Annex: Where Referral I s Not Possible, and WHO guidelines for inpatient care. DANGERSIGNS,COUGH. DIARRHOEA. ASSESS AND CLASSIFY. 3. 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. Operational Guidelines for F-IMNCI, PDF file that opens in new window. To know how to open PDF file refer ( KB). Participants Manual.

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For any child who has a general danger sign you must complete the rest of the assessment process immediately. Open in a separate window. IMNCI chart booklet was used to illustrate correct and wrong breastfeeding practices.

Improving family and community health practices. In addition to treatment, the guidelines incorporate basic activities for illness prevention. These diseases are also the reasons for seeking care for at least three out of four children who come to health facilities.

Learning Outcomes for Study Session 1 When you have studied this session, you should be able to: A child with a general danger sign or a severe classification should be referred immediately to the health centre after giving appropriate pre-referral treatments. A significant number of babies were suckling deep and well in the post-intervention period.

If a child needs treatment at home, develop an integrated treatment plan for the child and give the first dose of drugs in the clinic.

Integrated Management of Neonatal and Childhood Illness (IMNCI)

The Acknowledgements section is also used to bring to your attention any other Guidelinees Restrictions which may apply to the content. What are the four main steps you have to take each time a sick child is brought to you? Ethiopia has one of the highest under-five mortality rates with more thanchildren under the age of five dying every year. As you can see in Box 1.

Guidelines – Governnment of India

She was not able to drink from a cup. The Acknowledgements section is used to list, amongst other things, third party Proprietarylicensed content which is not subject to Creative Commons licensing.


We reserve the right to alter, amend or bring to an end any terms and conditions provided here without notice. If the mother is not sure if the child is vomiting everything, help her to make her answer clear. A mother and imnco arrive at the health post. IMNCI is an integrated approach to child health that focuses on the wellbeing of the whole child.

He does not respond when he is touched, shaken or spoken to. Most children die from pneumonia, diarrhoea, malaria, measles or malnutrition and the IMNCI strategy is a way of guudelines these deaths. An unconscious child cannot be wakened. If so, what are they?

Guivelines from Indian Journal of Community Medicine: The presence of a general danger sign indicates a severe classification and the need for urgent referral.

This is the initial visit for this illness. For example, the guidelines do not describe the management of trauma or other acute guidellnes due to accidents or injuries.

Guidekines Sep 3; Accepted Oct You can check your answers with the Notes on the Self-Assessment Questions at the end of this Module. As you can also see in Figure 1. Documented by new concept. Now that you have completed this study session, you can assess how well you have achieved its Learning Outcomes by answering these questions. The case management process for sick children aged two months up to five years is presented on three charts: Information Systems Pvt Ltd; Maternal and child health.

This will increase the likelihood of you being able to obtain important information about her guideilnes.

Feasibility Study of IMNCI Guidelines on Effective Breastfeeding in a Rural Area of North India

Because many children have more than one condition, each illness is classified according to whether it requires: Guideliines the baby was suckling deep and well, it could suck for long, as was evident from increased feeding time after the intervention. The health worker looked to see if Salem was convulsing or lethargic or unconscious.


It will also help you to promote the healthy growth and development of babies and children in the community. Footnotes Source of Support: And why is it necessary for you, as a Health Extension Practitioner, to understand how it works? You have seen that you have guideliness important role to play in this respect.

You should assess all sick children who come to your health post for general danger signs. The child may stare blankly and appear not to notice what is going on around him. You need to know the age of the child in order to select the appropriate chart and begin the assessment process. If the child was seen a few days before for the same illness, this is a follow-up visit.

The data collection instrument was a pre-tested proforma, which was designed using the standard IMNCI breastfeeding guidelines. You are going to learn about these next. The case management process for sick children aged two months up to five years is presented on three charts:.

However, the association guicelines between parity, age of baby, literacy of mothers and effective breastfeeding was not significant statistically. A child who vomits several times but can hold down some fluids does not have this general danger sign. The second part of the proforma was used to record observations pertaining to the position of baby and its attachment with mother while breastfeeding.

You would complete the rest of the IMNCI assessment and refer her urgently after giving the necessary pre-referral treatments for her classifications, including treatment to prevent low blood sugar. If the mother replies that the child is not able to drink or breastfeed, ask her to describe what happens when she offers the child something to drink.