NATIONAL ACUTE RESPIRATORY INFECTION CONTROL PROGRAM The National Acute On Respiratory Infection Control Program (NARI) is a comprehensive program in India aimed at reducing morbidity and mortality due to Acute Respiratory Infection (ARI) in children under five years of age. by Kuldeep Seervi
INTRODUCTION 1 Program Initiation The NARI program was launched in 1990 with a goal of reducing the burden of ARI among children. 2 WHO Collaboration The World Health Organization (WHO) played a pivotal role in developing and implementing the program. 3 Scientific Case Management The program introduced standardized protocols for the effective management of pneumonia, a major cause of ARI.
ACUTE RESPIRATORY INFECTION Definition ARI is a group of illnesses affecting the respiratory tract, causing symptoms like cough, fever, and difficulty breathing. Causes ARI is typically caused by viruses, bacteria, and other pathogens. These infections can spread through the air, direct contact, or contaminated surfaces. Affected Parts ARI commonly affects the nose, throat, and lungs, causing inflammation and infection.
Factors Influencing the Incidence of RTI 1 Immunization Lack of immunization against preventable diseases like measles and pertussis increases the risk of ARI. 2 Nutritional Status Malnutrition weakens the immune system, making children more susceptible to infections. 3 Environmental Factors Indoor air pollution, overcrowding, and poor sanitation can contribute to the spread of respiratory infections. 4 Socioeconomic Status Poverty and lack of access to healthcare services can hinder timely diagnosis and treatment of ARI, increasing the risk of complications.
Objectives Reduce Morbidity To lower the incidence and severity of ARI, minimizing the number of cases and reducing the impact on children's health. Reduce Mortality To decrease the number of deaths attributed to ARI, particularly among vulnerable infants and young children. Improve Case Management To enhance the quality of care provided to patients with ARI, ensuring timely diagnosis, appropriate treatment, and effective monitoring. Promote Preventive Measures To raise awareness about ARI prevention strategies, encouraging breastfeeding, immunization, and other protective measures.
Strategies Early Detection and Diagnosis :- Prompt identification and classification of ARI cases for appropriate management . 2. Case Management :- Implementation of standardized treatment protocols for different levels of severity, ensuring access to essential medications and oxygen therapy . 3. Community Mobilization :- Engaging communities in ARI prevention and control efforts, promoting awareness , and fostering collaboration. 4. Health Education :- Educating parents and caregivers about ARI symptoms, prevention strategies, and the importance of seeking early medical care. 5. Integrated Management of Childhood Illness (IMCI ):- Incorporating ARI management within a broader framework of child health services, addressing multiple health concerns . 6. Strengthening the Health System :- Improving access to healthcare facilities, training healthcare professionals, and strengthening the supply chain for essential medicines. 7. Research and Monitoring :- Continuously monitoring ARI trends, conducting research to improve interventions, and evaluating program effectiveness.
Prevention of ARI Exclusive Breastfeeding Breastfeeding provides infants with vital antibodies and nutrients, protecting them from infections. Avoid Air Pollution Exposure to indoor air pollution, especially from biomass fuels, can irritate the respiratory tract, increasing susceptibility to ARI. Immunization Vaccinations against preventable diseases like measles and pertussis play a crucial role in reducing the incidence of ARI. Adequate Nutrition Providing children with a varied and nutritious diet strengthens their immune system, making them less prone to infections. Hygiene Practices Promoting handwashing, covering coughs and sneezes, and disinfecting surfaces helps prevent the spread of respiratory infections.
Role and Responsibilities of Nurse Assessment and Monitoring Nurses play a critical role in assessing patients with ARI, monitoring vital signs, and identifying those needing urgent medical attention. Medication Administration Nurses administer prescribed medications, ensuring accurate dosage, route, and frequency of administration. Health Education Nurses provide education to patients and their families about ARI prevention, symptoms, and the importance of adherence to treatment. Patient Support Nurses offer emotional support and guidance to patients and their families, addressing concerns and answering questions.
Conclusion The National Acute On Respiratory Infection Control Program has made significant strides in reducing the burden of ARI in India. However, continuous efforts are needed to sustain progress and further strengthen the program's impact. Collaborative efforts involving healthcare professionals, communities, and policymakers are essential to address the challenges and achieve the program's objectives.