Every year about 9 million children in developing countries die before they reach their fifth birthday, many of them during the first year of life. Ethiopia has one of the highest under-five mortality rates with more than , children under the age of five dying every year. These diseases are also the reasons for seeking care for at least three out of four children who come to health facilities. IMNCI is an integrated approach to child health that focuses on the wellbeing of the whole child.
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Saying thank you does not seem to be strong enough. God bless you and your work, just begins to express my feelings. Show More. No Downloads. Views Total views. Actions Shares. Embeds 0 No embeds. No notes for slide. Pneumonia, diarrhea, malaria, measles and malnutrition — and often to a combination of these conditions. India, Nigeria, Congo, Pakistan and China. Why Newborn in India 1st Hour 1st Day 1stWeek 1st Month Reasons for the delay in assessment and accessibility of newborn to reach healthcare setting: 1.
Starting of a problem 2. Delay in recognizing problem 3. Home based treatment 4. Delay in selecting health facility 5. Treatment from traditional advisors and village doctors 6. Delay in selecting formal health facility causing delay in treatment and increased cost 7. Increased chances of death of newborn. IMNCI aims to reduce death, illness and disability, and to promote improved growth and development among children under five years of age.
Then Child from 2 months to 5 years of age. Evidence-based, syndromic approach to case management includes rational, effective and affordable use of drugs and diagnostic tools. IMCI Process: 12 They must then be routinely assessed for major symptoms: cough or difficult breathing, diarrhoea, fever and ear problems. Principles of integrated care Contd. A combination of individual signs leads to a child's classification s rather than diagnosis. Assess and classify the sick young infant up to 2 months 19 Are they less than normal?
Are the palms and soles yellow? If yes - how many times in 24 hours? If yes - how often? Observe her breastfeed for 4 minutes.
Is it red or draining pus? Does the redness extend to the skin? Are there many or severe pustules? Less than normal? Is the infant: Lethargic or unconscious? Restless or irritable? Does it go back: Very slowly longer than 2 seconds? Observe the breastfeed for 4 minutes.
Cough or Difficult Breathing? No signs of pneumonia or very severe disease. Diarrhea Does the child have diarrhea? Look for sunken eyes Offer the child fluid. Is the child: Not able to drink or drinking poorly? Drinking eagerly, thirsty? Pinch the skin of the abdomen. Advise the mother to continue breastfeeding If child is 2 years or older and there is cholera in your area, give antibiotic for cholera.
Advise the mother to continue breastfeeding Advise mother when to return immediately. Follow-up in 5 days if not improving.
Not enough signs to classify as some or severe dehydration. Advise mother when to return immediately. Refer to hospital. Follow-up in 5 days. Blood in the stool Dysentery Treat for 5 days with an oral antibiotic recommended for Shigella in your area. Follow-up in 2 days. If yes, for how long? If very low weight for age, follow-up in 30 days. Do you remember how to mix the ORS? How often should you breastfeed your child? Should you breastfeed your child? On what part of the eye do you apply Have you used ointment on your child the ointment?
How much extra fluid will you give after each Do you know how to give extra loose stool? Why is it important for you to wash your hands? Will you remember to wash your hands? Feeding Recommendations 1. Upto 6 months-exclusive breast feeding 2. Advise to return immediately 60 Fast breathing? Is the child: Lethargic or unconscious? If Yes, are they deep and extensive? IfYes, for how long?
Severe palmar pallor?
IMCI set of distance learning modules
The clinical guidelines promote evidence-based assessment and treatment, using a syndromic approach that supports the rational, effective and affordable use of drugs. The approach is designed for use in outpatient clinical settings with limited diagnostic tools, limited medications and limited opportunities to practice complicated clinical procedures. This model IMCI handbook is also a generic document. For example, a faculty may choose to revise or reformat the handbook as a stand-alone document, or to incorporate the contents of the handbook into other materials or textbooks. When the IMCI strategy was initially introduced in your country, a national task force adapted the generic IMCI guidelines and created in-service training materials. The nationally adapted IMCI charts and in-service training modules should be referred to when making technical adaptations to this handbook.