The ministry of health and family welfare is implementing the integrated management of neonatal and childhood illness imnci as a key child health strategy within the national reproductive child health programme ii and the national rural health mission. Integrated management of childhood illness imci is a strategy developed by the world health organization who and unicef to reduce childhood mortality and morbidity and to contribute to improved growth and development of children under5 years of age experience suggests that a purely facility based strategy will not reach the significant. Long and short integrated management of childhood illness imci. Imci is a set of integrated combined guidelines, instead of separate guidelines for each illness which can affect a child. The imci model handbook provides a detailed explanation of the imci case management guidelines. The clinical guidelines for integrated management of childhood illness imci include all of the above elements of basic outpatient care for children up to five years of age.
Pdf implementation of a national integrated management of. Assessment of implementation of integrated management of neonatal and childhood illness in india article pdf available in journal of health population and nutrition 296. Integrated management of neonatal and childhood illness imnci, adapted from the global integrated management of childhood illness to enhance the focus on newborns and on community health workers, is the central strategy within the national reproductive and child health programme to address high infant mortality. The approach focuses on the major causes of deaths in children through improving case management skills of health workers,strengthening the health system,and addressing family and community practices. Imci is a commendable, evidence based, integrated and relatively simple system for managing childhood illness. Objective comparison between imci and nonimci approaches in management of children with high grade fever. Integrated management of childhood illness imci planning. Factors influencing the implementation of integrated management of. Pdf implementation of the integrated management of. Early childhood development and disability child development is a dynamic process through which children progress from dependency on caregivers in all areas of functioning during infancy, towards growing independence in the later childhood primary school age, adolescence and adulthood periods 8. The world health organisation who had previously developed programmes focusing on the.
Integrated management of childhood illness imci free download as powerpoint presentation. Medical and paramedical students are rarely given opportunities to develop essential. So far, no study was done to assess its implementation. The integrated management of childhood illness imci programme helps improve child care practices by involving communities at the household level in all efforts to reduce preventable childhood diseases, especially in children less than 5 years of age. Jul 15, 2016 integrated management of childhood illness imci strategy addresses the most common causes of child mortality. The integrated management of childhood illness imci approach is an approach designed to reach a classification rather than a specific diagnosis. Management of childhood illness imci,a strategy designed to reduce child mortality and morbidity in developing countries. Imnci management procedures use a limited number of essential drugs and encourage active participation of caretakers in the treatment of infants and children. Pdf integrated management of neonatal and childhood. The whounicef guidelines for integrated management of childhood illness imci offer simple and effective methods to prevent and manage the leading. This strategy has been adapted for india as integrated management of neonatal and childhood illness imnci. The aim of the strategy is to implement a comprehensive newborn and child health package at the. Determine if this is an initial, follow up or routine visit ensure that an infant who has come for an initial visit i. Promote mental and social development by responding to a childs needs for care home care during illness give sick children appropriate home treatment for infections.
South africa 2014 2 imci process for all young infants birth up to two months greet the caregiver ask. To determine the effectiveness of implementing the imnci strategy on a districtwide scale in reducing neonatal and infant mortality secondary objectives. Assess the young infant or child classify the illness identify treatment treat the infant or child. Long and short integrated management of childhood illness imci training courses in. Imci is an integrated approach to child health that focuses on the wellbeing of the whole child. Community integrated management of childhood illnesses cimci. Integrated management of childhood illnesses in nigeria. Integrated management of childhood illness imci is, for those who may not be familiar with the term, a who and unicef initiated strategy for the identification and management of the most common causes of childhood morbidity and mortality in the developing world. Global action plan for pneumonia and diarrhoea gappd the integrated global action plan proposes a cohesive approach to ending preventable pneumonia and diarrhoea deaths which together account for 29% of all child deaths globally. Pneumonia, diarrhoea, measles and malnutrition are often the underlying conditions. Integrated management of childhood illness sick child age 2 months up to 5 years assess, classify and identify treatment. Integrated management of neonatal childhood illness.
The integrated management of childhood illness imci strategy has been developed to address these needs. Assessment of implementation of integrated management of. The who department of child and adolescent health and development created this handbook to help teaching institutions incorporate imci into academic programs for doctors, nurses and other health professionals. Integrated management of newborn and childhood illness chart booklet, federal ministry of health. World health organization isbn 92 4 154644 1 nlm classification.
Improvements in the case management skills of health staff through the guidelines on integrated management of neonatal and childhood illness this has been discussed above 2. To generate evidence of impact on mortality, necessary for continued and increased investment for scaleup primary objective. Integrated management of childhood illness sick child age 2 months up to 5 years assess and classify the sick child assess, classify and identify treatment. It is based on the basic household practices for families and communities outlined in the panel in chapter 3, page 47. The case management process the case management process is presented on a series of charts, which show the sequence of steps and provide information for performing them. The approach was developed by united nations children s fund and the world health organization in 1995. Improvements in the overall health system required for effective management of childhood illness. Division of child health and development chd kzn imci guideline september 2002 sick child age 2 months up to 5 years. Improvement in the case management skills of health staff through the provision of locally adapted guidelines on imci and through activities to promote their use 2. Together with the practical skills training sessions that accompany each of the supported selfstudy texts, this programme will. The inequities of child health over the last 3 decades the annual number ofdeaths among children less than 5 years of agehas decreased by almost a third. Head start program performance standards 45 cfr chapter xiii rin 0970ac63 department of health and human services administration for children and families.
An introduction to the integrated management of newborn. Fimnci is the integration of the facility based care package with the imnci package, to empower the health personnel. If referral is not possible, manage the child as described in integrated management of childhood illness, treat the child, annex. World health organization integrated management of childhood. The studies presented in this supplement of the bulletin of the world health organization have helped to improve the guidelines for integrated management of childhood illness imci and the whounicef training course for teaching these guidelines to health workers in firstlevel health facilities. The utilisation of integrated management of childhood illnesses imci strategy by primary health care facilities by keneuwe joyce malimabe submitted in partial fulfilment of the requirements for the degree of master of arts in the subject health studies at the university of south africa supervisor. Download pdf integrated management of childhood illness. The who integrated management of childhood illness program has consistently reported a reduction of childhood mortality rates by approximately 20%, while certain community based management strategies have reported a decrease in 70% mortality due to the usage of oral antibiotics such as amoxicillin.
The processes deal separately with children in two age groups from 1 week up to 2 months and from 2 months up. For all sick children age up to 5 years who are brought to a firstlevel health facility assess the child. Apnoea or breathing 60 per minute, severe chest indrawing, nasal flaring or grunting. Consistency of integrated management of newborn and childhood. Dec 02, 2014 we use your linkedin profile and activity data to personalize ads and to show you more relevant ads. Operational guidelines for implementation of integrated management of neonatal and childhood illness imnci section a. The integrated management of childhood illness imci was developed by the world health organization and united nations children s fund to improve survival rates in children. Integrated management of neonatal and childhood illnessimnci. Jul 16, 2018 in an effort to reduce infant mortality and morbidity, the world health organization and other technical partners developed the integrated management of newborn and childhood illness imnci. Clinical management of severe acute respiratory infection.
Child health services organization and administration 3. An integrated approach is needed to manage sick children to achieve better outcomes. Integrated management of neonatal and childhood illnesses in. Integrated management of childhood illness wikipedia. This means focusing not only on curative care but also on prevention of disease. This study assessed the effects of scalingup integrated management of childhood illness imci on the quality of care received by sick children in 10 districts in uganda. Implementation of the integrated management of childhood illnesses strategy.
The integrated management of childhood illness imci is a strategy which was developed by the world health organization who and the united nations international children s fund unicef in 1992 as an integrated approach to improve child health. The integrated approach ensures that all relevant needs of the child are looked at and attended. Improvements in the casemanagement skills of health staff through the guidelines on integrated management of neonatal and childhood illness this has been discussed above 2. It is referred to as integrated management of childhood illness imci, and describes the essential processes in sequence. Integrated management of childhood illness imci approach. Acute respiratory infections, diarrhoea, measles, malaria and malnutrition to bring down the infant. Blended learning module for the health extension programme. Imnci algorithm performed well in diagnosis except sepsis in 07 d p of imnci aim. The imnci clinical guidelines target children less than 5 years old the age group that bears the highest burden of deaths from common childhood diseases.
Integrated management of childhood illness imci was developed by. Where referral is not possible, and who guidelines for inpatient care. Integrated management of neonatal and childhood illness imnci, adapted from the global integrated management of childhood illness to enhance the focus on newborns and on community health workers, is the central strategy within the national reproductive and child. Integrated management of neonatal childhood illness 1. Handbook imci integrated management of childhood illness. Communityintegrated management of childhood illness imci. Management of childhood illness imci strategy and is the centrepiece of newborn and child health strategy under reproductive child health ii and national rural health mission.
Pneumonia, diarrhea, malaria, measles and malnutrition account for over 70% of the 11. Community integrated management of childhood illness, lahj. Integrated management of childhood illness is a strategy for reducing mortality and morbidity associated with major causes of childhood illness. World health organization integrated management of. Community integrated management of childhood illnesses cimci is one of the three components of the integrated management of childhood illness imci strategy, a holistic approach that aims at lowering infant and child morbidity and mortality in developing countries. The imci healthcare worker will screen for multiple illnesses, such as malaria, that could be happening at the same time. Improvements in the health system required for effective management of childhood illness 3. Compliance with advice antenatal care a regional team of 8 consultants from who evaluated the process and outcomes during october 1720, 2011. Integrated management of childhood illnesses in nigeria free download as powerpoint presentation. Adherence to integrated management of childhood illnesses. A survey on integrated management of neonatal and childhood. Children present with multiple potentially deadly conditions at once lack of diagnostic tools labs or radiology providers rely on patient history, signs, and symptoms for diagnosis need to refer to a higher level of care for serious illnesses in 1995 who and unicef developed a strategy known as integrated management of childhood illness. In an effort to reduce infant mortality and morbidity, the world health organization and other technical partners developed the integrated management of newborn and childhood illness imnci. Who documents on the integrated management of childhood.
It includes both preventive components on the part of families and communities. A prospective observational study was conducted on 500 children to evaluate the integrated management of neonatal and childhood illnesses imnci algorithm for diagnosis and referral of children aged 059 mo. At the current rate of decline in infant mortality, india is unlikely to achieve the millennium development goal on child survival. The importance of having an integrated management of newborn and childhood illness strategy is that it enables a consistent and standardised approach that addresses the major causes of underfive morbidity and mortality which are responsible for more than 90% of the mortality in this age group in ethiopia. Integrated management of childhood illness an overview. About 25% of children in the united states aged 2 to 8 years have a chronic health condition such as asthma, obesity, other physical conditions, and behaviorlearning problems.
To determine the effect of imnci on newborn and infant care. Acute respiratory infections, diarrhoea, measles, malaria and malnutrition to bring down the infant mortality rate in india. Ethiopia contributed immensely to the development of imci and officially adopted it in 1997. Management of diarrhoea, ari malaria, measles, acute ear infection, malnutrition and anemia recognition of illness and risk prevention and management of iron and vitamin ad fi ia deficiency counseling on feeding for all children below 2 years counseling on feeding for malnourished iitiimmunization.
However, we cannot help feeling that the authors seem to have strayed into the specifics of clinical management rather than their stated objective of helping tutors incorporate imci principles into academic programmes. Integrated management of neonatal and childhood illness imnci, adapted from the global integrated management of childhood illness to enhance the focus on newborns and on community health. Child health programmes need to move beyond tackling single diseases in. The concept of the integrated management of childhood illness strategy arose out of the realisation in the early 1990s that, particularly in developing communities, there was a persistent and unacceptably high mortality rate in the under 5year age group. Integrated management of childhood illnesses imci western. The guidelines take an evidencebased, syndromic approach to case management that. Integrated management of childhood illness imci is a systematic approach to children s health which focuses on the whole child.
Why the caregiver has brought the child to the health facility today. Communityintegrated management of childhood illness. Integrated management of newborn and childhood illness is one of blended learning modules for the ethiopian health extension programme. Unicef developed in the early 90s a new approach to deal with child health. Integrated management of neonatal and childhood illness. The imci charts and related inservice training materials provided in this handbook are considered to be a generic version. Integrated management of neonatal and childhood illness imnci. The approach was developed by united nations childrens fund and the world health organization in 1995.
The strategy of integrated management of childhood illness imci aims to reduce child mortality and. Integrated management of childhood illness or imci as presented in powerpoint presentation. The primary health care workers of a district in northern india were trained in the year 2006 for integrated management of neonatal and childhood illness imnci using two different training. Determine if this is an initial or followup visit for this problem. A survey on integrated management of neonatal and childhood illness implementation by nurses in four districts of west arsi zone of ethiopia sheka shemsi seid,1 endalew gemechu sendo2 1school of nursing and midwifery, institute of health sciences, jimma university, jimma, 2department of nursing and midwifery, school of allied health sciences, college of health sciences, addis ababa university. For use by doctors, nurses, and other health workers caring for children at firstlevel referral hospitals with basic laboratory facilities and essential medicines.