Table 1.

Simplified algorithm for identifying postpartum maternal infection

Symptoms screened by CHWs	Classification
High fever [temperature 102.4 °F (39.1 °C) or higher]	Suspected PP sepsis
Fever [temperature 100.6 °F - 102.3 °F (38.1 °C – 39.0 °C)]	Suspected PP sepsis if fever present at examination or history of fever AND any other sign or symptom listed is present
History of fever
Lower abdominal or pelvic pain
Abnormal or foul-smelling discharge
Severe Vaginal bleeding	Other suspected illness
Severe headache AND blurred vision
Leaking urine and/or stool
Convulsions or unconscious
Lower abdominal pain (without fever)
Fever only [temperature 100.6 °F - 102.3 °F (38.1 °C – 39.0 °C)]	Suspected Local Infection
History of fever only
Abnormal or foul-smelling vaginal discharge (without fever)
Burning upon micturition
Cough or difficulty breathing
Pus or pain from tear, c- section or episiotomy wound
Swollen, red, or painful breast