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![Assessment of young child
2 months – 5 years
General danger signs
Ask about main symptoms [coughing/ breathing
difficulty]
diarrhea
Malnutrion
Anamia
Immunization - prophylactic vit A, iron & folic
acid supplement](https://image.slidesharecdn.com/imnci-130517223643-phpapp02/75/IMNCI-Intregrated-Management-of-Neonatal-and-childhood-illness-27-2048.jpg)
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IMNCI - Intregrated Management of Neonatal and childhood illness
IMNCI is an integrated approach to child health that focuses on the major causes of child mortality for children aged 1 week to 5 years. It assesses children's nutritional status, illness symptoms, and provides clinical classifications and home or facility-based treatment recommendations. The goal is to reduce child mortality by training health workers to properly examine, classify, counsel and treat children according to the IMNCI guidelines.
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IMNCI focuses on child health, addressing common causes of mortality in infants and young children.
IMNCI aims to assess child survival indicators and establish baseline mortality and morbidity data.
Investigates the causes of under-5 mortality, health practices, and caregiver competencies for child health.Principles of sick child assessments and classification systems by color code for effective management.
Training levels in IMNCI focus on both in-service and pre-service education for effective child care practices. Detailing care practices for infants and young children, including illness management and nutritional guidance.
Focuses on vaccination schedules, vitamin supplementation, and feeding recommendations for different age groups.
IMNCI is a promising strategy for child survival, emphasizing evidence-based management to meet health goals.
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IMNCI - Intregrated Management of Neonatal and childhood illness
- 2. DEFINITION: IMNCI is anintegrated approach to child health that focuses on the well being of the whole child. It focussed primarily on the most common causes of child mortality-diarrhea, pneumonia, measles, malaria, and malnutrition, illness affecting children aged 1 week – 2 months, 2 months -5 year including both preventive and curative elements to be implemented by families.
- 3. Beneficiaries of IMNCI *careof young infants for new borns(under 2months) *young children(2months-5yrs)
- 4. GOAL To assess currentstatues of child survival indicators and process indicators for existing programme activities in intervention and compassion districts.
- 5. OBJECTIVES *To determine baselinemortality among children under 5yrs of age(NMR,IMR,USMR) *To determine prevalence of fever,loose stools,cough and any other illness(morbidity density)in two weeks prior to day of field survey among children under 5yrs of age. *To assess effective programme coverage for specified disease condition(cough with fast breathing)occuring in two weeks prior to day of field survey
- 6. *Causes of under5 mortality and path way analysis of events prior to death and recovery of sick under 5 children *Sickness management practices at house hold,community level and health facility level. *Sickness and care providing competencis of health care providers(doctors,health workers and other community level non convectional service providers) *Health system support for man power,legistics,referal mechanism,intersectoral coordination,social moliblisation and monitoring and supervision.
- 7. COMPONENTS *HEALTH WORKER COMPONENT Casemanagement skills *HEALTH SERVICE COMPONENT Improvement in overall health *COMMUNITY COMPONENT Improvements in family and community health care practices
- 8. IMPLEMENTATION OF IMNCI *adoptingan integrated approach to child health and development in the national health policy. *adapting the IMNCI clinical guidelines to countries needs, available drugs, policies and to the local foods and language used by the population. *up grading care in local clinics by training health workers in new method examine and treat children and to effectively council parents. *making up grade care possible by insuring that enough of the right low-cost medicines and simple equipment are available.
- 9. *strengthening care inhospitals for those children too sick to be treated in an out patient clinic *developing support mechanism within communities for preventing disease,for helping families to care for sick children and for getting children to clinics or hospitals when needed.
- 10. PRINCIPLES *All sick younginfants upto two months must be assessed for baerial infection/jaundice and major symptoms of diarrhea *all sick children 2months to 5yrs must examine for general danger signs which indicate the need for referral or admission to a hospital *all young infants and child 2months-5yrs of age must be routinely assessed for nutritional and immunisation status,feeding problems and other potential problems
- 11. *Only a limitednumber of care fully selected clinical signs are used based on evidence of drugs sensitivity and specificity to detect disease. *A combination of individual signs leads to an infants or childs classification rather than diagnosis.
- 12. CLASSIFICATION ACCORDING TOCOLOR CODE COLOR *pink *yellow *green CLASSIFICATION Hospital referral or admission Initiation of special treatment Home management
- 13. TRAINING IN IMNCI Trainingis at 2 levels *Inservice training for the existing staff *Pre service training
- 14. CARE OF CHILDRENACCORDING TO IMNCI 0-2 MONTHS *keeping the child warm *intiation of breast feeding. *counselling for exclusive breast feeding. *cord,skin and eye care. *recognition of illness in newborn and management and/referral. *immunisation *home visit in the post natal period.
- 15. 2MONTHS-5YRS *management of diarrhea,ARI,malaria,measels,acute earinfecton,mal nutrition and anemia. *recognition of illness and risk. *prevention and management of iron and vitaminA deficiency *counselling on feeding for all chilkdren below 2yrs. *counselling on feeding for malnutrished. *immunization
- 16. Assessment of sickyoung infant upto 2 months Possible bacterial infection / jaundice Does the infant have diarrhea Feeding problems Immunization status
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- 19. IN CASE OFDIARRHEA
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- 26. TEACHING & COUNSELING Teach mother to keep infant warm. Teach correct position for breast feeding Advice on home care of young infant Advice mother to return immediately if danger signs present
- 27. Assessment of youngchild 2 months – 5 years General danger signs Ask about main symptoms [coughing/ breathing difficulty] diarrhea Malnutrion Anamia Immunization - prophylactic vit A, iron & folic acid supplement
- 28. In case ofdiarrhea
- 29. In case offever
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- 32. IMMUNIZATION AGE VACCINE Birth BCG, OPV ,Hepatitis 6 WEEKS BCG(if not given). OPV-1,HIB 1, DPT 1 10 WEEKS- POV -2 , DPT 2, HEP B 2 14 WEEKS OPV 3, DPT 3, HEP B 3 9MONTHS MEASLES , VIT A 16- 18 MONTHS DPT, OPV,VIT A
- 33. Vit A Prophylaxis 9 months - 1 lakh unit 16 – 36 months - 2 lakh unit
- 34.
- 35. IRON & FOLICACID AGE / WEIGHT PAEDIATRIC TABLET 4-24 MONTHS (6-12 KG) 1 TABLET 2 YRS - 5 YRS ( 12 – 19 KG) 2 TABLET VITAMIN A 6 – 12 MONTHS 1 ML 12 – 5 YRS 2 ML
- 36. FEEDING RECOMMENDATION 0-6 MONTHS Breastfeed as often as child want Do not give any other food Continue breast feeding if child is sick
- 37. 6 – 12months Breast feed as often Give smashed roti, rice, bread, biscuit, undil: milk or vegetables Keep child on your lap Wash childs hand before feeding
- 38. 12 – 2yrs Breast feed as often Offer family food Sit by the side of child Wash hands with soap
- 39. > 2 years Givefamily food Ensure that child finishes the serving Teach child to wash hands
- 40. CONCLUSION IMNCI strategy hasemerged as a promising approach to deal with issues related to child survival. Major strength is it use evidence based management decisions This approach could help country to achieve millenium goal.