Integrated management of neonatal and childhood illness(imnci)

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Transcript of Integrated management of neonatal and childhood illness(imnci)

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•To Reduce infant and child mortality rates

• Improving child health & survival

India is still among high infant mortality Rate countries

but there has been significant decline in the IMR from

204 during 1911-1915 to 129 per 1000 live births in

1970 and remained static at around 127 for many

years.

As of 2011 data India’s Infant Mortality Rate is 44

per 1000 live births.5

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Neonatal mortality(0-4 weeks)

• Low birth weight & prematurity

• Birth injury and difficult labour

• Sepsis

• Congenital anomalies

• Hemolytic disorders

• Conditions of placenta and cord

• Diarrhoeal diseases

• Acute respiratory infections

• Tetanus

Post neonatal mortality(1-12 months)

• Diarrhoeal diseases

• Acute respiratory infections

• Communicable disease

• Malnutrition

• Congenital anomalies

• Accidents

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Newborns and

infants (under 2 months)

Young children

(2months-5 years)

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TrainingEffective

implementation

Improvement of family and community

health practices

Collaboration with other

departments

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Training at two levels

In-Service training for the existing staff

Pre-Service Training

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Paediatricians

Selected Medical Officers from Community Health Centres

and block PHCsSelected staff nurses ,Lady

Health Visitors and Child Development Project Officers

from ICDS

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Type of

training

Personnel

to be

trained

Duration Package

to be used

Place of

training

Clinical

skills

training

Medical

Officers,Paediatrician

s

Health workers,ANM

s,

CDPOs and

LHVs

8 days

8days

Physician

package

Health

workers

package

Medical

College/

District

Hospital

District

Hospital

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Type of

training

Personnel to

be trained

Duration Package to

be used

Place of

training

Supervisory

Skill Training

Medical

Officers,

Paediatricians,

CDPOs and

LHVs

2 days Supervisory

Skills

Package

Medical

College/

District

Hospital

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1. All sick children must be examined for “general danger signs” which indicate the need for immediate referral or admission to a hospital.

2. All sick children must be routinely assessed for major symptoms (for children age 2 months up to 5 years: cough or difficult breathing, diarrhoea, fever, ear problems

for young infants up to 2 months: very severe disease, diarrhoea, jaundice and feeding.

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….Contd

3.They must also be routinely assessed for

nutritional and immunization status, feeding

problems and other problems

4.Assess Vitamin A supplementation and de-

worming status for children age 2 months

up to 5 years.

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IMNCI case management

process

CHECK for danger signs Convulsions

lethargy/unconsciousness

Inability to drink/breastfeed

vomiting

ASSESS main symptoms Cough/difficulty in breathing

Diarrhoea

Fever

Ear problems

Assess Nutrition and

Immunization status and

potential feeding problems

Check for any other problem

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…contdCLASSIFY conditions and identify treatment

actions

According to color coded system

•Treat local infection•Give oral drugs•Advise and teach the care taker•Follow up

Care taker is

counselled on how to

:

•Give oral drugs

•Treat local infections

•Continue feeding

•Follow up

(pink) (Green)yellow

Urgent referral

-Pre-referral treatments

-advise patients

-refer child

Referral facility

-Emergency triage and treatment (ETAT)

-Diagnosis

-Treatment

-Monitoring

-Follow up

Treatment at outpatient

health facility

Home management

Home

management

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