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IMCI: approach-strategies and
impact on child survival
• IMCI---Integrated Mgt of Childhood Illnesses • What is IMNCI? IMNCI case Mgt approach offers simple and effective methods to comprehensively prevent and manage the leading causes of serious illnesses and mortality in children below five years With IMNCI, sick children or young infants are not only treated for the signs and symptoms they present within a health facility, but are also assessed for the other disease conditions they may be suffering from • Integrated case management relies on case detection using simple clinical signs and empirical treatment • As few clinical signs as possible are used. • The treatments are developed according to action oriented classifications rather than exact diagnosis • The IMCI process can be used by health professionals who see sick infants and children aged from 1 week up to five years • It is a case management process for a first- level facility such as a clinic, a health centre or an outpatient department of a hospital IMNCI 6 major steps 1. Assessment 2. Classification 3. Identify treatment 4. Treat the child or young infant 5. Counsel the mother 6. Follow-up care Assessment • Assess a child by checking first for danger signs (or possible bacterial infection in a young infant), asking questions about common conditions, examining the child, and checking nutrition and immunization status. • Assessment includes checking the child for other health problems. Classification • Classify a child’s illnesses using a colour-coded triage system • Because many children have more than one condition, each illness is classified according to whether it requires: urgent pre-referral treatment and referral (red), or specific medical treatment and advice (yellow), or simple advice on home management (green). Identify treatment • After classifying all conditions, identify specific treatments for the child • If a child requires urgent referral, give essential treatment before the patient is transferred • If a child needs treatment at home, develop an integrated treatment plan for the child and give the first dose of drugs in the clinic • If a child should be immunized, give immunizations.