IMNCI is an integrated approach to child health that focuses on well-being of children under 5. It aims to reduce death, illness, and disability and promote growth. IMNCI treats multiple conditions together as children often have more than one. It ensures treatment of major illnesses through immunization and nutrition. The three components of IMNCI are improving health worker skills, health systems, and family/community practices related to child health. The strategy assesses and classifies children using signs and symptoms to indicate severity and recommends treatment and referral.

1. By – SURESH KUMAR ( Nursing Tutor )
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I M N C I

2. IMNCI
■ IMNCI is an integrated approach to child
health that focuses on the well-being 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. WHY IMNCI
■ Children brought for medical treatment in the
hospitals are often suffering from more than
one condition, making a single diagnosis
impossible. IMNCI is an integrated strategy,
which takes into account the variety of factors
that put children at serious risk. It ensures the
combined treatment of the major childhood
illnesses, emphasizing prevention of disease
through immunization and improved nutrition.

4. BACKGROUND of IMNCI
■ During mid 1990 the World Health Organization in
collaboration with UNICEF and many other agencies
respond to the challenge of child health developed a
strategy known as integrated management of
childhood illness this strategy has been expanded in
India to include all neonates and is renamed as
integrated management of neonatal and childhood
illness and included in the RCH 2 program.

5. OBJECTIVES of IMNCI
■ IMNCI aims to –
■ Reduce neonatal and childhood death,
■ Reduce illness and disability,
■ Promote improved growth and development
among children under five years of age and
■ Promote the accurate identification of
childhood illnesses in out-patient settings

6. COMPONENTS of IMNCI
■ The three components of IMNCI are -
■ improve health workers’ skills
■ improve health systems and
■ improve family and community practices

7. Improve health workers’ skills
■ Improving health providers’ skills mostly
refers to clinical and communication skills
and covers both pre-service education and
in-service training, in both the public and
private sector.

8. Improve health systems
■ Improving health systems to use IMNCI
strategy include policy, planning and
management, financing, organization of work
and distribution of tasks at health facilities,
human resources, availability of drugs and
supplies, referral, monitoring and health
information system, supervision, evaluation
and research. Health sector reform efforts are
usually listed under this component.

9. Improve family and
community practices
■ Improving family and community
practices related to child health and
development. If these practices properly
promoted and adopted by the targeted
communities, would potentially contribute
to improving child survival, growth and
development.

10. PRINCIPLES of IMNCI
■ All sick children must be checked for ‘general danger signs’
which indicate the need for immediate referral or admission
to a higher health facility level.
■ All sick children must be routinely assessed for major
symptoms: cough, fever, diarrhoea, ear problems.
■ Children should also be assessed for nutritional and
immunization status, feeding problems and other problems.

11. PRINCIPLES of IMNCI
■ Only a limited number of carefully selected clinical signs are
used , based on evidence of their sensitivity and specificity to
detect disease.
■ A combination of individual signs leads to an infant’s or a
child’s classification rather than a diagnosis. Classification
indicate the severity of condition.
■ IMNCI management procedures use a limited number of
essential drugs and encourage active participation of
caretakers in the treatment of infants and children.

12. IMNCI STRATEGY
■ IMNCI strategy includes assessment and
classification of children and color coding
for the treatment.
■ This assessment starts as soon as the child
enters the health facility.

15. By – SURESH KUMAR ( Nursing Tutor )
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