2. • IMCI combines
–Improved management
of common childhood
illnesses
–Prevention of diseases
–Promotion of health
( by dealing with
feeding &
3.
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
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
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)