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Page 1: IMCI Orientation Powerpoint Presentation

IMCI IMCI ORIENTATIOORIENTATIONN

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PURPOSE OF TRAINING PURPOSE OF TRAINING COURSECOURSEPURPOSE OF TRAINING PURPOSE OF TRAINING COURSECOURSEThis training course is designed to This training course is designed to teach the teach the

case management procescase management process to s to doctors, doctors, nurses and other health workersnurses and other health workers who who see see sick children and infantssick children and infants. It is a case . It is a case management process for a first – level facility management process for a first – level facility such as a such as a health centehealth center or an r or an outpatient outpatient department of a hospital.department of a hospital.

The course uses the word The course uses the word “health center”“health center” throughout to mean any such setting. throughout to mean any such setting.

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You will learn to manage sick children according You will learn to manage sick children according to the case management charts, including:to the case management charts, including:

1. Assessing signs and symptoms of illness, 1. Assessing signs and symptoms of illness, nutritional, vitamin A supplementation & nutritional, vitamin A supplementation & immunization status.immunization status.

2. Classifying the illness2. Classifying the illness

3. Identifying treatments for the child’s 3. Identifying treatments for the child’s classifications and deciding if a child needs classifications and deciding if a child needs to be referred.to be referred.

4. Giving important pre-referral treatments 4. Giving important pre-referral treatments

( such as a first dose of an antibiotic, ( such as a first dose of an antibiotic, Vitamin A, quinine injection, and treatment Vitamin A, quinine injection, and treatment to prevent low blood sugar ) and referring to prevent low blood sugar ) and referring the child. the child.

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Continuation :Continuation :

5. Providing treatments in the health center, such 5. Providing treatments in the health center, such as oral rehydration therapy, vitamin A, and as oral rehydration therapy, vitamin A, and

immunization.immunization.

6. Teaching the mother to give specific treatment at 6. Teaching the mother to give specific treatment at home, such as an oral antibiotic or antimalarial.home, such as an oral antibiotic or antimalarial.

7. Counselling the mother about feeding and when 7. Counselling the mother about feeding and when to return.to return.

8. When a child comes for scheduled follow-up, re-8. When a child comes for scheduled follow-up, re-assessing the problem and providing assessing the problem and providing appropriate care.appropriate care.

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INTRODUCTIONINTRODUCTION

Pneumonia, diarrhea, dengue hemorrhagic Pneumonia, diarrhea, dengue hemorrhagic fever, malaria, measles and malnutrition cause fever, malaria, measles and malnutrition cause more more

than 70% of deaths in children under 5 years of than 70% of deaths in children under 5 years of age.age.

There are feasible and effective ways that There are feasible and effective ways that health workers in health centers can care for health workers in health centers can care for children with these illnesses and prevent most children with these illnesses and prevent most of these deaths.of these deaths.

WHO and UNICEF used updated technical WHO and UNICEF used updated technical findings to describe management of these findings to describe management of these illnesses in a set of integrated guidelines, illnesses in a set of integrated guidelines, instead of separate guidelines for each illness.instead of separate guidelines for each illness.

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Ten countries that early lead in Ten countries that early lead in implementing IMCI:implementing IMCI:

1.1. BOLIVIABOLIVIA

2.2. DOMINICAN REPUBLICDOMINICAN REPUBLIC

3.3. EQUADOREQUADOR

4.4. INDONESIAINDONESIA

5.5. NEPALNEPAL

6.6. PERUPERU

7.7. PHILIPPINESPHILIPPINES8.8. TANZANIATANZANIA

9.9. UGANDAUGANDA

10.10. ZAMBIAZAMBIA

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HOW IMCI STARTED?HOW IMCI STARTED?

1995 – IMCI was developed by WHO – UNICEF 1995 – IMCI was developed by WHO – UNICEF to all developing countries.to all developing countries.

1997 – IMCI was brought to the Philippines thru 1997 – IMCI was brought to the Philippines thru the Department of Health – Region I, III,X, XI the Department of Health – Region I, III,X, XI (funded by United States Agency for (funded by United States Agency for International Development (USAID) )International Development (USAID) )

2001 - Integration of IMCI to Nursing & 2001 - Integration of IMCI to Nursing & Midwifery Curriculum (attended by the Midwifery Curriculum (attended by the Academe from different Nursing & Midwifery Academe from different Nursing & Midwifery schools)schools)

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Participating AgenciesParticipating Agencies

DOH – Lead AgencyDOH – Lead Agency Commission on Higher Education Department Commission on Higher Education Department

(CHED)(CHED) Association of Deans of Philippines College of Association of Deans of Philippines College of

Nursing (ADPCN)Nursing (ADPCN) Association of Philippine School of Midwifery Association of Philippine School of Midwifery

(APSOM)(APSOM) Philippine Regulation Commission (PRC)Philippine Regulation Commission (PRC)

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YEAR 2001YEAR 2001

Educational Institution : Pilot Schools (Educational Institution : Pilot Schools (InitialInitial))

1.1. Nursing EducationNursing Education MINDANAOMINDANAO - San Pedro Colleges, Davao City- San Pedro Colleges, Davao City

VISAYASVISAYAS - St. Paul College, Iloilo City- St. Paul College, Iloilo City

NCR NCR - University of Sto. Tomas, - University of Sto. Tomas, ManilaManila

Baliuag University, Baliuag, Baliuag University, Baliuag, BulacanBulacan

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YEAR 2001YEAR 2001

Educational Institution : Pilot Schools (Educational Institution : Pilot Schools (InitialInitial))

2. 2. Midwifery EducationMidwifery EducationNCR -NCR -World Citi Colleges, Quezon World Citi Colleges, Quezon

CityCity

Saint Joseph College, Cavite Saint Joseph College, Cavite CityCity

University of the VisayasUniversity of the Visayas

Tecarro CollegeTecarro College

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YEAR 2004YEAR 2004

Expansion Schools (additional) held in Expansion Schools (additional) held in Subic, ZambalesSubic, Zambales

1.1. UERM, ManilaUERM, Manila

2.2. Benguet UniversityBenguet University

3.3. Bicol UniversityBicol University

4.4. Palawan UniversityPalawan University

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IMCIIMCIIntegratedIntegrated

ManagementManagement

Of ChildhoodOf Childhood

IllnessIllness

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What is I.M.C.I.?What is I.M.C.I.?

is an integrated approach to child’ s health is an integrated approach to child’ s health that focuses on the well-being of the whole that focuses on the well-being of the whole child.child.

aims to reduce death, illness and disability, aims to reduce death, illness and disability, and to promote improved growth and and to promote improved growth and

development among children under (5)five development among children under (5)five years of ageyears of age ..

it includes both preventive and curative it includes both preventive and curative elements that are implemented by families elements that are implemented by families

and communities as well as by health and communities as well as by health facilities.facilities.

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BASIC COMPONENTS / ADVANTAGES OF IMCIBASIC COMPONENTS / ADVANTAGES OF IMCI

1.1. Improving the case management Improving the case management skills of health workers and health skills of health workers and health facilities. facilities.

2.2. Improving the health care system.Improving the health care system.

3.3. Improving the family and Improving the family and community healthcare practices.community healthcare practices.

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SIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESSSIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESS

The case management process is The case management process is presented on a series of charts presented on a series of charts which show the sequence of steps which show the sequence of steps and provide information for and provide information for performing them. The charts performing them. The charts describe the following steps:describe the following steps:

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1.1. Assess the child or Assess the child or young infantyoung infant

1.1. Assess the child or Assess the child or young infantyoung infant

taking a history and doing a taking a history and doing a physical examination.physical examination.

SIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESSSIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESS

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2.2. Classify the illnessClassify the illness2.2. Classify the illnessClassify the illness

- making a decision on the - making a decision on the severity of the illness. severity of the illness.

SIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESSSIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESS

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3.3. Identify treatmentIdentify treatment3.3. Identify treatmentIdentify treatment

the charts recommend appropriate treatment for the charts recommend appropriate treatment for each each

classification. classification.

SIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESSSIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESS

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4.4. Treat the child Treat the child 4.4. Treat the child Treat the child giving treatment in health center, giving treatment in health center,

prescribing drugs or prescribing drugs or

other treatments to be given at other treatments to be given at home, and also teaching the mother home, and also teaching the mother how to carry out the treatments. how to carry out the treatments.

SIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESSSIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESS

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5.5. Counsel the motherCounsel the mother5.5. Counsel the motherCounsel the mother

includes assessing how the includes assessing how the child is fed and telling her child is fed and telling her about the foods and fluids to give about the foods and fluids to give the child and when tothe child and when to

bring back to the health center.bring back to the health center.

SIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESSSIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESS

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6.6. Give follow- up careGive follow- up care6.6. Give follow- up careGive follow- up care

describe what to do when a describe what to do when a child returns to the health child returns to the health center center by arrangement for a by arrangement for a follow-up visit.follow-up visit.

SIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESSSIX ( 6 ) STEPS IN CASE SIX ( 6 ) STEPS IN CASE MANAGEMENT PROCESSMANAGEMENT PROCESS

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AGE BRACKET:AGE BRACKET:

1.1. Age 1 week up to 2 months Age 1 week up to 2 months ( ( Sick young infant Sick young infant ))

2.2. Age 2 months up to 5 years Age 2 months up to 5 years ( ( Sick child Sick child ))

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I. ASSESS & CLASSIFY THE SICK CHILD AGE 2 MONTHS UP TO 5 YEARSI. ASSESS & CLASSIFY THE SICK CHILD AGE 2 MONTHS UP TO 5 YEARS

LEARNING OBJECTIVES:LEARNING OBJECTIVES:This module will describe This module will describe and allow you to practice the and allow you to practice the following skills:following skills:

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LEARNING OBJECTIVES:LEARNING OBJECTIVES:1.1. Asking the mother about the child’s Asking the mother about the child’s

problem.problem.- - Greet the mother appropriately and ask her to Greet the mother appropriately and ask her to

sit with her child.sit with her child.

- - To use good communication skills:To use good communication skills: listen carefully to what the mother tells youlisten carefully to what the mother tells you use words the mother understandsuse words the mother understands give the mother time to answer the questionsgive the mother time to answer the questions ask additional questions when the mother is not ask additional questions when the mother is not

sure about her answersure about her answer

- Determine if this is an initial or follow-up visit - Determine if this is an initial or follow-up visit for this problemfor this problem

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LEARNING OBJECTIVES:LEARNING OBJECTIVES:2.2. Checking for general danger signsChecking for general danger signs - -

Greet the mother appropriately and Greet the mother appropriately and ask her to sit with her child. ask her to sit with her child.

3.3. Asking the mother about the four Asking the mother about the four main symptoms:main symptoms:

cough or difficult breathingcough or difficult breathing diarrheadiarrhea feverfever ear problemear problem

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LEARNING OBJECTIVES:LEARNING OBJECTIVES:4.4. When a main symptom is present:When a main symptom is present:

assessing the child further for signs assessing the child further for signs related to the main symptomrelated to the main symptom

classifying the illness according to the classifying the illness according to the signs which are present or absentsigns which are present or absent

5.5. Checking for signs of malnutrition and Checking for signs of malnutrition and anemia and classifying the child’s anemia and classifying the child’s nutritional status.nutritional status.

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LEARNING OBJECTIVES:LEARNING OBJECTIVES:

6. 6. Checking the child’s immunization status Checking the child’s immunization status and deciding if the child needs any and deciding if the child needs any immunizations today.immunizations today.

7.7. Checking the child’s Vitamin A status Checking the child’s Vitamin A status and deciding if the child needs Vitamin A and deciding if the child needs Vitamin A

8.8. Assessing any other problemsAssessing any other problems

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1. COUGH OR DIFFICULT 1. COUGH OR DIFFICULT BREATHING :BREATHING : PNEUMONIAPNEUMONIA

Any general danger Any general danger signsign

Fast breathingFast breathingChest indrawing Chest indrawing StridorStridor

1. COUGH OR DIFFICULT 1. COUGH OR DIFFICULT BREATHING :BREATHING : PNEUMONIAPNEUMONIA

Any general danger Any general danger signsign

Fast breathingFast breathingChest indrawing Chest indrawing StridorStridor

FOUR ( 4 ) MAIN FOUR ( 4 ) MAIN SYMPTOMS:SYMPTOMS:FOUR ( 4 ) MAIN FOUR ( 4 ) MAIN SYMPTOMS:SYMPTOMS:

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2.2. DIARRHEA :DIARRHEA :DEHYDRATIONDEHYDRATIONACUTE & PERSISTENT ACUTE & PERSISTENT

DIARRHEADIARRHEADYSENTERYDYSENTERYCHOLERACHOLERA

2.2. DIARRHEA :DIARRHEA :DEHYDRATIONDEHYDRATIONACUTE & PERSISTENT ACUTE & PERSISTENT

DIARRHEADIARRHEADYSENTERYDYSENTERYCHOLERACHOLERA

FOUR ( 4 ) MAIN FOUR ( 4 ) MAIN SYMPTOMS:SYMPTOMS:FOUR ( 4 ) MAIN FOUR ( 4 ) MAIN SYMPTOMS:SYMPTOMS:

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3.3. FEVER :FEVER :MALARIA MALARIA MEASLES MEASLES

DENGUE DENGUE HEMORRHAGIC HEMORRHAGIC FEVER FEVER

3.3. FEVER :FEVER :MALARIA MALARIA MEASLES MEASLES

DENGUE DENGUE HEMORRHAGIC HEMORRHAGIC FEVER FEVER

FOUR ( 4 ) MAIN FOUR ( 4 ) MAIN SYMPTOMS:SYMPTOMS:FOUR ( 4 ) MAIN FOUR ( 4 ) MAIN SYMPTOMS:SYMPTOMS:

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4.4. EAR PROBLEM: EAR PROBLEM: ACUTE EAR INFECTION ACUTE EAR INFECTION CHRONIC EAR INFECTION CHRONIC EAR INFECTION

MASTOIDITISMASTOIDITIS

4.4. EAR PROBLEM: EAR PROBLEM: ACUTE EAR INFECTION ACUTE EAR INFECTION CHRONIC EAR INFECTION CHRONIC EAR INFECTION

MASTOIDITISMASTOIDITIS

FOUR ( 4 ) MAIN FOUR ( 4 ) MAIN SYMPTOMS:SYMPTOMS:FOUR ( 4 ) MAIN FOUR ( 4 ) MAIN SYMPTOMS:SYMPTOMS:

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Additional TopicsAdditional TopicsMALNUTRITION :

KWASHIORKOR MARASMUS

ANEMIA : IRON DEFICIENCY ANEMIA

VITAMIN A

EXPANDED PROGRAM ON IMMUNIZATION

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A general dangerA general danger

sign is present if:sign is present if:

FOUR ( 4 ) GENERAL FOUR ( 4 ) GENERAL DANGER SIGNS: DANGER SIGNS: FOUR ( 4 ) GENERAL FOUR ( 4 ) GENERAL DANGER SIGNS: DANGER SIGNS:

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• the child is the child is NOT ABLE TO DRINK or NOT ABLE TO DRINK or BREASTFEEDBREASTFEED

• the child is the child is NOT ABLE TO DRINK or NOT ABLE TO DRINK or BREASTFEEDBREASTFEED

FOUR ( 4 ) GENERAL FOUR ( 4 ) GENERAL DANGER SIGNS: DANGER SIGNS: FOUR ( 4 ) GENERAL FOUR ( 4 ) GENERAL DANGER SIGNS: DANGER SIGNS:

• the child the child VOMITS EVERYTHINGVOMITS EVERYTHING• the child the child VOMITS EVERYTHINGVOMITS EVERYTHING

• the child has had the child has had CONVULSIONSCONVULSIONS• the child has had the child has had CONVULSIONSCONVULSIONS

• the child is the child is ABNORMALLY SLEEPY ABNORMALLY SLEEPY or DIFFICULT TO AWAKENor DIFFICULT TO AWAKEN

• the child is the child is ABNORMALLY SLEEPY ABNORMALLY SLEEPY or DIFFICULT TO AWAKENor DIFFICULT TO AWAKEN

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II. ASSESS & CLASSIFY THE SICK YOUNG INFANT AGE 1 WEEK UP TO 2 II. ASSESS & CLASSIFY THE SICK YOUNG INFANT AGE 1 WEEK UP TO 2 MONTHSMONTHS

LEARNING OBJECTIVES:LEARNING OBJECTIVES:The module will describe the The module will describe the following tasks and allow you following tasks and allow you to practice some to practice some of them of them

( some will be practiced in the ( some will be practiced in the health center ):health center ):

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1. 1. Assessing and classifying a young infant Assessing and classifying a young infant for possible bacterial infectionfor possible bacterial infection . .

2. 2. Assessing and classifying a young infant Assessing and classifying a young infant with diarrheawith diarrhea

3. 3. Checking for a feeding problem or low Checking for a feeding problem or low weight, assessing breastfeeding and weight, assessing breastfeeding and classifying feedingclassifying feeding

4. 4. Treating a young infant with oral or Treating a young infant with oral or intramuscular antibioticsintramuscular antibiotics

LEARNING OBJECTIVES:LEARNING OBJECTIVES:

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Continuation :Continuation :

5. 5. Giving fluid for treatment of diarrheaGiving fluid for treatment of diarrhea

6. 6. Teaching the mother to treat local Teaching the mother to treat local infections at homeinfections at home

7. 7. Teaching correct positioning and Teaching correct positioning and attachment for breastfeedingattachment for breastfeeding

8. 8. Advising the mother how to give home Advising the mother how to give home care for the young infantcare for the young infant

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THREE ( 3 ) MAIN THREE ( 3 ) MAIN SYMPTOMS SYMPTOMS THREE ( 3 ) MAIN THREE ( 3 ) MAIN SYMPTOMS SYMPTOMS

1.1. POSSIBLE BACTERIAL INFECTIONPOSSIBLE BACTERIAL INFECTION has the infant had convulsionshas the infant had convulsions count the breaths in one minute; repeat the count the breaths in one minute; repeat the

count if elevatedcount if elevated look for severe chest indrawinglook for severe chest indrawing look for nasal flaringlook for nasal flaring look and listen for gruntinglook and listen for grunting look and listen for bulging fontanellelook and listen for bulging fontanelle look for pus draining from the earlook for pus draining from the ear

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THREE ( 3 ) MAIN THREE ( 3 ) MAIN SYMPTOMS SYMPTOMS THREE ( 3 ) MAIN THREE ( 3 ) MAIN SYMPTOMS SYMPTOMS

1.1. POSSIBLE BACTERIAL INFECTIONPOSSIBLE BACTERIAL INFECTION look at the umbilicus. Is it red or draining look at the umbilicus. Is it red or draining

pus? Does the redness extend to the skin?pus? Does the redness extend to the skin? measure temperature ( or feel for fever or measure temperature ( or feel for fever or

low body temperature )low body temperature ) look for skin pustules. Are there many or look for skin pustules. Are there many or

severe pustules?severe pustules? see if the young infant is abnormally sleepy see if the young infant is abnormally sleepy

or difficult to awakenor difficult to awaken

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THREE ( 3 ) MAIN THREE ( 3 ) MAIN SYMPTOMS SYMPTOMS THREE ( 3 ) MAIN THREE ( 3 ) MAIN SYMPTOMS SYMPTOMS

look at the young infant’s movements. look at the young infant’s movements. Are they less than normal?Are they less than normal?

look at the young infant’s movements. look at the young infant’s movements. Are they less than normal?Are they less than normal?

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THREE ( 3 ) MAIN THREE ( 3 ) MAIN SYMPTOMS SYMPTOMS THREE ( 3 ) MAIN THREE ( 3 ) MAIN SYMPTOMS SYMPTOMS

2.2. DIARRHEADIARRHEA for how long?for how long? is there blood in the stool?is there blood in the stool? look at the young infant’s general condition, look at the young infant’s general condition,

is the infant: abnormally sleepy oris the infant: abnormally sleepy or difficult to awaken ? restless and irritable? difficult to awaken ? restless and irritable? look for sunken eyeslook for sunken eyes pinch the skin of the abdomen, does it go pinch the skin of the abdomen, does it go

back: - very slowly ( longer than 2 seconds)?back: - very slowly ( longer than 2 seconds)?

- slowly- slowly

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THREE ( 3 ) MAIN THREE ( 3 ) MAIN SYMPTOMS SYMPTOMS THREE ( 3 ) MAIN THREE ( 3 ) MAIN SYMPTOMS SYMPTOMS

3.3. FEEDING PROBLEM & LOW WEIGHTFEEDING PROBLEM & LOW WEIGHT is there any difficulty feeding?is there any difficulty feeding? is the infant breastfed? If yes, how many is the infant breastfed? If yes, how many

times in 24 hours?times in 24 hours? does the infant usually receive any other does the infant usually receive any other

foods or drinks? if yes, how often?foods or drinks? if yes, how often? what do you use to feed the infant? what do you use to feed the infant?

determine weight for age.determine weight for age.

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CLASSIFICATION TABLESCLASSIFICATION TABLESCLASSIFICATION TABLESCLASSIFICATION TABLES Signs of illness & their classification are

listed on the ASSESS & CLASSIFY chart in the classification tables. Most classification tables have 3 ROWS. If the chart is in color, each row is colored either PINKPINK, , YELLOWYELLOW or or GREENGREEN.

The color of the rows tells quickly if the child has a serious illness. You can also quickly choose the appropriate treatment.

Signs of illness & their classification are listed on the ASSESS & CLASSIFY chart in the classification tables. Most classification tables have 3 ROWS. If the chart is in color, each row is colored either PINKPINK, , YELLOWYELLOW or or GREENGREEN.

The color of the rows tells quickly if the child has a serious illness. You can also quickly choose the appropriate treatment.

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PINK ROWPINK ROW- NEEDS URGENT ATTENTION AND REFERRAL OR - NEEDS URGENT ATTENTION AND REFERRAL OR

ADMISSION FOR IN PATIENT CARE. ADMISSION FOR IN PATIENT CARE. - THIS IS A - THIS IS A SEVERE CLASSIFICATIONSEVERE CLASSIFICATION

- THE CHILD NEEDS AN - THE CHILD NEEDS AN APPROPRIATE APPROPRIATE ANTIBIOTICANTIBIOTIC, AN ORAL ANTIMALARIAL OR , AN ORAL ANTIMALARIAL OR OTHER TREATMENT. TREATMENT INCLUDES OTHER TREATMENT. TREATMENT INCLUDES TEACHING THE MOTHER HOW TO GIVE THE TEACHING THE MOTHER HOW TO GIVE THE ORAL DRUGS OR TO TREAT LOCAL ORAL DRUGS OR TO TREAT LOCAL INFECTIONS AT HOME. THE HEALTH WORKER INFECTIONS AT HOME. THE HEALTH WORKER ADVISES HER ABOUT CARING FOR THE CHILD ADVISES HER ABOUT CARING FOR THE CHILD AT HOME AND WHEN SHE SHOULD RETURN. AT HOME AND WHEN SHE SHOULD RETURN.

- THIS IS A - THIS IS A MODERATE OR MILD MODERATE OR MILD CLASSIFICATIONCLASSIFICATION

GREEN ROWGREEN ROW

THIS MEANS THE THIS MEANS THE CHID DOES NOT NEED CHID DOES NOT NEED SPECIFIC MEDICALSPECIFIC MEDICAL TREATMENTTREATMENT SUCH AS SUCH AS ANTIBIOTICS. THE HEALTH WORKER TEACHES ANTIBIOTICS. THE HEALTH WORKER TEACHES THE THE MOTHER HOW TO CARE FOR HER MOTHER HOW TO CARE FOR HER CHILD AT HOME.CHILD AT HOME. AS AN EXAMPLE, ADVISE AS AN EXAMPLE, ADVISE MOTHER ON HOW TO FEED HER SICK CHILD MOTHER ON HOW TO FEED HER SICK CHILD OR GIVING FLUID FOR DIARRHEA.OR GIVING FLUID FOR DIARRHEA.

CLASSIFICATION TABLESCLASSIFICATION TABLESCLASSIFICATION TABLESCLASSIFICATION TABLES

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UPDATES:UPDATES:

At present time, DOH is working on At present time, DOH is working on the following new areas within the following new areas within IMCI:IMCI:

1.1. Recognition and care of children Recognition and care of children with HIV/AIDSwith HIV/AIDS

2.2. Interactive care for healthy child Interactive care for healthy child developmentdevelopment

3.3. Neonatal HealthNeonatal Health