Annex: Where Referral I s Not Possible, and WHO guidelines for inpatient care. DANGERSIGNS,COUGH. DIARRHOEA. ASSESS AND CLASSIFY. 3. The IMNCI clinical guidelines target children less than 5 years old — the age group that bears the highest burden of deaths from common childhood diseases. Operational Guidelines for F-IMNCI, PDF file that opens in new window. To know how to open PDF file refer ( KB). Participants Manual.

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This is the initial visit for this illness. Answer The four main steps are assessment, classification, identify treatment and follow-up care. Whether it is an initial or follow-up visit, the mother may well be feeling anxious and it imncii important that you put her at her ease.

Ask the mother if the child seems unusually sleepy or if she cannot wake the child. Since management of the young infant aged from birth up to two months is somewhat different from the management of older infants and children, it is described on a different chart:. What are the four main steps you have to take each time a sick child is brought to you?

As shown in Figure 1. The case management process for sick children aged two months up to five years is presented on three charts:.

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Assess and classify the sick child Treat the child Counsel the mother.


Feasibility Study of IMNCI Guidelines on Effective Breastfeeding in a Rural Area of North India

Now that you have completed this study session, you can assess how well you have achieved its Learning Outcomes by answering these questions.

These diseases are also the reasons for seeking care for at least three out of four children who come to health facilities. Follow-up care When a child is brought imnck to the health post as requested, give follow-up care and, if necessary, gujdelines the child for new problems. Therefore, teaching families when to seek care for a sick child is an important part of the case management process and is a crucial part of your role as a Health Extension Practitioner.

See also if the child guidelies convulsing now. When using the content you must attribute us The Open University the OU and any identified author in accordance with the terms of the Creative Commons Licence.

Feasibility Study of IMNCI Guidelines on Effective Breastfeeding in a Rural Area of North India

It was observed that following intervention, a significant number of mothers If so, what are they? As you read in the introduction, the core of the IMNCI strategy is integrated case management of the most common childhood problems, with a focus on the most important causes of death.

Assess feeding, including assessment of breastfeeding practices, and counsel to solve any feeding problems found.

A child who vomits several times but can hold down some fluids does not have this general danger sign. The case management process for sick children aged two months up to five years is presented on three charts: The mother said that Fatuma was able to drink.

However, no significant change was observed in correction of these when all criteria were combined. Every year about 9 million children in developing countries die before they reach their fifth birthday, many of them during the first year of life.


The top part of the sick child case recording form for the above case is reproduced for you in Figure 1. LOOK to see if the child is lethargic or unconscious A lethargic child is not awake and alert when he should be. For example, the guidelines do not describe the management of trauma or other acute emergencies due to accidents or injuries.

The health worker gave Salem some water. Open in a separate window.

Fatuma opened her eyes, but did not look around. You can check your answers with the Notes on the Self-Assessment Questions at the end of this Module. Often the lethargic child does not look at his mother or watch your face when you talk.

Ask the mother if the child has had convulsions during this current illness. You will learn about the pre-referral treatments in the subsequent study sessions in this Module.

Integrated Management of Neonatal and Childhood Illness (IMNCI)

By adopting these two techniques, the attachment of the baby, especially suckling, significantly improved. Most children die from pneumonia, diarrhoea, malaria, measles or malnutrition and the IMNCI strategy is a way of reducing these deaths.

Look to see if the child is swallowing the breastmilk or water.