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ARI PGM

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378 views14 pages

ARI PGM

Uploaded by

Navas Pk
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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NATIONAL ARI CONTROL

PROGRAME
NATIONAL ARI CONTROL PROGRAME

•The ARI Control Programme was started in India in 1990. It


sought to introduce scientific protocols for case management of
pneumonia with Cotrimoxazole.

•Since 1992 the Programme was implemented as part of CSSM


and later with RCH.
Vision

The programmes vision is to reduce mortality and


morbidity of ARI in children under the age of five.
Mission Statement

●The programmes aim is early recognition and


treatment of ARI conditions among children
under the age of five
AIM of the program

To identify children with ARI at the community


level by training the field workers to recognize
easily & reliably identifiable clinical signs of ARI
Early reference WHO protocol
comprises 3 steps
1. Case finding & Assessment

2.Case Classification

3.Institution of appropriate therapy


Step 1: Case finding & Assessment
• Cough & difficult breathing in children < 5 years age
• Count the breaths in one minute
• Look for the chest indrawing
• Look and listen the stridor
• Look and listen the wheeze
• See if the child is abnormally sleepy or difficult to wake up
• Feel for fever or low body temperature (Fever is not an efficient criteria )
• Look for severe malnutrition
Step 2: Case Classification
< 2months >2 months & Older children
●Specific signs to be looked • Pneumonia is diagnosed if RR
like feeding difficulty, >60/min with other clinical signs
lethargy, hypothermia,
• All should be hospitalized
convulsions
• All should receive IV medications
• Minimum duration of 10 days
Step 3:Institution of appropriate therapy

ANTIBOTICS
• Combination of Ampicillin & Gentamicin
ROLE OF NURSE IN ARI CONTROL
PROGRAMME
• Use of long-term oxygen
• Accurate diagnosis
• Appropriate use of medication
• Monitoring of treatment efficacy
• Community/hospital rehabilitation programmes, where appropriate smoking
cessation, multidisciplinary assessment and intervention
• Recognition of early warning signs of an exacerbation with rapid access to
appropriate services

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