INTEGRATED MANAGEMENT OF NEONATAL AND CHILDHOOD ILLNESS (IMNCI) Dr Ubaid N P, JR Community Medicine, Pariyaram Medical College

Diseases causing childhood morbidity & mortalities are diarrhea, ARI, malaria, measles, malnutrition Most sick children present with overlapping signs & symptoms A single diagnosis may not be possible or appropriate Treatment may also become complicated by the need to combine for several conditions

IMCI is a strategy for an integrated approach to the management of childhood illness It looks beyond the treatment of a single disease Strategy combines improved management of childhood illness with aspects of nutrition, immunization other important elements

Designed for management for sick children aged 1 week to 5 years Uses an evidence based assessment & management using a syndromic approach

Case management involves: Asses Classify: Urgent pre referral treatment & referral (Pink) Specific medical treatment & advice (Yellow) Simple advice on home management (Green) c) Identify specific treatment d) Treatment e) Counsel f) Follow up care

IMNCI Major highlights of Indian adaptations: Inclusion of 0-7 days age in the programme Incorporating national guidelines malaria, anemia, Vit A supplementation & immunization Training of health personnel begin with sick young infants up to 2 months Proportion of training time devoted to sick young infant & sick child is almost equal Is skilled based

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