The document discusses Integrated Management of Neonatal and Childhood Illnesses (IMNCI). It provides an overview of IMNCI, including its components, objectives, strategies and process. Some key points discussed are:
- IMNCI was developed by WHO and UNICEF to provide integrated care for newborns, infants and children.
- It aims to reduce child mortality by improving health worker skills, strengthening the health system, and promoting good family/community practices.
- IMNCI training covers home-based newborn care, management of common childhood illnesses, and nutrition/feeding counselling.
- Successful implementation requires efforts across health facilities, outreach services, and community levels
In 2011 to reduce neonatal mortality government of India launched Home based new born care program based on Gadchirolli model of SEARCH. This presentation will tell about how the program is enrolling in our country.
Integrated management of Neonatal and Childhood illness among Infants of 0 to...Dhruvendra Pandey
Integrated management of Neonatal and Childhood illness among Infants of 0 to 2 months, Difference between IMCI and IMNCI, Objective, Elements, Management of Diarrhea, Bacterial Infections, Jaundice, Hypothermia, Feeding problem, counseling of mothers, followup
In 2011 to reduce neonatal mortality government of India launched Home based new born care program based on Gadchirolli model of SEARCH. This presentation will tell about how the program is enrolling in our country.
Integrated management of Neonatal and Childhood illness among Infants of 0 to...Dhruvendra Pandey
Integrated management of Neonatal and Childhood illness among Infants of 0 to 2 months, Difference between IMCI and IMNCI, Objective, Elements, Management of Diarrhea, Bacterial Infections, Jaundice, Hypothermia, Feeding problem, counseling of mothers, followup
Integrated Management of Childhood Illness (IMCI) Lalit Kumar
Integrated Management of Childhood Illness (IMCI) is a cost-effective approach
Integrated Management of Childhood Illness (IMCI) - Focuses on the child and not on the illness
the ppt describes the pentavalent and trivalent according to the national immunisation program,india in an easy to understand and interactive form.useful for students and tutors.
also has a FAQ section.
Its only for study purpose for Nursing Students. Kindly refer and share to others. Now a days child mortality rate is very high due to diarrhoea and malnutrition. If we identify the child in first stage we can save them.
Every year more than 10 million children die in developing countries due to acute respiratory infections (mostly pneumonia), diarrhea, measles, malaria, or malnutrition - and often to a combination of these illnesses. In 1990s, the WHO, in collaboration with UNICEF and many other agencies, institutions and individuals, responded to this challenge by developing a strategy known as the Integrated Management of Childhood Illness (IMNCI).This strategy adopted in India as Integrated Management of Neonatal and Childhood Illness (IMNCI). IMNCI caters to two groups of children
• 0-2 months, referred to as young infants.
• 2 months to 5 years, referred to as children.
IMNCI (Integrated Management of Neonatal and Childhood Illness)Alam Nuzhathalam
An overview of IMNCI (Integrated Management of Neonatal and Childhood Illness). IMNCI - Introduction, Objectives, Components, Principles, Case Management Process - Assess, classify, identify and treat the sick child age up to 2 months and 2 months up to 5 years, F-IMNCI and C-IMNCI.
Integrated Management of Neonatal and Childhood IllnessPegasoftcorp1
The Integrated Management of Neonatal and Childhood Illness (IMNCI) is a comprehensive strategy developed by WHO and UNICEF to address the major causes of illness and mortality in children under five. By integrating preventive and curative measures, IMNCI aims to reduce child mortality and improve overall child health. The approach includes systematic assessment, classification, and management of common childhood illnesses, training healthcare workers, strengthening health systems, and engaging communities in child health care. IMNCI emphasizes the importance of holistic, evidence-based interventions to ensure effective and sustainable improvements in child health outcomes.
Integrated Management of Childhood Illness (IMCI) Lalit Kumar
Integrated Management of Childhood Illness (IMCI) is a cost-effective approach
Integrated Management of Childhood Illness (IMCI) - Focuses on the child and not on the illness
the ppt describes the pentavalent and trivalent according to the national immunisation program,india in an easy to understand and interactive form.useful for students and tutors.
also has a FAQ section.
Its only for study purpose for Nursing Students. Kindly refer and share to others. Now a days child mortality rate is very high due to diarrhoea and malnutrition. If we identify the child in first stage we can save them.
Every year more than 10 million children die in developing countries due to acute respiratory infections (mostly pneumonia), diarrhea, measles, malaria, or malnutrition - and often to a combination of these illnesses. In 1990s, the WHO, in collaboration with UNICEF and many other agencies, institutions and individuals, responded to this challenge by developing a strategy known as the Integrated Management of Childhood Illness (IMNCI).This strategy adopted in India as Integrated Management of Neonatal and Childhood Illness (IMNCI). IMNCI caters to two groups of children
• 0-2 months, referred to as young infants.
• 2 months to 5 years, referred to as children.
IMNCI (Integrated Management of Neonatal and Childhood Illness)Alam Nuzhathalam
An overview of IMNCI (Integrated Management of Neonatal and Childhood Illness). IMNCI - Introduction, Objectives, Components, Principles, Case Management Process - Assess, classify, identify and treat the sick child age up to 2 months and 2 months up to 5 years, F-IMNCI and C-IMNCI.
Integrated Management of Neonatal and Childhood IllnessPegasoftcorp1
The Integrated Management of Neonatal and Childhood Illness (IMNCI) is a comprehensive strategy developed by WHO and UNICEF to address the major causes of illness and mortality in children under five. By integrating preventive and curative measures, IMNCI aims to reduce child mortality and improve overall child health. The approach includes systematic assessment, classification, and management of common childhood illnesses, training healthcare workers, strengthening health systems, and engaging communities in child health care. IMNCI emphasizes the importance of holistic, evidence-based interventions to ensure effective and sustainable improvements in child health outcomes.
THIS SLIDE IS PREPARED BY SURESH KUMAR FOR MY STUDENT SUPPORT SYSTEM TO WATCH THIS VIDEO VISIT YOUTUBE CHANNEL- https://www.youtube.com/channel/UC3tfqlf__moHj8s4W7w6HQQ
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Integrated Management of Neonatal and Childhood Illness Strategy An Approach ...ijtsrd
Every 1000 children born do not live to be five years of age of note, 70 of all deaths in children can be attributed to easily preventable and treatable diseases namely ARI Acute respiratory infections mostly pneumonia , Diarrhoea, Measles, Malaria, Malnutrition and Anaemia, and Tuberculosis. Often children succumb to a combination of these conditions with most children presenting in health facilities with the combined signs and symptoms of more than one disease. Evidence for various assessments has shown that many of these children are not comprehensively assessed, treated and given the appropriate advice. Recognizing the need to improve on the care of these children, WHO and UNICEF developed the Integrated Management of Newborn and Childhood Illnesses IMNCI strategy which emphasizes on integrated case management of the most common childhood diseases. Kenya in the year 2000 adopted the IMNCI strategy and evaluation1. Ms. Mansha Singh | Mrs. Minu S. R. "Integrated Management of Neonatal and Childhood Illness Strategy: An Approach for Hypothermia in Newborns" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-4 , June 2022, URL: https://www.ijtsrd.com/papers/ijtsrd50108.pdf Paper URL: https://www.ijtsrd.com/medicine/nursing/50108/integrated-management-of-neonatal-and-childhood-illness-strategy-an-approach-for-hypothermia-in-newborns/ms-mansha-singh
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
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Integrated management of neonatal and childhood illness (
1. Presenter :-Dr. Vaibhav Gupta, MPH2nd year
Moderator - Dr. Sunil Kumar D.
( Ast.Prof.)
Dept. of community medicine
JSSMC
11/01/2014
13/01/2014 1
2. Introduction-(IMCI)
Why integrated management
IMCI- Component & Process
Differences; IMCI/IMNCI
IMNCI: Components, Objectives, Strategies
Process of IMNCI
IMNCI Plus
F-IMNCI ,Pre service IMNCI
Home based New Born care
JSSK,NSSK,C-IMCI
SWOT analysis
Current Status
conclusion
13/01/2014 2
3. World Health Organization (WHO), UNICEF & other
International Partner came out with a new strategy
Known as Integrated Management of Childhood Illness
(IMCI) in 1995.
An effort to bring health equity for child health.
The strategy emphasises on integrated approach for
treating the sick children.
Emphasizes on improving the family and community
practices as well as care provided by the health system for
better care of child.
13/01/2014 3
4. IMR 42/1000 and Under 5 mortality 95/1000 live births
per year.
Neonatal mortality contributes to 64% of infant deaths
mostly occurring during first week of life.
According to report released on 12 September 2013 by
United Nations Children's Fund (UNICEF) the global
Infant Mortality rate (IMR) decreased from 61 deaths in
1990 to 37 deaths in 2011.
Annual infant deaths declined from 8.4 million in 1990
to5 million in 2011.
13/01/2014 4
5. According to the report India’s infant mortality rate
shown a minor decline in 2012 compared to 2011. Infant
Mortality rate decreased from 44 deaths for every 1000
live births in 2011 to 42 deaths for every 1000 live in
2012.
IMCI seeks to reduce childhood mortality and
morbidity by improving family and community
practices for the home management of illness, and
improving case management of skills of health workers
in the wider health system.
13/01/2014 5
6. An integrated approach was needed to manage sick
children to achieve better outcomes.
Child health programmers needed to move beyond
tackling single diseases in order to address the overall
health & well being of the child
During mid 1990s, WHO & UNICEF developed a
strategy – IMCI
13/01/2014 6
7. Cont..
IMCI has been expanded in India to include all
neonates and renamed as IMNCI
Govt of India has made newborn health a priority in
the nation’s next five year plan
Govt is working with WHO and UNICEF to adapt
IMCI guidelines to include newborn care, creating
new guidelines called IMNCI
13/01/2014 7
8. Integrated approach is child centred:
Five conditions : Pneumonia, Diarrhoea, Measles, Malaria
and Malnutrition are major cause of Death.
3 out of 4 children seeking health care in developing countries
suffers from one of these condition.
Children likely to be suffering from more than one condition.
Often combination of theses conditions leads to fatal result.
Making a single diagnosis may be difficult.
Such children often need combined therapy for successful
treatment.
13/01/2014 8
9. Speeds up the urgent treatment and treatment seeking practices.
Prompt recognition of serious condition, hence prompt referral.
Involves parents in effective care of baby at home.
Involves prevention of diseases by active immunization,
Improved nutrition and Exclusive Breastfeeding practices.
Highly cost effective.
It avoids wastages of resources by using most appropriate
medicines and treatment.
It reduces duplication of effort.
Partial Success of Individual disease control programme.
13/01/2014 9
10. Health worker skills:
◦ Incomplete examinations and counselling.
◦ Poor communication between health workers and parents.
◦ Irrational use of drugs.
Health system issues:
- Access to health services and Scarce availability of Skilled Worker
- Availability of appropriate drugs and vaccines
- Supervision / organization of work
Community and family practices:
◦ Delayed care seeking
◦ Poor knowledge of when to return to a health facility
◦ Seeking assistance from unqualified providers
◦ Poor adherence to health worker advice and treatment
13/01/2014 10
11. The IMCI strategy includes three important components :
Integrated management of childhood illness.
Health system strengthening.
Community IMCI or promotion of key family and
community practices
IMCI strategy are most effective when all three component
are implemented simultaneously.
13/01/2014 11
14. Features: WHO – UNICEF IMCI IMNCI
Coverage of 0 to 6 days
(early newborn period)
No Yes
Basic Health Care Module NO Yes
Home visit by the provider
for newborn and Young
Infant
No Yes
Training
Training Home based Care No Yes
Training days for newborn
and young infants
2 out of 11 days 4 out of 11 days
Sequence of training Child (2 months to 5 years of
age) then Young infant ( 7
days to 2 months of age)
Newborn and young infants
(0 to 2 months).Then Child
(from 2 months to 5 years of
age.)
13/01/2014 14
15. Reduce infant and child mortality rates
Improving child health and survival
Currently in India, it is 42 deaths/1000 live births.
Decline not uniform across states.
Malnutrition and low birth (LBW) are contributors to
about 50% deaths.
13/01/2014 15
16. 13/01/2014 16
Strategy encompasses a range of interventions to prevent and
manage five major childhood illnesses
Acute Respiratory Infections,
Diarrhoea,
Measles,
Malaria
Malnutrition
The major causes of neonatal mortality such as prematurity
and sepsis.
17. Survival has been an important goal of the Family Welfare
Programmes in India.
During the period 1977 to 1992 programmes like universal
immunization programme;
oral rehydration therapy (ORT) programme and programme
for prevention of deaths due to acute respiratory infections
(ARI) were implemented as vertical programmes.
13/01/2014 17
18. These programmes were integrated in 1992 under the Child
Survival and Safe Motherhood Programmes and have
continued to be a part of the Reproductive & Child Health
Programme implemented since 1997.
IMNCI is an integrated to child health that focuses on the well
being of the whole child.
affecting children aged 1week – 2month , 2months - 5years
including both preventive and curative elements to be
implemented by families.
13/01/2014 18
19. It also teaches about nutrition including breast feeding
promotion, complementary feeding and micronutrients. It
focuses on preventive, promotive and curative aspects.
IMNCI is the Indian adaptation of the WHO- UNICEF generic
IMCI( integrated management of Childhood Illness.)
13/01/2014 19
20. Care of Newborns and Young Infants (infants under 2
months):
◦ Keeping the child warm.
◦ Cord, skin and eye care.
◦ Recognition of illness in newborn , management and/or
referral.
◦ Immunization.
Home visits in the postnatal period:
◦ Home visits by health workers (ANMs, AWWs, ASHAs ).
◦ Three home visits are to be provided to every newborn:
first visit on the day of birth (day 1).
Next two visit on day 3 and day 7.
◦ For low birth weight babies, 3 more visits: on Day 14, 21
and 28.
◦ care of mothers during the post-partum period. 13/01/2014 20
21. Management of diarrhoea, acute respiratory infections
(pneumonia), malaria, measles, acute ear infection,
malnutrition and anaemia.
• Recognition of illness / at risk conditions and
management/referral.
• Prevention and management of Iron and Vitamin A
deficiency.
• Feeding Counselling for all children below 2 years
• Feeding Counselling for malnourished children between 2 to
5 years.
• Immunization.
Who will provide IMNCI Services ?
The health workers in the community (ANM, AWW, ASHA)
or
Providers at the facility (PHC/CHC/FRU).
13/01/2014 21
23. Improve health worker
skills
Improve health systems Improve family and
community practices
Case management standards
and guidelines
District and block planning
management
Appropriate Care seeking
Training of facility- based
public health care providers
Availability of IMNCI drugs Nutrition
IMNCI roles for private
providers
Quality improvement and
supervision at health facilities –
public and private
Home case management and
adherence to recommended
treatment
Maintenance of competence
among trained health workers
Referral pathways and services Community services planning
and monitoring
Health information system
13/01/2014 23
29. Implement by 2010 a comprehensive new born and
child health package at the household level
Three complementary elements :
care at birth
IMNCI
Immunization
13/01/2014 29
30. Evidence – based intervention
approach integrated with RCH program
equity –drive implementation and monitoring
rational mix of community and facility based
interventions .
phased decentralized priority setting at state and
district levels.
Participate of the private sector.
13/01/2014 30
31. The objectives of the newborn and child health strategy are:
◦ Increase coverage of skilled care at birth for newborns in
conjunction with maternal care.
◦ Implement a newborn and child health package of preventive,
promotive and curative interventions using a comprehensive
IMNCI approach:
At the level of all:
◦ Sub-centres.
◦ Primary health centers.
◦ Community health centers.
◦ First referral units
13/01/2014 31
32. At the household level in rural and poor peri urban
settings in at least 125 districts (through AWWs /
ASHAs)
◦ Implement the medium-term strategic plan for the
UIP (Universal Immunization Program).
◦ Strengthen and augment existing services in areas
where IMNCI is yet to be implemented.
13/01/2014 32
34. Facility Based Care for severely ill children is
complementary to primary care for providing a
continuum of care for severely ill children.
Integration of existing IMNCI package and the
Facility Based Care package in to one package.
13/01/2014 34
35. Majority of the health facilities (24x7 PHCs, FRUs, CHCs
and District hospitals) do not have trained paediatricians.
F-IMNCI training will help in skill building of the medical
officers and staff nurses posted in these health facilities to
provide IMNCI care.
13/01/2014 35
36. 13/01/2014
To enhance the skills and to overcome the acute shortage of
paediatricians in the country.
No. of posts of paediatricians in rural health facilities:
Required = 4045
In position = 898*
*www.unicef.org/India
36
37. Focus on Skill Development
50% of training time is spent on building skills by “hands-on
training” involving actual case management and counselling.
Remaining 50% in classroom for building theoretical
understanding of essential health intervention.
Training at two levels:
◦ In service training for the existing staff.
◦ Pre-Service Training– For including F-IMNCI in the pre-service
teaching of doctors and nurses.
13/01/2014 37
38.
PRE-TRAINING STATUS PACKAGE TO BE USED DURATION
IMNCI not trained F-IMNCI complete package 11 days
IMNCI trained Facility based care package
of F-IMNCI
5 days
13/01/2014 38
39. 13/01/2014
In medical colleges will need to include training on F-
IMNCI in the training schedules –
undergraduate students and interns, during their postings
in the Departments of Paediatrics and Preventive &
Social Medicine.
Staff Nurse’s training schools - training on F-IMNCI in
their training schedules.
39
40. The government of India has approved the implementation
of Home Based new-born care based on the Gadchirolli
model, where appreciable decline in the infant mortality
rates has been documented .
Appreciable decline in the infant mortality rates has been
documented.
ASHAs and ANM are being trained in the state of
Rajasthan, Bihar, Madhya Pradesh, Orissa and Uttar
Pradesh.
13/01/2014 40
41. The new initiative of jssk would provide completely
free and cashless services to pregnant women
including normal deliveries and caesarean operations
and sick new born (up to 30days after birth ) in
government health institutions in both rural and urban
areas.
Jssk initiative is estimated to benefit more than one
core pregnant women & new born who access public
health institutions every years in both urban & rural
areas.
13/01/2014 41
42. The free Entitlements under JSSK include:
free and cashless Delivery
free C section
free treatment of sick new born up to 30days
free drugs consumable , Diagnostics , Diet during stay
in health institution – 3days ND, 7days- CS
free transport Home to Health institutions
13/01/2014 42
43. Every year 12 lakh new-born babies die in India.
India lunched a program on 15sept.2009 train the
health care providers at district hospitals. CHC, PHC,
across the country in management of – prevention of
infection, hypothermia (temperature management)
early initiation of breast-feeding of the new borns.
13/01/2014 43
44. Community IMCI is basically Component 3 of the IMCI
Package.
It aims at improving family and community practices by
promoting those Practices with the greatest potential for
improving child survival, growth and development.
Evidence that 80% of deaths of children under five years of
age occur at home with little or no contact with health
providers.
C-IMCI seeks to strengthen the linkage between health
services and communities, to improve selected family and
community practices and to support and strengthen
community-based activities.
13/01/2014 44
46. Strengths :
IMNCI focuses on enhancement of the skills of
health care personnel.
strengthening the health system and creating
community participation.
Provide the home based care to the baby and the
mother.
Weaknesses :
IMCI strategy is for sick child and not for promotion
of child health.
IMNCI is very exhaustive and difficult to practice in
felid by health workers mainly AWW, ASHA, and
ANM.
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47. Opportunities:
Home based training for ANMs, ASHA
Entitlements facility available
Threats:
Referral system and proper feedback is still lacking in
majority of areas. More monitoring and supervision is
needed for proper implementation of program.
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48. IMNCI programme is currently being implemented in
359 districts. IMNCI fact sheet is based on analyses of
the IMNCI standard formatted reports submitted
quarterly by the MoHFW, GOI.
The positive trends in IMNCI trainings of health workers
and submission of IMNCI implementation status reports
by the states. Trained IMNCI workers are providing care
to a huge number of new-borns and children as shown by
the number of new born home visits and sick children
assessed.
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49. 13/01/2014
INDIA
(Period 2010)
KARNATAKA
(Period 2010)
No. of districts IMNCI to
be implemented.
452 30
No. of districts IMNCI
implemented
309* 14
Health personnel to be
trained
674491 35347
Health personnel trained 398184(59%) 17997(50.9%)
49
50. Close to 50 per cent of new-born deaths in India occur during
the first seven days of birth.
Many young lives are lost due to parents failing to recognise
warning signs and sick children not being taken to health
facilities on time, and because many mothers do not have
sufficient knowledge on the protective value of breastfeeding.
The IMNCI addresses such issues.
It focuses on strengthening home based care and provides
special care for under-nourished new-borns. During home
visits by health workers the mother is taught how to recognise
diseases early and when to seek medical help.
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51. 1.Operational Guidelines for Implementation of Integrated Management of
Neonatal and Childhood Illness.[cited on 2012 Nov 20]. Available from : URL :
www.similima.com
2.Integrated management of childhood illness. [cited on 2012 Nov 20]. Available
from: URL: http://www.unicef.org/health/23958_imci.html
3.Kishore J. National Health Programs of India, 10th edition. New
Delhi:Century;2012
4. Student’s Handbook for IMNCI. Integrated Management of Neonatal and
Childhood Illness. Ministry of Health and Family Welfare , Government of
India; 2003
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52. 5.Integrated Management Of Neonatal and Childhood Illness
Fact Sheet- India, UNICEF India;2010.
6.http://censusindia.gov.in/vital_statistics/SRS_Bulletins/SRS
_Bulletin_December_2011.pdf
7. Improving Child Health; IMCI, The Integrated Approach.
WHO, 1997. Downloaded on 04/ 06/2011 from URL:
http://www.who.int/imci-mce/publications.htm
8.World Health Statistics 2011. Downloaded from URL;
http://www.who.int/whosis/whostat/EN_WHS2011_Full.pdf
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