Integrated management of neonatal and childhood illness

1. INTEGRATED MANAGEMENT
OF NEONATAL AND
CHILDHOOD ILLNESS
(IMNCI)
Dr Ubaid N P,
JR Community Medicine,
Pariyaram Medical College

2. ▪ Diseases causing childhood morbidity &
mortalities are diarrhea, ARI, malaria, measles,
malnutrition
▪ Most sick children present with overlapping signs
& symptoms
▪ A single diagnosis may not be possible or
appropriate
▪ Treatment may also become complicated by the
need to combine for several conditions

3. ▪ IMCI is a strategy for an integrated approach to the
management of childhood illness
▪ It looks beyond the treatment of a single disease
▪ Strategy combines improved management of
childhood illness with aspects of nutrition,
immunization other important elements

4. ▪ Designed for management for sick children aged 1
week to 5 years
▪ Uses an evidence based assessment &
management using a syndromic approach

5. ▪ Case management involves:
a) Asses
b) Classify:
- Urgent pre referral treatment & referral (Pink)
- Specific medical treatment & advice (Yellow)
- Simple advice on home management (Green)
c) Identify specific treatment
d) Treatment
e) Counsel
f) Follow up care

6. IMNCI
▪ Major highlights of Indian adaptations:
a) Inclusion of 0-7 days age in the programme
b) Incorporating national guidelines malaria,
anemia,Vit A supplementation & immunization
c) Training of health personnel begin with sick
young infants up to 2 months
d) Proportion of training time devoted to sick
young infant & sick child is almost equal
e) Is skilled based

12. THANK YOU