IMCI Flashcards
WHAT IS IMCI?
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.
What is IMCI used for?
• 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
Rationale of IMCI
• 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.
A joint initiative since1992 by what organizations?
WHO and UNICEF
When was IMCI introduced in the Philippines?
1995
When and where was it piloted?
Sarangani & Zamboanga del Norte.
How many does UNICEF hold technical assistance?
20 provinces & 5 cities in 14 regions
How many does HKI hold technical assistance?
2 provinces & 1
city in 4 regions
How many does the World bank hold technical assistance?
Regions 6, 7, 12
How many does the PAGCOR hold technical assistance?
nationwide, selected provinces
KEY STRATEGY OF IMCI
• 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.
KEY STRATEGY OF IMCI
• 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.
MAJOR CONDITIONS IN IMCI STRATEGY
• Respiratory Diseases
• Diarrheal Diseases
• Measles
• Malaria
• Malnutrition
• Dengue (for the Phils)
• HIV & TB (new update)
If the child is not yet 2 months of age,
the child is considered
young infants (birth – 2 months).
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)
Group 2
First step of IMCI is: Assess the Child or Young Infant
What do you assess?
History and Physical examination
Second step of IMCI: Classify the Illness
what do you classify?
Making a decision on the severity of the illness
What step of IMCI: Identify the Treatment
3
In the 4th step of IMCI: Treat the Child
How do you treat the child?
Giving treatment in health center,
prescribing drugs or other treatments to
be given at home, and teachin
In the fifth step of IMCI: Counsel the Caregiver
How do you counsel?
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
In the sixth step of IMCI: Give Follow-up Care
→ 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
What classification of table is “Needs urgent attention & referral or admission for inpatient care; a severe classification”
Pink Row
What classification of table is “. Means the child needs appropriate treatment.”
Yellow Row
What classification of table is “Means the child doesn’t need specific treatment.”
Green Row
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”
Initial visit
Determine what kind of visit is this ” If the child was seen a few days ago for the same illness, then this is a”
Follow-up visit
When should be BCG; Hep B1 be given
Birth
When should be Pentavalent 1; OPV 1; PCV 1;
Rotavirus 1 be given?
6 weeks
When should Pentavalent 2; OPV 2; PCV 2;
Rotavirus 2 Immunization Schedule be given?
10 weeks
It Protects the child from diphtheria, pertussis,
tetanus, Hepa B, and Haemophilus
influenza (HIB) in just 1 vaccine
Pentavalent vaccine
A bacterium responsible for serious illnesses such as meningitis, and pneumonia
HIB
Considerations of PCV
no PCV at 12 months above
It infects the Large Intestine
Rotavirus
