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1 Background
Pages 1-4

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From page 1...
... Because there is considerable overlap in signs and symptoms of several of the major diseases, a single diagnosis focusing on the most apparent problem may lead to an associated condition being overlooked. · With separate disease-specific guidelines and training, the health worker was left the difficult task of integration during his or her encounter with the sick child.
From page 2...
... . The major purpose of the SCI is to train primary health care providers to diagnose diseases and prescribe the appropriate treatment at the health center level, or to refer cases with complications immediately to a district hospital.
From page 3...
... As a result, rather than focusing solely on its responses to the specific questions posed by USAID, the CIN has also addressed larger contextual concerns related to the nutrition components of the SCI. Based on the expertise and experience of individual members, the committee has provided detailed comments and suggestions about selected nutrition components, while others are discussed in a more general fashion.
From page 4...
... 4 SICK CHILD INITIATIVE management of childhood diarrhea and acute respiratory infection may explain, in part, why the components of the algorithms that deal with these illnesses have received more attention and field testing than those relating to nutrition. The committee hopes that its comments will help WHO and other organizations as they move to address this imbalance in further development of the SCI.


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