INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS Flashcards
More than 50 countries still had childhood mortality rates over 100/1000 livebirths
1998
1998
More than ____ countries still had childhood mortality rates over _________livebirths
50, 100/1000
According to WHO, children in low – middle income countries are 10x more likely to die before reaching age 5
1999
1999
According to WHO, children in low – middle income countries are _______________ more likely to die before reaching age 5
Children account for _________________ of all patients in outpatient clinics
Pneumonia, diarrhea, DHF, fever, malaria, measles and malnutrition cause more than ___________ of deaths in children under five years of age.
10x
30-70%
70%
Integrated management of childhood illness (IMCI)
1992
1992
______________was developed a joint _________/_______ initiative
IMCI, WHO/UNICEF
what is IMCI then?
a ________________ for reducing mortality and morbidity associated with major causes of childhood illness.
…a package of _____________, ____________and _____________ services rendered by the DOH for children under 5 y/o.
…IMCI guidelines rely on detection of cases based on simple clinical signs, without laboratory tests, and offer empiric treatment.
…action-oriented _____________ rather than exact diagnosis are used.
strategy
preventive, promotive, and curative
classifications
What are the IMCI problems
The under five population is the most ___________ group
Child mortality remains unacceptably _____________
Many of these deaths had no ______________attendance or not seen by first level health facilities
Incorrect family and community practices such as:
-__________ help seeking behavior
-____________ utilization of health facilities
-______________ belief
Economic
Crowded and polluted environment
Illiteracy
vulnerable, high, medical, late, poor, traditional
IMCI strategy:
Integrates _________________of most common childhood problems
Includes _________________ interventions
Adjust ________________ interventions to the capacity and functions of the health system
Involves family members and the community in the _____________________
management, preventive, curative, health care process
Objectives:
To reduce _____________- global mortality and morbidity associated with the major causes of disease in children
To contribute to healthy ____________ and ____________ of children
significantly, growth and development
Review nutrition, Vit. A, immunization
Nutritional status specifically check for malnutrition and anemia
symptoms of Vit. A deficiency
Immunization status if complete of incomplete
components
Improving case management skills of ______________________
Improving the __________________ to deliver IMCI
Improving the family and community _____________
health workers, health system, practices
Assess the sick child or young infant
______________ any danger sign present
____________about the ___________ main symptoms
____________ nutrition, vitamin A, immunization
identify
ask, four
review
IMCI target
2 months up to 5 years
Child Health Interventions in IMCI
Pneumonia
Diarrhea
- dehydration
- persistent diarrhea
- dysentery
Meningitis
Sepsis
Malaria
Malnutrition
Anemia
Measles
Ear Infection
DHF( Dengue Hemorrhagic fever)
