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IMCI

Dr. Bulemela Janeth
(Mmed. Pead)

IMCI for athens

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both in the decrease of childhood mortality and in improving the quality of life of young children all over the world.• WHO and UNICEF started to develop the IMCI strategy in 1992. RATIONALE FOR AN INTEGRATED APPROACH • Every year almost 10 million children die before they reach their fifth birthday. A majority of these deaths caused by just five preventable and treatable conditions IMCI for athens 2 . and today more than 100 countries worldwide have adopted it.  • The implementation of the IMCI strategy produces impressive results.

Strategy objectives Focuses on  Improving case management skills of health-care providers  Improving overall health systems  Improving family and community health practices. • The current challenge for the IMCI strategy is to scale up activities to ensure the appropriate and effective use of IMCI principles and clinical guidelines by all types of health-care providers. IMCI for athens 3 .

• The assess and classify part of the training is divided into following units: • Ask the mother about the child's problems • Check for general danger signs (INABILITY TO FEED. CONVULSION. LOSS OF CONSCIOUSNESS) IMCI for athens 4 .CHILD OF 2 MONTHS UP TO 5 YEARS   • how to assess a sick child and classify the child's illness. • You will also how to interact with the child's mother or other caregiver who brings the child to you.

• Assess main symptoms among which: – Cough or difficulty breathing – Diarrhoea – Fever • Check for malnutrition and anaemia • Check immunization status IMCI for athens 5 .

• Both first. the next step is to identify the necessary treatment.and second-line oral antibiotics and antimalarials are included.• After you have assessed a sick child and classified his or her illness or illnesses. intramuscular drugs and other treatments presented in the IMCI charts are recommended for first-level health facilities in particular country. • The oral drugs.   IMCI for athens 6 .

easy to give and inexpensive. or if the child's illness does not respond to the first-line drug.• First-line drugs were chosen because they are effective. • You should give a second-line drug only if a first-line drug is not available. IMCI for athens 7 .

IMCI for athens 8 . feeding and fluids at home. • advise the mother when to return for follow-up. Therefore : how to assess feeding and counsel the mother about feeding.Counsel the mother • A child who is seen at the clinic needs to continue treatment. • and teach her the signs that mean she should bring the child back to the clinic immediately for further care.

follow up • • • Assess feeding and make recommendations At a follow-up visit you can see if the child is improving on the drug or other treatment that was prescribed. Some children may not respond to a particular antibiotic or antimalarial. to be sure they are being fed adequately and are gaining weight.   IMCI for athens 9 . • Follow-up is especially important for children with a feeding problem. • Children with persistent diarrhoea need follow-up to be sure that the diarrhoea has stopped. and you may need to try a second drug. • A follow-up visit is different from a child's initial visit for a problem .

you will assess. • The processes of managing a young infant aged up to 2 months or a sick child aged 2 months up to 5 years are very similar.SICK YOUNG INFANT. • But young infants have special characteristics that must be considered when classifying their illnesses. • For this reason. IMCI for athens 10 . classify and treat the young infant in a somewhat different way from the way you would deal with an older infant or young child.

such as asphyxia.• IMCI does not include the management of conditions related to labour and delivery. sepsis from prematurely ruptured membranes or other intrauterine infection. or conditions due to immaturity.   IMCI for athens 11 . birth trauma. • or the conditions of a newborn child that require special management.

IMCI for athens 12 .Young infants have special characteristics that must be considered when classifying their illnesses. • They can become sick and die very quickly from serious bacterial infections.

• They frequently have only a very few general danger signs such as  "movements only when stimulated". • Mild chest indrawing is normal in young infants because their chest wall is soft. IMCI for athens 13 .  "fever". or  "low body temperature".

• Check for pus draining from the eyes. Then classify the young infant based on the signs found.Steps of management: • Determine whether this is an initial or followup visit for these problems. Then classify according to severity.   This part has the steps to assess and classify a sick young infant at an initial visit: • Check for very severe disease and local infection. Then classify the young infant based on the signs found. • Check for jaundice. IMCI for athens 14 .

Then classify for HIV infection.• Ask about diarrhoea. IMCI for athens 15 . Classify the young infant for dehydration. • Ask about mother and the child HIV status. Then classify feeding. assess the related signs. • Check for birth weight and gestational age for infants less than 7 days. Then classify appropriately. • Check for feeding problem or low weight. If the infant has diarrhoea. • Check the young infant's immunization and assess any other problems. This includes assessing breastfeeding.

• At a follow-up visit you can see if the young infant is improving on the treatment that was prescribed. • Tell their mothers when to come for a follow-up visit. IMCI for athens 16 . and you can make any necessary adjustments to the treatment. • Some young infants may not respond to the treatment that was prescribed and may need referral.• Some young infants need to return to the clinic for follow-up.

• If a young infant needs urgent referral. • The steps you take at a follow-up visit are different from those you take at an infant'Identify treatment for the young infant.• Follow-up is especially important for infants with a feeding problem and low weight to be sure they are being fed adequately and are gaining weight. If a young infant needs treatment at home. you need to decide how to treat the infant. give urgent pre-referral treatment before the patient is transferred. IMCI for athens 17 .

References • ICATT IMCI IMCI for athens 18 .