INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS Flashcards
(29 cards)
More than 50 countries still had childhood mortality rates over 100/1000 livebirths
1998
1998
More than ____ countries still had childhood mortality rates over _________livebirths
50, 100/1000
According to WHO, children in low – middle income countries are 10x more likely to die before reaching age 5
1999
1999
According to WHO, children in low – middle income countries are _______________ more likely to die before reaching age 5
Children account for _________________ of all patients in outpatient clinics
Pneumonia, diarrhea, DHF, fever, malaria, measles and malnutrition cause more than ___________ of deaths in children under five years of age.
10x
30-70%
70%
Integrated management of childhood illness (IMCI)
1992
1992
______________was developed a joint _________/_______ initiative
IMCI, WHO/UNICEF
what is IMCI then?
a ________________ for reducing mortality and morbidity associated with major causes of childhood illness.
…a package of _____________, ____________and _____________ services rendered by the DOH for children under 5 y/o.
…IMCI guidelines rely on detection of cases based on simple clinical signs, without laboratory tests, and offer empiric treatment.
…action-oriented _____________ rather than exact diagnosis are used.
strategy
preventive, promotive, and curative
classifications
What are the IMCI problems
The under five population is the most ___________ group
Child mortality remains unacceptably _____________
Many of these deaths had no ______________attendance or not seen by first level health facilities
Incorrect family and community practices such as:
-__________ help seeking behavior
-____________ utilization of health facilities
-______________ belief
Economic
Crowded and polluted environment
Illiteracy
vulnerable, high, medical, late, poor, traditional
IMCI strategy:
Integrates _________________of most common childhood problems
Includes _________________ interventions
Adjust ________________ interventions to the capacity and functions of the health system
Involves family members and the community in the _____________________
management, preventive, curative, health care process
Objectives:
To reduce _____________- global mortality and morbidity associated with the major causes of disease in children
To contribute to healthy ____________ and ____________ of children
significantly, growth and development
Review nutrition, Vit. A, immunization
Nutritional status specifically check for malnutrition and anemia
symptoms of Vit. A deficiency
Immunization status if complete of incomplete
components
Improving case management skills of ______________________
Improving the __________________ to deliver IMCI
Improving the family and community _____________
health workers, health system, practices
Assess the sick child or young infant
______________ any danger sign present
____________about the ___________ main symptoms
____________ nutrition, vitamin A, immunization
identify
ask, four
review
IMCI target
2 months up to 5 years
Child Health Interventions in IMCI
Pneumonia
Diarrhea
- dehydration
- persistent diarrhea
- dysentery
Meningitis
Sepsis
Malaria
Malnutrition
Anemia
Measles
Ear Infection
DHF( Dengue Hemorrhagic fever)
Ask about the four main symptoms
Cough or difficult breathing
Diarrhea
Fever
Ear problem
in assessment what are the points to identify any danger sign present
Not able to drink or breastfeed
Vomits everything
Has had convulsions (during the present illness)
Abnormally sleepy or difficult to awaken
green classification
simple advice on home care
Case management process
- Assess the sick child or young infant
- Classify the illness
- Identify treatment
- Treat the child
- Counsel the mother/caretaker
- Give follow-up care
described in the slide using the given colors
Classify the illness
pink classification
urgent referral
yellow
specific medical tx, and advice
means deciding on the severity of the illness
Classify the illness
integrated treatment plan is developed, and the health worker decides whether referral (hospital) or home care
Identify treatment
