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

2. 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

3. 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

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

5. 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

6. 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

12. THANK YOU