INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSINTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSMicah Holden | San Pedro Sula, Honduras | The Global Mission Health Institute - Mercy ShipsMicah Holden | San Pedro Sula, Honduras | The Global Mission Health Institute - Mercy Ships

HONDURAS (CENTRAL AMERICA)HONDURAS (CENTRAL AMERICA)

HONDURAN CHILDRENHONDURAN CHILDREN

WHAT IS IMCI?WHAT IS IMCI?

• The Integrated Management of Childhood Illness (IMCI) is a program established by the World Health Organization (WHO) to provide simple effective methods to prevent and manage the leading causes of serious illness and mortality in young children.

• IMCI is designed for use in outpatient clinical settings with limited diagnostic tools, limited medications, and limited opportunities to practice complicated clinical procedures (ie. rural areas- specifically in developing countries)

BRIEF HISTORY OF IMCIBRIEF HISTORY OF IMCI• IMCI was first developed in

1992 by UNICEF and the World Health Organization (WHO) with the aim of prevention, or early detection and treatment of the leading childhood killers.

• The IMCI initiative adopted a broad, cross-cutting approach recognizing that in most cases, more than one underlying cause contributes to the illness of the child. A great deal has been learned from disease-specific control programs over the past 15 years. IMCI attempts to combine the lessons learned into an effective approach for managing the sick child.

WHAT ARE THE LEADING CHILDHOOD WHAT ARE THE LEADING CHILDHOOD KILLERS (ILLNESSES) ?KILLERS (ILLNESSES) ?

THE GOAL OF IMCI IS TO ASSESS, CLASSIFY, THE GOAL OF IMCI IS TO ASSESS, CLASSIFY, AND TREAT THE IDENTIFIED ILLNESSESAND TREAT THE IDENTIFIED ILLNESSES

ASSESS FOR:ASSESS FOR:

• General Danger Signs• Difficulty Breathing• Diarrhoea• Fever (Malaria?)• Ear Problems• Malnutrition• Aneamia• HIV Infection• Vaccinations• Feeding Problems

CLASSIFY:CLASSIFY:• Severe Pneumonia or Very Severe

Disease• Pneumonia• Cough or Cold• Severe Dehydration• Some Dehydration• No Dehydration• Severe Persistent Diarrhoea• Persistent Diarrhoea• Dysentery • Very Severe Febrile Disease• Malaria• Fever – Malaria Unlikely• Severe Complicated Measles

• Measles with Eye or Mouth Complications

• Measles• Mastoiditis• Acute Ear Infection• Chronic Ear Infection• No Ear Infection• Severe Malnutrition• Very Low Weight• Not Very Low Weight• Severe Aneamia• Anaemia• No Aneamia• HIV Status (many classifications)

TREAT (BASED ON CLASSIFICATION):TREAT (BASED ON CLASSIFICATION):• Appropriate Antibiotics (IM/ PO) (Ex.

Ciprofloxacin for Dysentery, Quinine or other anti-malarial for Malaria)

• Bronchodilators• IV Fluids• ORS (Oral Rehydration Salts)• Zinc Supplements• Vitamin A• Gentian Violet• Nystatin• Paracetamol (Acetaminophen)• Ear Wicking• Mebendazole• Iron supplements• Appropriate Vaccines for Age• Counsel Mother (about medications,

feeding, etc.)• Follow up in X days with mom and child

(very important)

SO… WHAT DID I REALLY DO IN HONDURAS?SO… WHAT DID I REALLY DO IN HONDURAS?

?

CLASSROOM LEARNING (ABOUT IMCI)CLASSROOM LEARNING (ABOUT IMCI)

HOMEWORK / REVIEWHOMEWORK / REVIEW

CLINICAL PRACTICUM CLINICAL PRACTICUM

CLINICAL PRACTICUM CONTINUED…CLINICAL PRACTICUM CONTINUED…

HOSPITAL VISITHOSPITAL VISIT

HOSPITAL CONTINUEDHOSPITAL CONTINUED

HOSPITAL CONTINUED…HOSPITAL CONTINUED…

HOSPITAL (PED’S NEUROLOGY WARD)HOSPITAL (PED’S NEUROLOGY WARD)

HOSPITAL (PEDIATRIC ER)HOSPITAL (PEDIATRIC ER)

LAST HOSPITAL PICTURESLAST HOSPITAL PICTURES

TRAVELINGTRAVELING

SIGHTSEEINGSIGHTSEEING

MORE SIGHTSEEINGMORE SIGHTSEEING

EATING!!!EATING!!!

SPENDING TIME WITH MY SISTER, ELIZASPENDING TIME WITH MY SISTER, ELIZA

MAKING NEW FRIENDSMAKING NEW FRIENDS

AND… JUST GOOFING OFFAND… JUST GOOFING OFF

A GREAT TRIP OF LEARNING, LAUGHING, A GREAT TRIP OF LEARNING, LAUGHING, PRACTICING NURSING, AND TRAVELINGPRACTICING NURSING, AND TRAVELING

THE ENDTHE END