Professional Documents
Culture Documents
Integrated Management of Childhood Illnesses
Integrated Management of Childhood Illnesses
Integrated Management of Childhood Illnesses
COMPONENTS
1. Improve Case Management Skills of health workers
- standard guidelines, training (pre-service, in-service), follow-up after training
2. Improve Health System to deliver IMCI
- essential drug supply and management, organization of work in health facilities
3. Improve Family and Community practices
- health education, community action group/nework
MANAGEMENT
Assess the child →classify the illness →identify treatment →treat the child →council mother →follow-up care
NOTE: ALWAYS GIVE THE FIRST DOSE OF APPROPRIATE TREATMENT BEFORE REFERRAL (including testing for blood sugar)
ASSESS→ CLASSIFY→ identify treatment→treat the child→council mother→follow-up care
1. DOES THE CHILD HAVE COUGH OR IS DIFFICULTY BREATIHNG? NO! →next symptom
YES! → count bpm, look for chest indrawing and stridor
14 DAYS OR MORE
PINK LETHARGIC MGT: give vit. A
SUNKEN EYES SEVERE DEHYDRATION SEVERE PERSISTENT
ABNORMALLY SLEEPY DIARRHEA
UNABLE TO DRINK
skin pinch-VERY slowly
PINK: PLAN C – IV, NGT → REFER!
Give sips of ORS on the way; breastfeed
Give antibiotic for cholera, if indicated
** ANTIMALARIAL DRUG
- ARTEMETHER-LUMFANTINE 2X A DAY FRO 2 DAYS
- ARTESUNATE AMODIAQUINE
Treat the Child to Prevent Low Blood (DONE AT THE CLINIC ONLY)
If able → Breastfeed
If the child is not able to breastfeed but is able to swallow: Give 30 - 50
ml of milk or sugar water* before departure.
If the child is not able to swallow: Give 50 ml of milk or sugar water* by
nasogastric tube.
If no nasogastric tube available, give 1 teaspoon of sugar moistened
with 1-2 drops of water sublingually and repeat doses every 20
minutes to prevent relapse.
ANY DANGER SIGN; OR PUS DRAINING FROM THE EYE MEASLES NOW OR WITHIN THE PAST 3
CLOUDING CORNEA; OR MOUTH ULCERS MONTHS
REDNESS OY EYE (STIMSON’S SIGN)
DEEP OR EXTENSIVE MOUTH ULCERS YELLOW: MEASLES WITH EYE GREEN: MEASLES
KOPLIK’S SPOTS OR MOUTH COMPLICATIONS
PINK: SEVERE COMPLICATED MGT:
MEASLES MGT: VITAMIN A
VIT. A
MGT: TETRACYCLINE OINTMENT FOR TEACH MOTHER ABOUT
VIT. A EYE GENTIAN VIOLET
TETRACYCLINE OINTMENT FOR TEACH MOTHER ABOUT ADVISE WHEN TO RETURN
EYE GENTIAN VIOLET
REFER! NYSTATIN
MGT:
If NO signs of bleeding → Plan B MGT:
ORS GIVE PARACETAMOL
If WITH signs of bleeding → Plan C DO NOT GIVE ASPIRIN
ORS
DO NOT GIVE ASPIRIN
** VIT. A
- 6-12 MONTHS → 100 000 U
- 1 YEAR ABOVE → 200 000 U
NEGATIVE TEST IN MOTHER AND CHILD TREAT, COUNSEL AND FOLLOW-UP EXISTING INFECTIONS
HIV INFECTION
UNLIKELY