SlideShare a Scribd company logo
 IMNCI IS THE INDIAN VERSION OF IMCI 
NEED TO STRENGTHEN 
CHILD HEALTH SERVICES
1 WEEK -2 
MONTHS OF 
AGE 
2 MONTHS 
-5 YEARS
DANGER 
SIGNS
 Limited number of carefully selected clinical 
signs are used 
 A combination of individual signs helps in 
classification than diagnosis 
 Addresses most but not all, of the major 
reasons a sick infant or child brought to a 
clinic
HOSPITAL 
REFERRAL 
INTIATION 
OF SPECIFIC 
TREATMENT 
CALL FOR 
HOME 
MANAGEMENT
ASSESSMENT 
CLASSIFICATION 
AND 
IDENTIFICATION 
OF TREATMENT 
REFFERAL 
COUNSELLING 
FOLLOW UP CARE
DIAGNOSIS 
AND 
TREATMENT 
ETAT
TEACHING ABOUT 
ORAL DRUG 
ADMINISTRATION 
COUNSELLING
OH 
CHECK FOR DANGER SIGNS 
ASSESS MAIN SYMPTOMS 
CHECK FOR OTHER SYMPTOMS 
CLASSIFY SYMPTOMS ACCORDING 
TO COLOR CODE 
•PREREFERAL 
TREATMENT 
•ADVISE PARENTS 
•REFERALL SERVICES 
•TREATLOCAL INFECTION 
•ORAL DRUGS 
•ADVISE AND TEACH CARE 
TAKER 
•FOLLOWUP 
HOME CARE TAKER IS 
COUNSELLED: 
•HOW TO GIVE 
MEDICATIONS 
•TREAT LOCAL INFECTION 
AT HOME 
•FEEDING 
•FOLLOWUP
OUTPATIENT HEALTH FACILITY 
CHECK FOR POSSIBILE BACTERIL INFECTION 
ASSES THE SYMPTOMS OF DIARRHOEA 
CHECK FOR FEEDING PROBLEM/MALNUTRITION 
CLASSIFY OTHER PROBLEM 
CLASSIFY CONDITIONACCORDINGTO COLORCODE 
OUT PATIENT HEALTH 
FACILITY 
•PREREFFERALTREATMENT 
•ADVISETO PARENTS 
•REFERAL 
•EMERGENCY TRIAGE AND 
TREATMENT 
•DIAGNOSISANDTREATMENT 
•TREATLOCAL 
INFECTION 
•GIVE ORAL DRUGS 
•ADVISEAND TEACH 
CARE TAKER 
•FOLLWUP 
CARE TAKER IS 
COUNSELLED ON 
HOW TO: 
•GIVEORAL DRUGS 
•TREATLOCAL 
INFECTION
SIGN CATEGORY TREATMENT 
•ANY GENERAL DANGER SIGN 
•CHEST INDRAWING 
•STRIDER IN CALM CHILD 
SEVERE PNEUMONIA 
OR 
VERY SEVERE DISEASE 
•GIVE FIRST DOSE OF APPROPRIATE 
ANTIBIOTIC 
•TREATTHE CHILD TO PREVENT LOW 
BLOOD SUGAR 
•REFER URGENTLY TO HOSPITAL 
FAST BREATHING PNEUMONIA •Give an appropriate antibiotics for 
5 days 
•Soothe the throat and relive the 
cough with safe remedy 
•Advise mother when to return 
immediately 
•Follow up 
NO SIGNSOF 
PNEUMONIA 
NO PNEUMONIA OR 
COUGH OR COLD 
•Cough more than 30 days 
refer assessment 
•Relive cough with safe 
remedy
SIGNS CATEGORY TREATMENT 
DEHYDRATION PRESENT SEVERE PERSISTANT 
DIARRHOEA 
•TREAT DEHYDRATION BEFORE 
REFERRAL UNLESS THE CHILD 
HAS ANOTHER SEVERE 
CLASSIFICATION 
NO DEHYDRATION PERSISTANT 
DIARRHOEA 
• Advise the mother on 
feeding a child who has: 
PERSISTENTDIARRHOEA. 
• Give 
multivitamins/minerals and 
zinc for 10 days Follow-up 
in 5 days. 
Blood in the stool DYSENTRY Treat for 5 days with an 
oral antibiotic 
recommended for Shigella 
in your area. 
Follow-up in 2 days.
SIGNS CATEGORY TREATMENT 
Two of the following signs: 
• Lethargic or unconscious 
•Sunken eyes 
• Not able to drink or 
drinking poorly 
Skin pinch goes back very 
SEVEREDEHYDRATION If child has no other severe classification: 
Give fluid for severe dehydration (Plan 
C). 
• If child also has another severe 
classification: 
• Refer URGENTLY to hospital with 
mother giving frequent sips of ORS on the 
way. 
• Advise the mother to continue 
breastfeeding 
• If child is 2 years or older and there is 
cholera in patient’s area, give antibiotic for 
cholera. 
Two of the following signs: 
•Restless, irritable 
• Sunken eyes 
•Drinks eagerly, thirsty 
SOME DEHYDRATION Give fluid, zinc and food for some 
dehydration (Plan B). 
• If child also has a severe classification: 
- Refer URGENTLY to hospital with 
mother giving frequent sips of ORS on the 
way. 
•Advise the mother to continue 
breastfeeding. 
Not enough signs to classify 
as some or severe 
dehydration 
NO DEHYDRATION •Give fluid, zinc and food to 
treat diarrhea at home 
(Plan A).
SIGN CATEGORY TREATMENT 
•Not able to feed 
•No attachment at all 
•Very low weight for age 
SEVERE MALNUTRTION •Give Vitamin A if Visible 
Sever Wasting and /or Edema 
of both feet present. 
•Refer URGENTLY to 
hospital. 
•Treat the child to prevent low 
blood 
•Not well attached to breast 
•Not sucking well 
•Less than 8 breastfeed in 24 
hrs 
•Thrush 
•Low weight for age 
Feeding problem or low 
weight 
•If not well attached ,teach 
correct positioning 
•Increase frequency of breast 
feed 
•Treat thrush at home 
•Teach low weight measures 
at home 
•Follow up 
Not low weight for age ,no 
feeding problem 
No feeding problem •Advise mother to give home 
care 
•Advise follow up
Integrated management of neonatal and childhood illness

More Related Content

What's hot

integrated management of neonatal and childhood illnesses, Dr KRB
integrated management of neonatal and childhood illnesses, Dr KRBintegrated management of neonatal and childhood illnesses, Dr KRB
integrated management of neonatal and childhood illnesses, Dr KRB
drkulrajat
 
National Health Policy
National Health Policy National Health Policy
National Health Policy
surajtonystark
 
Indian public health standards
Indian public health standardsIndian public health standards
Indian public health standards
ADESH MEDICAL COLLEGE
 
IMNCI - Intregrated Management of Neonatal and childhood illness
IMNCI - Intregrated Management of Neonatal and childhood illnessIMNCI - Intregrated Management of Neonatal and childhood illness
IMNCI - Intregrated Management of Neonatal and childhood illness
LiniVivek
 
Home based new born care
Home based new born care Home based new born care
Home based new born care
Abhishek Agarwal
 
Health programmes in india
Health programmes in indiaHealth programmes in india
Health programmes in india
SREESHNAKC
 
Iphs standards for primary health centre
Iphs standards for primary health centreIphs standards for primary health centre
Iphs standards for primary health centre
Deepak Upadhyay
 
School health services
School health servicesSchool health services
School health services
utpal sharma
 
NATIONAL AIDS CONTROL PROGRAMME(NACP) PPT BY KRITIKA.pptx
NATIONAL AIDS CONTROL PROGRAMME(NACP) PPT BY KRITIKA.pptxNATIONAL AIDS CONTROL PROGRAMME(NACP) PPT BY KRITIKA.pptx
NATIONAL AIDS CONTROL PROGRAMME(NACP) PPT BY KRITIKA.pptx
KritikaDhawan9
 
Indian Public Health Standards For Primary Health Centre
Indian Public Health Standards For Primary Health CentreIndian Public Health Standards For Primary Health Centre
Indian Public Health Standards For Primary Health Centre
ANJALI RAJ ARUN
 
Maternal and child health programme
Maternal and child health programmeMaternal and child health programme
Maternal and child health programme
Harsh Rastogi
 
Imnci
ImnciImnci
Health Budgeting - Dr. Suraj Chawla
Health Budgeting - Dr. Suraj ChawlaHealth Budgeting - Dr. Suraj Chawla
Health Budgeting - Dr. Suraj Chawla
Suraj Chawla
 
Iphs for community health centres
Iphs for community health centresIphs for community health centres
Iphs for community health centres
Deepak Upadhyay
 
Revised national tuberculosis control programme
Revised national tuberculosis control programmeRevised national tuberculosis control programme
Revised national tuberculosis control programme
Ravi Rohilla
 
Rntcp and national strategic plan(nsp) for tb
Rntcp and national strategic plan(nsp) for tbRntcp and national strategic plan(nsp) for tb
Rntcp and national strategic plan(nsp) for tb
Wal
 
Presentation on Anemia Mukt Bharat
Presentation on Anemia Mukt BharatPresentation on Anemia Mukt Bharat
Presentation on Anemia Mukt Bharat
MonikaArtwani1
 
Universal health coverage final
Universal health coverage finalUniversal health coverage final
Universal health coverage final
Snehlata Parashar
 

What's hot (20)

integrated management of neonatal and childhood illnesses, Dr KRB
integrated management of neonatal and childhood illnesses, Dr KRBintegrated management of neonatal and childhood illnesses, Dr KRB
integrated management of neonatal and childhood illnesses, Dr KRB
 
National Health Policy
National Health Policy National Health Policy
National Health Policy
 
Indian public health standards
Indian public health standardsIndian public health standards
Indian public health standards
 
IMNCI - Intregrated Management of Neonatal and childhood illness
IMNCI - Intregrated Management of Neonatal and childhood illnessIMNCI - Intregrated Management of Neonatal and childhood illness
IMNCI - Intregrated Management of Neonatal and childhood illness
 
Imci
ImciImci
Imci
 
Home based new born care
Home based new born care Home based new born care
Home based new born care
 
Health programmes in india
Health programmes in indiaHealth programmes in india
Health programmes in india
 
Iphs standards for primary health centre
Iphs standards for primary health centreIphs standards for primary health centre
Iphs standards for primary health centre
 
School health services
School health servicesSchool health services
School health services
 
NATIONAL AIDS CONTROL PROGRAMME(NACP) PPT BY KRITIKA.pptx
NATIONAL AIDS CONTROL PROGRAMME(NACP) PPT BY KRITIKA.pptxNATIONAL AIDS CONTROL PROGRAMME(NACP) PPT BY KRITIKA.pptx
NATIONAL AIDS CONTROL PROGRAMME(NACP) PPT BY KRITIKA.pptx
 
Indian Public Health Standards For Primary Health Centre
Indian Public Health Standards For Primary Health CentreIndian Public Health Standards For Primary Health Centre
Indian Public Health Standards For Primary Health Centre
 
Maternal and child health programme
Maternal and child health programmeMaternal and child health programme
Maternal and child health programme
 
Imnci
ImnciImnci
Imnci
 
Health Budgeting - Dr. Suraj Chawla
Health Budgeting - Dr. Suraj ChawlaHealth Budgeting - Dr. Suraj Chawla
Health Budgeting - Dr. Suraj Chawla
 
Iphs for community health centres
Iphs for community health centresIphs for community health centres
Iphs for community health centres
 
Revised national tuberculosis control programme
Revised national tuberculosis control programmeRevised national tuberculosis control programme
Revised national tuberculosis control programme
 
Rntcp and national strategic plan(nsp) for tb
Rntcp and national strategic plan(nsp) for tbRntcp and national strategic plan(nsp) for tb
Rntcp and national strategic plan(nsp) for tb
 
Imnci
Imnci Imnci
Imnci
 
Presentation on Anemia Mukt Bharat
Presentation on Anemia Mukt BharatPresentation on Anemia Mukt Bharat
Presentation on Anemia Mukt Bharat
 
Universal health coverage final
Universal health coverage finalUniversal health coverage final
Universal health coverage final
 

Similar to Integrated management of neonatal and childhood illness

IMNCI_ Introduction & Pneumonia
IMNCI_ Introduction & PneumoniaIMNCI_ Introduction & Pneumonia
IMNCI_ Introduction & Pneumonia
Ramya Gokulakannan
 
IMNCI PROGRAMME.ppt
 IMNCI PROGRAMME.ppt IMNCI PROGRAMME.ppt
IMNCI PROGRAMME.ppt
srikaanth reddy
 
Integrated management of neonatal and childhood illness (
Integrated management of neonatal and childhood illness (Integrated management of neonatal and childhood illness (
Integrated management of neonatal and childhood illness (
piyushparashar13
 
Integrated Management of Neonatal & Childhood Illness(IMNCI) by Dr. Sonam Ag...
Integrated Management of Neonatal &  Childhood Illness(IMNCI) by Dr. Sonam Ag...Integrated Management of Neonatal &  Childhood Illness(IMNCI) by Dr. Sonam Ag...
Integrated Management of Neonatal & Childhood Illness(IMNCI) by Dr. Sonam Ag...
Dr. Sonam Aggarwal
 
IMCI.pptx
IMCI.pptxIMCI.pptx
IMCI.pptx
NatungaRonald1
 
IMNCI 2024.ppthjdkkdhdhhxhhxhdhjdhshhdh
IMNCI  2024.ppthjdkkdhdhhxhhxhdhjdhshhdhIMNCI  2024.ppthjdkkdhdhhxhhxhdhjdhshhdh
IMNCI 2024.ppthjdkkdhdhhxhhxhdhjdhshhdh
imnetuy
 
Acute respiratory infections
Acute respiratory infectionsAcute respiratory infections
Acute respiratory infections
Mallik Arjun D
 
acuterespiratoryinfections-161205075803.pdf
acuterespiratoryinfections-161205075803.pdfacuterespiratoryinfections-161205075803.pdf
acuterespiratoryinfections-161205075803.pdf
AkshayBadore2
 
Management of ari
Management of ariManagement of ari
Management of ari
mgmcricommunitymed
 
Acute respiratory infections
Acute respiratory infections Acute respiratory infections
Acute respiratory infections
MD Danish Rizvi
 
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES.pptx
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES.pptxINTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES.pptx
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES.pptx
grace471714
 
IMCI-Diarrhoea.pptx a slide about diarrhoea..
IMCI-Diarrhoea.pptx a slide about diarrhoea..IMCI-Diarrhoea.pptx a slide about diarrhoea..
IMCI-Diarrhoea.pptx a slide about diarrhoea..
TauhidulIslamNayeem
 
3 IMNCI Presentation Pediatrics Medical.pptx
3 IMNCI Presentation Pediatrics Medical.pptx3 IMNCI Presentation Pediatrics Medical.pptx
3 IMNCI Presentation Pediatrics Medical.pptx
AdeelNazir16
 
IMNCI
IMNCIIMNCI
Integrated Management of Neonatal and Childhood Illness
Integrated Management of Neonatal and Childhood IllnessIntegrated Management of Neonatal and Childhood Illness
Integrated Management of Neonatal and Childhood Illness
sudhashivakumar
 

Similar to Integrated management of neonatal and childhood illness (20)

IMNCI_ Introduction & Pneumonia
IMNCI_ Introduction & PneumoniaIMNCI_ Introduction & Pneumonia
IMNCI_ Introduction & Pneumonia
 
Imnci
ImnciImnci
Imnci
 
IMNCI PROGRAMME.ppt
 IMNCI PROGRAMME.ppt IMNCI PROGRAMME.ppt
IMNCI PROGRAMME.ppt
 
Integrated management of neonatal and childhood illness (
Integrated management of neonatal and childhood illness (Integrated management of neonatal and childhood illness (
Integrated management of neonatal and childhood illness (
 
Integrated Management of Neonatal & Childhood Illness(IMNCI) by Dr. Sonam Ag...
Integrated Management of Neonatal &  Childhood Illness(IMNCI) by Dr. Sonam Ag...Integrated Management of Neonatal &  Childhood Illness(IMNCI) by Dr. Sonam Ag...
Integrated Management of Neonatal & Childhood Illness(IMNCI) by Dr. Sonam Ag...
 
IMCI.pptx
IMCI.pptxIMCI.pptx
IMCI.pptx
 
Imnci
ImnciImnci
Imnci
 
IMNCI 2024.ppthjdkkdhdhhxhhxhdhjdhshhdh
IMNCI  2024.ppthjdkkdhdhhxhhxhdhjdhshhdhIMNCI  2024.ppthjdkkdhdhhxhhxhdhjdhshhdh
IMNCI 2024.ppthjdkkdhdhhxhhxhdhjdhshhdh
 
UC Nursing CESDEV Imci
UC Nursing CESDEV ImciUC Nursing CESDEV Imci
UC Nursing CESDEV Imci
 
Acute respiratory infections
Acute respiratory infectionsAcute respiratory infections
Acute respiratory infections
 
acuterespiratoryinfections-161205075803.pdf
acuterespiratoryinfections-161205075803.pdfacuterespiratoryinfections-161205075803.pdf
acuterespiratoryinfections-161205075803.pdf
 
Management of ari
Management of ariManagement of ari
Management of ari
 
Slide imnci neonatal
Slide imnci neonatalSlide imnci neonatal
Slide imnci neonatal
 
Acute respiratory infections
Acute respiratory infections Acute respiratory infections
Acute respiratory infections
 
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES.pptx
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES.pptxINTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES.pptx
INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES.pptx
 
IMCI-Diarrhoea.pptx a slide about diarrhoea..
IMCI-Diarrhoea.pptx a slide about diarrhoea..IMCI-Diarrhoea.pptx a slide about diarrhoea..
IMCI-Diarrhoea.pptx a slide about diarrhoea..
 
3 IMNCI Presentation Pediatrics Medical.pptx
3 IMNCI Presentation Pediatrics Medical.pptx3 IMNCI Presentation Pediatrics Medical.pptx
3 IMNCI Presentation Pediatrics Medical.pptx
 
IMNCI
IMNCIIMNCI
IMNCI
 
Ho6
Ho6Ho6
Ho6
 
Integrated Management of Neonatal and Childhood Illness
Integrated Management of Neonatal and Childhood IllnessIntegrated Management of Neonatal and Childhood Illness
Integrated Management of Neonatal and Childhood Illness
 

Recently uploaded

basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
aljamhori teaching hospital
 
BRACHYTHERAPY OVERVIEW AND APPLICATORS
BRACHYTHERAPY OVERVIEW  AND  APPLICATORSBRACHYTHERAPY OVERVIEW  AND  APPLICATORS
BRACHYTHERAPY OVERVIEW AND APPLICATORS
Krishan Murari
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
pal078100
 
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfMANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
Jim Jacob Roy
 
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness JourneyTom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
greendigital
 
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyayaCharaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
Dr KHALID B.M
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
SumeraAhmad5
 
Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
Shweta
 
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Savita Shen $i11
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
Dr. Rabia Inam Gandapore
 
POST OPERATIVE OLIGURIA and its management
POST OPERATIVE OLIGURIA and its managementPOST OPERATIVE OLIGURIA and its management
POST OPERATIVE OLIGURIA and its management
touseefaziz1
 
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in StockFactory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
rebeccabio
 
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
Catherine Liao
 
24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all
DrSathishMS1
 
THOA 2.ppt Human Organ Transplantation Act
THOA 2.ppt Human Organ Transplantation ActTHOA 2.ppt Human Organ Transplantation Act
THOA 2.ppt Human Organ Transplantation Act
DrSathishMS1
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
Anurag Sharma
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
bkling
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
NephroTube - Dr.Gawad
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Savita Shen $i11
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
KafrELShiekh University
 

Recently uploaded (20)

basicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdfbasicmodesofventilation2022-220313203758.pdf
basicmodesofventilation2022-220313203758.pdf
 
BRACHYTHERAPY OVERVIEW AND APPLICATORS
BRACHYTHERAPY OVERVIEW  AND  APPLICATORSBRACHYTHERAPY OVERVIEW  AND  APPLICATORS
BRACHYTHERAPY OVERVIEW AND APPLICATORS
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
 
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfMANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdf
 
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness JourneyTom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journey
 
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyayaCharaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
Charaka Samhita Sutra Sthana 9 Chapter khuddakachatuspadadhyaya
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
 
Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
 
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
Phone Us ❤85270-49040❤ #ℂall #gIRLS In Surat By Surat @ℂall @Girls Hotel With...
 
Cervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptxCervical & Brachial Plexus By Dr. RIG.pptx
Cervical & Brachial Plexus By Dr. RIG.pptx
 
POST OPERATIVE OLIGURIA and its management
POST OPERATIVE OLIGURIA and its managementPOST OPERATIVE OLIGURIA and its management
POST OPERATIVE OLIGURIA and its management
 
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in StockFactory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
Factory Supply Best Quality Pmk Oil CAS 28578–16–7 PMK Powder in Stock
 
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
The POPPY STUDY (Preconception to post-partum cardiovascular function in prim...
 
24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all24 Upakrama.pptx class ppt useful in all
24 Upakrama.pptx class ppt useful in all
 
THOA 2.ppt Human Organ Transplantation Act
THOA 2.ppt Human Organ Transplantation ActTHOA 2.ppt Human Organ Transplantation Act
THOA 2.ppt Human Organ Transplantation Act
 
micro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdfmicro teaching on communication m.sc nursing.pdf
micro teaching on communication m.sc nursing.pdf
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
 
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model SafeSurat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
Surat @ℂall @Girls ꧁❤8527049040❤꧂@ℂall @Girls Service Vip Top Model Safe
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
 

Integrated management of neonatal and childhood illness

  • 1.
  • 2.
  • 3.  IMNCI IS THE INDIAN VERSION OF IMCI NEED TO STRENGTHEN CHILD HEALTH SERVICES
  • 4. 1 WEEK -2 MONTHS OF AGE 2 MONTHS -5 YEARS
  • 5.
  • 6.
  • 8.
  • 9.
  • 10.  Limited number of carefully selected clinical signs are used  A combination of individual signs helps in classification than diagnosis  Addresses most but not all, of the major reasons a sick infant or child brought to a clinic
  • 11.
  • 12. HOSPITAL REFERRAL INTIATION OF SPECIFIC TREATMENT CALL FOR HOME MANAGEMENT
  • 13.
  • 14.
  • 15. ASSESSMENT CLASSIFICATION AND IDENTIFICATION OF TREATMENT REFFERAL COUNSELLING FOLLOW UP CARE
  • 17. TEACHING ABOUT ORAL DRUG ADMINISTRATION COUNSELLING
  • 18. OH CHECK FOR DANGER SIGNS ASSESS MAIN SYMPTOMS CHECK FOR OTHER SYMPTOMS CLASSIFY SYMPTOMS ACCORDING TO COLOR CODE •PREREFERAL TREATMENT •ADVISE PARENTS •REFERALL SERVICES •TREATLOCAL INFECTION •ORAL DRUGS •ADVISE AND TEACH CARE TAKER •FOLLOWUP HOME CARE TAKER IS COUNSELLED: •HOW TO GIVE MEDICATIONS •TREAT LOCAL INFECTION AT HOME •FEEDING •FOLLOWUP
  • 19. OUTPATIENT HEALTH FACILITY CHECK FOR POSSIBILE BACTERIL INFECTION ASSES THE SYMPTOMS OF DIARRHOEA CHECK FOR FEEDING PROBLEM/MALNUTRITION CLASSIFY OTHER PROBLEM CLASSIFY CONDITIONACCORDINGTO COLORCODE OUT PATIENT HEALTH FACILITY •PREREFFERALTREATMENT •ADVISETO PARENTS •REFERAL •EMERGENCY TRIAGE AND TREATMENT •DIAGNOSISANDTREATMENT •TREATLOCAL INFECTION •GIVE ORAL DRUGS •ADVISEAND TEACH CARE TAKER •FOLLWUP CARE TAKER IS COUNSELLED ON HOW TO: •GIVEORAL DRUGS •TREATLOCAL INFECTION
  • 20.
  • 21. SIGN CATEGORY TREATMENT •ANY GENERAL DANGER SIGN •CHEST INDRAWING •STRIDER IN CALM CHILD SEVERE PNEUMONIA OR VERY SEVERE DISEASE •GIVE FIRST DOSE OF APPROPRIATE ANTIBIOTIC •TREATTHE CHILD TO PREVENT LOW BLOOD SUGAR •REFER URGENTLY TO HOSPITAL FAST BREATHING PNEUMONIA •Give an appropriate antibiotics for 5 days •Soothe the throat and relive the cough with safe remedy •Advise mother when to return immediately •Follow up NO SIGNSOF PNEUMONIA NO PNEUMONIA OR COUGH OR COLD •Cough more than 30 days refer assessment •Relive cough with safe remedy
  • 22. SIGNS CATEGORY TREATMENT DEHYDRATION PRESENT SEVERE PERSISTANT DIARRHOEA •TREAT DEHYDRATION BEFORE REFERRAL UNLESS THE CHILD HAS ANOTHER SEVERE CLASSIFICATION NO DEHYDRATION PERSISTANT DIARRHOEA • Advise the mother on feeding a child who has: PERSISTENTDIARRHOEA. • Give multivitamins/minerals and zinc for 10 days Follow-up in 5 days. Blood in the stool DYSENTRY Treat for 5 days with an oral antibiotic recommended for Shigella in your area. Follow-up in 2 days.
  • 23. SIGNS CATEGORY TREATMENT Two of the following signs: • Lethargic or unconscious •Sunken eyes • Not able to drink or drinking poorly Skin pinch goes back very SEVEREDEHYDRATION If child has no other severe classification: Give fluid for severe dehydration (Plan C). • If child also has another severe classification: • Refer URGENTLY to hospital with mother giving frequent sips of ORS on the way. • Advise the mother to continue breastfeeding • If child is 2 years or older and there is cholera in patient’s area, give antibiotic for cholera. Two of the following signs: •Restless, irritable • Sunken eyes •Drinks eagerly, thirsty SOME DEHYDRATION Give fluid, zinc and food for some dehydration (Plan B). • If child also has a severe classification: - Refer URGENTLY to hospital with mother giving frequent sips of ORS on the way. •Advise the mother to continue breastfeeding. Not enough signs to classify as some or severe dehydration NO DEHYDRATION •Give fluid, zinc and food to treat diarrhea at home (Plan A).
  • 24. SIGN CATEGORY TREATMENT •Not able to feed •No attachment at all •Very low weight for age SEVERE MALNUTRTION •Give Vitamin A if Visible Sever Wasting and /or Edema of both feet present. •Refer URGENTLY to hospital. •Treat the child to prevent low blood •Not well attached to breast •Not sucking well •Less than 8 breastfeed in 24 hrs •Thrush •Low weight for age Feeding problem or low weight •If not well attached ,teach correct positioning •Increase frequency of breast feed •Treat thrush at home •Teach low weight measures at home •Follow up Not low weight for age ,no feeding problem No feeding problem •Advise mother to give home care •Advise follow up