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.

Author: Fegrel Zuzuru
Country: Burkina Faso
Language: English (Spanish)
Genre: Software
Published (Last): 2 April 2008
Pages: 243
PDF File Size: 18.42 Mb
ePub File Size: 1.58 Mb
ISBN: 254-7-40766-908-5
Downloads: 23832
Price: Free* [*Free Regsitration Required]
Uploader: Shakatilar

Follow-up care When a child is brought back to the health post as requested, give follow-up care and, if necessary, reassess the child for new problems. As you can also see in Figure 1. North Indian women usually wear the salwaar kameej.

Integrated Management of Neonatal and Childhood Illness (IMNCI) | PSM Made Easy

The response rate was The health worker checked Fatuma for general danger signs. The child may lose consciousness or not be able to respond to spoken directions. When you have completed the above steps, you should record what you guidelihes found on the sick child case recording form. The health worker looked to see if Salem was convulsing or lethargic or unconscious.

Documented by new concept. Classification enables you to decide what exactly is wrong with the guielines. It is important because Ethiopia has a very high infant mortality rate.

If a child needs treatment at home, develop an integrated treatment plan for the child and give the first dose of drugs in the clinic. Moreover, back pain as a result of supporting the baby with both hands prevented some mothers from using this particular technique while breastfeeding.

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

And why is it necessary for you, as a Health Extension Practitioner, to understand how it works? A child who vomits several times but can hold down some fluids does not have this general danger sign. The IMNCI guidelines are designed for the management of sick children from birth up to guiddlines years old.


The top part of the sick child case recording form for the above case is reproduced for you in Figure 1. However, the association observed between parity, age of baby, literacy of mothers and effective breastfeeding was not significant statistically.

Nil Conflict of Interest: IMNCI classifications are action-oriented illness categories which enable a healthcare provider to determine if a child should be urgently referred to a health centre, if the child can be treated at the health post giidelines. A child who vomits everything will guidelnes be able to hold down food, fluids or oral drugs. 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.

LOOK to see if the child is lethargic or unconscious Kmnci lethargic child is not awake and alert when he should be. Other responses like tiredness after breastfeeding, frequency of feeding, complaints in breasts were also noted.

All rights falling outside the terms of the Creative Commons licence are retained or controlled by The Open University.

Integerated management of neonatal and childhood illness. Therefore you should find out the age of the child from the mother or from a record chart if this is a follow-up visit and there is already information available to you.

You can check your answers with the Notes on the Self-Assessment Questions at the end of this Module. The IMNCI guidelines address most, but not all, of the major reasons a sick child is brought to a guidelihes facility. Give her time to answer.


Identify treatment and treat After classifying all conditions, identify specific treatments for the child. Case management can only be effective to the extent that families bring their sick children to a trained health worker such as you for care in a timely way.

If a child requires urgent referral, give essential treatment before the patient is transferred. When you are assessing a sick child, a combination of individual signs leads to one or more classificationsrather than to a diagnosis.

Salem is 15 months old. Has the child had convulsions? The presence of any one of the general danger signs indicates a severe classification. A child who is breastfed may have difficulty sucking when his nose is blocked.

All the mothers were homemakers. You should always use the chart booklet whenever you manage under-five children.

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

This study session has introduced you to the IMNCI case management process and outlined the importance of this in helping to reduce death, illness and disability for babies and children in your community. She was not able to drink from a cup. Now that you have completed this study session, you can assess how well you have achieved its Learning Outcomes by answering these questions. The child may stare blankly and appear not to notice what is going on around him.

The way it does this is by bringing together all the different ways illnesses can be prevented and treated, in the home and the health centre.