IMCI - Older Child Flashcards
(37 cards)
Integrated approach that focuses on the heath and well being of the child
Aims to reduce preventable mortality, minimize illness, and disability and promote healthy growth
IMCI
Impoving case management skills of healthcare providers
Health-Worker Component
Improving health systems to provide quality care
Health Service Component
Improving family and community health practices for health, growth, and excellent
Community Component
Adoption of a national policy and standards on an integrated approach to child health and development
Regular review and updating of IMCI Clinical guidelines w adaption to the country’s epidemiology, medicines and commodities, relevant policies
Improving quality of care in primary health facilities by training mentoring and support supervision of health workers
Key Requirement for IMCI Implementation
3 Major Determinants of effective implementation coverage
- Political Leadership to ensure an enabling environment
- Strengthened health systems based no empowered recognized motivated supplies and supported frontline health workers
- Empowered communities that can hold systems accountable and utilize IMCI services
IMCI OBJECTIVES
Support the accurate identifications of childhood illness in outpatient settings
Ensures appropriate combined treatment of all major illnesses
Strengthens the counseling of care takers
Speeds up the referral of severely ill children
What are the key elements of IMCI
Assessment
Classification
Identify Treatment
Treat
If the child has more than one classification look at more than one treatment table
Identify Treatment
Give treatment in the facility prescribe drugs or other treatment and teach caregiver how to administer treat at home
Treat
- convulsions
- Lethargy
- Inability to drink
- Vomiting
Check for danger signs
Assess main symptoms
- cough / DOB
- Diarrhoea
- Fever
- Ear Problems
- HIV
Assess
- Nutrition
- Immunization Status
- Potential Feeding problems
General Danger Signs
CUVA
(Child must be calm)
- count the breaths
- check for in-drawing of chest “inning of the chest”
- Check for stridor “ breathing sound when exhaing”
TO CHECK IF THERE IS DOB
Exhalation
Wheezing
- passage of 3 or more watery stool in a 24 hour period
Diarrhea
Severe dehydration - lethargic or unconscious - sunken eyes 0 not able to drink or drinking poorly - skin pinch goes back very slow - give fluid - frequent sips ORS on the way. Advise the mother to continue breastfeeding
If child is 2 years or older and there is cholera in your area give antibiotic for cholera
PINK
some dehydratioon - fluid and zinc supplements and food for some dehydration
Yellow
no dehydration - give fluid and zinc supplements and food
Green
- sunken eyeballs
- Restless
- Drinking eagerly
- Pinch skin of abdomen does it of back very slowly?
Signs of dehydration
Assess the child’s condition
- restless, and irritable
- Well and alert
- Look at the child’s eyes
-
“Is there blood in the stool?”
IMCI DIARRHEA
Classify
Is there a malaria risk?
If the child had bmeasles or had it?
If no - check for malnutrition and anameia
If yes, ask:
- for how long?
- of more than 7 days, has fever been present every day?
Then decide if the chil’s malaria risk
- of more than 7 days, has fever been present every day?
IMCI : fever
- malaria zone or visit in the previous month - do a rapid malaria test
Danger sign
Stiff neck
Buging
“ suspected meningitis
IMCI FEVER
