Interventions for Non-migraine headache

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Age Cohort: Pregnancy and newborn

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education and awareness creation/information to communities on headaches including prevention measures Community Health worker training on headaches prevention, recognition and management at the community level	Guidance to patient on Practicing healthy behaviors including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers -such as caffeine Adherence to any medication as prescribes		Recognition of features indicative of non-migraine headache including, Mild to moderate, non-pulsating pain on both sides of the head, Pain that's not worsened by physical activity, one sided headache (headaches not accompanied by nausea or vomiting, as is often the case with migraine Drinking plenty of water Use of over the counter pain killers such as ibuprofen keeping a headache diary to study the patterns of the headache and associated symptoms Guidance to patient on relaxation techniques including; heat therapy, such as applying warm compresses or taking a warm shower massage meditation neck stretching relaxation exercises Identify warning features of serious headaches such as vomiting, blurred vision Referral to a health facility for management of serious headaches
Primary Care
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Physical and clinical examination Diagnosis of headaches based on the history and clinical features Guidance to patient on keeping a headache diary to study the patterns of the headache and associated symptoms Medication -use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Referral to a hospital for management of serious headaches or headaches due to other underlying conditions
Referral Facility: General
	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers -such as caffeine Adherence to any medication as prescribes		Physical and clinical examination Identify and distinguish the different types of non-migraine headaches based the clinical features including; For tensional headache, usually mild or moderate, more generalized and typically described as pressure or tightness For cluster headache, severe headache strictly unilateral around the eye red and watering eyes with running or blocked nostrils and marked agitation Medication over use headache-usually due to chronic use of medication mainly for migraine or tension headache (usually diagnosed if symptoms improve within 2 months of medicine withdrawal) Encourage patient to keep a headache diary to study the patterns of the headache and associated symptoms Medication -use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Management of any underlying conditions causing headaches Patients follow up
Referral Facility: Specialist
	Adherence to any medication as prescribes Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers -such as caffeine Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, drinking plenty of water daily, Management of stress. Practicing relaxation techniques		Physical and clinical examination Identify and distinguish the different types of non-migraine headaches based the clinical features including;- For tensional headache, usually mild or moderate, more generalized and typically described as pressure or tightness For cluster headache, severe headache strictly unilateral around the eye red and watering eyes with running or blocked nostrils and marked agitation Medication over use headache-usually due to chronic use of medication mainly for migraine or tension headache (usually diagnosed if symptoms improve within 2 months of medicine withdrawal) Encourage patient to keep a headache diary to study the patterns of the headache and associated symptoms Medication -use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Management of any underlying conditions causing headaches Patients follow up

Age Cohort: < 5 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education and awareness creation information to communities on headaches including prevention measures Community Health worker training on headaches prevention, recognition and management at the community level
Primary Care

Referral Facility: General
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures
Referral Facility: Specialist
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures

Age Cohort: 5 - 11 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Recognition of features indicative of non-migraine headache including, Mild to moderate, non-pulsating pain on both sides of the head; Pain that's not worsened by physical activity; one sided headache (headaches not accompanied by nausea or vomiting, as is often the case with migraine Drinking plenty of water Use of over the counter pain killers such as ibuprofen keeping a headache diary to study the patterns of the headache and associated symptoms Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches such as vomiting, blurred vision Referral to a health facility for management of serious headaches
Primary Care
Provide information to school age children on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Physical and clinical examination Diagnosis of headaches based on the history and clinical features Guidance to patient on keeping a headache diary to study the patterns of the headache and associated symptoms Medication -use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Referral to a hospital for management of serious headaches or headaches due to other underlying conditions
Referral Facility: General
	Guidance to patient on Practicing healthy behaviors. Including Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Physicaland clinical examination Identify and distinguish the different types of non-migraine headaches based the clinical features including; For tensional headache, usually mild or moderate; more generalized and typically described as pressure or tightness For cluster headache, severe headache strictly unilateral around the eye, red and watering eyes with running or blocked nostrils and marked agitation Medication over use headache -usually due to chronic use of medication mainly for migraine or tension headache (usually diagnosed if symptoms improve within 2 months of medicine withdrawal) Encourage patient to keep a headache diary to study the patterns of the headache and associated symptoms Medication -use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer,HIV, headache with motor weakness could indicate stroke, Management of any underlying conditions causing headaches Patients follow up
Referral Facility: Specialist
	Guidance to patient on Practicing healthy behaviors. Including Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Physical and clinical examination Identify and distinguish the different types of non-migraine headaches based the clinical features including; For tensional headache, usually mild or moderate; more generalized and typically described as pressure or tightness For cluster headache, severe headache strictly unilateral around the eye, red and watering eyes with running or blocked nostrils and marked agitation Medication over use headache -usually due to chronic use of medication mainly for migraine or tension headache (usually diagnosed if symptoms improve within 2 months of medicine withdrawal) Encourage patient to keep a headache diary to study the patterns of the headache and associated symptoms Medication -use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer,HIV, headache with motor weakness could indicate stroke, Management of any underlying conditions causing headaches Patients follow up

Age Cohort: 12 - 24 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education and awareness creation/information to communities on headaches including prevention measures Community Health worker training on headaches prevention, recognition and management at the community level	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers -such as caffeine Adherence to any medication as prescribes		Recognition of features indicative of non-migraine headache including, Mild to moderate, non-pulsating pain on both sides of the head, Pain that's not worsened by physical activity, one sided headache (headaches not accompanied by nausea or vomiting, as is often the case with migraine Drinking plenty of water Use of over the counter pain killers such as ibuprofen keeping a headache diary to study the patterns of the headache and associated symptoms Guidance to patient on relaxation techniques including; heat therapy, such as applying warm compresses or taking a warm shower massage meditation neck stretching relaxation exercises Identify warning features of serious headaches such as vomiting, blurred vision Referral to a health facility for management of serious headaches
Primary Care
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures	Guidance to patient on Practicing healthy behaviors. Including Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Physical and clinical examination Diagnosis of headaches based on the history and clinical features Guidance to patient on keeping a headache diary to study the patterns of the headache and associated symptoms Medication-use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Referral to a hospital for management of serious headaches or headaches due to other underlying conditions
Referral Facility: General
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Physical and clinical examination Identify and distinguish the different types of non-migraine headaches based the clinical features including; For tensional headache, usually mild or moderate, more generalized and typically described as pressure or tightness For cluster headache; severe headache strictly unilateral around the eye; red and watering eyes with running or blocked nostrils and marked agitation Medication over use headache -usually due to chronic use of medication mainly for migraine or tension headache (usually diagnosed if symptoms improve within 2 months of medicine withdrawal) Encourage patient to keep a headache diary to study the patterns of the headache and associated symptoms Medication-use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Management of any underlying conditions causing headaches Patients follow up
Referral Facility: Specialist
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Physical and clinical examination Identify and distinguish the different types of non-migraine headaches based the clinical features including; For tensional headache, usually mild or moderate, more generalized and typically described as pressure or tightness For cluster headache; severe headache strictly unilateral around the eye; red and watering eyes with running or blocked nostrils and marked agitation Medication over use headache -usually due to chronic use of medication mainly for migraine or tension headache (usually diagnosed if symptoms improve within 2 months of medicine withdrawal) Encourage patient to keep a headache diary to study the patterns of the headache and associated symptoms Medication-use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Management of any underlying conditions causing headaches Patients follow up

Age Cohort: 25 - 59 years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education and awareness creation/information to communities on headaches including prevention measures Community Health worker training on headaches prevention, recognition and management at the community level	Guidance to patient on Practicing healthy behaviors. Including getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Recognition of features indicative of non-migraine headache including, Mild to moderate, non-pulsating pain on both sides of the head; Pain that's not worsened by physical activity, one sided headache (headaches not accompanied by nausea or vomiting, as is often the case with migraine Drinking plenty of water Use of over the counter pain killers such as ibuprofen keeping a headache diary to study the patterns of the headache and associated symptoms Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches such as vomiting, blurred vision Referral to a health facility for management of serious headaches
Primary Care
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Physical and clinical examination Diagnosis of headaches based on the history and clinical features Guidance to patient on keeping a headache diary to study the patterns of the headache and associated symptoms Medication-use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Referral to a hospital for management of serious headaches or headaches due to other underlying conditions
Referral Facility: General
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures			Physical and clinical examination Identify and distinguish the different types of non-migraine headaches based the clinical features including; For tensional headache, usually mild or moderate, more generalized and typically described as pressure or tightness For cluster headache, severe headache strictly unilateral around the eye, red and watering eyes with running or blocked nostrils and marked agitation Medication over use headache-usually due to chronic use of medication mainly for migraine or tension headache (usually diagnosed if symptoms improve within 2 months of medicine withdrawal) Encourage patient to keep a headache diary to study the patterns of the headache and associated symptoms Medication -use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Management of any underlying conditions causing headaches Patients follow up
Referral Facility: Specialist
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures			Physical and clinical examination Identify and distinguish the different types of non-migraine headaches based the clinical features including; For tensional headache, usually mild or moderate, more generalized and typically described as pressure or tightness For cluster headache, severe headache strictly unilateral around the eye, red and watering eyes with running or blocked nostrils and marked agitation Medication over use headache-usually due to chronic use of medication mainly for migraine or tension headache (usually diagnosed if symptoms improve within 2 months of medicine withdrawal) Encourage patient to keep a headache diary to study the patterns of the headache and associated symptoms Medication -use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Management of any underlying conditions causing headaches Patients follow up

Age Cohort: 60+ years

Health Promotion	Disease Prevention	Diagnostic	Curative	Rehabilitative	Palliative
Community Level
Education and awareness creation/information to communities on headaches including prevention measures Community Health worker training on headaches prevention, recognition and management at the community level	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Recognition of features indicative of non-migraine headache including, Mild to moderate, non-pulsating pain on both sides of the head, Pain that's not worsened by physical activity, one sided headache (headaches not accompanied by nausea or vomiting, as is often the case with migraine Drinking plenty of water Use of over the counter pain killers such as ibuprofen keeping a headache diary to study the patterns of the headache and associated symptoms Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches such as vomiting, blurred vision Referral to a health facility for management of serious headaches
Primary Care
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non migraine head aches, their prevention and treatment measures	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Physical and clinical examination Diagnosis of headaches based on the history and clinical features Guidance to patient on keeping a headache diary to study the patterns of the headache and associated symptoms Medication -use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Referral to a hospital for management of serious headaches or headaches due to other underlying conditions
Referral Facility: General
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non- migraine headacheas, their prevention and treatment measures	Adherence to any medication as prescribes Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques		Physical and clinical examination Identify and distinguish the different types of non-migraine headaches based the clinical features including; For tensional headache, usually mild or moderate, more generalized and typically described as pressure or tightness For cluster headache, severe headache strictly unilateral around the eye, red and watering eyes with running or blocked nostrils and marked agitation Medication over use headache-usually due to chronic use of medication mainly for migraine or tension headache (usually diagnosed if symptoms improve within 2 months of medicine withdrawal) Encourage patient to keep a headache diary to study the patterns of the headache and associated symptoms Medication-use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Management of any underlying
Referral Facility: Specialist
Provide information to on headaches their prevention measures and their treatment. Health workers training on the different types on non- migraine headacheas, their prevention and treatment measureseir treatment.	Guidance to patient on Practicing healthy behaviors Including; Getting plenty of sleep, Staying physically active, Eating healthy meals and snacks, Drinking plenty of water daily, Management of stress. Practicing relaxation techniques Advice to patient on monitoring the pattern of the headache/keeping a headache diary Guidance on avoidance of headache triggers-such as caffeine Adherence to any medication as prescribes		Physical and clinical examination Identify and distinguish the different types of non-migraine headaches based the clinical features including; For tensional headache, usually mild or moderate, more generalized and typically described as pressure or tightness For cluster headache, severe headache strictly unilateral around the eye, red and watering eyes with running or blocked nostrils and marked agitation Medication over use headache-usually due to chronic use of medication mainly for migraine or tension headache (usually diagnosed if symptoms improve within 2 months of medicine withdrawal) Encourage patient to keep a headache diary to study the patterns of the headache and associated symptoms Medication-use of analgesics such as ibuprofen Guidance to patient on relaxation techniques including; Heat therapy, such as applying warm compresses or taking a warm shower Massage Meditation Neck stretching Relaxation exercises Identify warning features of serious headaches or headaches due to underlying conditions such as new headache in a patient with cancer, HIV, headache with motor weakness could indicate stroke, Management of any underlying