integrated management of neonatal and childhood illness(imnci)
TRANSCRIPT
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•To Reduce infant and child mortality rates
• Improving child health & survival
India is still among high infant mortality Rate countries
but there has been significant decline in the IMR from
204 during 1911-1915 to 129 per 1000 live births in
1970 and remained static at around 127 for many
years.
As of 2011 data India’s Infant Mortality Rate is 44
per 1000 live births.5
Neonatal mortality(0-4 weeks)
• Low birth weight & prematurity
• Birth injury and difficult labour
• Sepsis
• Congenital anomalies
• Hemolytic disorders
• Conditions of placenta and cord
• Diarrhoeal diseases
• Acute respiratory infections
• Tetanus
Post neonatal mortality(1-12 months)
• Diarrhoeal diseases
• Acute respiratory infections
• Communicable disease
• Malnutrition
• Congenital anomalies
• Accidents
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Newborns and
infants (under 2 months)
Young children
(2months-5 years)
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TrainingEffective
implementation
Improvement of family and community
health practices
Collaboration with other
departments
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Training at two levels
In-Service training for the existing staff
Pre-Service Training
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Paediatricians
Selected Medical Officers from Community Health Centres
and block PHCsSelected staff nurses ,Lady
Health Visitors and Child Development Project Officers
from ICDS
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Type of
training
Personnel
to be
trained
Duration Package
to be used
Place of
training
Clinical
skills
training
Medical
Officers,Paediatrician
s
Health workers,ANM
s,
CDPOs and
LHVs
8 days
8days
Physician
package
Health
workers
package
Medical
College/
District
Hospital
District
Hospital
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Type of
training
Personnel to
be trained
Duration Package to
be used
Place of
training
Supervisory
Skill Training
Medical
Officers,
Paediatricians,
CDPOs and
LHVs
2 days Supervisory
Skills
Package
Medical
College/
District
Hospital
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1. All sick children must be examined for “general danger signs” which indicate the need for immediate referral or admission to a hospital.
2. All sick children must be routinely assessed for major symptoms (for children age 2 months up to 5 years: cough or difficult breathing, diarrhoea, fever, ear problems
for young infants up to 2 months: very severe disease, diarrhoea, jaundice and feeding.
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….Contd
3.They must also be routinely assessed for
nutritional and immunization status, feeding
problems and other problems
4.Assess Vitamin A supplementation and de-
worming status for children age 2 months
up to 5 years.
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IMNCI case management
process
CHECK for danger signs Convulsions
lethargy/unconsciousness
Inability to drink/breastfeed
vomiting
ASSESS main symptoms Cough/difficulty in breathing
Diarrhoea
Fever
Ear problems
Assess Nutrition and
Immunization status and
potential feeding problems
Check for any other problem
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…contdCLASSIFY conditions and identify treatment
actions
According to color coded system
•Treat local infection•Give oral drugs•Advise and teach the care taker•Follow up
Care taker is
counselled on how to
:
•Give oral drugs
•Treat local infections
•Continue feeding
•Follow up
(pink) (Green)yellow
Urgent referral
-Pre-referral treatments
-advise patients
-refer child
Referral facility
-Emergency triage and treatment (ETAT)
-Diagnosis
-Treatment
-Monitoring
-Follow up
Treatment at outpatient
health facility
Home management
Home
management
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