Presentation on theme: "IMCI Integrated Management of Childhood Illness. Summary of slides Introduction to IMCI –Slide 3 Rationale for IMCI- Slides 4-10 Advantages – Slide 11."— Presentation transcript:
IMCI Integrated Management of Childhood Illness
Summary of slides Introduction to IMCI –Slide 3 Rationale for IMCI- Slides 4-10 Advantages – Slide 11 Objectives- Slide 12 Components- Slide13 Intervention areas- Slide 14 IMCI in Nigeria Implementation steps (in another file)
An Approach for who? Clinical Officers Nurses Medical Assistants Health assistants Community Health Officers (CHOs) Other health workers Not for in-patient care
UNDER FIVE MORTALITY RATES FOR DIFFERENT COUNTRIES – Countries of Africa Countries of South America Countries of Europe Ethiopia 174Argentina 26France 9 Gabon 132Bolivia 91 Sweden 6 Nigeria 191Guatemala 69 Tajikistan 56 Kenya 107Brazil 70Spain 8
Leading causes of under five mortality in developing countries Acute respiratory infections (ARI) - especially pneumonia Diarrhoea Malaria Measles Malnutrition
Frequency of presenting complaints of 450 children (as volunteered by their mothers), Gondar, Ethiopia, 1994 Fever58%} Cough56% Diarrhoea47% Ear problems 10% Skin lesions03% Abd. pains Eye discharge Dental problems Neck swelling e.t.c.
Consequences of Vertical Approach In practice, the sick child is not managed in a holistic manner at the health centre. More often, only the predominant symptom is considered for diagnosis and treatment. Many training courses are organised by individual programmes. This disturbs the continuity of services at the health centre. At health level, programmes often have the same target population and are delivered by the same health workers. Verticalization usually results in inappropriate use of resources.
A single diagnosis may not be apparent or appropriate ______________________________________ Presenting complaintPossible cause or associated _____________________________ condition________________ Cough and/or fast breathingPneumonia Severe anaemia P.falciparum malaria Lethargy or unconsciousnessCerebral malaria Meningitis Severe dehydration Very severe pneumonia Measles rashPneumonia Diarrhoea Ear Infection Very sick young infantPneumonia Meningitis Sepsis
Integrated Management of Childhood illness (IMCI) as a key strategy for improving child health The IMCI strategy combines improved case management with aspects of nutrition, immunisation, and several other important influences on child health
Integrated Management of childhood illness The IMCI strategy is an approach, not entirely different from what we have known, as several national programmes have collaborated to develop these guidelines.
ADVANTAGES OF IMCI Accurate identification of illness More appropriate & combined treatment Rational use of drugs Prompt referral of severe cases Strengthening of preventive services Attention to the health needs of the mother.
Objectives To reduce significantly mortality and morbidity associated with the major causes of disease in children To contribute to healthy growth and development of children
Components Improving case management skills of health workers Improving the health system to deliver IMCI Improving family and community practices
IMCI components and intervention areas Improving health Improving health Improving family & workers skills systems community practices -C ase management- District planning- Appropriate standards & and management care-seeking &prevention of guidelines diseases - Training of - Availability of - Nutrition facility-based public IMCI drugs health care providers -Training for private - Improvement and-Home case management health care providerssupervision of referral -Adherence to recommended pathways treatment -Maintenance of- Improved Health - Community involvement competence amonginformation system in health planning and trained health workers monitoring