Ask the mother:

LOOK, LISTEN and FEEL:

Count the breaths in one minute and repeat the count if 60 b/m or more.
Look for severe chest indrawing (the lower chest moving in during inspiration).
Look and listen for grunting.
Look at the umbilicus. Is it red or draining pus?.
Measure the temperature (if the axillary temperature is 37.5°C or above (or feels hot to touch) or temperature less than 35.5°C (or feels cold to touch).
Look for the young infant's movement.
Does the infant move when stimulated?.
Does the infant not move even when stimulated?.
Look for skin pustules.
Look for jaundice (it is a yellow discoloration of the skin or mucous membrane).
Are the skin and eyes yellow.?
Are the palms and soles yellow?.
Is the baby less than 24 hours or more than 14 days?.

Signs	Classification	Treatment
Stop feeding or not feeding well or Fast breathing (60 breaths per minute or more) or Convulsions or Severe chest in drawing or Grunting or Fever (37.5°C or above or feels hot) or low body temperature (less than 35.5°C or feels cold) or Movement only when stimulated or no movement even when stimulated.	VERY SEVERE DISEASE	Give more frequent breastfeeding if the child can breastfeed. Advise the mother about kangaroo care( wrap the whole body with warm cloth including the head. Advise the mother on the need for further referral. Refer URGENTLY to the health centre or hospital.
Red umbilicus or draining pus from the umbilicus OR Skin pustules.	LOCAL BACTERIAL INFECTION	Give more frequent breast-feeding If the child can breastfeed. Advise the mother about kangaroo care. Advise the mother on the need for further referral. Refer to the health centre or /hospital. Advise the mother to keep the young infant warm on the way to health centre or hospital.
None of the signs of severe disease or local bacterial infection.	INFECTION UNLIKELY	Advise the mother to give home care to the young infant Advise the mother when to return immediately