This document provides guidance for integrated management of childhood illnesses for children aged up to 5 years. It outlines how to assess, classify, and treat sick young infants aged up to 6 months as well as sick children aged 6 months to 5 years. It describes how to check for general danger signs, ask about main symptoms, classify illnesses, and identify appropriate treatment plans. It also provides counseling guidance for mothers on feeding recommendations, hygiene, follow-up care, and when to return to the health worker.

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42. Integrated Management of Childhood Illness Chart booklet
Process of updating the chart booklet
The generic IMCI chart booklet was developed and published in 1995 based on evidence existing at that time (Reference: Integrated
management of Childhood Illness Adaptation Guide: C. Technical basis for adapting clinical guidelines, 1998). New evidence on the
management of acute respiratory infections, diarrhoeal diseases, malaria, ear infections and infant feeding, published between 1995
and 2004, was summarized in the document Technical updates of the guidelines on IMCI : evidence and recommendations for further
adaptations, 2005.
Evidence reviews supported the formulation of recommendations in each of these areas (see document and the references). Reviews
were usually followed by technical consultations where the recommendations and their technical bases were discussed and consensus
reached. Similarly, a review and several expert meetings were held to update the young infant section of IMCI to include care of the
newborn in the first week of life. More recently, findings of a multi-centre study (Lancet, 2008) led to the development of simplified
recommendations for the assessment of severe infections in the newborn
Who was involved and their declaration of interests
The following experts were involved in the development of the updated newborn recommendations: Zulfiqar Bhutta, Ayivi Blaise,
Wally Carlo, Rolando Cerezo, Magdy Omar, Pavel Mazmanyan, MK Bhan, Helenlouise Taylor, Gary Darmstadt, Vinod Paul, Anne
Rimoin, Linda Wright and WHO staff from Regional and Headquarter offices. Dr. Gul Rehman and a team of CAH staff members
drafted the updated chart booklet based on the above. Dr Antonio Pio did the technical editing of the draft IMCI chart booklet, in
addition to participating in its peer-review. Other persons who reviewed the draft chart booklet and provided comments include Ashok
Deorari, Teshome Desta,, Assaye Kassie, Dinh Phuang Hoa, Harish Kumar, Vinod Paul and Siddhorth Ramzi.. Their contributions are
acknowledged.
None of the above experts declared any conflict of interest.
The Department plans to review the need for an update of this chart booklet by 2011.

43. WHO Library Cataloguing-in-Publication Data :
Integrated Management of Childhood Illness chart booklet.
1.Integrated management of childhood illness. 2.Infant, Newborn. 3.Child. 4.Infant. 5.Disease management. 6.Teaching materials. I.World Health
Organization. II.UNICEF.
ISBN 978 92 4 159728 9 (NLM classification: WC 503.2)
© World Health Organization 2008
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