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IMCI Handouts BY: Claudette S. Advincula

The document summarizes guidelines from the Integrated Management of Childhood Illness (IMCI) strategy. IMCI aims to reduce childhood mortality and morbidity from major illnesses through integrated assessment and treatment. It focuses on well-child visits and management of common conditions like pneumonia, diarrhea, malaria, measles and malnutrition. The case management process involves assessing the child, classifying illnesses, identifying treatments, counseling the mother and conducting follow-ups. Key components of assessment are danger signs, symptoms, nutrition status and immunization history.

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Rosemary Joy Siarot
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82 views7 pages

IMCI Handouts BY: Claudette S. Advincula

The document summarizes guidelines from the Integrated Management of Childhood Illness (IMCI) strategy. IMCI aims to reduce childhood mortality and morbidity from major illnesses through integrated assessment and treatment. It focuses on well-child visits and management of common conditions like pneumonia, diarrhea, malaria, measles and malnutrition. The case management process involves assessing the child, classifying illnesses, identifying treatments, counseling the mother and conducting follow-ups. Key components of assessment are danger signs, symptoms, nutrition status and immunization history.

Uploaded by

Rosemary Joy Siarot
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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IMCI Handouts

BY: Claudette S. Advincula

Child Health Epidemiology Research Group (CHERG) identified causes of death among children
under five years old in developing countries include: Pneumonia (19%), Diarrhea (17%), Malaria
(8%), Measles ( 4 %) HIV(3%), Neonatal Causes (37%), and other causes ( 10%). Malnutrition
remains the highest attributable causal factor of all childhood deaths in children below five
years of age.
Department of Health Essential Package of Child Survival Interventions was adopted, which
include the following:
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. IMCI Integrated Managament of Childhood Illness
7. Use of insecticide treated bed nets in Malaria areas.
IMCI
- IMCI is an integrated approach to child health that focuses on the well-being of the
whole child.
- A strategy for reducing mortality and morbidity associated with major causes of
childhood illness
- A joint WHO/UNICEF initiative since 1992
- Currently focused on first level health facilities
- Comes as a generic guidelines for management which have been adapted to each
country.
- IMCI has already been introduced in more than 75 countries around the world
OBJECTIVES of IMCI
To reduce significantly global morbidity and mortality
To contribute to a healthy growth and development of children
IMCI CASE MANAGEMENT PROCESS
The case management process is presented in a series of charts which show the sequence of
steps and provide information for performing them. The charts describe the following steps:
1. Assess the child or young infant
2. Classify the illness
3. Identify Treatment
4. Treat the child/refer
5. Counsel the Mother
6. Follow-UP

ASSESSMENT using IMCI Strategy


Assessment check list divided into four parts
1st Part : History Taking
2nd part : General Danger Signs
3rd part: Main Symptoms
4rt part : Nutritional Status, Immunization Status, and OTHER Problems

General Danger Signs


Not able to drink or breastfeed
Vomits everything
Convulsion
Abnormally sleepy or difficult to awaken
MAIN SYMPTOMS
Cough or Difficulty in breathing
Diarrhea
Fever
Ear Problem
ASSESS COUGH OR DIFFICULT BREATHING
Assessed for:
How long the child has had cough or difficult breathing
Fast breathing
Chest indrawing
Stridor in calm child
DIARRHEA
Types:
Acute diarrhea- diarrhea lasts less than 14 days
Persistent diarrhea - diarrhea lasts 14 days or more
Dysentery - Diarrhea with blood in the stool, with or without mucus. Shigella bacteria
ASSESS AND CLASSIFY FEVER
Possible classification of child with fever:
Malaria
Measles
Dengue Hemorrhagic Fever
EAR PROBLEMS
Clinical Assessment
Tender swelling behind the ear
Ear pain
Ear discharge or pus
NUTRITIONAL STATUS
Clinical Assessment
Visible severe wasting
Edema of both feet
Weight for age
Palmar pallor
Classification of Nutritional status and Anemia
severe malnutrition or severe anemia
anemia or (very) low weight
no anemia and not (very) low weight
ASSESSING THE CHILD'S FEEDING
(1) breastfeeding frequency and night feeds
(2) (2) types of complimentary foods or fluids, frequency of feeding and whether
feeding is active; and
(3) (3) feeding patterns during the current illness.
Check for Malnutrition
Look and Feel
Look for signs of acute malnutrition
Look for edema of both feet
Determine WFH/L___ z-score
Measure MUAC ___mm in a child 6 months or older
Check the Immunization , Vitamin A, Deworming status, and Oral Health
Vitamin A Supplementation
Give every child a dose of Vitamin A every six months from the age of 6 months. Record
the dose on the child’s chart
Routine Deworming
Give every child Mebendazole or Albendazole every 6 months from the age of one year.
ORAL Health
Advise mother to bring the child to a dentist every 6 months for dental check up from
the age
Immunization Schedule
AGE Vaccine
Birth BCG /HepB0
6 weeks Penta1 OPV1 RTV1 PCV1
10 weeks Penta2 OPV2 RTV2 PCV2
14 weeks Penta3 OPV3 RTV3 PCV3
9 months Measles
12 months MMR
SICK YOUNG INFANT ( Birth to 2 Months)
Assess and Classify
Check for signs of Possible Bacterial Infections
Classify Jaundice
Ask about the Diarrhea ( dehydration and persistent diarrhea )
Check for feeding problem or low weight
Check the young infant’s immunization status and Vitamin A status
Assess any other problems
JAUNDICE
is a yellow discoloration in a newborn baby's skin and eyes. Infant jaundice
occurs because the baby's blood contains an excess of bilirubin
Classification
physiologic jaundice occurs more than 24 hours after birth
pathologic jaundice occurs less than 24 hours after birth.
Feeding Problem or Low Weight
2 parts Assessment
Determine difficulty feeding the infant, what the young infant is fed and
how often
Any problems with breastfeeding or is low weight for age
Assess BREASTFEEDING
Assess breastfeeding:
If the infant is exclusively BF without difficulty and is not low weight for age
If the infant is not breastfed at all
If the infant has a serious problem requiring urgent referral to a hospital
Is the infant able to attach?
not well attached good attachment
Signs of Good Attachment
Chin touching breast
Mouth wide open
Lower lip turned outward
More areola visible above than below the mouth
Is the infant suckling effectively ? (that is slow deep sucks, sometimes pausing)
not sucking effectively suckling effectively
* Clear a blocked nose if it interferes with BF
Infant’s Immunization Status
Birth :BCG Hep B 1
6 Weeks Pentavalent 1 OPV 1 RTV1 PCV1

Vitamin A
Give 200,00 IU to the mother
within 6 weeks of delivery

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