Table 3.
Site | Infrastructural strengthening and purpose |
---|---|
Subcentre/PHC/CHC | PDK containing dispersible pediatric amoxicillin tablets (250 mg) PLUS instruction card will be provided by the project. Ten doses of amoxicillin (for a maximum of 5 days) will be kept in transparent envelop with green sticker for children below between 1 and 12 months and yellow sticker for children between 12 and 59 months. Each envelope will also have 4 tablets of paracetemol (500 mg). Within each envelope will have a small card with instructions for use of medicines on one side, and how to monitor a child with clinical pneumonia for improvement and deterioration on the other side will be kept. Instructions will be in Hindi. |
APHC | PMC to treat pneumonia with fast breathing and stabilize &refer pneumonia with lower chest in-drawing with hypoxia (pulse-oximetry< 92%) and severe pneumonia. Project to provide: PDK, Pulse oximeter, spacer with baby mask, salbutamol inhaler. State Government Supply: Earmark ONE existing bed as pediatric pneumonia bed, storage facility for drugs, equipment and patient records and common facilities like 24X7 doctor-nurse; Injectibles: ampicillin, gentamycin, ceftrioxone, corticosteroid; Oral: antipyretics, co-trimoxazole; oxygen, face mask, suction machine and mucus extractors, laryngoscope, endotracheal-tube, ambu-bag, thermometer, pediatric blood pressure instrument. |
CHC | PMU to treat pneumonia with fast breathing and lower chest in-drawing and admit pneumonia with hypoxia (pulse-oximetry< 92%) and severe pneumonia. Project to provide: PDK, Pulse oximeter, spacer with baby mask, salbutamol inhaler. State Government Supply: Earmark TWO existing beds as pediatric pneumonia beds, storage facility for drugs, equipment and patient records and common facilities like 24X7 doctor-nurse; Injectibles: ampicillin, gentamycin, ceftrioxone, corticosteroid and vasopressors (dopamine), calcium, potassium, intravenous fluids like dextrose saline, Ringer Lactate; oral: antipyretics, co-trimoxazole; bronchodilators; oxygen, face mask,suction machine and mucus extractors, laryngoscope, endotracheal-tube, ambu-bag, thermometer, pediatric blood pressure instrument, nebulizer with nebulizer solutions of salbutamol, epinephrine and steroid, intravenous cannula, venous cut-open set, heater/warm air blowers for winter months. |
Abbreviations APHC Additional Primary Health Centre, PHC Primary Health Centre, CHC Community Health Center, PDK Pneumonia Drug Kit, PMC Pneumonia Management Corner, PMU Pneumonia Management Unit