyanga a ngide a ngilapio ngitomon ka ngiarei tanang ngikaru ngikanFor assessment of children age over 12 months up to 5 years

Card 8: AKIyANG’A LOKIjAN FAST BReAThING

(Idodiunit akiyanga atipei akichum erarum, tokienyik akiyanga atipei anierumor kigirak nakaad aikoku) Fast breathing is a sign of pneumonia, look for fast breathing and record in the sick child recording form

Echamakina ikoku ni ewala ililingi, kidatakinite, sodi kimarunia ekiyang’e keng ejok (tolem iborosit nikimaret akiyang’a ka ng’akoromwa kimarea akiyang’a aikoku). To asses a child with cough, he/ she must be quiet and calm when you count breaths (use the respiratory timer and the appropriate beads)

(ani keriangakina ikoku, igoro,kipetapeta, nyipedori kimar akiyang’a keng ejok) If the child is frightened, crying, angry or moving around, you will not be able to do an accurate count.

(akimarun akiyang’a adakikatapei) To count the breaths in one minute:• (tolemiborosit nikimaret akiyang’a ka

ng’akoromwa na itemem kang’ilapio aikoku- kiwaak ni iteo yong akiyang’a aikoku) use watch with second hand, digital watch or a timer – put the watchin a place where you can see the watch and child’s breathing

• (tokienyik akiyedukare awadaang a lo rarum kori akookaikoku) look for breathing movements anywhere on the childs chest or stomach

• kisiekakimarun akiyanga aikoku idatakinit start counting the child breath when the child is calm

• tobongok akimarunngakiyangakineta aikoku nabo arai king’ayakinitkiiliila ikoku kori kisiek akigoro ,kidarou kidatak kisiekakipim nabo. Repeat the count if youhavedifficulty.ifthechildmovesorstarts to cry, wait until the child is calm, then start again.

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include the two kids in this document. see page 19 of reference -participants manual

card sent to and include the arrows showing chest in-drawing

Card 9: ANOKOyONOR ANGAKABWO ANGINGERETAN CheST IN DRAWING

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Card 9: ANOKOyONOR ANGAKABWO ANGINGERETAN CheST IN DRAWING

Nikisemo/niisemeo anikoku anikadekan tongichunia ni enokoyonor ang’akabwo ang’ing’eretan: Where to look for chest in drawing in a sick child:

Tokienyik – kop ng’amaran long’eretan Site – Lower chest wall,below the ribs Ori itemio?–

Mati iyang’a ikoku tooma kidatakinite Timing – Only when the child breathes in and is calm.

Kitam: Isaki angichun anokoyonor angakabwo angingeratan, echamakina ikoku idatakinit, pe enaki kori pe imuji. ani kejotoe, nyiitekieny. Tip: To look for chest indrawing, the child should be calm and not breastfeeding or eating. If asleep, try not to awaken the child.

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Ngide lu irogoit noiSeverely malnourished children

Card 10: EROGO SIIT SeveRe MALNUTRITION

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ARIPUN EPITE EEROGO SIIT LOOKING FOR SIGNS OF SEVERE MALNUTRITION

Eya ngirotin ngiarei lu eripunere erogo siitThere are 2 ways to look for severe malnutrition

1. Akitem erogo alokeper kotere apokot/ arebiet na emacaritae

Using the MUAC tape ( Red on MUAC tape)

2. Kebutok ngakejen daang Assessing the childs feet (Sir anakejen daang) Odema of both feet

Card 11: Etich apokot /Arebiet Use of MUAC

Ngide lu irogoit noiSeverely malnourished children

Card 10: EROGO SIIT SeveRe MALNUTRITION

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Card 11: ETICH APOKOT /AREBIET USe OF MUAC

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1. Tasaku akou eseget Locate the tip of the shoulder2. Akou eeseget Tip of the shoulder3. Akou ekurunyunyu The tip of the elbow4. Tatapak apokot/arebiet nakou

ekurunyuny Place tape at the tip of the

shoulder5. Kitorwaa apokot/arebiet kipor

ekurunyuny lo ekudokinitae Pull tape past the tip of the

bent elbow6. Klimak kiding eekunyuk Mark mid point7. Toriik apokot/arebiet Correct tape tension8. Apokot irijakina Tape too tight9. Apokot ilajalaja Tape too lose10. Apokot naitemem lokunyuk Correct tape

Card 11: ETICH APOKOT /AREBIET USe OF MUAC

Ikeper nidiim noi ni itebeikina lomachar loareng’an anapokot itoodiunit Erogo siit.Asmallarmcircumference(redontheMUACstrap)identifiesseveremalnutrition in children with severe wasting (very thin), a condition called Marasmus.

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Card 12: SIR OeDeMA

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Tokienyik ngakejen daang aikoku kebuto (sir).Look at both of the child’s feet for swelling (oedema).

Kiciamak ang’imoyo aluarei aluapolok kidiama ng’akejen nidapal tomamak icamakinit.Press your thumbs gently for a few seconds onthe top of each foot.

Itodiunit acukulior/adooyor aniicamakinio ang’imoyo anakejen kadaang, emacar sir.For the sign to be present, the dent must clearly show on both feet

Kingolik niechukul/niedoyoorit na ikeuniaiyong ng’imoyo luapolok.Look for the dent that remains after you lift your thumb

Tochoik: Anikitemokino apokot nakitemiet erogo niarengan, kori kebutok ngakejen daang, kigirak ngakiro na ingolik yong nakaad aikoku aniedeka

Note:If a child has Red on MUAC tape or Swelling (Oedema) of both feet, RECORD these observations in the Sick Child Recording Form.

Card 12: SIR OeDeMA

Session DANGER SIGNS FOR REFERRAL 4

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Card 13: TOTIEUK KEyARIO IKOKU LOSIBITAR KORI KITEDEKI ANAWI DeCIDe TO ReFeR OR TReAT The ChILD

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Ng’ichan edeke a ikoku lu ing’iuch iyong, kingarekinete iyong CHV akiyen ikoku ni eyario losibitar ka ni itedekio anawi. Theproblemsidentifiedwillhelpyou decide whether to REFER the child to the health facility or TREAT the child at home.

Eya ngigerio ngice a ngidekesinei lu epotiok. Ngigerio a ngedekesinei alu epotiok, idodiunito ikoku ni edeka noi nipe nyipedori iyong CHV ka ekayaunan a ikoku akitedek. Some problems are Danger Signs. A danger sign indicates that the child is too ill for you and the family to treat in the community.

Card 13: TOTIEUK KEyARIO IKOKU LOSIBITAR KORI KITEDEKI ANAWI DeCIDe TO ReFeR OR TReAT The ChILD

Isaki aking’arakin ikoku ni edeke alokapotion toyar, topea losibitar KAATIPEI. To help this child survive, you must URGENTLy refer the child to the health facility.

Anikiriam iyong CHV ikoku ni eger aloapotion; topea ikoku ngini losibitar. For any danger sign; REFER the child to a health facility.

Keya ngichan edeke aikoku ngice, lupe nyipedori iyong akitedek, topea ikoku ngini losibitar. For any other health problem that you cannot treat, refer the child to the health facility.

EGER AIKOKU ANIEDEKA NOI SICK ChILD WITh DANGeR SIGNS

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Card 14: ANI KEyEI EGER EEDEKE ALOAPOTION, TOPEA IKOKU NGINI LOSIBITAR LOAAPI. IF ANY DANGeR SIGN ReFeR TO The NeAReST heALTh FACILITY

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Card 14: TURKANA TRANSLATION COMES HERE DANGeR SIGNS COLOUR CODe FOR ReFeRRAL

DANGER SIGN PICTORIAL

DANGER SIGN COLOUR CODE

DANGER CODE

Awala ng’irwa ngitomon ka ng’omwon kori lukaalak. Cough for 14 days or more

Akirem ng’irwa ng’itomon ka ng’omwon kori lukaalak. Diarrhea for 14 days or moreNg’aakot a nachin Blood in Stool

Arirare akwaan ng’irwaa ng’ikan-kaarei kori lukaalak. Fever for the last 7 days or moreAkirakanar aikoku. Convulsions

Ikoku ni edeak nipe nyemasi ibore ca daang kori nyimuji. Not able to drink or feed anything

DANGER SIGN PICTORIAL

DANGER SIGN COLOUR CODE

DANGER CODE

Ikoku ni edeak ni eleki ibore daang nicha eina-kinio. vomits everything

Anokoyonor Angakabwo Angingeretan aikoku kotere edeke. Chest In drawing

Akilura kori akiridakin! Unusually Sleepy or uncon-scious

Apokot naitebeikina niareng’an. Red on MUAC

Sir anakejen(Swelling of both feet)

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Card 15: NG’AKIRO NAISUBAKINI IyONG CHV IMEARI ITWAAN NI AIKOKU ANIEDEKA LOSIBITAR. WhAT TO DO: Assisting Referral

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• Kitatamikitwaanaikokung’ichanedekelu eyaaritere ikoku losibitar.

explain why child needs to go to the health facility

• Ikokunieremitamasiejok,nakORSatipei tanang’ia losibitar.

If child has diarrhea and can drink, begin giving ORS solution right away

• Ikokudaangniedekatamasiejok,tolimok itwaan aikoku naanak idiobore nikaliwan tamat ka akitanak jiik.

For any sick child who can drink, advice to give more fluids and continue feeding or breastfeeding.

• Tolimokitwaanaikokukimukikokusodi nyelilimer akwaan naetapere arai kemam ni erirae akwaan.

Advice to keep the child warm if child does not feel hot on touch.

• Ikokunieriraeakwaan,nakedewalo itoyoni akwaan atipei, anierumor, kilajalajak kori talacha ngiwori keng

If child has fever, give first dose of Paracetamol and ask the mother to remove extra clothing.

Card 15: NG’AKIRO NAISUBAKINI IyONG CHV IMEARI ITWAAN NI AIKOKU ANIEDEKA LOSIBITAR. WhAT TO DO: Assisting Referral

• Ikokuniirakaranapeingina,kidodikekadakan a ikoku eger lo inapakini ikoku ngini. Neni neni, tolimok nabo tochoik nyirepak ibore ca daang nakituk aikoku.

If convulsing now, show care giver how to position the child. Do not put any object in the mouth.

• Kigirakawaragatnaidodiunitedeke aikoku sodi ananget ekadakan aikoku ta losibitar kidodik edaktar.

Write a referral note

• Kigang,ekadakanaikokualotoomaelote keng losibitar nabo alotooma ngichan lukooche.

Support transportation and help solve other difficulties in referral.

• Ikokunietedekalosibitartobong’nawi, kilaanak kerai bo dae akiwalaret apei alotooma ng’irwa ng’ikan-kareei tanang ngirwa lu ejokeror.

Follow up the child on return at least once a week until the child is well.

Session 5TOTIEUK KEyARIO IKOKU LOSIBITAR KORI KITEDEKI ANAWI Decide to Refer or Treat the Child

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Card 16: AKIREM/AKUURUT NA EMAM NG’AKOT ANACHIN KORI AMAMAU EGER EEDEKE ALOAPOTION. TReAT DIARRheA WITh NO BLOOD IN STOOL AND NO DANGeR SIGN

wimbi porridgeillustration of breastfeeding

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Ainakin ikoku akimuj nakaliwan epedori akiteyar ikoku ngini. Givingmorefluidscanbelifesaving.

Nak ikoku edewa ORS tamat. Give ORS solution.

Nak ngamuja nakaliwak na ikote euju. Foodbasedfluidssuchasporridge.

Kitanak ikoku ngalooso nakos kaalak. Breast feed more frequently and longer at each feeding.

Nak ikoku edewa lo a zinc tong’oba daang loger lo kilimo-ki-nitor iyong edakitar kori CHV. Give zinc as advised by the health worker or Community Healthworker(CHW)untilitisfinished.

wimbi porridgeillustration of breastfeeding

Card 16: AKIREM/AKUURUT NA EMAM NG’AKOT ANACHIN KORI AMAMAU EGER EEDEKE ALOAPOTION. TReAT DIARRheA WITh NO BLOOD IN STOOL AND NO DANGeR SIGN

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Card 17: EGER LO ESUBERE ORS. ORAL RehYDRATION TheRAPY (ORS) PRePARATION DeMONSTRATION

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Kilota ngakan a ngakipi ka esabuni. Wash your hands with soap or ash and clean water

Kitem ngakipi ekopo alo eekasukut/echipis aloochi. Use a clean container to measure half litre (500ml) of safe drinking water.

Tobukok ngakipi na eekasukut/echipis nibore nikaseganTransfer the measured water from the bottle into a clean container.

Totub apakit apei alokwaas anierumor tobukok edewa nibore nita angakipi anaasegak.Cut the Satchet across and pour all the contents from 1 packet of ORS into the clean container with water.

Kigurok edewa lo eyei nakipi lokojon kimorikin ka ngakipi, anierumor nak ikoku.Stir well using a clean spoon until the salts completely dissolve and give the child.

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Card 17: EGER LO ESUBERE ORS ORS PRePARATION DeMONSTRATION

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Card 18: AKITEDEK KOTERE EDEWA-LOBE ORS. TReATMeNT USING ORS

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Eger lo eremi ikoku.Child’s condition

Ng’ikaru aikokuAge

Etiae edewa alo ORS lo emasi ikokuAmount of ORS

Ikoku ni eremi tamam ng’aakot anachin

Diarrhoea in a child without blood in stool

Nak ngapakito ng’omwon na anus kiloa ORS tamat ikoku anawiGive caregiver 4 packets of half litre (500 ml sachet) ORS to take home.

Ngilapio 2 tonang 242 to 24 months

Nak Ngakichikoi nakabet 5 tanang 10 napei ca eremoria ikoku.5 to 10 tablespoonfuls after ev-ery loose stool

Ngikaru 2 kiporo2 years and above

Nak Ngakichikoi nakabet 10 tonang 20 napei ca eremoria ikoku. 10 to 20 tablespoonfuls after every loose stool

Card 18: AKITEDEK KOTERE EDEWA-LOBE ORS TReATMeNT USING ORS

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Card 19: EKIPOTORE EDEWA A ZINC KOTERE AKITEDEK AREMOR/AKUURUT: GIvING ZINC IN TReATMeNT OF DIARRhOeA

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Anikerai aremor (na angirwa alupe nyenang’ito ng’itomon ka ng’womon, nabo tamam ng’aakot)If Diarrhoea (less than 14 days & no blood in stool)

Edewa lo a Zinc etubi akirem nyeerem ikoku akooyen. Zinc helps to make the diarrhoea less severe. Edewa lo a Zinc etubi ngirwa lu eremio ikoku. Zinc shortens the number of days of diarrhoea. Edewa lo a Zinc isiitani ikoku akimuj nabo kiyatak ng’ikilinga keng. Zinc increases the child’s appetite and makes the child stronger. Ainakin edewa lo a Zinc ngirwa ng’itomon ingarakini akiratakin akirem ngilapio nguuni luepote. Giving Zinc for the full 10 days can help prevent diarrhea for up to the next three months. Nak edewa lo a Zinc: Zinc supplement: Nak edewa epei akiwalaret tanang ng’irwa ng’itomon. Give 1 dose daily for 10 days: Ikoku ni ang’ilapio 2 tanang 6 – nak atutube edewa (daang ngidewae 5) Age 2 months up to 6 months—1/2 tablet (total 5 tabs)Ikoku ni ang’ilapio 6 tanang ng’ikaru 5 – nak edewa epei (daang ngidewae 10) Age 6 months up to 5 years—1 tablet (total 10 tabs) King’arak akayaunan aikoku akitamat ikoku edewa lo ekingaren kaneni. Help caregiver to give first dose now.

Card 19: EKIPOTORE EDEWA A ZINC KOTERE AKITEDEK AREMOR/AKUURUT: GIvING ZINC IN TReATMeNT OF DIARRhOeA

Card 20: EKIRETAKINE AKIREM/AKUURUT DIARRhOeA PReveNTION

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1. Napei irumoria alosit kingaa. After visiting the toilet

2. Napei irumoria amudar ngachin kori akijut ikoku. After changing or touching baby bottoms

3. Eroko nyidorokino akimuj. Before preparing or handling food

4. Eroko nyisiekina akisimuj ikoku. Before eating or feeding the baby

Card 20: EKIRETAKINE AKIREM/AKUURUT DIARRhOeA PReveNTION

Kilota ngakan a ngakipi ka esabuni arumoret asubakin ngakiro nu: Wash your hands with soap and water at these critical times:

4 CRITICAL TIMES OF HANDWASHING

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Ao ka ngamuchunkae nakadwarak honey and lemon drink

Emejen lo eyei amuchungat Local tea leaves - oosugu

Ngakipi naamonak

Warm drink (water, milk, uji, tea) with no sugar. not brown tea;

Akitanak

Breastfeeding

Card 21: TURKANA TRANSLATION COMES HERE TReAT COUGh WITh NO DANGeR SIGN

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Card 21: TURKANA TRANSLATION COMES HERE TReAT COUGh WITh NO DANGeR SIGN

Ngikito lukitedeket arukum napasit anawiSimple remedies

Tolimok ilope aikoku nak ikoku ngakipi ka ngamuja nakaliwak nakaalak. Soothe the throat and relieve the cough with a safe remedy (warm fluids, lemon tea, tea with honey, breast milk. Advise caregiver to increase fluids.

Tolimok ilope aikoku nyeinak ikoku edio dawa kotere edeke lo.Advise caregiver not to give any drugs to the child for this condition.

Tolimok ilope aikoku apak na epea ikoku losibitar, lo eiyapi katipei Advice caregiver when to go to health facility immediately.

Awala na iyangar ikoku atipei itoodiunit atamar elegerit ikoku erarum. Nabo awala na nyenangit ngirwa ngitomon ka ngwomwon erai arukum pas. Kemam eger eedeke aloaronon tamam akiyanga atipei, epedori arukum ngina kichan ikoku kipii ngooroi.Cough with fast breathing is a sign of pneumonia refer the child urgently to the nearest health facility. In addition, a cough for less than 14 days may be a simple cough or cold, if the child does not have a danger sign AND does not have fast breathing. A cough can be uncomfortable and can irritate the throat.

TOPEA LOSIBITAR ReFeR 1. Awala na eyakar eger eedeke aloapotion Cough with any danger sign2. Awala na eyei akiyanga atipei Cough with fast breathing (a sign of pneumonia)

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Card 22: AKICHOK EMALARIA MALARIA TeSTING WITh RAPID DIAGNOSTIC TeSTING (RDT)

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KITeDeK ARIRARe AKWAAN NA LOPeNYeNANG’A NGIRWAA NGIKANKAReI TAMAM NABO eGeReDeKe ALOAPOTION. TReAT FeveR FOR LeSS ThAN 7 DAYS WITh NO DANGeR SIGN

Tomunok akipim ngiikot lu eekimon aikoku kotere arirare akwaan. Kitoodiu ngimacarin ngiarei, nak edewabe ACT/AL. It is important to do a rapid diagnostic test (RDT) in children with fever. If RDT is positive, treatthe child with ACT/AL.

eger lo ichokere emalaria anakwaan kotere RDT. how to perform a Rapid Diagnostic Test (RDT)

Kichum eemutu ngaren ekimoon lo Prick the ring finger of the less used Hand

Kiriwok achupa na kiriet ngaakot tanang nilikid aachupa Put the thin tip of the pipette onto the drop of blood at a slanting angle & allow the blood to flow in slowly until it touches the RAISED PLASTIC RING (line) at the neck of the pipette.

Kidokak ngiikot ngiarei nichukule ni alongaren - Ni igiritae be T. Squeeze two (2) drops of blood from the pipette into the ‘well‘- labeled T.

kidokak edewa lo kutuuriania – ni igiratea be B Add 5 to 6 drops of buffer into ‘well’ - labeled B

Card 22: AKICHOK EMALARIA MALARIA TeSTING WITh RAPID DIAGNOSTIC TeSTING (RDT)

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Card 23: EROPOT KA NGAKITOODIUNET AAKIPIMO RePORTING/INTeRPReTATION OF RAPID DIAGNOSTIC TeSTING (RDT) ReSULT

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Kisoma eropot arumoret anadankae 15 - 20Read the results after 15-20 minutes

1 Akitoodikinet emacar aloa arengan epei ani be C = emam elekes/emalaria One band (Control-C) = Negative

2. Ngakitoodiuneta naarengak ngaarei ani be C ka T = Eyei elekes/emalaria

Two bands – (Control, C & Test, T) = Positive

3. Kemam etoro loarengan awadaang – esechech akichok

No line – Invalid test

4. More than two (2) lines – Invalid test – ngitoroi ngiarei kori lukalak - esechech akichok More than two (2) lines

Record the results of the test in the Recording form

RDT NeGATIve ReSULT-ONe LINe - mam elekes – etoro loarengan epei

RDT POSITIve ReSULT-TWO LINeS- eyei elekes – ngitoroi luarengak ngiarei

RDT POSITIve ReSULT-TWO LINeS - eyei elekes- ngitoroi luareng’ak ngiarei tani kemuimui

INvALID ReSULT-NO LINeS OR MORe ThAN TWO LINeS- esechech ekitem lo - kotere mam ngitoroi eya

Card 23: EROPOT KA NGAKITOODIUNET AAKIPIMO RePORTING/INTeRPReTATION OF RAPID DIAGNOSTIC TeSTING (RDT) ReSULT

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Card 24: EDEWA EELEKES/EMALERIA LOETEKUNITOE ReCOMMeNDeD MALARIA MeDICINeS

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Arai edewa AL lo tokona etiekunit arek/nangolenyang MOH kitedekere elekes/emaleria Artemesinin-based Combination Therapy (ACT) of the type AL is currently recommended by the MOh for treating malaria

Ngulu lu angichun/echokun emaleria anaakot kechi itedekio bon.Only those who test positive should be treated for malaria.

Etiae edewa AL lo einakinio ngide lu erirate ng’awat: Dosage of AL for sick children with fever:

Etiae a edewa Dosage

Ngilapio/ngikaruAge

Akwaar na Eking’arenDay 1

Akwaar na ng’aarei Day2

Akwaar na ng’auniDay 3

Ng’asain 00hrs

Ng’asain 88hrs

NataparachMorning

Ebong’Evening

NataparachMorning

Ebong’Evening

Ngilapio 2 tanang 52months -5months 1 tablet 1 tablet 1 tablet 1 tablet 1 tablet 1 tablet

Ngide lu nyenangito ng’ikaru 3Below 3yrs 1 tablet 1 tablet 1 tablet 1 tablet 1 tablet 1 tablet

Ng’ikaru 3 – todol ng’ikaru 53yrs-upto 5yrs 2 tablets 2 tablets 2 tablets 2 tablets 2 tablets 2 tablets

Ngide lu nyenanga ngilapio 5, nak edewa AL 1 nitiiyokokinit. For children below 5 months, give 1 tablet under supervision.Eyekasi tani ngakirim a AL na ekeeyarete anakipi kotere ngide luuchik. Dispersible AL tablets that easily dissolve in water are also available for children.

Card 24: EDEWA EELEKES/EMALERIA LOETEKUNITOE ReCOMMeNDeD MALARIA MeDICINeS

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Card 25: TOPER TOOMA ENEET LOKIRETAKINET NGISURU SLeeP UNDeR A NeT

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Kitatam ilope awi kichikak ngitunga anawi topero tooma eneet lo iwaakinitae edewa Advice caregiver to ensure that everyone in the family sleeps under long lasting insecticidal net (LLIN)

Card 25: TOPER TOOMA ENEET LOKIRETAKINET NGISURU SLeeP UNDeR A NeT

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Card 26: TURKANA TRANSLATION COMES HERE COUNSeL The MOTheR ABOUT FeeDING PROBLeMS

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Card 26: TURKANA TRANSLATION COMES HERE COUNSeL The MOTheR ABOUT FeeDING PROBLeMS

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Card 27: TURKANA TRANSLATION COMES HERE COUNSeL The MOTheR ABOUT FeeDING NORMAL ChILD

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Card 27: TURKANA TRANSLATION COMES HERE COUNSeL The MOTheR ABOUT FeeDING NORMAL ChILD

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Card 28: TURKANA TRANSLATION COMES HERE COUNSeL The MOTheR (CARe FOR DeveLOPMeNT)

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Card 28: TURKANA TRANSLATION COMES HERE COUNSeL The MOTheR (CARe FOR DeveLOPMeNT)

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Akaad Aikoku Aniedeka (Arai Akaad Na Naitedekere ikoku anadakar. Ikoku ni ang’ilapio ang’iaarei todol ngikaru ngikan)

NGITAREHE/DATE: 27/04/2016 EKIRO A CHV/NAME OF CHV: Akiru Ekai NG’ANAMBAE ASIM/ASIM/PHONE NO: 0709XXXXXXX

NGIKARU/AGE: 3 /4 NG’ILAPIO/MONTH: xxxxxxx EKIRO AIKOKU/ NAME OF THE CHILD:______________ EKIRO LO EKIING’AREN/FIRST NAME: James

EKIRO LO AWI/ /FAMILy NAME: EDAPAL ISAPAT/BOy IPESE/GIRL EKIRO EKAyAUNAN/NAME OF CAREGIVER: NAPETET EKIRU

AyAN AIKOKU KA EKAyAUNAN/RELATIONSHIP: ITIOKENG/MOTHER APAKENG/FATHER LUCHIE/OTHERS

EKIRO ADAKAR/HOUSEHOLD NAME: Kawalathe EKIRO ESIBITAR/FACILITy NAME: Nayanae angikalalio Dispensary ALOEyEI DIyE AWI/HOUSEHOLD

NO.: Nayanae angikalalio Dispensary ANAMBA AWI: 015 NG’ANAMBAE ASIM EKAyAUNAN AIKOKU/CARETAKKER’S PHONE NO.: 0715XXXXXX

1. ANG’ICUN NG’ICHAN AIKOKU/ IDENTIFy THE CHILD’S PROBLEMS

KING’IT anierumor TOKIENyIK. Ask and Look

Ayakau EGER AEDEKE ALOAPOTION. Any Danger Sign

EDEAKA, TAMAM eger aedeke aloapotion. Sick but no danger sign

KING’IT: Nyo ngichan aikoku? Pekelimu, kingit nabo tongicunia. kigirak nakaad aikoku/ASK: What are the child’s problems? If not sure ask to be sure Ee/yes, Keyei eger edeke/ Sign Present, toketa/Tick Kemam/No sign, tolukak/Circle

Ewal a? anikewala ngirwa ng’iai?___________________Cough? If yes, for how long?___________________day

Awala ngirwa ngitomon ka nguomon todol ngirwa lukaalak Cough for 14 days or more

Card 29: AKAAD AIKOKU ANIEDEKA SICK ChILD ReCORDING FORM

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KING’IT anierumor TOKIENyIK. Ask and Look

Ayakau EGER AEDEKE ALOAPOTION. Any Danger Sign

EDEAKA, TAMAM eger aedeke aloapotion. Sick but no danger sign

Eremia/iurusia (ngacin nakaliwak ngalooso 3 kori na kaalak anakwaar apei)? Diarrhoea (3 or more episodes of loose stools in 24 hours

Anikeremi, ngirwa ng’iai?___ If yes for how long?___days

Akirem/akuurut ng’irwa ng’itomon ka ng’omwon kori lukaalak Diarrhoea for 14 days or more

Akirem/Akuurut (Ang’irwa alupe nyenangito ng’itomon ka ng’omwon nabo tamam ng’aakot anachin)Diarrhoes (less than 14days and no blood in stool)

Ani keremorit, eya ng’aakot nachinia? If diarrhoea, blood in stool

Ng’aakot anachin Blood in stool

Arirare (na kilimokinitae yong, kori arirare na tokonakona)? Fever (reported or now)? Anikerirae, ngirwa ng’iai?_____ If yes started ____days ago

Arirare na anang ng’irwaa ng’ikan-kaarei kori ng’irwaa lukaalak. Fever for the last 7days or more

Arirare (napenyenang’ito Ng’irwa keng ng’ikankaarei) anakwap anaelalaa elekes/ emaleria Fever(less than 7days) in a Malaria area

IRAKANARIA?Convulsions?

Akirakanar Convulsions

Card 29: AKAAD AIKOKU ANIEDEKA SICK ChILD ReCORDING FORM

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KING’IT anierumor TOKIENyIK. Ask and Look

Ayakau EGER AEDEKE ALOAPOTION. Any Danger Sign

EDEAKA, TAMAM eger aedeke aloapotion. Sick but no danger sign

Ipiyorit akimat kori akimuj? Difficulty in drinking or feeding?

Ee Ipeyorit, nyepedori Akimat kori akinyam idio bore?If yes not able to feed or drink anything?

Nyepedori akimat kori akinyam ibore idio Not able to drink or feed anything

Eleki? Ee eleki, Eleki kisuny ibore ca daang nginieinakinio a?Vomiting? If yes, vomits everything?

Eleki ibore ca daang nieinakinio Vomits everything

TOKIENyIK/LOOKAnokoyonor ang’akabwo ang’ing’eratan (TOKIENYANAK ALODE KADAANG) Chest Indrawing? (FOR ALL CHILDREN)

Anakoyonor ang’akabwo ang’ing’eratan Chest Indrawing

Card 30: AKAAD AIKOKU ANIEDEKA SICK ChILD ReCORDING FORM

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KING’IT anierumor TOKIENyIK. Ask and Look

Ayakau EGER AEDEKE ALOAPOTION. Any Danger Sign

EDEAKA, TAMAM eger aedeke aloapotion. Sick but no danger sign

Ani kewala, kimaru akiyanga adakikat aapei:/If cough count breathes in 1 minute ____ akiyanga adakikat aapei:/breaths per minute Akiyanga atipitipei: /fast breathing Ikoku ang’ilapio ang’iarei todol’ ng’itomon ka ngiarei:/ enangete ng’akiyang’eta keng 50 anadakikat apei, kori iporete dae. Age 2 months upto 12 months: 50BPM or more

Ikoku ang’ilapio ngitomon kangiarei tanang ngikaru ngikan: Enang’ete ngakiyang’eta keng 40 anadakikat apei, kori iporete daeAge 12months upto 5 years: 40BPM or more

Akiyanga atipei Fast breathing

akidopore kori akiridanakin?/Unusually sleepy or unconscious? Akidopore kori akiridanakin/

Akidopore kori akiridanakin Unusually sleepy or unconscious

Card 30: AKAAD AIKOKU ANIEDEKA SICK ChILD ReCORDING FORM

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KING’IT anierumor TOKIENyIK. Ask and Look

Ayakau EGER AEDEKE ALOAPOTION. Any Danger Sign

EDEAKA, TAMAM eger aedeke aloapotion. Sick but no danger sign

Alode alu angilapio angikan kapei todol ngikaru ngikan; kitem aapokot toyen keyei lo macar: loarengan ___ lonyang’ ____ lopus aliban_____

For child 6 month upto 5 years, MUAC strap colour: Red_____Yellow_____Green_______

Apokot naitebeikina lo macar lorengan Red on MUAC strap

Apokot na itebeikina ninyangYellow on MUAC strap

Sir anakejen kaadang Swelling of both feet? Sir anakejen kaadang

Swelling of both feet

2. TOTIEUK KITEDEKI IKOKU ANAWI KORI KIPEA LOSIBITAR Anikeyei eger a edeke aloapotion TOPEA IKOKU LOSIBITAR KAATIPE If any danger sign, REFER URGENTLY to health facility

Anikemam eger aedeke aloapotion kitedek anawi, kori tolimok ekadakan aikoku ngirotin luitemokino If no danger sign, treat at home and advice care giver

Card 31: AKAAD AIKOKU ANIEDEKA SICK ChILD ReCORDING FORM

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MINISTRY OF HEALTH

REPUBLIC OF KENYA

Integrated Community Case Management (ICCM) for sick children under 5

Turkana County

Community Health Volunteers Job Aid