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IMNCI

Every year more than 10 million children die in developing countries due to acute respiratory infections (mostly pneumonia), diarrhea, measles, malaria, or malnutrition - and often to a combination of these illnesses. In 1990s, the WHO, in collaboration with UNICEF and many other agencies, institutions and individuals, responded to this challenge by developing a strategy known as the Integrated Management of Childhood Illness (IMNCI).This strategy adopted in India as Integrated Management of Neonatal and Childhood Illness (IMNCI). IMNCI caters to two groups of children
• 0-2 months, referred to as young infants.
• 2 months to 5 years, referred to as children.

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IMNCI

  1. 1. M.Sc. Pediatric nursing A disease Management Strategy for children
  2. 2. 10 million children/ year- die in developing countries due to acute respiratory infections, diarrhea, measles, malaria, malnutrition 1990-WHO+UNICEF +other agencies- (IMCI) India adopted as (IMNCI).
  3. 3. IMNCI caters to two groups of children 0-2 months Young infants. 2 months to 5 years Children
  4. 4. REDUCE MORTALITY REDUCE FREQUENCY AND SEVERITY OF ILLNESS AND DISABILITY IMPROVE GROWTH AND DEVELOPMENT DURING THE FIRST 5 YEARS OF A CHILD'S LIFE
  5. 5. Health worker component Improvement in the overall Health System. Improvement in family and community health care practices.
  6. 6. Improvements in the case-management skills SKILLED CASE-MANAGEMENT TRAINING GUIDELINES
  7. 7. Improvements is needed for effective management Essential drugs Health workers Identified referral Swiftly transferred Referral centers Supervision and monitoring
  8. 8. All sick children under 5 years of age must be examined for conditions which indicate immediate referral or hospitalization.
  9. 9. Children must be routinely assessed for major symptoms, nutritional and immunization status, feeding problems and other potential problems.
  10. 10. Only a limited number of carefully selected clinical signs, are used based on evidence of their sensitivity and specificity to detect disease.
  11. 11. • Based on the presence of selected clinical signs, the child is placed in a ‘classifications’. • Classifications are not specific diagnosis but categories that are used to determine the treatment. Referral Treatment in health facility Management at home
  12. 12. IMNCI guidelines address most common but not all pediatric problems.
  13. 13. A limited number of essential drugs are used.
  14. 14. Care takers are actively involved in the treatment of children.
  15. 15. Counselling of caretakers about home care including feeding, fluids and when to return to health facility
  16. 16. IMNCI guidelines recommend standardized case management procedures That based on two age categories: - 1. Upto 2 months and 2. 2 months to 5 years
  17. 17. Care of Newborns and Young Infants (infants under 2 months) 1. Keeping the child warm. 2. Initiation of breastfeeding immediately after birth and counseling for exclusive breastfeeding and non-use of pre lacteal feeds. 3. Cord, skin and eye care. 4. Recognition of illness in newborn and management and/or referral). 5. Immunization 6. Home visits in the postnatal period.
  18. 18. Care of Infants (2 months to 5 years) 1. Management of diarrhea, acute respiratory infections, malaria, measles, acute ear infection, malnutrition and anemia. 2. Recognition of illness and at risk conditions and management/referral) 3. Prevention and management of Iron and Vitamin A deficiency. 4. Counseling on feeding for all children below 2 years 5. Counseling on feeding for malnourished children between 2 to 5 years. 6. Immunization
  19. 19. IMNCI CASE MANAGEMENT PROCESS 1. Steps of case management process are the following: 2. Asses the young infant/ child. 3. Classify the illness. 4. Identify the treatment. 5. Treat the young infant/child. 6. Counsel the mother. 7. Provide follow up care.
  20. 20. < 2 Months of Age
  21. 21. 2 months to 5 Yr
  22. 22. ADVANTAGES OF INTEGRATED APPROACH • Speeds up the urgent treatment and treatment seeking practices. • Prompt recognition of serious condition, hence prompt referral. • Involves parents in effective care of baby at home. • Partial Success of Individual disease control programme.
  23. 23. Cont…. • Involves prevention of diseases by active immunization, Improved nutrition and Exclusive Breastfeeding practices. • Highly cost effective. • It avoids wastages of resources by using most appropriate medicines and treatment. • It reduces duplication of effort.

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Every year more than 10 million children die in developing countries due to acute respiratory infections (mostly pneumonia), diarrhea, measles, malaria, or malnutrition - and often to a combination of these illnesses. In 1990s, the WHO, in collaboration with UNICEF and many other agencies, institutions and individuals, responded to this challenge by developing a strategy known as the Integrated Management of Childhood Illness (IMNCI).This strategy adopted in India as Integrated Management of Neonatal and Childhood Illness (IMNCI). IMNCI caters to two groups of children • 0-2 months, referred to as young infants. • 2 months to 5 years, referred to as children.

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