Imnci (integrated management of neonatal and childhood

1. IMNCI (Integrated
Management Of
Neonatal And
Childhood Illness)

2. INTRODUCTION
IMNCI is an integrated
approach to child health that
focuses on the wellbeing of
the whole child. IMNCI aims
to reduce death, illness and
disability, and to promote
improved growth and
development among
children under five years of
age.

3. OBJETIVES
Reduce Mortality
 Reduce Frequency and
Severity Of Illness And
Disability
 Improve Growth And
Development During The
First 5 Years Of A Child's Life

4. COMPONENTS OF IMNCI
Health Workers Component.
Improvement In The Overall
Health System
 Improvement In The Family
And Community Health
Care Practices.

5. PRINCIPLES OF
IMNCI GUIDLINES

6. PRINCIPLES OF IMNCI GUIDLINES
All sick children under 5 years of age must be examined for
conditions which indicate immediate referral or
hospitalization.
 Children must be routinely assessed for major symptoms,
nutritional and immunization status, feeding problems and
other potential problems.

7. CONTI…Only a limited number of carefully
selected clinical signs, are used
based on evidence of their
sensitivity and specificity to detect
disease.
 Based on the presence of selected
clinical signs, the child is placed in
a ‘classifications’.
Classifications are not specific
diagnosis but categories that are
used to determine the treatment.
Referral Treatment in health facility
Management at home

8. CONTI…
IMNCI guidelines address most common but not all
pediatric problems.
A limited number of essential drugs are used.
Care takers are actively involved in the treatment of
children.
Counselling of caretakers about home care including
feeding, fluids and when to return to health facility

9. IMNCI CASE MANAGEMENT
PROCESS
1. Steps of case management
process are the following:
2. Asses the young infant/ child.
3. Classify the illness.
4. Identify the treatment.
5. Treat the young infant/child.
6. Counsel the mother.
7. Provide follow up care.

10. ELEMENTS OF CASE
MANAGEMENT PROCESS
i. Assess - Child by checking for danger
signs by history and examination.
ii. Classify - Child's illness by color coded
triage system.
iii. Identify - Specific treatments.
iv. Treatments- Instructions of oral drugs,
feeding & fluids.
v. Counsel - Mother about breast
feeding & about her own health as
well as to follow further instructions on
further child care.
vi. Follow up care - Reassess the child for
new problems

11. GOALS OF IMNCI
 Standardized case management of
sick new borns and children
 Focus on the most common causes of
mortality
 Nutrition assessment and counselling
for all sick infants and children
 Home care for new borns to
 promote exclusive breastfeeding
 prevent hypothermia
 improve illness recognition & timely
care seeking

12. ADVANTAGES OF INTEGRATED APPROACH

13. ADVANTAGES OF INTEGRATED
APPROACH
Speeds up the urgent treatment and treatment seeking
practices.
Prompt recognition of serious condition, hence prompt
referral.
Involves parents in effective care of baby at home.
Partial Success of Individual disease control
programme.

14. CONTI…
Involves prevention of diseases
by active immunization,
Improved nutrition and Exclusive
Breastfeeding practices.
Highly cost effective.
It avoids wastages of resources
by using most appropriate
medicines and treatment.
 It reduces duplication of effort.

15. CONCLUSION
It is important to treat the child as a whole, not
simply the most apparent disease.
The IMNCI approach ensures a complete
assessment of a sick child, provision of treatment
and counselling the mother to improve health
practices at home and to promote health seeking
behaviour .