Bibliographic information
Recommendation
In children 2–59 months of age with chest indrawing (with or without fast breathing) and no danger sign (not able to drink or breastfeed, or vomits everything, or has had convulsions, or is lethargic or unconscious, or stridor or hypoxaemia) in settings with functional community health worker (CHW) programmes, WHO suggests the use of community-based care (oral amoxicillin for five days with follow-up visits) rather than standard care (first dose of antibiotics [oral amoxicillin] given by a CHW and referral to a health facility for further management)
Recommended in favor
Conditional
Certainty of evidence
Low
Notes and Remarks
Remarks A functional CHW programme (19) (including trained CHWs equipped with necessary equipment and drugs), with follow-up visits for patients as well as monitoring and evaluation, is necessary to implement this recommendation. The dosage and duration of treatment remain the same as the recommendation for health facility treatment (Recommendation 2a): at least 40 mg/kg per dose twice daily (80 mg/kg per day) for five days.