Integrated Management of Childhood Illness

Download as ppt, pdf, or txt
Download as ppt, pdf, or txt
You are on page 1of 18

IMCI

What is IMCI?

Integrated Management of
Childhood Illness (IMCI)
• it is an integrated approach
to child health that focuses
on the well-being of the
whole child.
The Integrated Management of
Childhood Illness strategy has
been introduced in an increasing
number of countries in the region
since 1995.  IMCI is a major
strategy for child survival,
healthy growth and development
and is based on the combined
delivery of essential interventions
at community, health facility and
health systems levels.
IMCI includes elements of
prevention as well as curative
and addresses the most
common conditions that affect
young children. The strategy was
developed by the World Health
Organization (WHO) and United
Nations Children’s Fund
(UNICEF).
       
In the Philippines, IMCI was
started on a pilot basis in 1996,
thereafter more health workers
and hospital staffs were
capacitated to implement the
strategy at the frontline level.
Objectives of IMCI

• Reduce death and frequency


and severity of illness and
disability

• 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
Rationale for an integrated
approach in the management
of sick children
Majority of these deaths are
caused by 5 preventable and
treatable conditions namely:
pneumonia, diarrhea, malaria,
measles and malnutrition.
Three (3) out of four (4)
episodes of childhood illness are
caused by these five
conditions
      
Rationale for an integrated
approach in the management
of sick children

Most children have more than


one illness at one time. This
overlap means that a single
diagnosis may not be possible or
appropriate.
Who are the children covered
by the IMCI protocol? 

• Sick children birth up to 2


months (Sick Young Infant)

• Sick children 2 months up to


5 years old (Sick child)
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
Strategies/Principles of IMCI
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.
Strategies/Principles of IMCI
• Only a limited number of clinical
signs are used

• A combination of individual signs


leads to a child’s classification
within one or more symptom
groups rather than a diagnosis.
Strategies/Principles of IMCI
• 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 CHILD’S ILLNESS
PINK
indicates urgent hospital referral or
admission

YELLOW
indicates initiation of specific
Outpatient Treatment

GREEN
indicates supportive home care
Steps of the IMCI Case
management Process
Steps of the IMCI Case
management Process

You might also like