IMCI combines improved management of common childhood illnesses, prevention of diseases, and promotion of health. It has 3 essential components: 1. Improving health staff skills in managing illnesses through locally adapted guidelines. 2. Strengthening the overall health system. 3. Improving family and community healthcare practices. The IMCI process involves assessing children under 5 for general danger signs, classifying their illnesses, identifying treatment and follow up. It focuses on managing problems like cough, diarrhea, fever, ear issues and malnutrition in both young infants and older children. The goal is to treat issues, counsel caregivers, and ensure follow up care.

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