IMCI

Question 1

WHAT IS IMCI?

Answer 1

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

Use by doctors, nurses and other health
professionals who see young infants and
children less than five years old.

Question 2

What is IMCI used for?

Answer 2

• To reduce significant global mortality &
morbidity associated w/ the major causes
of disease in children under five.

• To contribute to healthy growth &
development of children

Question 3

Rationale of IMCI

Answer 3

• Most sick children present w/ signs &
symptoms related to more than one
disease.

• A single diagnosis may not be possible or
appropriate.

• Treatment may be complicated by the need
to combine therapy for several conditions.

Question 4

A joint initiative since1992 by what organizations?

Answer 4

WHO and UNICEF

Question 5

When was IMCI introduced in the Philippines?

Answer 5

1995

Question 6

When and where was it piloted?

Answer 6

Sarangani & Zamboanga del Norte.

Question 7

How many does UNICEF hold technical assistance?

Answer 7

20 provinces & 5 cities in 14 regions

Question 8

How many does HKI hold technical assistance?

Answer 8

2 provinces & 1
city in 4 regions

Question 9

How many does the World bank hold technical assistance?

Answer 9

Regions 6, 7, 12

Question 10

How many does the PAGCOR hold technical assistance?

Answer 10

nationwide, selected provinces

Question 11

KEY STRATEGY OF IMCI

Answer 11

• Focus on the health & development needs
of the child rather than the treatment of an
illness.

• Coordination/integration of the various
child health services to meet the child’s
needs.

• Combines improved management of
childhood illness w/ aspects of nutrition,
immunization & other important factors
influencing child health, including maternal
health.

Question 12

KEY STRATEGY OF IMCI

Answer 12

• Focus on the health & development needs
of the child rather than the treatment of an
illness.

• Coordination/integration of the various
child health services to meet the child’s
needs.

• Combines improved management of
childhood illness w/ aspects of nutrition,
immunization & other important factors
influencing child health, including maternal
health.

Question 13

MAJOR CONDITIONS IN IMCI STRATEGY

Answer 13

• Respiratory Diseases
• Diarrheal Diseases
• Measles
• Malaria
• Malnutrition
• Dengue (for the Phils)
• HIV & TB (new update)

Question 14

If the child is not yet 2 months of age,
the child is considered

Answer 14

young infants (birth – 2 months).

Question 15

A child who is 2 months old would be in what
group? months – 5 years (not yet have his/her 5th birthday – 4 years and 11 months)

Answer 15

Group 2

Question 16

First step of IMCI is: Assess the Child or Young Infant

What do you assess?

Answer 16

History and Physical examination

Question 17

Second step of IMCI: Classify the Illness

what do you classify?

Answer 17

Making a decision on the severity of the illness

Question 18

What step of IMCI: Identify the Treatment

Answer 18

3

Question 19

In the 4th step of IMCI: Treat the Child

How do you treat the child?

Answer 19

Giving treatment in health center,
prescribing drugs or other treatments to
be given at home, and teachin

Question 20

In the fifth step of IMCI: Counsel the Caregiver

How do you counsel?

Answer 20

Assessing how the child is fed, and telling
the caregiver about the foods and liquids to be given to the child and when to
bring the child back to the health center

Question 21

In the sixth step of IMCI: Give Follow-up Care

Answer 21

→ The IMCI process relies on case detection
using simple clinical signs, treatment is
based on action oriented classification
rather than the exact diagnoses

→ IMCI is designed for 1st level facility like
clinics, health centers, and OPD

→ The treatment in IMCI is combined with
prevention

Question 22

What classification of table is “Needs urgent attention & referral or admission for inpatient care; a severe classification”

Answer 22

Pink Row

Question 23

What classification of table is “. Means the child needs appropriate treatment.”

Answer 23

Yellow Row

Question 24

What classification of table is “Means the child doesn’t need specific treatment.”

Answer 24

Green Row

Question 25

Determine what kind of visit is this ”A well-child visit is a routine visit, if this is the child’s 1st visit for this episode of illness or problem, then it is”

Answer 25

Initial visit

Question 26

Determine what kind of visit is this ” If the child was seen a few days ago for the same illness, then this is a”

Answer 26

Follow-up visit

Question 27

When should be BCG; Hep B1 be given

Answer 27

Birth

Question 28

When should be Pentavalent 1; OPV 1; PCV 1;
Rotavirus 1 be given?

Answer 28

6 weeks

Question 29

When should Pentavalent 2; OPV 2; PCV 2;
Rotavirus 2 Immunization Schedule be given?

Answer 29

10 weeks

Question 30

It Protects the child from diphtheria, pertussis,
tetanus, Hepa B, and Haemophilus
influenza (HIB) in just 1 vaccine

Answer 30

Pentavalent vaccine

Question 31

A bacterium responsible for serious illnesses such as meningitis, and pneumonia

Answer 31

HIB

Question 32

Considerations of PCV

Answer 32

no PCV at 12 months above

Question 33

It infects the Large Intestine

Answer 33

Rotavirus