Table 5 Nurse navigating PACK Child with IMCI checklist and RtHB

N

O::kay a::nd uh (.) feeling hot at night? Or during the day?

N writing on IMCI checklist under “Fever” Yes or No

(1.0)

CG

[No::]

N

[No] okay and u::m (.) can I see your hand and the babies hand? ^°I am going to try to be quick^°

N checking ‘Anaemia’ on IMCI checklist

(??)

N

Okay thank you. An::y (.) what is your HIV status Si:si::? ((Sister in isiXhosa))

N working through IMCI checklist “Consider HIV infection”

CG

[Negative]

N

[Your HIV]? Negative

CG

Huh

N

When, when did you, whe:n did you?

CG

You are the one who did la:st month.

N

Heh heh heh [heh heh heh] ((Nurse realises she forgot that CG has already taken HIV test))

CG

[Heh heh heh] When I come with ((name of child))

N

Okay. O::kay. U:H How old is this baby FIRST?

CG

She is 2 years three mo:nths

N opens PACK Child to content page

(3.0)

N looks at RtHB

N

O::kay, we go to a content page which is u::h page um (2) u::hm 50 for cough and also we go for routine care which is page u:h 14. She is, how old is she now?

N opens PACK Child routine care page to check what she needed to do.

CG

Two:: yea::rs

N

Mmm

CG

A:nd 3 months

N

Two years and thre:e months. Two years is here, we must check the weight.

Let’s see the weight, the weight is 16 and where is he:r card? Is here ((child coughs)). HAIBO ((surprised expression in isiXhosa)) SISI you are coughing ne: ((Afrikaans particle word meaning “isn’t that so” used for emphasis))

N reading from routine care page

N searching for RtHB

CG

Mm

N

16 point (.) plot the wei::ght. 16 point 6. She is 2 years a::nd?

N plotting weight in RtHB

CG

Three months.

N

And three mo::nths (1) March April May June Ju:ly (2) and is 16 point six (2) hmm (12.0) sixteen (.) which is 16 point 6 (.) Yoh! She is growing very well ne

N showing CG that child is growing well.