Professional Documents
Culture Documents
childhood illnesses
Definition:
Combine IMCI
Nutrition Immunization
Maternal health
Advantages of integration:
Service is provided
through resources of
health centers and units
with only limited extra
expenses and incentives.
Steps of IMCI:
Signs
•Unable to drink. Classify
• Repeated vomiting. Very severe disease
• Convulsions.
• Lethargic or unconscious.
• Treatment
•Treat convulsions.
• First dose of appropriate antibiotic.
• Treat the child to prevent low blood sugar
• Refer urgently to hospital.
Non No throat
Streptococc
Streptococc problem
al sore
al sore
throat
throat
• Penzathin
• Paracetamol for
penecillin
• Paracetamol for pain
• Soothe the throat
pain
• Soothe the throat with a safe remedy Complete
• follow up in 5 assessment of the
with a safe remedy
sore
throat
IV. Check for ear problem:
Tender Pus is seen draining Pus is seen No ear
swelling from the ear < 14 draining pain or
behind the days from the ear No pus
Or
ear 14 days or draining
Agonizing ear pain
more from the
ear.
Ifsigns: Treatment
Pus is seen draining from
Drythe ear by
the ear 14 days or more
wicking
Refer to ENT
specialist
Chronic ear infection
No ear pain or
No pus draining from the ear.
So.,
No ear infection
Measles
Severe
with eye or
complicated
mouth
measles Measles
complication
s
Paracetamol for
• Paracetamol for
• Give 1st dose of fever
fever
Treat mouth ulcer
antibiotic • Give vit. A
• Paracetamol for fever with gentian violet • Advice the mother
Apply tetracycline
• Treat to prevent low when to retern
blood sugar eye ointment immediately
Give vit. A • Follow up in 2 days
• Apply tetracycline eye
Follow up in 2
ointment
• Give vit. A days Complete assessment of the child
V. Assessment of measles:
If Signs: Treatment
Clouding of cornea, or 1. Give 1st dose of
Deep extensive mouth antibiotic
ulcer, or
2. Paracetamol for fever
Measles now and
pneumonia 3. Treat to prevent low
blood sugar
4. Apply tetracycline eye
ointment
5. Give vit. A
Severe 6. Refer urgently to
complicated hospital
measles
Assessment of measles:
Ifsigns are Treatment
Pus draining from the Paracetamol for
eye, Or fever
Mouth ulcer Treat mouth ulcer
with gentian violet
Apply tetracycline
Measles with eye or eye ointment
mouth complications
Give vit. A
Follow up in 2 days
Assessment of measles:
If signs: Treatment
Measles
measles
VI. Assessment of fever:
Febrile possible
bacterial infection
Assessment of fever:
Ifsigns Treatment
No apparent Paracetamol for
bacterial cause of fever
fever Advice the mother
when to return
immediately
Febrile Follow up in 2
bacterial
infection days
unlikely
Signs Treatment
Visible severe Give Vit. A
wasting, or Treat the child to
Edema of both feet prevent low blood
sugar
Refer urgently to
hospital
severe
malnutrition
Assessment of malnutrition:
Signs Treatment
Low weight for age Counsel the mother
for feeding
Advice the mother
when to return
immediately
Follow up in 30
Low days
weight
Assessment of malnutrition:
Signs Treatment
Not low weight for • Counsel the mother
age and for feeding
No other signs of
malnutrition