IMCI - Older Child

Question 1

Integrated approach that focuses on the heath and well being of the child

Aims to reduce preventable mortality, minimize illness, and disability and promote healthy growth

Answer 1

IMCI

Question 2

Impoving case management skills of healthcare providers

Answer 2

Health-Worker Component

Question 3

Improving health systems to provide quality care

Answer 3

Health Service Component

Question 4

Improving family and community health practices for health, growth, and excellent

Answer 4

Community Component

Question 5

Adoption of a national policy and standards on an integrated approach to child health and development

Regular review and updating of IMCI Clinical guidelines w adaption to the country’s epidemiology, medicines and commodities, relevant policies

Improving quality of care in primary health facilities by training mentoring and support supervision of health workers

Answer 5

Key Requirement for IMCI Implementation

Question 6

3 Major Determinants of effective implementation coverage

Answer 6

• Political Leadership to ensure an enabling environment
• Strengthened health systems based no empowered recognized motivated supplies and supported frontline health workers
• Empowered communities that can hold systems accountable and utilize IMCI services

Question 7

IMCI OBJECTIVES

Answer 7

Support the accurate identifications of childhood illness in outpatient settings

Ensures appropriate combined treatment of all major illnesses

Strengthens the counseling of care takers

Speeds up the referral of severely ill children

Question 8

What are the key elements of IMCI

Answer 8

Assessment
Classification
Identify Treatment
Treat

Question 9

If the child has more than one classification look at more than one treatment table

Answer 9

Identify Treatment

Question 10

Give treatment in the facility prescribe drugs or other treatment and teach caregiver how to administer treat at home

Answer 10

Treat

Question 11

• convulsions
• Lethargy
• Inability to drink
• Vomiting

Answer 11

Check for danger signs

Question 12

Assess main symptoms

Answer 12

• cough / DOB
• Diarrhoea
• Fever
• Ear Problems
• HIV

Question 13

Assess

Answer 13

• Nutrition
• Immunization Status
• Potential Feeding problems

Question 14

General Danger Signs

Answer 14

CUVA

Question 15

(Child must be calm)
- count the breaths
- check for in-drawing of chest “inning of the chest”
- Check for stridor “ breathing sound when exhaing”

Answer 15

TO CHECK IF THERE IS DOB

Question 16

Exhalation

Answer 16

Wheezing

Question 17

• passage of 3 or more watery stool in a 24 hour period

Answer 17

Diarrhea

Question 18

Severe dehydration - lethargic or unconscious - sunken eyes 0 not able to drink or drinking poorly - skin pinch goes back very slow - give fluid - frequent sips ORS on the way. Advise the mother to continue breastfeeding

If child is 2 years or older and there is cholera in your area give antibiotic for cholera

Answer 18

PINK

Question 19

some dehydratioon - fluid and zinc supplements and food for some dehydration

Answer 19

Yellow

Question 20

no dehydration - give fluid and zinc supplements and food

Answer 20

Green

Question 21

• sunken eyeballs
• Restless
• Drinking eagerly
• Pinch skin of abdomen does it of back very slowly?

Answer 21

Signs of dehydration

Question 22

Assess the child’s condition
- restless, and irritable
- Well and alert
- Look at the child’s eyes
-
“Is there blood in the stool?”

Answer 22

IMCI DIARRHEA

Question 23

Classify

Is there a malaria risk?

If the child had bmeasles or had it?

If no - check for malnutrition and anameia

If yes, ask:

• for how long?
• • of more than 7 days, has fever been present every day?
    Then decide if the chil’s malaria risk

Answer 23

IMCI : fever

Question 24

• malaria zone or visit in the previous month - do a rapid malaria test
  Danger sign
  Stiff neck
  Buging
  “ suspected meningitis

Answer 24

IMCI FEVER

Question 25

Bulging frontanelle

Answer 25

suspected severe malaria

Question 26

no general danger signs and no stiff neck or bulging forntanelle -

Answer 26

fever or other cause

Question 27

look for mouth ulcers
Are they deep and extensive
Look for pus draining from the eye
Look for bleeding of cornea
“Causes by virus”
Gentian Violet

Answer 27

MEASLES

Question 28

• severe headache
  Pain behind the eye
  Nausea vomiting
  Swollen glands
  Muscle and joint pain
  Rash

Answer 28

Mild Dengue

Question 29

• severe abdominal pain
• Persistent vomiting
• Rapid breathing
• Bleeding gums
• Blood in vomit
• Fatigue

Answer 29

Severe dengue

Question 30

TRUE OF FALSE Never administer aspirin or ibuprofen for dengue due to increasing blood

Answer 30

True

Question 31

• have a stiff neck?
• Did the child had experienced measles ?
• Put your hand on the child’s necl
• Look for a runny nose

Answer 31

IMCI Fever

Question 32

Tender Swelling behind the ear

Answer 32

Mastoditis

Question 33

Acute ear infection

Answer 33

oral antibiotic

Question 34

Measure the mid arm cirfumference with the tape
- determiend if the patient is acutely malnourish

Answer 34

Assess for acute malnutrition look and feel

Question 35

• Mother positive or negative
• Child -Virological Test + or - and SErological Test + or -

Answer 35

Ask the mother or child had an HIV test
Redcide the HIV Status

Question 36

If BF, ask the mother if they are on ART Treatment
If No, Test the mother and child

Answer 36

IMCI - HIV

Question 37

TRUE OF FALSE. No cure for aids, only drugs to slow down the progress of the disease

Answer 37

True