IMCI Summary

download IMCI Summary

of 43

Transcript of IMCI Summary

  • 8/3/2019 IMCI Summary

    1/43

    &+,/'$*('0217+68372

  • 8/3/2019 IMCI Summary

    2/43

    7+(1$6.$%2870$,16

  • 8/3/2019 IMCI Summary

    3/43

    'RHVWKHFKLOGKDYHGLDUUKRHD"

    &ODVVLI\',$55+2($

    IRU'(+

  • 8/3/2019 IMCI Summary

    4/43

    ,)

  • 8/3/2019 IMCI Summary

    5/43

    'RHVWKHFKLOGKDYHDQHDUSUREOHP"

    ,)

  • 8/3/2019 IMCI Summary

    6/43

    7+(1&+(&.)250$/1875,7,21$1'$1$(0,$

    &+(&.)250$/1875,7,21

    &+(&.)25$1$(0,$

    &/$66,)

  • 8/3/2019 IMCI Summary

    7/43

    $66(6627+(5352%/(06

    0$.(685(&+,/':,7+$1

  • 8/3/2019 IMCI Summary

    8/43

    75($77+(&+,/'&$55

  • 8/3/2019 IMCI Summary

    9/43

    7($&+7+(027+(572*,9(25$/'58*6$7+20(

    *,9(,1+$/('6$/%87$02/IRU:+((=,1*

    86(2)$63$&(5$VSDFHULVDZD\RIGHOLYHULQJWKHEURQFKRGLODWRUGUXJVHIIHFWLYHO\LQWRWKHOXQJV1RFKLOGXQGHU\HDUVVKRXOGEHJLYHQDQLQKDOHUZLWKRXWDVSDFHU$VSDFHUZRUNVDVZHOODVDQHEXOLVHULIFRUUHFWO\XVHG

    )URPVDOEXWDPROPHWHUHGGRVHLQKDOHUPJSXIIJLYHSXIIV

    5HSHDWXSWRWLPHVHYHU\PLQXWHVEHIRUHFODVVLI\LQJSQHXPRQLD

    6SDFHUVFDQEHPDGHLQWKHIROORZLQJZD\

    8VHDPOGULQNERWWOHRUVLPLODU

    &XWDKROHLQWKHERWWOHEDVHLQWKHVDPHVKDSHDVWKHPRXWKSLHFHRIWKHLQKDOHU7KLVFDQEHGRQHXVLQJDVKDUSNQLIH

    &XWWKHERWWOHEHWZHHQWKHXSSHUTXDUWHUDQGWKHORZHUDQGGLVUHJDUGWKHXSSHUTXDUWHURIWKHERWWOH

    &XWDVPDOO9LQWKHERUGHURIWKHODUJHRSHQSDUWRIWKHERWWOHWRILWWRWKHFKLOGV

    QRVHDQGEHXVHGDVDPDVN)ODPHWKHHGJHRIWKHFXWERWWOHZLWKDFDQGOHRUDOLJKWHUWRVRIWHQLW

    ,QDVPDOOEDE\DPDVNFDQEHPDGHE\PDNLQJDVLPLODUKROHLQDSODVWLFQRWSRO\VW\UHQHFXS

    $OWHUQDWLYHO\FRPPHUFLDOVSDFHUVFDQEHXVHGLIDYDLODEOH

    7RXVHDQLQKDOHUZLWKDVSDFHU

    5HPRYHWKHLQKDOHUFDS6KDNHWKHLQKDOHUZHOO

    ,QVHUWPRXWKSLHFHRIWKHLQKDOHUWKURXJKWKHKROHLQWKHERWWOHRUSODVWLFFXS

    7KHFKLOGVKRXOGSXWWKHRSHQLQJRIWKHERWWOHLQWRKLVPRXWKDQGEUHDWKLQDQGRXWWKURXJKWKHPRXWK

    $FDUHUWKHQSUHVVHVGRZQWKHLQKDOHUDQGVSUD\VLQWRWKHERWWOHZKLOHWKHFKLOGFRQWLQXHVWREUHDWKQRUPDOO\

    :DLWIRUWKUHHWRIRXUEUHDWKVDQGUHSHDWIRUWRWDORIILYHVSUD\V

    )RU\RXQJHUFKLOGUHQSODFHWKHFXSRYHUWKHFKLOGVPRXWKDQGXVHDVDVSDFHULQWKHVDPHZD\

    ,IDVSDFHULVEHLQJXVHGIRUWKHILUVWWLPHLWVKRXOGEHSULPHGE\H[WUDSXIIVIURPWKHLQKDOHU

    *LYH,URQ*LYHRQHGRVHGDLO\IRUGD\V

    *LYH2UDO&RDUWHPHWKHU

    *LYHWKHILUVWGRVHRIFRDUWHPHWKHULQWKHFOLQLFDQGREVHUYHIRURQHKRXU,IFKLOGYRPLWVZLWKLQDQKRXUUHSHDWWKHGRVHQGGRVHDWKRPHDIWHUKRXUV

    7KHQWZLFHGDLO\IRUIXUWKHUWZRGD\VDVVKRZQEHORZ

    &RDUWHPHWKHUVKRXOGEHWDNHQZLWKIRRG

    &RDUWHPHWKHUWDEOHWVPJDUWHPHWKHUDQGPJOXPHIDQWULQH

    :(,*+7DJH KU K K K K K

    NJPRQWKVXSWR\HDUV

    NJ\HDUVXSWR\HDUV

    $*(RU:(,*+7

    ,521)2/$7(7$%/(7)HUURXVVXOIDWHPJ

    PJ)RODWHPJHOHPHQWDOLURQ

    ,5216

  • 8/3/2019 IMCI Summary

    10/43

    7($&+7+(027+(57275($7/2&$/,1)(&7,216$7+20(

    &OHDUWKH(DUE\'U\:LFNLQJDQG*LYH(DUGURSV

    'RWKHIROORZLQJWLPHVGDLO\

    x 5ROOFOHDQDEVRUEHQWFORWKRUVRIWVWURQJWLVVXHSDSHULQWRDZLFN

    x 3ODFHWKHZLFNLQWKHFKLOGVHDU

    x 5HPRYHWKHZLFNZKHQZHW

    x 5HSODFHWKHZLFNZLWKDFOHDQRQHDQGUHSHDWWKHVHVWHSVXQWLOWKHHDULVGU\

    x ,QVWLOTXLQRORQHHDUGURSVIRUWZRZHHNV

    7UHDW0RXWK8OFHUVZLWK*HQWLDQ9LROHW*9

    7UHDWWKHPRXWKXOFHUVWZLFHGDLO\x :DVKKDQGV

    x :DVKWKHFKLOGVPRXWKZLWKDFOHDQVRIWFORWKZUDSSHGDURXQGWKHILQJHUDQGZHWZLWKVDOWZDWHU

    x 3DLQWWKHPRXWKZLWKVWUHQJWKJHQWLDQYLROHWGLOXWLRQ

    x :DVKKDQGVDJDLQx &RQWLQXHXVLQJ*9IRUKRXUVDIWHUWKHXOFHUVKDYHEHHQFXUHG

    x *LYHSDUDFHWDPROIRUSDLQUHOLHI

    6RRWKHWKH7KURDW5HOLHYHWKH&RXJKZLWKD6DIH5HPHG\

    6DIHUHPHGLHVWRUHFRPPHQG %UHDVWPLONIRUDEUHDVWIHGLQIDQW

    BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB

    BBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB

    +DUPIXOUHPHGLHVWRGLVFRXUDJHBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB

    ([SODLQWRWKHPRWKHUZKDWWKHWUHDWPHQWLVDQGZK\LWVKRXOGEHJLYHQ

    'HVFULEHWKHWUHDWPHQWVWHSVOLVWHGLQWKHDSSURSULDWHER[

    :DWFKWKHPRWKHUDVVKHJLYHVWKHILUVWWUHDWPHQWLQWKHFOLQLFH[FHSWIRUUHPHG\IRUFRXJKRUVRUHWKURDW

    7HOOKHUKRZRIWHQWRGRWKHWUHDWPHQWDWKRPH

    ,IQHHGHGIRUWUHDWPHQWDWKRPHJLYHPRWKHUDWXEHRIWHWUDF\FOLQHRLQWPHQWRUDVPDOOERWWOHRIJHQWLDQYLROHW

    &KHFNWKHPRWKHUVXQGHUVWDQGLQJEHIRUHVKHOHDYHVWKHFOLQLF

    4XLQRORQHHDUGURSVPD\FRQWDLQFLSURIOR[DFLQQRUIOR[DFLQRURIOR[DFLQ

    7UHDW(\H,QIHFWLRQZLWK7HWUDF\FOLQH(\H2LQWPHQW

    &OHDQERWKH\HVWLPHVGDLO\x :DVKKDQGV

    x 8VHFOHDQFORWKDQGZDWHUWRJHQWO\ZLSHDZD\SXV

    7KHQDSSO\WHWUDF\FOLQHH\HRLQWPHQWLQERWKH\HVWLPHVGDLO\x 6TXLUWDVPDOODPRXQWRIRLQWPHQWRQWKHLQVLGHRIWKHORZHUOLG

    x :DVKKDQGVDJDLQ7UHDWXQWLOWKHUHLVQRSXVGLVFKDUJH

    'RQRWSXWDQ\WKLQJHOVHLQWKHH\H

  • 8/3/2019 IMCI Summary

    11/43

    *,9(9,7$0,1$$1'0(%(1'$=2/(,1&/,1,&

    ([SODLQWRWKHPRWKHUZK\WKHGUXJLVJLYHQ

    'HWHUPLQHWKHGRVHDSSURSULDWHIRUWKHFKLOGVZHLJKWRUDJH

    0HDVXUHWKHGRVHDFFXUDWHO\

    *LYH9LWDPLQ$

    9,7$0,1$6833/(0(17$7,21

    *LYHILUVWGRVHDQ\WLPHDIWHUPRQWKVRIDJHWR$//&+,/'5(1

    7KHUHDIWHUJLYHYLWDPLQ$HYHU\VL[PRQWKVWR$//&+,/'5(1

    9,7$0,1$75($70(17

    *LYHDQH[WUDGRVHRI9LWDPLQ$VDPHGRVHDVIRUVXSSOHPHQWDWLRQDVSDUWRIWUHDWPHQWLIWKHFKLOGKDVPHDVOHVRU3(56,67(17',$55+2($

    ,IWKHFKLOGKDVKDGDGRVHRI9LWDPLQ$ZLWKLQWKHSDVWPRQWK'2127*,9(

    9,7$0,1$

    $OZD\VUHFRUGWKHGRVHRI9LWDPLQ$JLYHQRQWKHFKLOGVFKDUW

    $JH 9,7$0,1$'26(

    PRQWKVXSWRPRQWKV ,8

    2QH\HDUDQGROGHU ,8

    *LYH0HEHQGD]ROH *LYHPJPHEHQGD]ROHDVDVLQJOHGRVHLQFOLQLFLI

    KRRNZRUPZKLSZRUPLVDSUREOHPLQ\RXUDUHD

    WKHFKLOGLV\HDURIDJHRUROGHUDQG

    KDVQRWKDGDGRVHLQWKHSUHYLRXVPRQWKV

  • 8/3/2019 IMCI Summary

    12/43

    *,9(7+(6(75($70(176,17+(&/,1,&21/

  • 8/3/2019 IMCI Summary

    13/43

    7UHDWWKH&KLOGWR3UHYHQW/RZ%ORRG6XJDU

    ,IWKHFKLOGLVDEOHWREUHDVWIHHG

    $VNWKHPRWKHUWREUHDVWIHHGWKHFKLOG

    ,IWKHFKLOGLVQRWDEOHWREUHDVWIHHGEXWLVDEOHWRVZDOORZ

    x *LYHH[SUHVVHGEUHDVWPLONRUEUHDVWPLONVXEVWLWXWH

    x ,IQHLWKHURIWKHVHLVDYDLODEOHJLYHVXJDUZDWHU

    x *LYHPORIPLONRUVXJDUZDWHUEHIRUHGHSDUWXUH

    7RPDNHVXJDUZDWHU'LVVROYHOHYHOWHDVSRRQVRIVXJDUJUDPVLQDPOFXSRIFOHDQZDWHU

    ,IWKHFKLOGLVQRWDEOHWRVZDOORZ

    x *LYHPORIPLONRUVXJDUZDWHUE\QDVRJDVWULFWXEH

  • 8/3/2019 IMCI Summary

    14/43

    *,9((;75$)/8,')25',$55+2($$1'&217,18()((',1* 6HH)22'DGYLFHRQ&2816(/7+(027+(5FKDUW

    3ODQ$7UHDWIRU'LDUUKRHDDW+RPH&RXQVHOWKHPRWKHURQWKH5XOHVRI+RPH7UHDWPHQW*LYH([WUD)OXLG*LYH=LQF6XSSOHPHQWVDJHPRQWKVXSWR\HDUV&RQWLQXH)HHGLQJ:KHQWR5HWXUQ

    *,9((;75$)/8,'DVPXFKDVWKHFKLOGZLOOWDNH

    7(//7+(027+(5

    x %UHDVWIHHGIUHTXHQWO\DQGIRUORQJHUDWHDFKIHHGx ,IWKHFKLOGLVH[FOXVLYHO\EUHDVWIHGJLYH256RUFOHDQZDWHULQDGGLWLRQWREUHDVWPLONx ,IWKHFKLOGLVQRWH[FOXVLYHO\EUHDVWIHGJLYHRQHRUPRUHRIWKHIROORZLQJ

    IRRGEDVHGIOXLGVVXFKDVVRXSULFHZDWHUDQG\RJKXUWGULQNVRU256

    ,WLVHVSHFLDOO\LPSRUWDQWWRJLYH256DWKRPHZKHQ

    x WKHFKLOGKDVEHHQWUHDWHGZLWK3ODQ%RU3ODQ&GXULQJWKLVYLVLWx WKHFKLOGFDQQRWUHWXUQWRDFOLQLFLIWKHGLDUUKRHDJHWVZRUVH

    7($&+7+(027+(5+2:720,;$1'*,9(256*,9(7+(027+(53$&.(762)2567286($7+20(6+2:7+(027+(5+2:08&+)/8,'72*,9(,1$'',7,21727+(868$/)/8,',17$.(

    8SWR\HDUV WRPODIWHUHDFKORRVHVWRRO \HDUVRUPRUH WRPODIWHUHDFKORRVHVWRRO

    7HOOWKHPRWKHUWR

    x *LYHIUHTXHQWVPDOOVLSVIURPDFXSx ,IWKHFKLOGYRPLWVZDLWPLQXWHVWKHQFRQWLQXHEXWPRUHVORZO\x &RQWLQXHJLYLQJH[WUDIOXLGXQWLOWKHGLDUUKRHDVWRSV

    *,9(=,1&DJHPRQWKVXSWR\HDUV

    7(//7+(027+(5+2:08&+=,1&72*,9(PJWDE

    PRQWKVXSWRPRQWKVWDEOHWGDLO\IRUGD\VPRQWKVRUPRUHWDEOHWGDLO\IRUGD\V

    6+2:7+(027+(5+2:72*,9(=,1&6833/(0(176

    x,QIDQWVGLVVROYHWDEOHWLQDVPDOODPRXQWRIH[SUHVVHGEUHDVWPLON256RUFOHDQZDWHULQDFXSx2OGHUFKLOGUHQWDEOHWVFDQEHFKHZHGRUGLVVROYHGLQDVPDOODPRXQWRIFOHDQZDWHULQDFXS

    &217,18()((',1*H[FOXVLYHEUHDVWIHHGLQJLIDJHOHVVWKDQPRQWKV

    :+(1725(7851

    3ODQ%7UHDWIRU6RPH'HK\GUDWLRQZLWK256

    ,QWKHFOLQLFJLYHUHFRPPHQGHGDPRXQWRI256RYHUKRXUSHULRG

    '(7(50,1($028172)25672*,9('85,1*),567+2856

    8VHWKHFKLOGVDJHRQO\ZKHQ\RXGRQRWNQRZWKHZHLJKW7KHDSSUR[LPDWHDPRXQWRI256UHTXLUHGLQPOFDQDOVREHFDOFXODWHGE\PXOWLSO\LQJWKHFKLOGVZHLJKWLQNJWLPHV

    x,IWKHFKLOGZDQWVPRUH256WKDQVKRZQJLYHPRUH

    x)RULQIDQWVEHORZPRQWKVZKRDUHQRWEUHDVWIHGDOVRJLYHPOFOHDQZDWHUGXULQJWKLVSHULRG

    6+2:7+(027+(5+2:72*,9(25662/87,21

    x*LYHIUHTXHQWVPDOOVLSVIURPDFXS

    x,IWKHFKLOGYRPLWVZDLWPLQXWHVWKHQFRQWLQXHEXWPRUHVORZO\x&RQWLQXHEUHDVWIHHGLQJZKHQHYHUWKHFKLOGZDQWV

    $)7(5+2856

    x5HDVVHVVWKHFKLOGDQGFODVVLI\WKHFKLOGIRUGHK\GUDWLRQ

    x6HOHFWWKHDSSURSULDWHSODQWRFRQWLQXHWUHDWPHQW

    x%HJLQIHHGLQJWKHFKLOGLQFOLQLF ,)7+(027+(50867/($9(%()25(&203/(7,1*75($70(17

    x6KRZKHUKRZWRSUHSDUH256VROXWLRQDWKRPH

    x6KRZKHUKRZPXFK256WRJLYHWRILQLVKKRXUWUHDWPHQWDWKRPHx*LYHKHULQVWUXFWLRQVKRZWRSUHSDUHVDOWDQGVXJDUVROXWLRQIRUXVHDWKRPH

    x([SODLQWKH5XOHVRI+RPH7UHDWPHQW

    *,9((;75$)/8,'

    *,9(=,1&DJHPRQWKVXSWR\HDUV

    &217,18()((',1*H[FOXVLYHEUHDVWIHHGLQJLIDJHOHVVWKDQPRQWKV

    :+(1725(7851

    $*( 8SWRPRQWKV PRQWKVXS

    WRPRQWKV

    PRQWKVXS

    WR\HDUV

    \HDUVXS

    WR\HDUV

    :(,*+7 NJ NJ NJ NJ

    $PRXQWRIIOXLGPORYHUKRXUV

  • 8/3/2019 IMCI Summary

    15/43

    *,9((;75$)/8,')25',$55+2($$1'&217,18()((',1*

    6HH)22'DGYLFHRQ&2816(/7+(027+(5FKDUW

    3ODQ&7UHDWIRU6HYHUH'HK\GUDWLRQ4XLFNO\ )2//2:7+($552:6,)$16:(5,6

  • 8/3/2019 IMCI Summary

    16/43

    *,9()2//2:83&$5(&DUHIRUWKHFKLOGZKRUHWXUQVIRUIROORZXSXVLQJDOOWKHER[HVWKDWPDWFKWKHFKLOGVSUHYLRXVFODVVLILFDWLRQ

    ,IWKHFKLOGKDVDQ\QHZSUREOHPVDVVHVVFODVVLI\DQGWUHDWWKHQHZSUREOHPDVRQWKH$66(66$1'&/$66,)

  • 8/3/2019 IMCI Summary

    17/43

    *,9()2//2:83&$5(

    &DUHIRUWKHFKLOGZKRUHWXUQVIRUIROORZXSXVLQJDOOWKHER[HVWKDWPDWFKWKHFKLOGVSUHYLRXVFODVVLILFDWLRQ

    ,IWKHFKLOGKDVDQ\QHZSUREOHPVDVVHVVFODVVLI\DQGWUHDWWKHQHZ

    SUREOHPDVRQWKH$66(66$1'&/$66,)

  • 8/3/2019 IMCI Summary

    18/43

    *,9()2//2:83&$5(

    &DUHIRUWKHFKLOGZKRUHWXUQVIRUIROORZXSXVLQJDOOWKHER[HVWKDWPDWFKWKHFKLOGVSUHYLRXVFODVVLILFDWLRQ,IWKHFKLOGKDVDQ\QHZSUREOHPVDVVHVVFODVVLI\DQGWUHDWWKHQHZSUREOHPDVRQWKH$66(66$1'&/$66,)

  • 8/3/2019 IMCI Summary

    19/43

    &2816(/7+(027+(5

    $VVHVVWKH)HHGLQJRI6LFN,QIDQWVXQGHU\HDUV

    RULIFKLOGKDVYHU\ORZZHLJKWIRUDJH$VNTXHVWLRQVDERXWWKHFKLOGVXVXDOIHHGLQJDQGIHHGLQJGXULQJWKLVLOOQHVV&RPSDUHWKHPRWKHUVDQVZHUVWRWKH)HHGLQJ

    5HFRPPHQGDWLRQVIRUWKHFKLOGVDJH

    $6.+RZDUH\RXIHHGLQJ\RXUFKLOG"

    ,IWKHLQIDQWLVUHFHLYLQJDQ\EUHDVWPLON$6.

    +RZPDQ\WLPHVGXULQJWKHGD\"

    'R\RXDOVREUHDVWIHHGGXULQJWKHQLJKW"

    'RHVWKHLQIDQWWDNHDQ\RWKHUIRRGRUI OXLGV"

    :KDWIRRGRUIOXLGV" +RZPDQ\WLPHVSHUGD\":KDWGR\RXXVHWRIHHGWKHFKLOG"

    ,IYHU\ORZZHLJKWIRUDJH$6.

    +RZODUJHDUHVHUYLQJV"'RHVWKHFKLOGUHFHLYHKLVRZQVHUYLQJ"

    :KRIHHGVWKHFKLOGDQGKRZ"

    'XULQJWKLVLOOQHVVKDVWKHLQIDQWVIHHGLQJFKDQJHG" ,I\HVKRZ"

  • 8/3/2019 IMCI Summary

    20/43

    )((',1*5(&200(1'$7,216'85,1*6,&.1(66$1'+($/7+

    $JRRGTXDOLW\GLHWVKRXOGEHDGHTXDWHLQTXDQWLW\DQGLQFOXGHDQHQHUJ\ULFKIRRGIRUH[DPSOHWKLFNFHUHDOZLWKDGGHGRLOPHDWILVKHJJVRUSXOVHVDQGIUXLWVDQGYHJHWDEOHV

    )HHGLQJ5HFRPPHQGDWLRQVIRUDFKLOGZKRKDV3(56,67(17',$55+2($

    x ,IVWLOOEUHDVWIHHGLQJJLYHPRUHIUHTXHQWORQJHUEUHDVWIHHGVGD\DQGQLJKW

    x ,IWDNLQJRWKHUPLON UHSODFHZLWKLQFUHDVHGEUHDVWIHHGLQJ25 UHSODFHZLWKIHUPHQWHGPLONSURGXFWVVXFKDV\RJKXUW25

    UHSODFHKDOIWKHPLONZLWKQXWULHQWULFKVHPLVROLGIRRG

    x %UHDVWIHHGDVRIWHQDVWKHFKLOGZDQWVGD\DQGQLJKWDWOHDVWWLPHVLQKRXUV

    x 'RQRWJLYHRWKHUIRRGVRUIOXLGV

    8SWR0RQWKVRI$JH

    x%UHDVWIHHGDVRIWHQDVWKHFKLOGZDQWV

    x*LYHDGHTXDWHVHUYLQJVRIBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB

    WLPHVSHUGD\LIEUHDVWIHGSOXV

    VQDFNV WLPHVSHUGD\LIQRWEUHDVWIHG

    0RQWKVXSWR0RQWKV

    x%UHDVWIHHGDVRIWHQDVWKHFKLOGZDQWV

    x*LYHDGHTXDWHVHUYLQJVRIBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBBB

    BBBBBBBBBBBBBBBBBBBBBBBBBBRUIDPLO\IRRGVRUWLPHVSHUGD\

    SOXVVQDFNV

    0RQWKVXSWR

  • 8/3/2019 IMCI Summary

    21/43

    &2816(/7+(027+(5$%287)((',1*352%/(06

    ,IWKHFKLOGLVQRWEHLQJIHGDVGHVFULEHGLQWKHDERYHUHFRPPHQGDWLRQVFRXQVHOWKHPRWKHUDFFRUGLQJO\,QDGGLWLRQ

    ,IWKHPRWKHUUHSRUWVGLIILFXOW\ZLWKEUHDVWIHHGLQJDVVHVVEUHDVWIHHGLQJVHH

  • 8/3/2019 IMCI Summary

    22/43

    &2816(/7+(027+(5$%287+(52:1+($/7+

    ,IWKHPRWKHULVVLFNSURYLGHFDUHIRUKHURUUHIHUKHUIRUKHOS

    ,IVKHKDVDEUHDVWSUREOHPVXFKDVHQJRUJHPHQWVRUHQLSSOHVEUHDVWLQIHFWLRQSURYLGHFDUHIRUKHURUUHIHUKHUIRUKHOS

    $GYLVHKHUWRHDWZHOOWRNHHSXSKHURZQVWUHQJWKDQGKHDOWK

    &KHFNWKHPRWKHUVLPPXQL]DWLRQVWDWXVDQGJLYHKHUWHWDQXVWR[RLGLIQHHGHG

    0DNHVXUHVKHKDVDFFHVVWR

    x )DPLO\SODQQLQJ

    x &RXQVHOOLQJRQ67'DQG$,'6SUHYHQWLRQ

  • 8/3/2019 IMCI Summary

    23/43

    )/8,'

    :+(1725(7851

    $GYLVHWKH0RWKHU:KHQWR5HWXUQWR+HDOWK:RUNHU)2//2:839,6,7$GYLVHWKHPRWKHUWRFRPHIRUIROORZXSDWWKHHDUOLHVWWLPHOLVWHGIRUWKHFKLOGVSUREOHPV

    1(;7:(//&+,/'9,6,7$GYLVHPRWKHUZKHQWRUHWXUQIRUQH[WLPPXQL]DWLRQDFFRUGLQJWRLPPXQL]DWLRQVFKHGXOH

    ,IWKHFKLOGKDV 5HWXUQIRUILUVWIROORZXSLQ

    x 31(8021,$

    x '

  • 8/3/2019 IMCI Summary

    24/43

  • 8/3/2019 IMCI Summary

    25/43

    7+(1&+(&.)25-$81',&(

    ,IMDXQGLFHSUHVHQW$6.

    x:KHQGLGMDXQGLFHILUVWDSSHDU"

    /22./,67(1)((/

    x/RRNIRUMDXQGLFH\HOORZH\HVRUVNLQ

    x/RRNDWWKH\RXQJLQIDQWVSDOPVDQG

    VROHV$UHWKH\\HOORZ"

    &ODVVLI\-DXQGLFH

    x $Q\MDXQGLFHLIDJHOHVVWKDQKRXUVRU

    x

  • 8/3/2019 IMCI Summary

    26/43

  • 8/3/2019 IMCI Summary

    27/43

    7+(1&+(&.)25)((',1*352%/(025/2::(,*+7)25$*(

    6,*16 &/$66,)

  • 8/3/2019 IMCI Summary

    28/43

    7+(1&+(&.7+(

  • 8/3/2019 IMCI Summary

    29/43

    75($77+(

  • 8/3/2019 IMCI Summary

    30/43

    75($77+(

  • 8/3/2019 IMCI Summary

    31/43

    75($77+(

  • 8/3/2019 IMCI Summary

    32/43

    &2816(/7+(027+(5

    7HDFK&RUUHFW3RVLWLRQLQJDQG$WWDFKPHQWIRU%UHDVWIHHGLQJ

    6KRZWKHPRWKHUKRZWRKROGKHULQIDQW

    ZLWKWKHLQIDQWVKHDGDQGERG\LQOLQH

    ZLWKWKHLQIDQWDSSURDFKLQJEUHDVWZLWKQRVHRSSRVLWHWRWKHQLSSOH

    ZLWKWKHLQIDQWKHOGFORVHWRWKHPRWKHUVERG\

    ZLWKWKHLQIDQWVZKROHERG\VXSSRUWHGQRWMXVWQHFNDQGVKRXOGHUV

    6KRZKHUKRZWRKHOSWKHLQIDQWWRDWWDFK6KHVKRXOG

    WRXFKKHULQIDQWVOLSVZLWKKHUQLSSOH

    ZDLWXQWLOKHULQIDQWVPRXWKLVRSHQLQJZLGH

    PRYHKHULQIDQWTXLFNO\RQWRKHUEUHDVWDLPLQJWKHLQIDQWVORZHUOLSZHOOEHORZWKHQLSSOH

    /RRNIRUVLJQVRIJRRGDWWDFKPHQWDQGHIIHFWLYHVXFNOLQJ,IWKHDWWDFKPHQWRUVXFNOLQJLVQRWJRRGWU\DJDLQ

    7HDFKWKH0RWKHU+RZWR([SUHVV%UHDVW0LON

    $VNWKHPRWKHUWR

    :DVKKHUKDQGVWKRURXJKO\

    0DNHKHUVHOIFRPIRUWDEOH

    +ROGDZLGHQHFNHGFRQWDLQHUXQGHUKHUQLSSOHDQGDUHROD

    3ODFHKHUWKXPERQWRSRIWKHEUHDVWDQGWKHILUVWILQJHURQWKHXQGHUVLGHRIWKHEUHDVWVRWKH\DUHRSSRVLWHHDFKRWKHU

    DWOHDVWFPIURPWKHWLSRIWKHQLSSOH

    &RPSUHVVDQGUHOHDVHWKHEUHDVWWLVVXHEHWZHHQKHUILQJHUDQGWKXPEDIHZWLPHV

    ,IWKHPLONGRHVQRWDSSHDUVKHVKRXOGUHSRVLWLRQKHUWKXPEDQGILQJHUFORVHUWRWKHQLSSOHDQGFRPSUHVVDQGUHOHDVHWKHEUHDVWDVEHIRUH &RPSUHVVDQGUHOHDVHDOOWKHZD\DURXQGWKHEUHDVWNHHSLQJKHUILQJHUVWKHVDPHGLVWDQFHIURPWKHQLSSOH%HFDUHIXOQRWWRVTXHH]HWKH

    QLSSOHRUWRUXEWKHVNLQRUPRYHKHUWKXPERUILQJHURQWKHVNLQ

    ([SUHVVRQHEUHDVWXQWLOWKHPLONMXVWGULSVWKHQH[SUHVVWKHRWKHUEUHDVWXQWLOWKHPLONMXVWGULSV

    $OWHUQDWHEHWZHHQEUHDVWVRUWLPHVIRUDWOHDVWWRPLQXWHV

    6WRSH[SUHVVLQJZKHQWKHPLONQRORQJHUIORZVEXWGULSVIURPWKHVWDUW

  • 8/3/2019 IMCI Summary

    33/43

    &2816(/7+(027+(5

    7HDFKWKH0RWKHU+RZWR.HHSWKH/RZ:HLJKW,QIDQW:DUPDW+RPH.HHSWKH\RXQJLQIDQWLQWKHVDPHEHGZLWKWKHPRWKHU.HHSWKHURRPZDUPDWOHDVW&ZLWKKRPHKHDWLQJGHYLFHDQGPDNHVXUHWKDWWKHUHLVQRGUDXJKWRIFROGDLU$YRLGEDWKLQJWKHORZZHLJKWLQIDQW:KHQZDVKLQJRUEDWKLQJGRLWLQDYHU\ZDUPURRPZLWKZDUPZDWHUGU\LPPHGLDWHO\DQGWKRURXJKO\DIWHUEDWKLQJDQGFORWKHWKH\RXQJLQIDQWLPPHGLDWHO\

    &KDQJHFORWKHVHJQDSSLHVZKHQHYHUWKH\DUHZHW3URYLGHVNLQWRVNLQFRQWDFWDVPXFKDVSRVVLEOHGD\DQGQLJKW)RUVNLQWRVNLQFRQWDFW

    'UHVVWKHLQIDQWLQDZDUPVKLUWRSHQDWWKHIURQWDQDSS\KDWDQGVRFNV3ODFHWKHLQIDQWLQVNLQWRVNLQFRQWDFWRQWKHPRWKHUVFKHVWEHWZHHQWKHPRWKHUVEUHDVWV.HHSWKHLQIDQWVKHDGWXUQHGWRRQHVLGH&RYHUWKHLQIDQWZLWKPRWKHUVFORWKHVDQGDQDGGLWLRQDOZDUPEODQNHWLQFROGZHDWKHU

    :KHQQRWLQVNLQWRVNLQFRQWDFWNHHSWKH\RXQJLQIDQWFORWKHGRUFRYHUHGDVPXFKDVSRVVLEOHDWDOOWLPHV'UHVVWKH\RXQJLQIDQWZLWKH[WUDFORWKLQJLQFOXGLQJKDWDQGVRFNVORRVHO\ZUDSWKH\RXQJLQIDQWLQDVRIWGU\FORWKDQGFRYHUZLWKDEODQNHW

    &KHFNIUHTXHQWO\LIWKHKDQGVDQGIHHWDUHZDUP,IFROGUHZDUPWKHEDE\XVLQJVNLQWRVNLQFRQWDFW%UHDVWIHHGRUJLYHH[SUHVVHGEUHDVWPLONE\FXSWKHLQIDQWIUHTXHQWO\

    7HDFKWKH0RWKHU+RZWR)HHGE\D&XS

    3XWDFORWKRQWKHLQIDQWVIURQWWRSURWHFWKLVFORWKHVDVVRPHPLONFDQVSLOO

    +ROGWKHLQIDQWVHPLXSULJKWRQWKHODS

    3XWDPHDVXUHGDPRXQWRIPLONLQWKHFXS

    +ROGWKHFXSVRWKDWLWUHVWVOLJKWO\RQWKHLQIDQWVORZHUOLS

    7LSWKHFXSVRWKDWWKHPLONMXVWUHDFKHVWKHLQIDQWVOLSV

    $OORZWKHLQIDQWWRWDNHWKHPLONKLPVHOI'2127SRXUWKHPLONLQWRWKHLQIDQWVPRXWK

  • 8/3/2019 IMCI Summary

    34/43

  • 8/3/2019 IMCI Summary

    35/43

    *,9()2//2:83&$5()257+(

  • 8/3/2019 IMCI Summary

    36/43

    *,9()2//2:83&$5()257+(

  • 8/3/2019 IMCI Summary

    37/43

    *,9()2//2:83&$5()257+(

  • 8/3/2019 IMCI Summary

    38/43

  • 8/3/2019 IMCI Summary

    39/43

  • 8/3/2019 IMCI Summary

    40/43

  • 8/3/2019 IMCI Summary

    41/43

  • 8/3/2019 IMCI Summary

    42/43

    Integrated Management of Childhood Illness Chart booklet

    Process of updating the chart booklet

    The generic IMCI chart booklet was developed and published in 1995 based on evidence existing at that time (Reference: Integrated

    management of Childhood Illness Adaptation Guide: C. Technical basis for adapting clinical guidelines, 1998) . New evidence on the

    management of acute respiratory infections, diarrhoeal diseases, malaria, ear infections and infant feeding, published between 1995

    and 2004, was summarized in the document "Technical updates of the guidelines on IMCI : evidence and recommendations for further

    adaptations, 2005".

    Evidence reviews supported the formulation of recommendations in each of these areas (see document and the references). Reviews

    were usually followed by technical consultations where the recommendations and their technical bases were discussed and consensus

    reached. Similarly, a review and several expert meetings were held to update the young infant section of IMCI to include "care of thenewborn in the first week of life". More recently, findings of a multi-centre study (Lancet, 2008) led to the development of simplified

    recommendations for the assessment of severe infections in the newborn

    Who was involved and their declaration of interests

    The following experts were involved in the development of the updated newborn recommendations: Zulfiqar Bhutta, Ayivi Blaise,

    Wally Carlo, Rolando Cerezo, Magdy Omar, Pavel Mazmanyan, MK Bhan, Helenlouise Taylor, Gary Darmstadt, Vinod Paul, Anne

    Rimoin, Linda Wright and WHO staff from Regional and Headquarter offices. Dr. Gul Rehman and a team of CAH staff members

    drafted the updated chart booklet based on the above. Dr Antonio Pio did the technical editing of the draft IMCI chart booklet, in

    addition to participating in its peer-review. Other persons who reviewed the draft chart booklet and provided comments include AshokDeorari, Teshome Desta,, Assaye Kassie, Dinh Phuang Hoa, Harish Kumar, Vinod Paul and Siddhorth Ramzi.. Their contributions are

    acknowledged.

    None of the above experts declared any conflict of interest.

    The Department plans to review the need for an update of this chart booklet by 2011.

  • 8/3/2019 IMCI Summary

    43/43

    WHO Library Cataloguing-in-Publication Data :

    Integrated Management of Childhood Illness chart booklet.

    1.Integrated management of childhood illness. 2.Infant, Newborn. 3.Child. 4.Infant. 5.Disease management. 6.Teaching materials. I.World Health

    Organization. II.UNICEF.

    ISBN 978 92 4 159728 9 (NLM classification: WC 503.2)

    World Health Organization 2008

    All rights reserved. Publications of the World Health Organization can be obtained from WHO Press, World Health Organization, 20 Avenue Appia,1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: [email protected]). Requests for permission to reproduceor translate WHO publications whether for sale or for noncommercial distribution should be addressed to WHO Press, at the above address(fax: +41 22 791 4806; e-mail: [email protected]).

    The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the

    part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning thedelimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement.

    The mention of specific companies or of certain manufacturers products does not imply that they are endorsed or recommended by the WorldHealth Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietaryproducts are distinguished by initial capital letters.

    All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, thepublished material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use ofthe material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use.