Danger Signs of Severe Respiratory Infection (Picture 1.4) Mother A and Father A are taking a child wrapped in a blanket to the clinic. Repeat the image from Module 3, Picture 5.4C. Draw arrows from Picture B, C, D, E and F pointing to Picture A. A child (20 months old) sitting with his mouth open on his mother’s lap. He is not wearing a shirt. He is inhaling (his lower belly is out). Draw crooked lines coming out of his mouth showing that his breath is making noise. His mother has her hand cupped around her ear. She is turning her ear towards the child (listening). Draw an arrow pointing into his mouth to show the child is breathing in. When you signs of severe infection, take the child immediately to the clinic. When the child breathes in, there is a harsh noise. A large image of a child (20 months old) sitting down. His mouth is open and there is a puff of air coming out of his mouth. In a smaller image above the child we see two children (5 years of age) are running as fast as they can. There are lines of motion behind them. One child (in front) has stopped. He is stooping over with his hands on his knees. He has lifted up his head and is panting (breathing very fast). There is a puff of air coming out of his mouth. A large image of a child (20 months old) lying on his back. He is not wearing a shirt. His mouth is open. There is an arrow pointing into the mouth (he is breathing in). There is an adult hand pointing to the skin just under the ribs. The skin is sunken (caved in) in a line just under the ribs and in between the two bottom ribs. See the following website for a video: Child is breathing much faster than normal. Lower chest goes in when the child breaths in. These are signs of pneumonia. Child (20 months old) coughing. There is a calendar behind him with 30 days marked off. Confirm that these danger signs match those given by the MOH. Repeat picture 5.4 from Module 3 of a child with fever. Child coughs or has difficulty breathing for more than 30 days. Child has fever or any other childhood danger sign.
Healthy Feeding prevents Respiratory Infection (Picture 5.3) Repeat image and foods used for Module 2, Lesson 2, Nutrient Rich Foods for children 12 to 23 months. Health Managers: please fill in the nutritious foods that represent each food group for this picture. Of Great Worth (20 months) is sitting at the bottom eating from a bowl of family foods. Add a variety of foods to the local staple food (such as sorghum, manioc, corn or rice) each day to prevent infection. Of Great Worth is sitting next to Hardship. Both children are coughing. Hardship looks very thin and weak. Above each child are three months of the calendar. On the calendar behind Of Great Worth, there are black X’s on five days in the second month only. Behind Hardship, there are black X’s on seven days in the first month, four days in the second month and the last three days of the third month. Below Of Great Worth is a variety of foods like: peanuts, sorghum, papaya, oil, and green leafy vegetables (include one food from each circle above). Below Hardship there is just cassava/manioc (insert local staple food only). A close up of the upper body of each child from picture C. Both child are coughing. Hardship is leaning over and in pain from the cough. The cough is shaking his entire upper body. Of Great Worth is coughing, but the cough is not as strong. He is not leaning over. His upper body is calm. Children who eat well get sick less often. Children who don’t eat well are more likely to die from illness.
Reduce Indoor Smoke to prevent Respiratory Infections (Picture 5.4) Draw a picture of a tree by the stream. Under the tree is a cooking fire. The branches above the fire are black and the leaves have fallen off. There is no fruit on the tree. The tree looks smaller and less healthy than picture 5.1A. Health Managers: If there is another analogy that works better than using the fire under the tree, please adapt as appropriate.. Mother A is sitting next to a cooking fire. There are long rectangular holes along the top of the wall in addition and two windows on each side of the fire. The smoke is flowing out of the room through the holes at the top. Smoke prevents a tree from growing well. Likewise, smoke harms children who breathe it every day. When cooking, open doors and windows. Add vents to let out smoke. Mother A is cooking. The doors and windows are open in the cooking room. We can see Of Great Worth strapped onto the back of (the 9 year old boy if appropriate or the 4 year old girl). They are sitting outside. A group of men are smoking together in the shade of a tree. Two small children are approaching. One man is standing up and holding both hands with palms facing the children. He is telling them to not to come closer. Discourage children from sitting in cooking rooms. Smoke in the open air. Keep small children away.