The normal protocol is to refer to the nearest health facility for further treatment for complicating factors such as TB or HIV/AIDS, etc.

Dear Rogers W, In issue 34 Field Exchange, there is an article by Prof Mike Golden and Yvonne Grellety on exactly that subject and a suggested algorithm. You can download the article in html at: http://fex.ennonline.net/34/failure.aspx If you would like a print copy of the issue (free), register your details on the ENN website. Best regards Marie, ENN