Integrated Management Of Childhood Diseases

Integrated Management of Childhood Illnesses IMCI

Rationale  Pneumonia,

diarrhea, DHF, measles , malaria & malnutrition cause more than 70% of the deaths in children under 5 yrs old  WHO and UNICEF has described a set of integrated guidelines on the management of these illnesses instead of separate guidelines for each illness

Rationale  DOH

has developed a training package to teach the integrated case management process to health workers who see sick children

IMCI 

 3)

4)

Strategy for reducing the mortality and morbidity associated with major causes of childhood illnesses Objectives Reduce significantly global mortality & morbidity associated with the major causes of diseases in children under 5 years old To contribute to the healthy growth and development of children

Why an integrated approach?  There

are important relationships between the illnesses  Effective case management needs to consider all of the child’s symptoms so that any problem of the child will not be overlooked

Case Management Process  IMCI

guidelines rely on detection of cases based on simple clinical signs without laboratory tests and offer empirical treatment  Action oriented classification rather than exact diagnosis are used  Case management process is presented in a series of charts which show the sequence of steps and provide information in performing them

Case Management Process  2. 3. 4. 5. 6. 7.

The charts describe the following steps: Assess the child or young infant Classify the illness Identify treatment Treat the child Counsel the mother Give follow-up care

Case Management Process 

2. 3.

Case management charts are divided into two parts: Age 1 week up to 2 months Age 2 months up to 5 yrs