INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES (IMCI) Flashcards
The Integrated Management of Childhood Illnesses
(IMCI) chart serves as a
nutritional assessment tool for case
management of sick children seeking services at the health
center.
The six childhood illnesses included in the IMCI are
malnutrition, pneumonia, diarrhea, measles, dengue,
hemorrhagic fever, and malaria.
These are all preventable
and treatable with simple and low-cost interventions
malnutrition, pneumonia, diarrhea, measles, dengue,
hemorrhagic fever, and malaria.
PINK:
SEVERE (Referral, Pre – referral)
o YELLOW:
SPECIFIC TREATMENT (appropriate
antibiotic, an oral anti – malarial or other treatment;
also teaches the mother how to give oral drugs or to
treat local infections at home)
GREEN:
MILD (Home Management)
(IMCI only covers children
_____)
2 weeks – 5 years of age
- Table Format: ASSESS – CLASSIFY – TREAT
Identify the patient.
o Ask for the purpose of the visit/child’s problem
o Ask for the patient’s age.
Check for general danger signs (if severe, REFER!) –
o Check for main symptoms–
Assess status—
Classify Conditions
o Treat the Child
o Give follow up care: 1, 3, 5, 7, 14, 30 (to clients
belong to yellow & green)
o Counsel the mother
Check for general danger signs (if severe, REFER!)
C – convulsion
▪ U – Unable to drink/breastfeed
▪ V – vomits everything
▪ A – abnormally sleeping (lethargic;
difficult to awaken)
Check for main symptoms
▪ Assess for cough or difficulty of breathing
▪ Assess for diarrhea
▪ Assess for fever
▪ Assess for ear problem
o Assess status
▪ Check for acute malnutrition and anemia
▪ Check for HIV/AIDS status
▪ Check for immunization status
▪ Check for Vit. A status (retinol/fat soluble)
* For immunity to reduce severity
of disease
▪ Assess other problems (deworming – 1
yr & up every 6mos until 5y/0
SUMMARY OF INTEGRATED CASE MANAGEMENT
PROCESS
ABCD
A. ASSESS THE CHILD:
B. CLASSIFY THE CHILD’S ILLNESS:
C. IF URGENT REFERRAL is needed and possible
IF NO URGENT REFERRAL is needed and possible.
SUMMARY OF INTEGRATED CASE MANAGEMENT
PROCESS
A. ASSESS THE CHILD:
- Check for danger signs (or possible bacterial infection).
- Ask about main symptoms.
- If a main symptom is reported, assess further. Check
nutrition and immunization status. - Check for other problems
SUMMARY OF INTEGRATED CASE MANAGEMENT
PROCESS
B. CLASSIFY THE CHILD’S ILLNESS:
- Use a color-coded triage system to classify the child’s main
symptoms and his or her nutrition or feeding status.
SUMMARY OF INTEGRATED CASE MANAGEMENT
PROCESS
C. IF URGENT REFERRAL is needed and possible.
- Identify urgent pre – referral treatment(s) needed prior to
referral of the child according to classification. - Treat the child:
o Give urgent pre-referral treatment(s) needed. - Refer the child:
o Explain to the child’s caretaker the need for referral.
o Calm the caretaker’s fears and help resolve any
problems. Write a referral note.
o Give instructions and supplies needed to care for the
child on the way to the hospital.
SUMMARY OF INTEGRATED CASE MANAGEMENT
PROCESS
D. IF NO URGENT REFERRAL is needed and possible
- Identify treatment(s) needed for the child’s classifications:
identify specific medical treatments and/or advice. - Treat the child:
o Give the first dose of oral drugs in the clinic and/or
advice the child’s caretaker.
o Teach the caretaker how to give oral drugs and how
to treat local infections at home.
o If needed, give immunizations. - Counsel the mother:
o Assess the child’s feeding, including breastfeeding
practices, and solve feeding problems, if present.
o Advise about feeding and fluids during illness and
about when to return to a health facility.
o Counsel the mother about her own health. - Follow – up care:
o Give follow – up care when the child returns to the
clinic and, if necessary, reassess the child for new
problems.
MALNUTRITION AND ANEMIA
Look – Feel Assessment
* Look for visible severe wasting, edema of both feet, and
palmar pallor.
* Determine weight for age using growth monitoring chart
MALNUTRITION AND ANEMIA
FOR A YOUNG INFANT – LESS THAN 2 MONTHS
- Check for Feeding Problem of Low Weight
- ASK – LOOK – LISTEN – FEEL Assessment
- Look, Listen, Feel: Determine weight for age.