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Integrated Management

of Childhood Illness

(IMCI)

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IntegratedManagement

Childhood

Illness

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Diarrhea

Acute RespiratoryInfections(Pneumonia)

Measles

Malaria

Malnutrition

5 major killers of children:

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The world health organization is concerned of

the unecessary deaths of children below 5 years

old in the developing countries. integratedmanagement for childhood illness is trying to

fight these unecessary deaths. accourding to

WHO, the mose common cause of death among

these under 5 children is:

A. diarrhea

B. pneumonia

C. malaria

D. malnutrition

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Assess the child or younginfant

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Check for General Danger Signs

Convulsion

Abnormally sleepy/unconsciousness

Not able to drink or breastfeed

Severe vomiting/vomits everything

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Which of the following is not adanger sign?

A. convulsion

B. inability to drink or breastfeed

C. lethargy/ unconsciousness

D. difficulty of breathing

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4 MAIN SYMTPOMS

Cough or difficult breathing

Diarrhea

Ear pain

Fever

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CLASSIFY THE ILLNESS

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I M C I ColorCoding

Needs urgent attention and referral or

admission for in-patient care.

This is a severe classification

Child needs an appropriate antibiotic,

an oral anti-malarial or other

treatment which can be given in

health center

Does not need specific medication /

treatment such as antibiotic. Can be

manage at home by mother

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If the child has only one of the danger

sign implicitly stated in the IMCIguideline, this child will be classified

under what color?

A. pinkB. blue

C. yellow

D. green

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TREAT

CURATIVE

&

HOLISTIC

CARE

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COUNSEL

HEALTHEDUCATION

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IMCI Case Management

Danger signsMain Symptoms

Nutritional statusImmunization status

Other problems

Need to Refer

Specific treatment

Homemanagement

ClassificationFocused Assessment

Identify treatmentTreat

Counsel caretakersFollow-up

TreatmentCounsel & Follow-up

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Causes of Death in children

Source: CHERG estimates of under-five deaths, 2000-03

Under-

nutrition

53%

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IMCI IMPLEMENTATION IN THE Philippines

Initiation Phase

IMCI adaptation,meetings with key stakeholders

Early implementation phase

trainings implementation in pilotareas

Expansion phase

cascade to other areascurriculum integration nursing,

midwifery, medical schools

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Common Problems That Affect the

Quality of Care Provided to Sick Children

at Health Facilities

1. Health workers skills

Incomplete examinations and counseling

Irrational use of drugs

Poor communication between health

workers and parents

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2. Health system issues

Availability of appropriate drugs and vaccines

Supervision/division of labor/organization of

work

Location of health services and responsibility

(centralization)




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3. Community and family practices

Poor knowledge of when to return to

a health facility

Seeking assistance from unqualified

providers

Poor adherence to health worker adviceand treatment

Delayed care seeking




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1. Skilled attendance during pregnancy,childbirth and the immediate postpartum

2. Care of the newborn

3. Breastfeeding and complementary feeding

4. Micronutrient supplementation

5. Immunization of children and mothers

6. Integrated management of sick

children

7. Use of insecticide treated bed nets (in malarious areas)

Essential package of child survival

interventions

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Objectives of IMCI

Reduce deaths and the frequency andseverity of illness and disability among

children

Contribute to improved growth and

development

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Important Elementsfor Improving Child Health

Improve casemanagement of sick children

Improve nutrition

Ensure immunization

Prevent injuries

Prevent otherdiseases

Improve psychosocialsupportandstimulation

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Case Management Process

1. Assess the child or young infant

2. Classify the illness

3. Identify treatment

4. Treat the child or refer

5. Counsel the mother

6. Give follow-up Care

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Which vital sign is important in

classifying a child with pneumoniafrom those who do not have?

A. temperature

B. respiratory rateC. chest indrawing

D. stridor

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In home management of a child

with pneumonia, caretaker iscounseled on how not to:

A. give oral drugs

B. treat local infection at home

C. when to return

D. discontinue feeding

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If pneumonia is present with

major signs and symptoms,treatment will include:

A. Cotrimoxazole P.O. BIDB.Amoxicyllin P.O. BID

C. ORS 240cc/ loose stool

D. Procaine Penicillin IM OD

Documents

27252598-IMCI