National leprosy eradication program CHN

Acute Respiratory Infection Control Programme was initiated as a pilot project in 14 districts in year 1990. The programme was incorporated in child survival and safe motherhood (CSSM) programme in the year 1992 later on with Reproductive and Child Health (RCH) phase I in year 1997. Now ARI control is one of the components of RCH phase II.

1. National Acute Respiratory Infections Control programme Submitted To: Mrs. Bina Barla Submitted By: Ambika Mehta Subject coordinator, Roll no: 01 College of Nursing , Basic B.sc Nursing 4 th year RIMS, Ranchi. College of Nursing, RIMS, Ranchi

2. Contents Introduction of the programme History Aims Of the programme Acute respiratory infection Risk Factors Sign and symptoms Treament Prevention Hospital Admission and Death Strategies of the programme Role of nurse Summary References Bibliography

3. Introduction Acute Respiratory Infection Control Programme was initiated as a pilot project in 14 districts in year 1990. The programme was incorporated in child survival and safe motherhood (CSSM) programme in the year 1992 later on with Reproductive and Child Health (RCH) phase I in year 1997. Now ARI control is one of the components of RCH phase II.

4. History In the 1980s that acute respiratory Infections were the largest neglected threat to child survival in developing countries. In response to prevailing relatively high levels of morbidity and mortality associated with ARI among children under age 5 years, Egypt in 1989 established a national program to fight ARI among such young children. The main control strategy of the program was standard case management for early detection and therapy using health care providers who diagnose and treat children with ARI , especially pneumonia.

5. Aims of the programme The ARI programme aims at improving treatment practices in hospitals and health centers to reduce mortality rates due to pnuemonia and to reduce the use of unnecessary an potentially harmful drugs and overuse of antibiotics for the treatment ARI in children. The programme also aims at early recognition and appropriate treatment of pneumonia and timely referral of severe cases for treatment under medical supervision and hospitalization when required. The primary objective of ARI programme is to reduce mortality rate in children the main focus of the training will be on diagnosis and treatment of pneumonia.

6. Acute Respiratory Infection May cause the inflammation of respiratory tract any where from nose to alveoli. Classified as: Acute Upper Respiratory Infection ( common cold, pharyngitis, epiglottitis etc.) Acute Lower Respiratory Infection ( Laryngitis, bronchitis, bronchiolitis, Pneumonia etc.)

7. Sign and symptoms of ARI

8. Treatment of pneumonia at a health center Cotrimaxazole is the drug of choice for the treatment of pneumonia. Cure of up to 95% have been recorded. It is less epensive and can be used safely by health workers at the peripheral health facilities and ay home by the mothers.

9. Hospital Admission and Death

10. Strategies of the programme To ensure standard care management of pneumonia in children under 5 years by training medical and other health personnel. To train peripheral health staff to recognize and treat cases of pneumonia. To promote timely referral of severe pneumonia by the peripheral health staff and community. To improve maternal knowledge about home management of coughs and cold and recognition of early and danger sign for seeking appropriate care. To promote immunisation , exclusive breastfeeding , proper weaning and vitamin A administration.

11. Role of a nurse Cotrimaxazole should not given to premature babies and cased of neonatal jaundice. In small children the tablets should be crushed and mixed with milk or other fluids. Advice the mother to give correct dosage. Mother should be educated to recognize the danger signs when she brings the child for treatment.

12. Cont… Mother should be advised to keep young infants warm. Exclusive breastfeeding up to 6 months of age. DPT and measles vaccination at the appropriate age. Hand washing before feeding and touching the baby. For pneumonia and severe pneumonia referral should be done.

13. Evaluation What is National ARI Programme? Enlist the aims of the programme. What is acute respiratory infection? Enumerate the sign and symptoms of ARI. How to treat pneumonia? Describe the role of nurse.

14. Summary Improving the primary medical care services and developing bettermethods for early detection, treatment and prevention of acute respiratory infection is the best way to control ARI. Mortality rate due to pneumonia is reduce if treated correctly.

15. Reference Books Internet Discussion with teacher

16. Bibliography Kamalam S;Essentials in Community Health Nursing practice;The Health sciences Publishers; 3 rd edition;page no-108to109. Kumari Neelam ; Essentials of community health Nursing; PV publications; page no- 310. Manivannan Shyamala D; Textbook of community Health Nursing; CBS publications; volume 2;page no- 238. www.slideshare.net en.M.Wikipedia.org www.scribd.com