INTEGRETED MANAGEMENT OF NEONATAL & CHILDHOOD ILLNESS
SAJJALASHREE INSTITUTE OF NURSING SCIENCES NAVANAGR, BAGALKOT
Integrated management of neonatal & childhood illness
The concept was developed by WHO & UNICEF in mid 1990
It works towards controlling of morbidity & mortality rates among children
It is a curative, preventive & promotive strategy aimed at reducing the death
& frequency & severity of illness and disability.
It also contributes to improve growth & development of under-five children.
Major components of IMNCI
Improvement of family & community practices towards child health care.
Provision of essential drugs & their supplies.(ors, anti-helminthic drugs, etc)
Betterment of technical skills of health care providers.
Community involvement in health care programmes of children
Equitable distribution of health care facilities & maximum reach out to all
Services provided under IMNCI
Vitamin-A & micro-nutrient supplementation
Management of ARI
Prevention of diarrhea
Prevention of malnutrition
Malaria control programmes
Counseling on various health problems.
Principles of IMNCI
Examination of Under-fives: All Children below 5 yrs of age should be
examined for the conditions which indicate referral or hospitalization.
Routine assessment: Children must be routinely assessed for major
symptoms, nutritional & immunizational status, feeding problems & other
Classification of Under-fives: Based on the presence of selected clinical
signs, the child is placed in classification.
Colour coding: Classifications are colour coded & suggests - referral (pink),
Treatment in health care setting (yellow) and management at home (green).
Involvement of Care takers: Care takers are actively involved in the
treatment of children.
Counseling of care takers: about home care including feeding, fluid
management, & when to return to the health care setting, etc.
IMNCI Case management process
1. Assess the young infant & child
2. Classify the illness
3. Identify the treatment
4. Provide treatment
5. Counsel the mother