Scribd
Upload
745 views31 pages

Imnci Intro

imnci introduction, child health nursing

Uploaded by

Sakthi Devi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
745 views31 pages

Imnci Intro

imnci introduction, child health nursing

Uploaded by

Sakthi Devi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
You are on page 1/ 31

"The Integrated Management of

Neonatal and Childhood Illness


(IMNCI)"
INTRODUCTION
10 million children/ year- die in developing
countries due to acute respiratory infections,
diarrhea, measles, malaria, malnutrition
1990-WHO+UNICEF +other agencies- (IMCI)
India adopted as (IMNCI).
DEFINITION
• IMNCI is an integrated approach to child health
that focuses on the well-being of the whole child.
IMNCI aims to reduce death, illness and disability,
and to promote improved growth and development
among children under five years of age.

• IMNCI includes both preventive and curative


elements that are implemented by families and
communities as well as by health facilities.
STRUCTURE OF IMNCI
IMNCI caters to two groups of children

0-2 months Young 2 months to 5 years


infants. Children
OBJECTIVES-

REDUCE IMPROVE
FREQUENCY GROWTH AND
AND SEVERITY DEVELOPMENT
REDUCE
DURING THE
MORTALITY OF ILLNESS FIRST 5 YEARS
AND OF A CHILD'S
DISABILITY LIFE
COMPONENTS OF IMNCI

Health worker component

Improvement in the overall


Health System.

Improvement in family and


community health care
practices.
A. HEALTH WORKER COMPONENT
Improvements in the case-management skills

GUIDELINES
TRAINING

SKILLED CASE-MANAGEMENT
B. HEALTH SERVICE COMPONENT
Improvements is needed for effective management
Essential
drugs
Supervision
Health
and
workers
monitoring

Referral Identified
centers referral

Swiftly
transferred
Principles
OF
IMNCI GUIDELINES
PRINCIPLES- 1
All sick children under 5 years of age must be
examined for conditions which indicate immediate
referral or hospitalization.
PRINCIPLES- 2
Children must be routinely assessed for major
symptoms, nutritional and immunization status,
feeding problems and other potential problems.
PRINCIPLES- 3
Only a limited number of carefully selected
clinical signs, are used based on evidence of their
sensitivity and specificity to detect disease.
PRINCIPLES- 4
• Based on the presence of selected clinical signs,
the child is placed in a ‘classifications’.
• Classifications are not specific diagnosis but
categories that are used to determine the
treatment.

Treatment in
Management
Referral health facility
at home
PRINCIPLES- 5
IMNCI guidelines address most common but not
all pediatric problems.
PRINCIPLES- 6
A limited number of essential drugs are used.
PRINCIPLES- 7
Care takers are actively involved in the treatment
of children.
PRINCIPLES- 8
Counselling of caretakers about home care
including feeding, fluids and when to return to
health facility
GOALS OF IMNCI
• Standardized case management of sick newborns
and children
• Focus on the most common causes of mortality
• Nutrition assessment and counselling for all sick
infants and children
• Home care for newborns to
• Promote exclusive breastfeeding
• Prevent hypothermia
• Improve illness recognition & timely care seeking
IMNCI
Package
IMNCI PACKAGE
IMNCI guidelines recommend standardized case
management procedures
That based on two age categories: -
1. Upto 2 months and
2. 2 months to 5 years
Care of Newborns and Young Infants (infants
under 2 months)
1. Keeping the child warm.
2. Initiation of breastfeeding immediately after
birth and counseling for exclusive
breastfeeding and non-use of pre lacteal feeds.
3. Cord, skin and eye care.
4. Recognition of illness in newborn and
management and/or referral).
5. Immunization
6. Home visits in the postnatal period.
Care of Infants (2 months to 5 years)
1. Management of diarrhea, acute respiratory
infections, malaria, measles, acute ear infection,
malnutrition and anemia.
2. Recognition of illness and at risk conditions and
management/referral)
3. Prevention and management of Iron and Vitamin A
deficiency.
4. Counseling on feeding for all children below 2 years
5. Counseling on feeding for malnourished children
between 2 to 5 years.
6. Immunization
IMNCI CASE MANAGEMENT PROCESS
1. Steps of case management process are the
following:
2. Asses the young infant/ child.
3. Classify the illness.
4. Identify the treatment.
5. Treat the young infant/child.
6. Counsel the mother.
7. Provide follow up care.
< 2 Months of Age
2 months to 5 Yr
ADVANTAGES OF INTEGRATED
APPROACH
ADVANTAGES OF INTEGRATED APPROACH

• Speeds up the urgent treatment and treatment


seeking practices.
• Prompt recognition of serious condition, hence
prompt referral.
• Involves parents in effective care of baby at
home.
• Partial Success of Individual disease control
programme.
Cont….
• Involves prevention of diseases by active
immunization, Improved nutrition and
Exclusive Breastfeeding practices.
• Highly cost effective.
• It avoids wastages of resources by using most
appropriate medicines and treatment.
• It reduces duplication of effort.
Thank you

You might also like