INTEGRETED MANAGEMENT OF NEONATAL & CHILDHOOD ILLNESS

INTEGRETED MANAGEMENT OF NEONATAL & CHILDHOOD ILLNESS

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  BVVS SAJJALASHREE INSTITUTE OFNURSING SCIENCES NAVANAGR, BAGALKOT Mr.Shivakumar.Chawan Integrated management of neonatal & childhood illness Introduction  The concept was developed by WHO & UNICEF in mid 1990  It works towards controlling of morbidity & mortality rates among children  It is a curative, preventive & promotive strategy aimed at reducing the death & frequency & severity of illness and disability.  It also contributes to improve growth & development of under-five children. Major components of IMNCI  Improvement of family & community practices towards child health care.  Provision of essential drugs & their supplies.(ors, anti-helminthic drugs, etc)  Betterment of technical skills of health care providers.  Community involvement in health care programmes of children  Equitable distribution of health care facilities & maximum reach out to all pediatric population. Services provided under IMNCI  Vaccination services  Vitamin-A & micro-nutrient supplementation  Breast feeding
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   Management ofARI  Prevention of diarrhea  Prevention of malnutrition  Malaria control programmes  Counseling on various health problems. Principles of IMNCI  Examination of Under-fives: All Children below 5 yrs of age should be examined for the conditions which indicate referral or hospitalization.  Routine assessment: Children must be routinely assessed for major symptoms, nutritional & immunizational status, feeding problems & other potential problems.  Classification of Under-fives: Based on the presence of selected clinical signs, the child is placed in classification.  Colour coding: Classifications are colour coded & suggests - referral (pink), Treatment in health care setting (yellow) and management at home (green).  Involvement of Care takers: Care takers are actively involved in the treatment of children.  Counseling of care takers: about home care including feeding, fluid management, & when to return to the health care setting, etc. IMNCI Case management process 1. Assess the young infant & child 2. Classify the illness 3. Identify the treatment 4. Provide treatment 5. Counsel the mother
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  6. Provide follow-upcare.