IMNCI_2024.pptx.........................

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1. Integrated Management of Neonatal And Childhood Illness (IMNCI )

2. Definition Integrated management of neonatal and childhood illness(IMNCI) is, a strategy that aims to reduce morbidity and mortality in children under five years of age through Improved case management of common childhood illnesses. Enhanced nutrition and feeding practice. Increased immunization coverage. Improved newborn care. Developed by WHO and UNICEF in 1992 for management of common childhood illnesses in an integrated manner to reduce morbidity and mortality among children.

3. Objectives of IMNCI

4. IMNCI case management process 1.Assess the child illness. 2.Classify the illness based on signs. 3.Identify treatment. 4.Treat the child. 5.Counsel the caretaker. 6.Provide follow-up care.

5. IMNCI 6 Major Steps

6. 1.Assessment Routinely assess for general danger signs (or possible bacterial infection in a young infant) common illnesses in children or young Look for other health problems.

7. 2. Classify According to severity of illness the classified as to, colour coded triage system

8. 3.Identify treatment After classify the conditions the column helps to the healthcare workers to quickly treatment for the classification selected.

9. 4. Treat the child or young infant Treat means giving the treatment in the facility prescribing drugs or other treatments to be given at home and also teaching the mother.

10. 5. Counsel the mother If follow-up care is indicated, teach the mother/caregiver when to return clinic. Also teach the mother to how to recognize the signs indicating that the child brought back to the facility.

11. 6.Follow up care Some of the children or young infants need to be seen more than once for a current episode of illness. Identify such children when they are brought back, and appropriate follow-up care as indicated in the IMNCI guidelines.

12. Where can IMNCI be applied? The IMNCI approach is designed for use in clinical settings at all levels of health care where children under 5 years are managed. health centres hospitals national referral hospitals and private health facilities.

13. Principles of IMNCI Sick children under five should be examined for signs requiring referral or hospitalization. Routine assessment includes symptoms, nutrition, immunization, feeding issues, and potential problems. A few clinical signs are used, chosen for their sensitivity and specificity. Children are classified based on signs to guide treatment; classifications aren't specific diagnoses. IMNCI guidelines cover common pediatric problems, using a limited number of essential drugs. Caretakers are involved in treatment. Caretakers receive counselling on home care, feeding, fluids, and when to return to the health facility. Counselling of caretakers about home care including feeding fluids, and when to return to health facility.

14. Principles of IMNCI All sick children under five years of age must be examined for conditions which indicate immediate referral or hospitalization. Children must be routinely assed for major symptoms, nutritional and immunization status, feeding problems and other potential problem. Only a limited number of carefully selected clinical signs, are used based on evidence of their sensitivity and specificity to detect disease. Based on the presence of selected clinical signs, the child is placed in a classifications, classification are not specific diagnosis but categories that are used to determine the treatment. IMNCI guidelines address most common but not all pediatric problems. A limited number of essential drugs are used. Care takers are actively involved in the treatment of children. Counselling of care takers about home care including feeding fluids, and when to return to health facility.

15. IMNCI Package IMNCI guidelines recommend standardized case management procedures, That is based on the two age categories. 1. up to 2 months. 2. 2 months to 5 years.

16. ASSESS THE MOTHERS /CAREGIVERS HEALTH NEEDS Nutritional status and anemia, contraception. Check the mothers HIV status. Check the mothers psychological support and needs. Check hygienic practices, Check the mental status of the mother.

17. Advantages of IMNCI strategy Promotes accurate identification of childhood illness in outpatient settings. Ensures appropriates combined treatment of all major childhood illnesses. Strengthens the counseling of mothers or caregivers. Strengthens the provision of preventive and promotive services. Speeds up the referral of severely ill children. Aims to improve the quality of care of sick children at referral level.

18. Conclusion Implementation of the IMNCI resulted in sustainable improvement in infant survival and in neonatal survival in those born in home. The IMNCI should be a part of Indians strategy to achieve the millennium developmental goal on child survival. Especially with the neonatal care component ,led to a decrease in infant and under 5 mortality rates. IMNCI aims to reduce death, illness and disability, and to promote improved growth and development among children under five years of age.

19. IMNCI activities in countries are therefore organized to improve health workers skills, as described in the articles in the supplement, improvement family and community practice. It also described the process for adapting the guidelines to specific country situations, and the presents the border IMNCI strategy and the status of its implementation in several countries.

20. REFERENCE 1.K. Park, text book of preventive and social medicine,21th edition, Jabalpur,banarasidas bhanot publishers page no .414,530,550. 2.AH Surya Kanta community medicine with recent advances. 4 th edition jp publications, page no:978-979. 3.https.www.studocu.com. 4.Parul Datta, Text book paediatric nursing second edition Jaypee brothers’ medical publishers page no.30.