INTEGRATED MANAGEMENT OF NEONATAL AND CHILDHOOD ILLNESS (IMNCI)

Dr Ubaid N P,JR Community Medicine,Pariyaram Medical College

▪ Diseases causing childhood morbidity & mortalities are diarrhea, ARI, malaria, measles, malnutrition

▪ Most sick children present with overlapping signs & symptoms

▪ A single diagnosis may not be possible or appropriate

▪ Treatment may also become complicated by the need to combine for several conditions

▪ IMCI is a strategy for an integrated approach to the management of childhood illness

▪ It looks beyond the treatment of a single disease

▪ Strategy combines improved management of childhood illness with aspects of nutrition, immunization other important elements

▪ Designed for management for sick children aged 1 week to 5 years

▪ Uses an evidence based assessment & management using a syndromic approach

▪ Case management involves:

a) Asses

b) Classify:

- Urgent pre referral treatment & referral (Pink)

- Specific medical treatment & advice (Yellow)

- Simple advice on home management (Green)

c) Identify specific treatment

d) Treatment

e) Counsel

f) Follow up care

IMNCI

▪ Major highlights of Indian adaptations:

a) Inclusion of 0-7 days age in the programme

b) Incorporating national guidelines malaria, anemia, Vit A supplementation & immunization

c) Training of health personnel begin with sick young infants up to 2 months

d) Proportion of training time devoted to sick young infant & sick child is almost equal

e) Is skilled based

THANK YOU