IMnCI Flashcards
what does IMnCI stand for
Integrated Management Newborn and Childhood Illness
offers simple and effective methods to comprehensively prevent and manage the leading causes of serious illnesses and mortality in children below 5 years
Integrated Management Newborn and Childhood Illness
list the IMnCi objectives
-to reduce significantly global mortality and morbidity associated with the major causes of disease in children
-to contribute to healthy growth and development of children
list the IMnCI benefits
-addresses major child health problems
-responds to demand
-promotes prevention
-cost-effective
-promotes cost saving
-improves equality
list factors of poor health
- Poor access to health facilities, for example because of poor roads of transportation costs to the family
- Access to education, particularly for the mother. This is a very important factor for child health.
- Food insecurity due to poverty or not enough food from farming.
- Lack of basic resources that help prevent disease spread, like clean water, sanitary toilets, and waste disposal.
IMnCI is based on the following principles
- All sick children aged up to 5 years are examined for general danger signs and
all young infants are examined for signs of very severe disease. - These signs indicate the need for immediate referral or admission to
hospital. - Children and infants are then assessed for main symptoms. For the older
children, the symptoms include cough, difficulty breathing, diarrhoea, fever, TB, HIV, ear infections, anaemia, measles and malnutrition. - A combination of individual signs then lead to the child’s or young infant’s
classification within one or more symptom groups. - Essential drugs are then used to treat the children or young infants. Lastly
counseling of caregivers regarding home care, appropriate feeding and fluids and when to return to facility - immediately or follow-up, is done.
IMnCI 6 major steps
- Assessment
- Classification
- Identify Treatment
- Treat the child or young infant
- Counsel the mother
- Follow up Care
The IMNCI approach is designed for use in clinical settings at all levels of health care where children under __ years are managed
5
provides a simplified step-by- step guide to a healthcare worker on case management of children below 5 years of age visiting health facilities
chart booklet
a general danger sign indicates that a child has a serious and _____________ condition that requires ________ attention.
- life-threatening
- urgent
The ________ column in the chart booklet describes how to take history and do a physical exam
assess
The _______ column of the chart lists clinical signs of illnesses and their classification
classify
Healthcare workers will be able to classify children or young infants’ illnesses using what system
color-coded triage system
what does pink/red mean on the color-coded triage system
Urgent pre-referral treatment and referral
what does yellow mean on the color-coded triage system
Specific medical treatment and advice
what does green mean on the color-coded triage system
Simple advice on home management
The ________ _________ column helps the healthcare workers to quickly and accurately identify treatments for the classifications
selected
identify treatment
The _______ column shows how to administer the treatment identified for the classifications
treat
If a child or young infant requires admission or referral (pink classification), it is important the essential treatment is offered to the child or young infant ________ admission or referral
before
teach the mother/ caregiver how to recognize signs indicating that the child or young infant should be brought back to the facility immediately
what is this an example of
counsel
Some children or young infants need to be seen more than once for a current episode of illness
what is this an example of
follow up
The single biggest challenge for the health of children in the future will be…
transforming knowledge into action
-chest indrawing in calm child
-fast breathing
-no signs of severe pneumonia
what color classification is this
yellow
-lethargic or unconscious
-sunken eyes
-not able to drink or drinking poorly
-skin pinch goes back very slowly
what color classification is this
pink
-malaria test NEGATIVE
-runny nose PRESENT
-measles PRESENT
-other causes of fever PRESENT
what color classification is this
green
-pus draining from the eye
-mouth ulcers
what color classification is this
yellow
-stiff neck
-confirmed malaria with a test
what color classification is this
pink