Presentation Transcript

1. INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS Micah Holden | San Pedro Sula, Honduras | The
Global Mission Health Institute - Mercy Ships

2. HONDURAS (CENTRAL AMERICA)

3. HONDURAN CHILDREN

4. WHAT IS IMCI?

o The Integrated Management of Childhood Illness (IMCI) is a program established by the World Health
Organization (WHO) to provide simple effective methods to prevent and manage the leading causes of serious illness and
mortality in young children.

o IMCI is designed for use in outpatient clinical settings with limited diagnostic tools, limited medications,
and limited opportunities to practice complicated clinical procedures (ie. rural areas- specifically in developing countries)

5. BRIEF HISTORY OF IMCI

o IMCI was first developed in 1992 by UNICEF and the World Health Organization (WHO) with the aim of
prevention, or early detection and treatment of the leading childhood killers.

o The IMCI initiative adopted a broad, cross-cutting approach recognizing that in most cases, more than one
underlying cause contributes to the illness of the child. A great deal has been learned from disease-specific control
programs over the past 15 years. IMCI attempts to combine the lessons learned into an effective approach for managing
the sick child.

6. WHAT ARE THE LEADING CHILDHOOD KILLERS (ILLNESSES) ?

7. THE GOAL OF IMCI IS TO ASSESS, CLASSIFY, AND TREAT THE IDENTIFIED ILLNESSES

8. ASSESS FOR:

o General Danger Signs

o Difficulty Breathing

o Diarrhoea

o Fever (Malaria?)

o Ear Problems

o Malnutrition

o Aneamia

o HIV Infection

o Vaccinations

o Feeding Problems

9. CLASSIFY:
 o Severe Pneumonia or Very Severe Disease

o Pneumonia

o Cough or Cold

o Severe Dehydration

o Some Dehydration

o No Dehydration

o Severe Persistent Diarrhoea

o Persistent Diarrhoea

o Dysentery

o Very Severe Febrile Disease

o Malaria

o Fever – Malaria Unlikely

o Severe Complicated Measles

o Measles with Eye or Mouth Complications

o Measles

o Mastoiditis

o Acute Ear Infection

o Chronic Ear Infection

o No Ear Infection

o Severe Malnutrition

o Very Low Weight

o Not Very Low Weight

o Severe Aneamia

o Anaemia

o No Aneamia

o HIV Status (many classifications)

10. TREAT (BASED ON CLASSIFICATION):

o Appropriate Antibiotics (IM/ PO) (Ex. Ciprofloxacin for Dysentery, Quinine or other anti-malarial for
Malaria)

o Bronchodilators
 o IV Fluids

o ORS (Oral Rehydration Salts)

o Zinc Supplements

o Vitamin A

o Gentian Violet

o Nystatin

o Paracetamol (Acetaminophen)

o Ear Wicking

o Mebendazole

o Iron supplements

o Appropriate Vaccines for Age

o Counsel Mother (about medications, feeding, etc.)

o Follow up in X days with mom and child (very important)

11. SO… WHAT DID I REALLY DO IN HONDURAS?

o ?

12. CLASSROOM LEARNING (ABOUT IMCI)

13. HOMEWORK / REVIEW

14. CLINICAL PRACTICUM

15. CLINICAL PRACTICUM CONTINUED…

16. HOSPITAL VISIT

17. HOSPITAL CONTINUED

18. HOSPITAL CONTINUED…

19. HOSPITAL (PED’S NEUROLOGY WARD)

20. HOSPITAL (PEDIATRIC ER)

21. LAST HOSPITAL PICTURES

22. TRAVELING

23. SIGHTSEEING

24. MORE SIGHTSEEING

25. EATING!!!
26. SPENDING TIME WITH MY SISTER, ELIZA

27. MAKING NEW FRIENDS

28. AND… JUST GOOFING OFF

29. A GREAT TRIP OF LEARNING, LAUGHING, PRACTICING NURSING, AND TRAVELING

30. THE END