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    Imci, Diseases With Treatment

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    Bernadeth Tolentino Limon
    IMCI aims to reduce childhood mortality and improve quality of care for major childhood illnesses at first-level health facilities in developing countries. It provides an integrated approach to assess, classify, treat and counsel children under 5 for the most common causes of death. The strategy helps healthcare workers at first-level facilities detect serious conditions for pre-referral treatment or referral and manage less severe illnesses in the clinic through simplified diagnostic tools and treatment guidelines. A key component is counseling caregivers on home care, follow-up care, and when to return to the clinic.

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    © All Rights Reserved
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    Imci, Diseases With Treatment

    Uploaded by

    Bernadeth Tolentino Limon
    39 views54 pages
    IMCI aims to reduce childhood mortality and improve quality of care for major childhood illnesses at first-level health facilities in developing countries. It provides an integrated approach to assess, classify, treat and counsel children under 5 for the most common causes of death. The strategy helps healthcare workers at first-level facilities detect serious conditions for pre-referral treatment or referral and manage less severe illnesses in the clinic through simplified diagnostic tools and treatment guidelines. A key component is counseling caregivers on home care, follow-up care, and when to return to the clinic.

    Original Title

    IMCI ,DISEASES WITH TREATMENT

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    IMCI aims to reduce childhood mortality and improve quality of care for major childhood illnesses at first-level health facilities in developing countries. It provides an integrated approach to assess, classify, treat and counsel children under 5 for the most common causes of death. The strategy helps healthcare workers at first-level facilities detect serious conditions for pre-referral treatment or referral and manage less severe illnesses in the clinic through simplified diagnostic tools and treatment guidelines. A key component is counseling caregivers on home care, follow-up care, and when to return to the clinic.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    39 views54 pages

    Imci, Diseases With Treatment

    Uploaded by

    Bernadeth Tolentino Limon
    IMCI aims to reduce childhood mortality and improve quality of care for major childhood illnesses at first-level health facilities in developing countries. It provides an integrated approach to assess, classify, treat and counsel children under 5 for the most common causes of death. The strategy helps healthcare workers at first-level facilities detect serious conditions for pre-referral treatment or referral and manage less severe illnesses in the clinic through simplified diagnostic tools and treatment guidelines. A key component is counseling caregivers on home care, follow-up care, and when to return to the clinic.

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    of 54

    INTEGRATED

    MANAGEMENT
    OF CHILDHOOD
    ILLNESSES
    SESSION 8 - CHN RLE
    Integrate
    Management
    d
    of Childhood
    Illnesses
    (IMCI)
    • IMCI aims to reduce childhood mortality and
    improve the quality of care for major
    childhood illnesses, especially at first-level
    health facilities.
    Overview and Case
    Management Process

    • One million children under five years old


    die each year in less developed
    countries.
    • The large majority of these deaths are
    from preventable causes – acute
    respiratory infections (mostly
    pneumonia), diarrhea, measles,
    malaria, or malnutrition. Children often
    die from a combination of these
    conditions.
    • In most developing countries,
    first-level facilities do not have
    many diagnostic tools like
    Why was laboratory services or radiology
    equipment to diagnose multiple

    IMCI conditions.
    • Due to limited supplies, human

    Created? resources, and equipment,


    healthcare providers at first-level
    facilities often need to refer more
    complicated clinical procedures to
    second-level facilities.
    The Integrated
    Management of Childhood
    Illness strategy has been
    introduced in an
    increasing number of
    countries in the region
    since 1995.
    The strategy was developed by the World Health Organization
    (WHO) and United Nations Children’s Fund (UNICEF).
    Providing quality care to sick children, WHO and
    UNICEF developed a strategy known as
    Integrated Management of Childhood Illness
    (IMCI), an integrated case management of the
    most common childhood problems, especially
    the most important causes of death.
    Just five diseases (pneumonia, diarrhea, malaria, measles and dengue
    hemorrhagic fever) account for nearly half of these deaths and
    malnutrition is often the underlying condition.
    Key points about IMCI guidelines

    Assess all young


    infants and Help you classify a Identify treatment
    children for all
    common causes of problem and tell you where
    illness and death
    to treat the child
    Objectives
    of IMCI
    • Reduce death and frequency and
    severity of illness and disability,
    and
    • Contribute to improved growth and
    development
    Who are the children covered by the IMCI
    protocol?
    INTEGRATED MANAGEMENT OF CHILDHOOD
    ILLNESS GUIDELINES

    ASSESS CLASSIFY TREAT COUNSEL PROVIDE


    FOLLOW-UP
    CARE
    IMCI uses simple signs to detect cases. That
    means detection of conditions for
    treatment is based on your observations.
    You will ASSESS all sick infants and
    children for:

    1. Signs of serious illness that


    requires urgent referral
    2. Signs of common health
    conditions
    3. Nutrition status,
    immunization status, and
    other problems.
    You will classify each health condition using color-coded IMCI charts.
    You will classify based on the history given, signs the child shows, and tests as indicated.
    The chart also identifies treatment for the condition.

    The three color-coded classifications also tell you where to give


    these treatments:
    ✔ PINK: very serious condition requires urgent pre-referral
    treatment and referral
    ✔ YELLOW: serious condition needs treatment and advice in
    the clinic
    ✔ GREEN: less serious condition needs home treatment and
    advice
    After classifying all conditions,
    you will review all treatments
    identified in each classification.
    • Then you will develop an integrated
    treatment plan.
    • If a child requires urgent referral,
    TREAT give essential treatment before the
    patient is transferred.
    • If a child needs treatment at the clinic, you
    will often give the first dose in the clinic.
    • Give immunizations if needed.
    • You will advise caregivers on home
    treatment.
    COUNSEL
    • A critical component of IMCI is counselling
    caregivers on home treatment (e.g. treating
    local infections, giving oral drugs), feeding and
    fluids, breastfeeding, and other well childcare.
    Then counsel the caregiver about her own
    health.
    • Advise the caregiver to return for follow-up on a
    specific date.
    • Teach caregivers when to return immediately if
    child shows signs of severe illness.
    GIVE: When a child returns to the
    clinic as requested, give follow-up
    PROVIDE care as required.
    RE-EXAMINE: Re-examine conditions to
    FOLLOW- see if the issues are improving, the
    same, or worsening.
    UP CARE USE: Use the full IMCI process again to
    check the child for new problems.
    Steps of the IMCI Case Management Process
    The following is the flow of the IMCI process:
    • At the outpatient health facility, the health worker should routinely do
    basic demographic data collection, vital signs taking, and asking the
    mother about the child's problems.
    • Determine whether this is an initial or a follow-up visit.
    • The health worker then proceeds with the IMCI process by checking for
    general danger signs, assessing the main symptoms and other
    processes indicated in the chart below.
    • Take note that for the pink box, referral facility includes district, provincial
    and tertiary hospitals.
    • Once admitted, the hospital protocol is used in the management of the
    sick child.
    WHAT ARE GOOD COMMUNICATION SKILLS?

    LISTEN SIMPLIFY GIVE TIME


    WORDS

    BE CLEAR PRAISE
    ASSESS
    AND
    CLASSIFY
    THE SICK
    CHILD
    What Is A General Danger Sign?
    A general danger sign is present if
    CARE WHEN URGENT REFERRAL IS REQUIRED

    • Children with general danger signs and/or any condition with a red
    classification require urgent pre-referral treatment and referral. These
    classifications indicate very serious illness.
    CARE WHEN URGENT REFERRAL IS REQUIRED

    SICK YOUNG INFANT SICK CHILD 2 MONTHS


    AGE UP TO 2 MONTHS UP TO 5 YEARS
    HOW DO YOU URGENTLY REFER THE
    CHILD?

    1 2 3
    EXPLAIN to the CALM the caregiver’s WRITE A REFERRAL
    caregiver the need fears and help NOTE for the
    for referral and get
    her agreement to him/her resolve any caregiver to carry
    take the child. problems.
    END

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