This document discusses the National Acute Respiratory Infection Programme in India. It begins with an introduction noting that respiratory infections are very common and a major cause of morbidity and mortality, especially in young children and the elderly. It then defines acute respiratory infections and classifies them as upper or lower respiratory infections. The document outlines factors that influence the incidence of respiratory infections and lists strategies of the national programme, such as training health workers and promoting immunization and breastfeeding. It stresses the importance of early detection, treatment and prevention to reduce mortality from pneumonia. The conclusion emphasizes adopting an evidence-based approach and modifying health seeking behaviors to improve management of respiratory infections.

1. KIDWAI COLLEGE OF NURSIG
Sub: Community Health Nursing
Unit: 6th
Topic: National Acute Respiratory Infection Programme
Submitted To:
Jayanthi Mam,
Asst. Professor
Kidwai college of nursing,
Bangalore.
Submitted By:
Amrutha P,
4th year Bsc Nursing,
Kidwai College Of Nursing,
Bangalore.

2. Index
1)Introduction
2)Definition
3)Factors influencing the incidence of respiratory tract infections.
4)National ARI Programme strategies.
5)Prevention
6) Conclusion
7) References.

3. NATIONAL ACUTE RESPIRATORY INFECTIONS PROGRAMME
Introduction:
1.Infections of the respiratory tract are perhaps the most common human ailment.
2.While they are source of discomfort, disability & loss of time for more adults, they are a
substantial cause of morbidity & mortality in young and in the elderly children & the elderly
3.However, young Infants, small children and in the elderly, or in persons with impared
respiratory tract reserves, it increases the morbidity & mortality rates.
4.In India, The ARI control programme was taken up as apilot project in 14 district of the country
in the Year 1990. Since 1992-93 the programme is implemented as a part of CSSM programme
& later with RCH.
5.The aim of in programme is to reduce the mortality rate in children due to acute Respiratory
infections 20% by 1995 & 40%. By the year 2000

4. Definition of ARI
ARI may cause inflammation of the respiratory tract anywhere from nose
to alveoli, with a wide range of combination of symptoms & signs.
ARI is classified as:
1) AURI [Acute Upper Respiratory Infection]
2) ALRI [Acute Lower Respiratory Infection]

5. Some of the AURI:
• Common cold.
• Pharyngitis
• Otitis media.
Some of the ALRI:
• Epiglottitis
• Laryngitis
• Bronchitis
• Pneumonia.

6. Factors influencing the incidence of respiratory tract
infections,
• Poor nutritional status
• Poor socio-economic status.
• Parental smoking
• Parasitic infection.
• Breastfeeding & Early wearing.
• HN incidence.
• Immunization.

7. National ARI Programme Strategies
• To ensure standard Care management of pneumonia in children
under 5 years by training medical and other health personal.
• To train peripheral health staff to Recognise & treat cases of
pneumonia.
• To promote timely referral of sever pneumonia by the peripheral
health staff & community.

8. • To improve maternal knowledge about home management of
cough, cold & recognition of early danger signs for seeking
appropriate Core.
• To promote immunisation, exclusive breast feeding in the
first 4-6 months, proper weaning & vitamin A administration.

9. Prevention
• Improving the primary medical care Services & developing better
methods for early detection, treatment and prevention of ARI is the
best way to control ARI
• Mortality rate due to pneumonia is Reduced if treated correctly.
• Feeding children with adequate amounts of varied & nutritious
to keep their immune system strong.

10. • Immunization
• Measles Vaccine
• HIB Vaccine [Haemophilus influenza type B]
• Pneumococcal Pneumonia vaccine

11. Conclusion
• Upper respiratory tract infections are Common health
problem in Primary Care Setting
• Evidence based approach will improve the proper
utilization of resources.
• Modification of help seeking behaviour.
• Consultation skills to improve patients and family
satisfaction.

12. References
1) Neelam kumari, A Text Book of Community Health Nursing –II, 3rd Edition,
PV Publisher, August 2016, Page no. 726-727.
2) K. Park, Park’s textbook of Preventive & Social medicine, 21st Edition, M/s
Banarsidas Bhanot Publisher, 2011, Page no. 156-162.
3) Shavamala D manivannan, , textbook of Community Health nursing II, CBS
Publishers, Page no. 22 & 43.