Top Ten NCM 104 2B

1. Fajardo, Erica Mae

2. Takeda, Rena
3. Funtanares, Genelle
4. Roncesvalles, Margie
5. Reyes, Angeline
Top Ten NCM 104 2B
6. Galarza, Marilou
7. Pascual, Jeremy
8. Clores, Hennah Kristel
9. Mayores, Micah Sairah
10. Ceas, Rica Mae
Integrated
Management Of
Childhood Illness
(IMCI)
Objectives
1. Discuss the different condition of infants
and children before the age of 5 included
in the IMCI.
2. Make a thorough assessment of infants
and children with different illness
3. Explain the principles and strategy of
management
Background
Every year, about 2.5 million children die
in the first month of life, with 98% of
these deaths occurring in developing
countries. In 2017, 47% of all under-5
child deaths were among newborn
infants. Neonatal infections, including
sepsis and meningitis, were estimated
to cause over 350 000 deaths each
year, with 150 000 attributed to
pneumonia.
Integrated Management of Childhood
Illness (IMCI) strategy, introduced in
1995, is still one of the cornerstones
to addressing the child preventable
mortality.
The vast majority of newborn deaths
takes place in low and middle-income
countries.
Principles of Integrated Clinical
Case Management
IMCI clinical guidelines are based on the following principles
 Examining all sick children age up to five years of age for general
danger signs and all young infants for signs of very severe disease.
These signs indicate severe illness and the need for immediate
referral or admission to hospital
 The children and infants are then assessed for main symptoms:
In older children the main symptoms include
cough or difficulty of breathing
• Diarrhea
• Fever
• Ear infection
• In young infants the main symptoms include;
• Local bacterial infection
• Diarrhea
• Jaundice
 Then all sick children are routinely checked for
nutritional and immunization status

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• HIV status in high settings and other potential problems
 Only a limited number of clinical signs are used, selected on the basis of
their sensitivity and specificity to detect disease through classification.
 A combination of individual signs leads to a child’s classification within
one or more symptoms groups rather than a diagnosis. The classification
of illness is based on a color-coded triage system
 Pink- indicates urgent hospital referral or admission
 Yellow- indicates initiation of specific outpatient treatment
 Green-indicates supportive home care

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 IMCI management procedures use a limited number of essential
drugs and encourage active participation of caregivers in the
treatment of their children.
 An essential component of IMCI is the counselling of caregivers
regarding home care
1. Appropriate feeding and fluids
2. When to return to the clinic immediately
3. When to return for follow up

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 TRANSITION
HEADLINE
1 Let’s start with the first set of slides
“ Quotations are commonly
printed as a means of
inspiration and to invoke
philosophical thoughts from
the reader.

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• Here you have a list of items
• And
THISsomeIS
textA SLIDE TITLE
• But remember not to overload your slides
with content
Your audience will listen to you or read the
content, but won’t do both.

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A PICTURE IS
WORTH A
THOUSAND WORDS
A complex idea can be conveyed
with just a single still image,
namely making it possible to
absorb large amounts of data
quickly.

15
BIG
CONCEPT
Bring the attention of your audience
over a key concept using icons or
illustrations

16
YOU CAN ALSO SPLIT YOUR
CONTENT
White Black
Is the color of milk and Is the color of ebony
fresh snow, the color and of outer space. It
produced by the has been the symbolic
combination of all the color of elegance,
colors of the visible solemnity and authority.
spectrum.

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18
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IN TWO OR THREE COLUMNS
Yellow Blue Red
Is the color of gold, Is the colour of the Is the color of
butter and ripe clear sky and the blood, and because
lemons. In the deep sea. It is of this it has
spectrum of visible located between historically been
light, yellow is violet and green on associated with
found between the optical sacrifice, danger
green and orange. spectrum. and courage.

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USE DIAGRAMS TO EXPLAIN
YOUR IDEAS
Lorem ipsum

Vestibulum congue
tempus

Lorem ipsum Lorem ipsum

Vestibulum congue Vestibulum congue

tempus tempus

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AND TABLES TO COMPARE DATA

A B C

Yellow 10 20 7

Blue 30 15 10

Orange 5 24 16

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89,526,124
Whoa! That’s a big number, aren’t you proud?

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89,526,124$
That’s a lot of money

185,244 users
And a lot of users

100%
Total success!

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OUR PROCESS IS EASY
Lorem ipsum dolor sit amet, consectetur
Lorem adipiscing elit. Duis sit amet odio vel purus
bibendum luctus.

Lorem ipsum dolor sit amet, consectetur

Ipsum adipiscing elit. Duis sit amet odio vel
purus bibendum luctus.

Lorem ipsum dolor sit amet,

Dolor consectetur adipiscing elit. Duis sit

amet odio vel purus bibendum
luctus.

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LET’S REVIEW SOME CONCEPTS
Yellow
Is the color of gold, butter
and ripe lemons. In the
spectrum of visible light,
yellow is found between
green and orange.
Yellow
Is the color of gold, butter
and ripe lemons. In the
spectrum of visible light,
yellow is found between
green and orange.
Blue
Is the colour of the clear
sky and the deep sea. It is
located between violet
and green on the optical
spectrum.
Blue
Is the colour of the clear
sky and the deep sea. It is
located between violet
and green on the optical
spectrum.
Red
Is the color of blood, and
because of this it has
historically been
associated with sacrifice,
danger and courage.
Red
Is the color of blood, and
because of this it has
historically been
associated with sacrifice,
danger and courage.
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THANKS!
Any questions?
You can find me at:
• @username
• user@mail.me

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CREDITS
Special thanks to all the people who
made and released these awesome
resources for free:
• Presentation template by
SlidesCarnival
• Illustrations by Pablo Stanley
• Photographs by Unsplash

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PRESENTATION DESIGN
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• Body copy: News Cycle
Download for free at:
https://www.1001fonts.com/cabin-condensed-font.html
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You don’t need to keep this slide in your presentation. It’s only here
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For PowerPoint and 100% free for personal or Ready to use, professional Blow your audience away
Google Slides commercial use and customizable with attractive visuals
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 • Integrated Management of
“ •
newborn and Childhood Illness
Module: 8 Assess and Classify
Coughs or Difficult Breathing

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 • Coughs or difficult breathing are common

“
problems in children under five years of age.
In some children the cause of cough could be
pneumonia. Pneumonia is a serious disease
that may cause death.
• However, these deaths can be prevented by
early identification and treatment, so it is
important that you know the signs to look for
and what action you should take when you
think a child brought to your health post has
pneumonia.

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 • Assessing coughs or difficult breathing

“ • You are now going to look at the steps involved in

assessing and classifying children with cough or
difficult breathing.
• For all sick children whom you encounter in your
practice, you should ask the mother or caregiver
whether the child has cough or difficult breathing.
• You should then ask how long the child has had cough
or difficult breathing.

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 Then you need to assess for the following:

“ • Fast breathing: breathing rate per minute

higher than normal for the age group.
• Chest in-drawing: the lower chest wall
(lower ribs) goes in when the child breathes
in.
• Stridor: a harsh noise which is made when
the child breathes in

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“

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 • You are now going to look at each of these steps in
more detail.

“ •

•
ASSESS whether the child has cough or any difficult
breathing
If the mother answers ‘Yes’ to your question about
whether the child has cough or difficult breathing, you
should ask her the next question.
• ASK: how long has the child had cough or difficult
breathing?
• A child who has had cough or difficult breathing for
more than 21 days has a chronic cough. This may be
a sign of tuberculosis, asthma, whooping cough or
another respiratory problem

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 • COUNT the number of breaths the child

“ •
takes in one minute
Count the breathing rate as you would in a
young infant. The cut-off for fast breathing
depends on the child's age. Young infants
usually breathe faster than older infants and
young children.
• LOOK for chest in-drawing
• LISTEN for stridor

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 • After assessing the child, your next step is

“ to classify the cough or difficult breathing

to determine the severity of the child’s
illness. To classify a child you need the
classification table, a section of which is
reproduced below (Table 4.1). The
treatment column is included.

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“

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 • A child classified as having severe pneumonia
or very severe disease needs urgent referral to

“ •
a hospital.
If a child has been classified with severe
pneumonia or a very severe disease you should
give the child the first dose of Cotrimoxazole
(see Table 4.2 in Section 4.3.2 below) before
the child leaves your health post. Then refer
the child urgently to the hospital. The
antibiotic helps prevent severe pneumonia
from becoming worse.

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 • A child with ‘no pneumonia: cough or cold’

“ •
does not need an antibiotic.
You should give the mother advice about good
home care.
• Teach her how to soothe the child’s throat and
relieve the cough with a safe remedy such as
breastmilk for exclusively breastfed infants, or
home fluids such as tea with honey or fruit
juice.

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 • Cough syrups are usually harmful so advise

“ the mother that she should avoid using

these.
• Advise her to watch for fast or difficult
breathing and to return to the health post if
either one of these develops in the child.

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 •
“ Follow-up care for pneumonia

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 • Next Meeting
“ -Exercises (IMCI) bring
IMCI Chart Booklet

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THANK YOU!

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