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    IMCI

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    The document summarizes the Integrated Management of Childhood Illness (IMCI) strategy. IMCI involves 3 steps: [1] assessing the sick child for general dangerous signs and classifying by main symptoms like fever, cough, diarrhea; [2] treating the main causes of illness; and [3] counseling the child's mother on care at home including feeding and follow-up. The assessment involves asking questions, looking for signs, listening, and feeling. Children are classified and treated based on signs and symptoms for conditions like pneumonia, dehydration, persistent diarrhea, and dysentery. Mothers are counseled on issues like feeding, fluids, follow-up, and when to return.

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    IMCI

    Uploaded by

    api-3707883
    334 views17 pages
    The document summarizes the Integrated Management of Childhood Illness (IMCI) strategy. IMCI involves 3 steps: [1] assessing the sick child for general dangerous signs and classifying by main symptoms like fever, cough, diarrhea; [2] treating the main causes of illness; and [3] counseling the child's mother on care at home including feeding and follow-up. The assessment involves asking questions, looking for signs, listening, and feeling. Children are classified and treated based on signs and symptoms for conditions like pneumonia, dehydration, persistent diarrhea, and dysentery. Mothers are counseled on issues like feeding, fluids, follow-up, and when to return.

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    The document summarizes the Integrated Management of Childhood Illness (IMCI) strategy. IMCI involves 3 steps: [1] assessing the sick child for general dangerous signs and classifying by main symptoms like fever, cough, diarrhea; [2] treating the main causes of illness; and [3] counseling the child's mother on care at home including feeding and follow-up. The assessment involves asking questions, looking for signs, listening, and feeling. Children are classified and treated based on signs and symptoms for conditions like pneumonia, dehydration, persistent diarrhea, and dysentery. Mothers are counseled on issues like feeding, fluids, follow-up, and when to return.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    334 views17 pages

    IMCI

    Uploaded by

    api-3707883
    The document summarizes the Integrated Management of Childhood Illness (IMCI) strategy. IMCI involves 3 steps: [1] assessing the sick child for general dangerous signs and classifying by main symptoms like fever, cough, diarrhea; [2] treating the main causes of illness; and [3] counseling the child's mother on care at home including feeding and follow-up. The assessment involves asking questions, looking for signs, listening, and feeling. Children are classified and treated based on signs and symptoms for conditions like pneumonia, dehydration, persistent diarrhea, and dysentery. Mothers are counseled on issues like feeding, fluids, follow-up, and when to return.

    Copyright:

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    Download as ppt, pdf, or txt
    of 17

    ‫بسم الله الرحمن الرحيم‬

    ‫”قالوا سبحانكل علم لناإل ما علمتنا‬


    ‫إنك أنت العليم الحكيم“‬
    ‫صدق الله العظيم‬
    ‫سورة البقرة ايه ‪32‬‬
    INTEGRATED MANAGEMENT
    OF CHILDHOOD ILLNESS

    IMCI
    THE IMCI STEPS
    A-Methods of Assessment
    Ask-1

    Look-2

    Listen-3

    Feel-4
    B-Management
    I-Give 1st aid & Urgently refer to Hospital

    II-Give treatment in Clinic

    III-No treatment
    C-Counsel the Mother

    I-Food

    II-Fluid

    III-Follow up
    IMCI
    ASK Personal History + Whether it is an initial or follow up visit

    Check For Dangerous Signs

    Assess & Classify & Treat


    The Main Symptoms
    Fever-Cough-Diarrhea

    .Check for nutrition & immunization

    Counsel The Mother


    Dangerous signs
    CHECK FOR GENERAL DANGER SIGNS
    ASK LOOK

         Is the child able to drink or breast-feed?  See if the child is lethargic or
     

    unconscious
     Does the child vomit every thing?
    See if the child is convulsing now
     Has he had had convulsions? (during
    present illness)
    FEEL does the child has stiff neck

    SIGNS CLASSIFY AS TREAT

        Treat convulsions IF present now


        Complete assessment immediately

    Any
           
        Give 1
    st
    dose of appropriate
    Danger VERY antibiotic
    SEVERE     Treat child to prevent low blood

    Sign DISEASE sugar


        Refer URGENTLY to hospital
    Cough
    Does the child have Cough or Difficult breathing?

    IF YES, ASK LOOK listen

    •       For how long      Count the breaths in one minute


       for stridor
           Look for chest indrawing for
    wheeze
         Give 1st dose of appropriate antibiotic
            Any danger sign, OR SEVERE
    PNEUMONIA     Treat wheezing, if present
           Stridor in calm child, OR OR     Treat child to prevent low blood sugar
           Chest indrawing
    VERY
    SEVERE     Refer URGENTLY to hospital
    If Wheeze, go directly to treat DISEASE
    wheeze, then reassess)

    •       Fast breathing Give appropriate antibiotic for 5 days


        

        Treat wheezing, if present


    (If Wheeze, go directly to treat
        If coughing more than 30 days ,refer for
    wheeze, then reassess) PNEUMONIA assessment
        Relieve cough with a safe remedy
        Advise mother when to return immediately
        Follow up in 2 days

    •        No signs of pneumonia or Treat wheezing, if present


        
    very severe disease NO
     If coughing more than 30 days ,refer for
    PNEUMONIa
    (If Wheeze, go directly to assessment
    treat wheeze)     Relieve cough with a safe remedy
        Advise mother when to return immediately
        Follow up in 2 days, if wheezing
        Follow up in 5 days if not improving
    Diarrhea
    Does the child have diarrhea
    :IF YES ASK : LOOK
    For how• Look at the child’s general•
    ?long :condition, Is he
    Is there• ?Lethargic or unconscious–
    blood in ?Restless or irritable–
    the stools Look for sunken eyes•
    Offer the child fluid. Is the•
    :child
    Not able to drink or drinking–
    ?poorly
    ?Drinking eagerly, thirsty–
    FEEL: Pinch the skin on the•
    .abdomen
    1- CLASSIFY FOR DEGREE OF DEHYDRATION
    Two of the following signs:      If child has no other severe
           Lethargic or unconscious classification: Give fluids for
    SEVERE
           Sunken eyes severe dehydration (Plan C) OR
    DEHYDRATION
           Drinks poorly or unable to    If child has also another severe
    drink
    classification: Refer URGENTLY
           Skin pinch goes back very
    slowly to hospital while giving ORS sips
    Advise to continue breastfeeding

    Two of the following signs:      Give fluids and food for some
           Restless, irritable dehydration (Plan B)
           Sunken eyes    If child has also a severe
    SOME
           Thirsty, drinks eagerly classification:
    DEHYDRATION
           Skin pinch goes back slowly - Refer URGENTLY to hospital
    while giving frequent ORS sips
    -Advise to continue breastfeeding
        Advise when to return immediately
        Follow up in 5 days IF not improving

    •       NO enough signs to      Give fluids and food to treat diarrhea
    classify as some or NO
    severe dehydration at home (Plan A)
    DEHYDRATION
        Advise when to return immediately
        Follow up in 5 days IF not improving
    CLASSIFY FOR PERSISTENT DIARRHEA-2

    SEVERE Treat dehydration before referral unless the


        

            Dehydration present PERSISTENT child has another severe classification


    DIARRHEA
         Refer to hospital
        Advise mother on feeding child with
    PERSISTENT
    Persistent Diarrhea
    DIARRHEA
        Give multivitamin / mineral supplement
            No dehydration
        Advise mother when to return immediately
        Follow up in 5 days

    CLASSIFY FOR DYSENTERY .3


    •Blood in the •Treat for 5 days with an oral
    stools antibiotic recommended for
    •DYSENTERY Shigella(trimethoprim) for 5
    days
    •Give metronidazole for 10 days
    •Advise mother when to return
    immediately
    •Follow-up in 2 days

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