Session 1
Promoting Child Survival, Growth and
Development and Apply IMNCI
For:Generic Level IV Health Extension Students
By: course instructors
Arba Minch Ethiopia, 20223
1
Session Objective
At the end of this session, you will be able to;
Define and use all of the keywords
Identify the major causes of under five mortality
Define the importance and objectives of the IMNCI
strategy
Summarize the main steps of the IMNCI case
management process
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Introduction
Ethiopia has recorded significant reduction in childhood
mortality and had achieved the MDG4 target in 2012
Several factors are believed to contribute to the reduction
in under five mortality including;
The improvement in overall socio-economic status
and
The significant increase in access to primary health
care services
However still many children die before their 5th birth day
3
Introduction….
When we see the mortality trend from 2005 to 2019;
Under five mortality decreased from 123 in 2005
to 59 deaths per 1,000 live births in 2019
Neonatal mortality declined modestly from 39 in
2000 to 33 deaths per 1,000 live births in 2019
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Introduction….
In Ethiopia, based on the 2014 WHO/CHERG
estimates, over two-thirds of children deaths are
caused by;
Pneumonia, diarrhea, malaria, measles and
problems of the newborn
At the background of these causes of death are HIV
and malnutrition 2% and 50% respectively
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Causes of under-5 deaths in Ethiopia
Malnutrition
50%
HIV/AIDS
2%
Source: WHO/CHERG, 20146
Components of IMNCI
The IMNCI strategy includes three important
components:
1. Integrated management of ill children in facilities
and health centers
2. Health system strengthening, particularly drugs
and logistics support
3. Community IMNCI, or promotion of key family
and community practices 7
Components of IMNCI…
8
Objectives of IMNCI Strategy
1. To reduce mortality and morbidity associated with
the major causes of disease in children less than five
years of age, and
2. To contribute to the healthy growth and
development of children
9
Advantages of IMNCI
Accurate identification of illness
Focuses on care of the child as a whole and not on the
reason for the visit
Ensures integrated management of all prevalent
illnesses that the child may present
Ensures the early identification and prompt referral
of all seriously ill children
10
Advantages…
More appropriate & combined treatment
Promotes rational use of drugs
Attention to the health needs of the mother
Strengthening of preventive services
11
IMNCI Case Management Process
In order to select the appropriate chart and begin the
IMNCI assessment process knowing the age of child is
necessary
The IMNCI case management process is presented on
two different sets of charts:
One for managing sick young infants aged from birth
up to 2 months and
A separate one for managing sick children aged from 2
months up to five years
12
IMNCI Case Management Process…
A mother may brought her child to a health facility as
an initial visit or as a follow visit;
Initial visit: If this is the child’ s first visit for this
episode of an illness or problem
Follow up: If the child was seen a few days before
for the same illness, this is a follow-up visit
13
IMNCI Case Management Process…
IMNCI case management process has the following
steps:
Assess the young infant or child
Classify the illness
Identify treatment
Treat the young infant or the child
Counsel the mother
Follow-up care provision 14
IMNCI Case Management Process…
Classification
Classify a child’s illnesses using a colour – coded
classification system
Pink/Red : Urgent pre-referral treatment and
referral
Yellow: Specific medical treatment and advice
Green: Simple advice on home management
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IMNCI Case Management Process…
For each visit, when you see the mother, or the child’s
caregiver, with the sick child:
Greet the mother appropriately and ask about the
child
Take the child’s weight, temperature, and
length/height and record the measurements
Ask the mother what the child’s problems are
Determine if this is an initial or follow-up visit for
this problem
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Thank
you!!
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