Integrated management of neonatal childhood illness
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Integrated management of neonatal childhood illness Presentation Transcript

  • 1. INTEGRATED MANAGEMENTOF NEONATAL CHILDHOODILLNESSwww.drjayeshpatidar.blogspot.com
  • 2. THE INEQUITIES OF CHILD HEALTH• Over the last 3 decades the annual number ofdeaths among children less than 5 years of agehas decreased by almost a third. However, thisreduction has not been evenly.• Distributed throughout the world. Every yearmore than 10 million children die in Developingcountries before they reach their fifth birthday.www.drjayeshpatidar.blogspot.in
  • 3. THE INEQUITIES OF CHILD HEALTHSeven in 10 of these deaths are due to acuterespiratory infections (mostlypneumonia), diarrhoea, measles, malaria, orMalnutrition and often to a combination ofthese illnesses.In India, common illnesses in children under 3years of age include fever (27%)Acute Respiratory infections (17%)www.drjayeshpatidar.blogspot.in
  • 4. THE INEQUITIES OF CHILD HEALTH• Diarrhoea (13%) And malnutrition (43%) – andoften in Combination (National Family HealthSurvey. Infant Mortality Rate continues to behigh per year.• Neonatal mortality contributes to over 64% ofinfant deaths and most of these deaths occurduring the first week of life.www.drjayeshpatidar.blogspot.in
  • 5. GOALS OF IMNCI• Standardized case management of sicknewborns and children.• Focus on the most common causes of mortality.• Nutrition assessment and counselling for all sickinfants and children.www.drjayeshpatidar.blogspot.in
  • 6. GOALS OF IMNCIHome care for newborns to :• Promote exclusive breastfeeding.• Prevent hypothermia.• Improve illness recognition & timely careseekingwww.drjayeshpatidar.blogspot.in
  • 7. PRINCIPLES OF IMNCI• All sick children under five years of age must beexamined for condition which indicateimmediate referral or hospitalization• Children must be routinely assessed for majorsymptoms, nutritional and immunizationstatus, Feeding problems and other potentialproblemswww.drjayeshpatidar.blogspot.in
  • 8. PRINCIPLES OF IMNCI• Only limited number of carefully selected clinicalsigns are used based on evidence of theirsensitivity and specificity to detect disease• Based on the presence of selected clinical signsthe child is placed in “classification”.• classifications are not specific diagnosis butcategories that are used to determine thetreatmentwww.drjayeshpatidar.blogspot.in
  • 9. PRINCIPLES OF IMNCI• Classifications are color coded and suggestreferral (pink), treatment in healthy facility(yellow) or management at home (green).• IMNCI guidelines address most common , butnot all pediatric problems• A limited number of essential drugs are usewww.drjayeshpatidar.blogspot.in
  • 10. RATIONALE FOR AN INTEGRATED EVIDENCE-BASEDSYNDROMIC APPROACH TO CASEMANAGEMENT• Many well-known prevention andtreatment strategies have already proveneffective for saving young lives.• Childhood vaccinations have successfullyreduced deaths due to measleswww.drjayeshpatidar.blogspot.in
  • 11. RATIONALE FOR AN INTEGRATEDEVIDENCE-BASEDSYNDROMIC APPROACH TO CASEMANAGEMENT• Prompt treatment of malaria has allowedmore children to recover and lead healthylives.• Even modest improvements inbreastfeeding practices have reducedchildhood deaths.www.drjayeshpatidar.blogspot.in
  • 12. RATIONALE FOR AN INTEGRATEDEVIDENCE-BASEDSYNDROMIC APPROACH TO CASEMANAGEMENT• While each of these interventions has beensuccessful, accumulating evidence suggeststhat an integrated approach is needed tomanage sick children to achieve betteroutcomes.• Child health programme need to movebeyond single diseases to addressing theoverall health and well-being of the child.www.drjayeshpatidar.blogspot.in
  • 13. RATIONALE FOR AN INTEGRATEDEVIDENCE-BASEDSYNDROMIC APPROACH TO CASEMANAGEMENT• An integrated approach is needed tomanage sick children to achieve betteroutcomes.• Child health programme need to movebeyond tackling single diseases in order toaddress the overall health and well-being ofthe child.www.drjayeshpatidar.blogspot.in
  • 14. RATIONALE FOR AN INTEGRATEDEVIDENCE-BASEDSYNDROMIC APPROACH TO CASEMANAGEMENT• The guidelines represent an evidence-based, syndromic approach to casemanagement that includes effective andaffordable use of drugs and diagnostictools.www.drjayeshpatidar.blogspot.in
  • 15. RATIONALE FOR AN INTEGRATEDEVIDENCE-BASEDSYNDROMIC APPROACH TO CASEMANAGEMENTAn evidence-based syndromic approachcan be used to determine the:health problem the child may have;• severity of the child’s condition; andactions that can be taken to care for thechild (e.g. refer the childimmediately, manage with availableresources, or manage at home).www.drjayeshpatidar.blogspot.in
  • 16. COMPONENTS OF THE INTEGRATEDAPPROACH• The IMNCI strategy includes both preventiveand curative interventions that aim to improvepractices in health facilities, the health systemand at home.At the core of the strategy is integrated casemanagement of the most common neonatal andchildhoodwww.drjayeshpatidar.blogspot.in
  • 17. COMPONENTS OF THE INTEGRATEDAPPROACH• The strategy includes three main components:Improvements in the case-management skills ofhealth staff through the provision of locally-adapted guidelines on Integrated Managementof Neonatal and Childhood Illness and activitiesto promote their use;www.drjayeshpatidar.blogspot.in
  • 18. COMPONENTS OF THE INTEGRATEDAPPROACH• Improvements in the overall health systemrequired for effective management of neonataland childhood illness;• Improvements in family and community healthcare practices.www.drjayeshpatidar.blogspot.in
  • 19. IMNCI CASE MANAGEMENT PROCESSSTEPS OF CASE MANAGEMENTPROCESS:-• Assess the young infant or child.• Classify the illness.• Identify the treatment• Counsel the mother• Provide follow up care.www.drjayeshpatidar.blogspot.in
  • 20. Bibliography• K.K.Gulani community health nursing principal& practice, kumar publishers, page no. 379-380.• B.T. vasvanthappa community healthnursing, j.p.publishers page no. 265-267• Preventive & social medicine k. park 18thedition, page no. 345-346.• Joan m. cookfair nursing care in thecommunity, published by mosby, second edition.Page no. 520-524.• www google. Com. Pub.www.drjayeshpatidar.blogspot.in
  • 21. Thank youwww.drjayeshpatidar.blogspot.in