.

1. IMCIIMCI

2. • IMCI combines
–Improved management
of common childhood
illnesses
–Prevention of diseases
–Promotion of health
( by dealing with
feeding &

4. Essential components of IMNCI
strategy
• Improvements in case management skills
of health staff through locally adapted
guidelines
• Improvements in the overall health
system
• Improvements in family & community
health care practices

5. PRINCIPLES

7. IMNCI Case Management
Process

8. 2 age categories

9. CLASSIFICATION TABLES – colour
coded

10. OUTPATIENT MANAGEMENT OFOUTPATIENT MANAGEMENT OF
YOUNG INFANTSYOUNG INFANTS ((age upto 2 months)age upto 2 months)

11. ASSESS:ASSESS:
History taking about the baby’s problem
Check for
1. Possible bacterial infections
2. Jaundice
3. Diarrhoea
4. Feeding problems
5. Malnutrition
IMMUNIZATION STATUS
Assess other problems

12. CLASSIFYCLASSIFY
1.1. Possible bacterial infectionsPossible bacterial infections
 Possible SERIOUS bact. InfectionsPossible SERIOUS bact. Infections
(CNS infection, very severe pneumonia,
extensive skin infection, temp >37.5 or
<35.5’c)
 Local bact. InfectionsLocal bact. Infections
(umbilical, ear, mild skin infection)
1.1. JAUNDICEJAUNDICE
 Severe jaundiceSevere jaundice
(palms & soles yellow, age <24hrs or

13. 3. DIARRHOEA3. DIARRHOEA
o Severe dehydrationSevere dehydration
o Some dehydrationSome dehydration
o No dehydrationNo dehydration
o Severe persistent diarrhoeaSevere persistent diarrhoea
o Severe dysenterySevere dysentery
4. FEEDING PROBLEM & MALNUTRITION4. FEEDING PROBLEM & MALNUTRITION
o Unable to feed, Severe MalnutritionUnable to feed, Severe Malnutrition
o Feeding problem, Low weightFeeding problem, Low weight
o No feeding problemNo feeding problem

14. IDENTIFY Rx, TREAT, Counsel, Follow upIDENTIFY Rx, TREAT, Counsel, Follow up

15. OUTPATIENT MANAGEMENT OF SICKOUTPATIENT MANAGEMENT OF SICK
CHILDCHILD ( Age 2 months – 5 years)( Age 2 months – 5 years)

16. ASSESS:ASSESS:
History taking about the child’s problem
Check for GENERAL DANGER SIGNSGENERAL DANGER SIGNS
Check main symptoms
1.1. Cough, difficult breathingCough, difficult breathing
2.2. DiarrhoeaDiarrhoea
3.3. FeverFever
4.4. Ear problemsEar problems
Malnutrition, Anemia.
Immunization status
Other problems

17. CLASSIFYCLASSIFY
GENERAL DANGER SIGNS
ConvulsionsConvulsions
 unconciousness/lethargyunconciousness/lethargy
 inability to drink/breastfeedinability to drink/breastfeed
 vomits everythingvomits everything

18. COUGH/ DIFFICULT BREATHING
 Very severe OR Severe pneumonia
 PneumoniaPneumonia
 No pneumonia – cough/ coldNo pneumonia – cough/ cold
DIARRHOEA
 Severe dehydration, Severe persistent diarrhoea
 Some dehydration, Persistent diarrhoea,Some dehydration, Persistent diarrhoea,
DysenteryDysentery

19. FEVER
 Very severe febrile disease
(danger signs, stiff neck, bulging fontanelle)
 Malaria ( no other cause for fever)
 Fever- malaria unlikely (runny nose, measles,
or other cause for fever)

20. If MEASLES now or within last 3 months,
classify as:
 Severe complicated measles
( danger sign, corneal clouding, severe mouth
ulcers)
 Measles with eye or mouth complications
(pus from eye, mouth ulcers)

21. EAR PROBLEM
Mastoiditis
Acute ear infectionAcute ear infection
Chronic ear infectionChronic ear infection
No ear infection
MALNUTRITION & ANEMIA
Severe malnutrition, Severe Anemia
Very low weight, AnemiaVery low weight, Anemia


24. EFFECTIVE COMMUNICATION &
COUNSELLING
APAC
 Ask & listen
 Praise
 Advise & teach
 Check