Professional Documents
Culture Documents
Objectives of IMCI
Reduce death and frequency and severity of illness and disability, and Contribute to improved growth and development
Components of IMCI
Improving case management skills of health workers 11-day Basic Course for RHMs, PHNs and MOHs 5 - day Facilitators course 5 day Follow-up course for IMCI Supervisors Improving over-all health systems Improving family and community health practices
Strategies/Principles of IMCI
All sick children aged 2 months up to 5 years are examined for GENERAL DANGER signs and all Sick Young Infants Birth up to 2 months are examined for VERY SEVERE DISEASE AND LOCAL BACTERIAL INFECTION. These signs indicate immediate referral or admission to hospital The children and infants are then assessed for main symptoms. For sick children, the main symptoms include: cough or difficulty breathing, diarrhea, fever and ear infection. For sick young infants, local bacterial infection, diarrhea and jaundice. All sick children are routinely assessed for nutritional, immunization and deworming status and for other problems Only a limited number of clinical signs are used A combination of individual signs leads to a childs classification within one or more symptom groups rather than a diagnosis. IMCI management procedures use limited number of essential drugs and encourage active participation of caretakers in the treatment of children Counseling of caretakers on home care, correct feeding and giving of fluids, and when to return to clinic is an essential component of IMCI BASIS FOR CLASSIFYING THE CHILDS ILLNESS (please see enclosed portion of the IMCI Chartbooklet) The childs illness is classified based on a color-coded triage system:
PINK-
YELLOW- indicates initiation of specific Outpatient Treatment GREEN indicates supportive home care Steps of the IMCI Case management Process The following is the flow of the iMCI process. At the out-patient 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.