EXPLAIN THE COMPONENTS OF IMNCI
GUIDELINES AND METHODS OF RISK
STRATIFICATION
SUBATHRA SRIDHAR
11221224
INTEGRATED MANAGEMENT OF NEONATAL AND CHILDHOOD
ILLNESS (IMNCI)
Integrated Management of Childhood Illness (IMCI) strategy, developed by World
Health Organization in collaboration with UNICEF in mid 1990s.
This strategy has been adapted and expanded in India to include neonatal care at
home as well as in the health facilities and renamed as Integrated Management of
Neonatal and Childhood Illness (IMNCI).
Objectives
Reduce Mortality(2nd month of life>later ages)
Reduce Frequency and Severity of illness and Disability
Improved Growth and Development in children <5 years
imnci
Above 5 years
COMPONENTS OF IMNCI
1 Improvement of health worker skills
2 Improvement in health systems
Improvement in family and community health care
3 practices
IMNCI CATERS TWO AGE GROUPS
YOUNG INFANTS UPTO 2 MONTHS 2 MONTHS TO 5 YEARS CHILDREN
PRINCIPLES OF IMNCI GUIDELINES
All children under 5 yr of age must be examined for conditions which indicate immediate referral
Children must be routinely assessed for major symptoms, nutritional and immunization status,
feeding problems and other problems
Only a limited number of carefully selected clinical signs are used for assessment
A combination of individual signs is used to classify the severity of illness which calls for specific
action rather than a 'diagnosis’.
Classifications are color-coded and suggest referral (pink), initiation of treatment in health facility
(yellow) or management at home (green)
IMNCI guidelines address most common, but not all pediatric problems
IMNCI management protocols use a limited number of essential drugs
Caretakers are actively involved in the treatment of children
IMNCI includes counseling of caretakers about home care including feeding, fluids and when to
return to health facility
IMNCI CASE MANAGEMENT PROCESS
Steps of case management process are:
Step 1: Assess the young infant/child
Step 2: Classify the illness
Step 3: Identify treatment
Step 4: Treat the young infant/ child
Step 5: Counsel the mother
Step 6: Follow up care
ASSESS AND CLASSIFY SICK YOUNG INFANT AGE UPTO 2
MONTHS
PNEUMONIA CLASSIFICATION
JAUNDICE
CLASSIFICATION
DEHYDRATION
CLASSIFICATION
FEEDING/LBW CLASSIFICATION
THANK YOU !