CHP 1 Flashcards
(208 cards)
1
Q
These are the vulnerable age group for common childhood diseases.
A
- Newborns
- Infants
- Children
2
Q
Risk of infections is higher when:
A
- Not screened for metabolic disorder
- Not exclusively breastfed
- Not given with vitamin-based supplementation
- Unvaccinated
- Not properly managed when sick
3
Q
What type of HEALTH care should be given to children ages 0-1?
A
- Maternal Health Care
- Essential Newborn Care
- Immunization
4
Q
What type of NUTRITION care should be given to children ages 0-1?
A
- Maternalnutrition
- Iron supplementation
- Vitamin A
- Early & exclusive breastfeeding
- Complementary feeding
5
Q
What type of ENVIRONMENT care should be given to children ages 0-1?
A
- Water
- Sanitation
- Hygiene promotion
- Oral Health
- Child injury prevention
- Treated bednets
- Smoke-free homes
6
Q
What type of HEALTH care should be given to children ages 1-5?
A
- Immunization
- Deworming
- IMCI
7
Q
What type of NUTRITION care should be given to children ages 1-5?
A
- Breastfeeding
- Complementary feeding
- Vitamin A
- Iron supplementation
- Iodized salt at home
8
Q
What type of ENVIRONMENT care should be given to children ages 1-5?
A
- Water
- Sanitation
- Hygiene promotion
- Oral Health
- Child injury prevention
- Treated bednets
- Smoke-free homes
9
Q
This is known as Philippine National Strategic Framework for Plan Development of Children. It also states that health is a critical and fundamental element in a child’s welfare.
A
CHILDREN’S HEALTH 25 or CHILD 21
10
Q
What is the purpose of Children’s Health 25 or CHILD 21?
A
Planning programs and interventions that promote and safeguard the rights of Filipino children in 2025.
11
Q
What is the goal of Children’s Health 25 or CHILD 21?
A
To achieve good health for all Filipino children by the year 2025.
12
Q
A _______ is:
- Wanted, planned, and conceived by healthy parents carried to term by healthy mothers.
- Screened for congenital defects shortly after birth.
- Exclusively breastfed for at least 6 months of age up to 2 years and complementary food at about 6 months.
- Provided with safe, clean, and hygienic surroundings and protected from accidents, offered to equal access to quality curative, preventive, promotive health care services and health education.
- Regularly monitored for proper growth and development.
- Provide with adequate psychosocial and mental stimulation screen for disabilities and developmental delays in early childhood.
- Protected from discrimination, exploitation, and abuse.
- Empowered and enable to make decision regarding healthy lifestyle and behaviors.
A
Healthy Filipino Child
13
Q
What is the main goal of Child Health Programs?
A
To reduce infant mortality to 15 deaths per 1000 live births (NOH 2017-2022).
14
Q
PhilHealth benefit package for essential health services of the newborn during the first few days of life.
A
Newborn Care Package
15
Q
This follows health practices to newborn care which have been proven to improve health outcomes of the baby.
A
Essential Newborn Care
16
Q
What are the first 2 vaccines given to a newborn?
A
- Hepatitis B vaccine
- BCG vaccine
17
Q
What can we do to improve health outcomes of the baby?
A
- Immediate drying of the baby
- Early skin-to-skin contact (“unang-yakap”)
- Timely cord clamping
- Non-separation of mother/baby for early breastfeeding initiation
- Eye prophylaxis
- Vitamin K supplemtation
- Weighing of the baby
- 1st dose of Hepatitis B vaccine
- 1st dose of BCG vaccine
18
Q
This is a comprehensive newborn screening program.
A
Newborn Screening Test
19
Q
If congenital disorders are left untreated this will lead to ___
A
Mental Retardation and/or Death
20
Q
- Blood test done on the newborn after 24 to 72 hours after birth.
- Enables early detection and management of several congenital disorders, which may lead to mental retardation and/or death if untreated
A
R.A. No. 9288: Newborn Screening Act of 2004
21
Q
Disorders NBS Program detects.
A
- Congenital Hypothyroidism (CH)
- Congenital Adrenal Hyperplasia (CAH)
- Phenylketonuria (PKU)
- Glucose-6-Phosphate Dehydrogenase (G6PD)
- Galactosemia (GAL)
- Maple Syrup Urine Disease (MSUD)
22
Q
- This detects 28 disorders instead of 6.
- By 2030, all Filipino newborns are screened
- Strengthen quality of service and intensify monitoring and evaluation of NBS
- Sustainable financial scheme
- Strengthen patient management
A
Expanded Newborn Screening or NBS
23
Q
This is to detect newborn congenital hearing loss.
A
R.A. No. 9709: Universal Newborn Hearing Screening and Intervention Act of 2009.
24
Q
Early detection of hearing impairment avoids:
A
- Delay in language acquisition
- Poor communication skills
- Low education attainment and inadequate social skills
25
This measures how **hearing nerve responds to sounds** and can identify babies who have a hearing loss.
Automated Auditory Brainstem Response (AABR)
26
**Sounds are played** and a response is measured. If a baby hears normally, an echo is reflected back into the ear canal & is measured by the microphone.
Otoacoustic Emissions (OAE)
27
It has a goal to reduce child mortality and morbidity through **optimal feeding of infants** and **young children** and to improve health and nutrition status of infants and young children.
Infant and Young Child Feeding
28
What is the difference of **Morbidity** and **Mortality**?
- Morbidity is related to having an illness
- Mortality is about death rate
29
What type of diseases can Mothers **avoid** when they breastfed?
- Ovarian Cancer
- Breast Cancer
- Osteoporosis
30
Benefits of breastfeeding **to mothers**
- reduces woman’s risk of excessive blood loss after birth
- Delays pregnancy
- Reducing risk of ovarian and breast cancers and osteoporosis
31
Benefits of breastfeeding **to infants**
- provides nutritional complete food
- Strengthens the immune system
- Rehydrates and provide essential nutrients
- increase IQ points
32
Where is the form of milk produced?
Mammary glands
33
Form of milk produced by the **mammary glands** in late pregnancy and the few days after giving birth.
Thick, sticky, and yellowish
Colostrum or First Milk
34
Requires both public and private health institutions to promote rooming-in and to encourage, protect, and support the practice of breastfeeding
R.A. No. 7600: Rooming-in and Breastfeeding Act of 1992
35
- Expands the promotion of breastfeeding, amending the purpose of RA 7600
- Lactation periods for breastfeeding employees
- lactation stations in every private enterprise, government agencies, government-owned and controlled corporations
R. A. No. 10028: The Expanded Breastfeeding Promotion Act of 2009
36
This is to reduce under five and maternal deaths and address micronutrient needs of other population groups.
AO No. 2010-0010: Revised Policy on the Micronutrient Supplementation.
37
A package of micronutrient supplements in the **right dosage**, **timing**, **frequency**, and **duration** shall be provided to:
- 6 to 59 months old children
- Pregnant and lactating women
- Non-pregnant and non-lactating women of reproductive age (15 to 49 years old)
38
Mandatory fortification of staples to address micronutrient deficiencies of the Filipino diet.
R.A. No. 8976: Food Fortification Law of 2000
39
To promote and safeguard the rights of Filipino children and synchronize family, community, and national efforts toward the full realization of the rights of children
EO 310: Philippine National Strategic Framework for Plan Development for Children or CHILD 21
40
To address the issue of child injury.
AO 2006-0016: National Policy and Strategic Framework for Child Injury Prevention and Control
41
To ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines.
Expanded Program on Immunization (EPI)
42
When was Expanded Program on Immunization (EPI) established?
1976
43
To reduce the morbidity and mortality among children against the most common vaccine-preventable diseases (VPDs)
Expanded Program on Immunization (EPI)
44
What is the **goal** of Expanded Program on Immunization (EPI)?
To reduce the morbidity and mortality among children against the most common vaccine-preventable diseases (VPDs)
45
What is the **decree** for Universal Child Immunization (UCI)?
Presidential Decree 996 (1976)
46
Period of EPI acceleration
1986
47
What are the **6 basic vaccines**?
- Tuberculosis
- Diphtheria
- Poliomyelitis
- Pertussis
- Measles
- Tetanus
48
Period of EPI excitement
1992-1997
49
Hepa B vaccine integration
RA 7846
50
Every Wednesday is immunization worldwide
Presidential Proclamation No. 147
51
- Measles elimination campaign was not 100% achieved
- Polio free target was not sustained
- Neonatal tetanus rate still remains high in some cities and provinces
Period of EPI challenges (1998-present)
52
Mandatory Infants and Children Act of 2011
R.A. No. 10152 (2010)
53
Strengthen immunization coverage of traditional vaccines and introduce new vaccines
DOH EPI Strategic Plan for 2016-2021
54
- biological preparation that improves immunity to a particular disease
- contains an agent that resembles a disease-causing microorganism
- made from weakened or killed forms of the microbe
Vaccine
55
- immunization
- simple, safe, and effective way of protecting people against harmful diseases - uses the body’s natural defenses to build resistance to specific infections and makes the immune system stronger
Vaccination
56
How does vaccines work?
1. Recognize invading germ or Germ is introduced.
2. Sparks immune response to produce antibodies.
3. Antibodies fight off the germ it remembers if it invades again.
57
What is the target number of neonatal mortality?
12 deaths per 1000 live births
58
What is the target number for under 5 mortality?
25 deaths per 1000 live births
59
These are produced naturally by the immune system to fight disease.
Antibodies
60
This type of vaccine contains a version of the living microbe that has been weakened in the lab so it can’t cause disease.
Live Attenuated Vaccine (LAV)
61
What are some of the examples of Live Attenuated Vaccine (LAV)?
Vaccines for: measles, mumps, chickenpox
62
This type of vaccine is used to killing the disease-causing microbe with chemicals, heat, or radiation.
Inactivated Vaccines (killed antigen)
63
This type of vaccine transfects a specific antigen-coding DNA sequence into the cells of an organism as a mechanism to induce an immune response. It also dispense with both the whole organism and its parts.
DNA vaccines
64
What are some of the examples of Inactivated Vaccines (killed antigen)?
Vaccines for: Influenza, polio, Hepa A, rabies
65
What are some of the examples of DNA vaccines?
Vaccines for: Influenza, ZyCoV-D
66
This type of vaccine is a combination of weak and strong antigens in order for the host to be immune to the weak antigen. It is chemically linking a protein molecule with a tiny amount of the polysaccharide that makes up the cell coating of the bacterium.
Conjugate vaccines
67
What are the examples of Conjugate vaccines?
Haemophilus influenza Type B (Hib), meningococcal and pneumococcal conjugate vaccines
68
This type of vaccine talks about a “Vector” that refers to the virus or bacterium used as a carrier. Use an attenuated virus to introduce microbial DNA to cells of the body
Recombinant Vector Vaccines
69
What are some of the example of Recombinant Vector Vaccines?
DPT (Diphtheria, Pertussis, Tetanus)
70
This is use a toxin (harmful product) made by the germ that causes a disease.
Toxoid vaccine
71
What are the stages of vaccine development?
1. Pre-clinical
2. Phase 1
3. Phase 2
4. Phase 3
5. Implementation
72
What happens to the **pre-clinical stage**?
Vaccine tested on animals to assess safety and see if it triggers an immune respons
73
What happens to the **phase 1 stage**?
- vaccine is given to a small number of volunteers to assess its safety
- confirm it generates an immune response
- determine the right dosage
74
In **phase 2**, how many volunteers are given vaccine for testing and are closely monitored?
usually given hundreds of volunteers
75
In **phase 3**, how many volunteers are given vaccine for testing?
thousands of volunteers
76
What happens to the **phase 3 stage**?
determines if vaccine is safe and effective against the disease it is degsigned to protect against
77
What happens to the **implementation stage**?
Regulators review the results to decide whether to approve the vaccine for use, licensing and manufacturing
78
They are responsible for vaccine approval and licensing in the Philippines
Bureau of Food and Drug Administration (BFAD)
79
What specific time is **BCG vaccine** given to a child?
After Birth
80
What specific time is **Hepatitis B vaccine** given to a child?
After Birth
81
What specific time is **Pentavalent (DPT-Hep B-HiB) vaccine** given to a child?
1 and half months old
2 and a half months old
3 and a half months old.
82
What specific time is **Oral Polio (OPV)** vaccine given to a child?
1 and half months old
2 and a half months old
3 and a half months old.
83
What specific time is **Inactivated Polio (IPV)** vaccine given to a child?
3 and half months old.
84
What specific time is **Pneumococcal Conjugate (PCV)** vaccine given to a child?
1 and half months old
2 and a half months old
3 and a half months old.
85
What specific time is **Measles, Mumps, Rubella (MMR)** vaccine given to a child?
9 months & 1 year old
86
What are the illnesses/diseases that may be **prevented** by **BCG vaccine**?
Tuberculosis
87
What are the illnesses/diseases that may be **prevented** by **Hepatitis B**?
Hepatitis B
88
What are the illnesses/diseases that may be **prevented** by **Pentavalent (DPT-Hep B-HiB) vaccine**?
Diphtheria, Tetanus, Hepatitis B, Pertussis, Pulmonia, Meningitis
89
What are the illnesses/diseases that may be **prevented** by **Oral Polio (OPV) vaccine**?
Polio
90
What are the illnesses/diseases that may be **prevented** by **Inactivated Polio (IPV) vaccine**?
Polio
91
What are the illnesses/diseases that may be **prevented** by **Pneumococcal Conjugate (PCV) vaccine**?
Pulmonia & Meningitis
92
What are the illnesses/diseases that may be **prevented** by **Measles, Mumps, Rubella (MMR) vaccine**?
Measles (tigdas), Mumps (beke), German measles
93
SITE OF IMMUNIZATION: BCG vaccine
Upper outer arm or Shoulder just below the deltoid
94
SITE OF IMMUNIZATION: Hep-B vaccine
Outer part of the mid-thigh
95
SITE OF IMMUNIZATION: PCV
- Anterolateral (outer) part of the thigh (vastus lateralis) for infants
- Upper arm (deltoid for adults)
96
SITE OF IMMUNIZATION: OPV
Mouth
97
SITE OF IMMUNIZATION: MMR
Upperarm
98
SITE OF IMMUNIZATION: IPV
Upper thigh
99
A system of transporting and storing vaccines at recommended temperature from point of manufacture to the point of use
Cold Chain
100
Order of cold chain
1. Manufacturer
2. Distributor
3. Vaccine depots
4. Provider office
5. Client
101
How does cold chain work?
- Vaccines sent to countries
- Refrigerated lorry to cold room
- Distribution in portable ice boxes to regional centers
- Stored in electric fridges between 2C & 8C
- Carries in portable ice boxes to local venues for vaccination campaigns
102
Stored vaccines in electric fridges are kept between:
2C & 8C
103
This type of cold chain storage equipment are at **regional level**
(https://cdn-bbiph.nitrocdn.com/hVFywUXDRQGVxHhlmukyqckWQWIdYwCQ/assets/images/optimized/rev-5ba1c8a/wp-content/uploads/2020/11/kingman-heating-and-air-conditioning-repair-and-service-experts-what-causes-ice-build-up-in-a-commercial-walk-in-freezer-768x379.jpg)
Walk in cold rooms (WIC)
104
Vaccines in walk in cold rooms (WIC) are stored up to how many days/months/years?
3 months
105
This type of cold chain storage equipment are at **district and PHC levels**
(https://image.made-in-china.com/226f3j00VeIUTqBJCwpG/Biobase-China-Low-Temperature-Deep-Freezer-Vaccine-Freezer-for-Lab.jpg)
Deep freezers
106
At what temperature should deep freezers be to store vaccines?
-15ºC to -25ºC
107
Aside from Deep freezers, this type of cold chain storage equipment are also at **district and PHC levels**
Ice lined refrigerators (ILR)
108
At what temperature should Ice line refrigerators (ILR) be to store vaccines?
(https://www.nenwell.com/uploads/NW-YC275EW-1.jpg)
2ºC to 8ºC
109
This type of cold chain transporting equipment can carry **small quantities** and are for **out of reach sessions**.
Cold Boxes
110
This type of cold chain transporting equipment are **for transportation**.
Vaccine Carriers
111
This type of cold chain transporting equipment for small quantities (**6-8 vials**) and for **nearby sessions**.
Day Carriers
112
How long is vaccines in a day carrier valid?
2 hours validity
113
- Is a label containing a heat-sensitive material
- Is placed on a vaccine vial to register cumulative heat exposure over time
Vaccine Vial Monitor (VVM)
114
In VVM, if the square is matches the outer circle this means:
It CANNOT be use/ Do Not Use
115
In VVM, if the square is darker than the outer circle this means:
It CANNOT be use/ Do Not Use
116
This is a strategy for reducing mortality and morbidity associated with major causes of **childhood illness**. It is also a package of preventive, promotive, and curative services rendered by the DOH for children **under 5 years old**.
Integrated Management of Childhood Illnesses (IMCI)
117
Where does IMCI guidelines rely on?
It relies on detection of cases based on simple clinical signs, without laboratory tests, and offer empiric treatment.
It is action oriented classifications rather than exact diagnosis are use.
118
What is the **objective** of IMCI?
To reduce death and frequency and severity of illness and disability and contribute to improved growth and development.
119
What are the **disease** covered in IMCI?
- Diarrhea
- Pneumonia
- Malnutrition
- Malaria
- Measles
- Dengue Hemorrhagic Fever
120
What is the **Case Management Process** of IMCI?
1. Focused Assessment / Assess the Sick child or Young infant
2. Classification (Pink, Yellow, or Green) of illness
3. Identify Treatment
4. Counsel the mother/caretaker
5. Give follow-up care
121
Color classification: **PINK** means
Urgent referral
122
Color classification: **YELLOW** means
Specific medical Tx and Advice
123
Color classification: **GREEN** means
Simple advice on home care
124
Babies are considered newborns until how many days?
28 days
125
Metabolic disorders in children usually results to:
Mental retardation
126
Institutionalized nationwide health campaign conducted **every third week of April & October**
Garantisadong Pambata
127
**True or False**. Breastfeeding initiation can wait up until **2 days** after childbirth
False. Mother and baby should not be separated and should initiate early breastfeeding immediately after childbirth.
128
Prevents eye infection for newborns.
Eye prophylaxis
129
Vitamin K is administered to the baby to promote/prevent:
Blood clotting
130
Vaccine that prevents tuberculosis and leprosy
BCG vaccine
131
The practice of **placing the newborn in the same room as the mother** right after delivery up to discharge to facilitate mother-infant bonding and to initiate breastfeeding.
Rooming-in
132
How long is prolonged skin-to-skin contact between mother and baby recommended for?
90 minutes
133
R.A. that mandates newborn screening
R. A. 9288: Newborn Screening Act of 2004
134
The basic newborn screening package detects how many disorders?
6 disorders
135
Detects up to 28 genetic disorders
Expanded Newborn Screening Program
136
Which part of the baby’s body is blood taken from for screening?
Baby’s heel
137
NBS results are available after how many days?
7-14 working days
138
**Negative** NBS results mean:
The baby is NORMAL
139
**True or False**. When NBS results return negative, the parents receive a notification from the health facility.
False. The parents do not get notifications of their baby’s results unless if it is positive.
140
What should parents do when their babies’ NBS result return positive?
Newborn must be brought back to his/her health practitioner for further testing.
141
Establishes Universal Newborn Hearing Screening Program (UNHSP) for the prevention, early diagnosis, & intervention of hearing loss by requiring all newborns to have access to hearing screening.
R. A. No. 9709: Universal Newborn Hearing Screening (UNHS) and Intervention Act of 2009
142
Percentage of newborns with hearing loss in the Philippines.
0.14%
143
How many months does hearing loss intervention for babies start?
6 months
144
Breastfeeding should be initiated when ____ hour/s after birth
1 (one) hour
145
Breast milk should be exclusive for the first ___ months of life
6 (six)
146
**True or False**. Breastfeeding strengthens the infant’s immune system, preventing many infections by providing nutritinal complete food.
True
147
Breastfeeding provides natural methods of delaying pregnancies like:
Lactational Amenorrhea Method (LAM)
148
Colostrum is concentrated in:
Proteins & Carbohydrates
149
**True or False**. Colostrum is sometimes hard to digest.
False. Colostrum is low in fats making it easy to digest.
150
Antibodies in the colostrum help protect the ____ in the throat, lungs, and intestine of the infant.
Mucous membrane
151
Colostrum is also concentrated with ____ that protect the infant from harmful viruses and bacteria
Leukocytes
152
Breastfeeding is encouraged until what age?
2 years or longer
153
Starting other foods in addition to breast milk at 6 complemented months helps a child to grow well.
Complementary feeding
154
These types of vegetables help a child have healthy eyes.
Dark green leaves and Yellow colored fruits and vegetables.
155
6-8 months old should be fed how many times a day?
2-3 times
156
9-23 months should be fed how many times a day?
3-4 times, with 1-2 additional snacks
157
It shall be adopted as an intervention to address micronutrient deficiency for a package pf micronutrient supplements.
Micronutrient Supplementation Program
158
Micronutrient supplements are provided to:
6 months - 5 years children, pregnant and lactating women, and women of reproductive age (15-49).
159
Helps in the formation and maintenance of healthy teeth, skeletal and soft tissue, mucus membranes, and skin.
Vitamin A
160
Vitamin A also known as ____ because it produces the pigments in the retina of the eyes and also promotes good vision, especially in low light.
retinol
161
Vitamin A supplementation under the Garantisadong Pambata Program involves supplementation that is given every ___ for children (6 months - 5 years old)
6 months
162
Considered a moderate public health concern among children from 6 months to 5 years old.
Vitamin A Deficiency (VAD)
163
A dietary element essential only in small quantities.
Micronutrients
164
Short term intervention to correct high level of micronutrient deficiencies by providing large doses of micronutrients immediately until more sustainable food based approaches are put in place and become effective.
Micronutrient Supplementation
165
Not in a conventional food form and whose purpose is to supplement the intake of vitamins and/or minerals from the normal diet.
Micronutrient Supplement
166
Encourage manufacturers to undergo food fortification in their products.
Voluntary fortification
167
**Voluntary fortification** is usually done through which program?
Sangkap Pinoy Seal Program
168
These drugs are distributed during the national deworming months.
Antihelminthic/Anthelminthic drugs
169
National Deworming months.
January & July
170
What do you call the act of drastically reducing the number of worms in each child?
Deworming
171
Has five priority areas: road traffic injuries, burns and falls, drowing, falls, and poisoning
A.O. 2006-0016 - National Policy & Strategic Framework for Child Injury Prevention & Control
172
Physical damage that results when a human body is suddenly or briefly subjected to intolerable levels of energy
Injury
173
Resulting from acute exposure to energy such as mechanical, thermal, electrical or radiant
Bodily Lesion
174
Resulting from lack of one or more vital elements such as air, water, and warmth
Impairment of function
175
Making positive choices about minimizing risk at all levels of society, while maintaining healthy, active and safe communities and lifestyles
Injury prevention
176
Aims to provide populations with the means to ensure the presence of, and maintain the conditions necessary to reach and sustain, an optimal level of safety
Safety promotion
177
Was established in 1976 to ensure that infants/children and mothers have access to routinely recommended infant/childhood vaccines.
P.D. 996 (1976) - Providing for Compulsory Basic Immunization of Infants and Children below Eight Years of Age
178
First three vaccines of EPI in 1986
DPT, Tuberculosis, Hepa B
179
DOH EPI Strategic Plan from 2016-2021 strengthen immunization coverage of tradition vaccines and introduce new vaccines
R.A. 10152 (2010) - Mandatory Infants and Children Health Immunization Act
180
Typically contains an agent that resembles a disease-causing microorganism and is often made from weakened or killed forms of the microbe
Vaccine
181
A simple, safe, and effective way of protecting people against harmful diseases
Vaccination
182
What does MMR stand for?
Measles, Mumps, Rubella
183
Contain a version of the living microbe that has been weakened in the lab so it can’t cause disease
Live, Attenuated vaccines
184
Killing the disease-causing microbe with chemicals, heat, or radiation
Inactivated vaccines
185
This is made by chemically linking (conjugating) a protein molecule with a tiny amount of the polysaccharide that makes up the cell coating of the bacterium
Conjugate vaccines
186
This is a type of vaccine that transfects a specific antigen-coding DNA sequence into the cells of an organism as a mechanism to induce an immune response.
DNA vaccines
187
They use an attenuated virus or bacterium to introduce microbial DNA to cells of the body
Recombinant Vector vaccines
188
Influenza, polio, hepatitis A, and rabies are what type of vaccines?
Inactivated vaccines
189
Measles, mumps, and chickenpox are what type of vaccines?
Live, Attenuated Vaccines
190
Haemophilus influenzae type B (HIB), meningococcal and pneumococcal conjugate vaccines are what type of vaccines?
Conjugate Vaccines
191
Site of vaccination for BCG
Upper Outer Arm or Shoulder just below deltoid
192
Site of vaccination for Hepa B
Outer part of the mid-thigh
193
Site of vaccination of OPV
Mouth
194
Site of vaccination of Pentavalent
Anterolateral thigh (Right Outer Upper Thigh)
195
Site of vaccination for PCV for infants and adults
Anterolateral (outer) part of the thigh (vastus lateralis) **for infants**, upper arm (deltoid) **for adults**
196
Site of vaccination for MMR
Upper arm
197
**True or False**. IMCI focuses on exact diagnosis.
False. IMCI is action oriented classifications rather than exact diagnosis are used.
198
IMCI guidelines rely on the detection of cases based on ___ without laboratory tests, and offer empiric treatment.
Simple clinical signs
199
**True or False**. In IMCI, the child is first treated before they classify the illness.
True
200
**CLASSIFICATION TABLE FOR COUGH OR DIFFICULT BREATHING**
- Any general danger sign or
• Chest indrawing or
• Stridor in calm child.
SEVERE PNEUMONIA or VERY SEVERE DISEASE (PINK)
201
**CLASSIFICATION TABLE FOR COUGH OR DIFFICULT BREATHING**
Fast Breathing
PNEUMONIA (YELLOW)
202
**CLASSIFICATION TABLE FOR COUGH OR DIFFICULT BREATHING**
No signs of pneumonia or very severe disease.
NO PNEUMONIA: COUCH OR COLD (GREEN)
203
**CLASSIFICATION TABLE FOR DEHYDRATION**
Two of the following signs:
• Lethargic or unconscious
• Sunken eyes
• Not able to drink or
drinking poorly
• Skin pinch goes back
very slowly
SEVERE DEHYDRATION (PINK)
204
**CLASSIFICATION TABLE FOR DEHYDRATION**
Two of the following signs:
• Restless, irritable
• Sunken eyes
• Drinks eagerly, thirsty
• Skin pinch goes back
slowly
SOME DEHYDRATION (YELLOW)
205
**CLASSIFICATION TABLE FOR DEHYDRATION**
Not enough signs to classify as some or severe dehydration.
NO DEHYDRATION (GREEN)
206
**CLASSIFICATION TABLE FOR MALNUTRITION AND ANAEMIA**
• Visible severe wasting or
• Severe palmar pallor or
• Oedema of both feet.
SEVERE MALNUTRITION or SEVERE ANAEMIA (PINK)
207
**CLASSIFICATION TABLE FOR MALNUTRITION AND ANAEMIA**
• Some palmar pallor or
• Very low weight for age.
ANAEMIA or VERY LOW WEIGHT (YELLOW)
208
**CLASSIFICATION TABLE FOR MALNUTRITION AND ANAEMIA**
• Not very low weight for age and no other signs or malnutrition.
NO ANAEMIA AND NOT VERY LOW WEIGHT (GREEN)
