Professional Documents
Culture Documents
Management of
Childhood Illnesses
Refresher Course Feb. 5, 2016
Hamtic rhu
PRAYER
LECTURE OUTLINE
1. PRE-TEST 10 MINS.
2. INTRODUCTION 30 MINS
3. SICK CHILDREN 2MONTHS- 5 YEARS OLD 3
HOURS
4. SICK CHILDREN 0- 2 MONTHS
2 HOURS
5. TREATING THE SICK CHILD 30 MINS
6. FOLLOW UP CARE 30 MINS
7. POST TEST 10 MINS
PRE-TEST
1.What does IMCI stands for?
AMOXICILLIN
TRUE
40 BREATHS OR MORE
PART 1 INTRODUCTION
IMCI
is a major strategy for child survival, healthy growth
and development and is based on the combined
delivery of essential interventions at community,
health facility and health systems levels.
IMCI includes elements of prevention as well as
curative and addresses the most common
conditions that affect young children.
Objectives of IMCI
Reduce death and frequency and
severity of illness and disability
Contribute to improved growth and
development
Pneumonia
Diarrhea
Malaria
Measles
Malnutrition
Anemia
Ear infection
Strategies/Principles of IMCI
All sick children aged 2 months up to 5 yearsare
examined forGENERAL DANGER signsand all Sick
Young Infants Birth up to 2 months are examined for VERY
SEVERE DISEASE AND LOCAL BACTERIAL
INFECTION.These signs indicate immediate referral or
admission to hospital.
The children and infantsare then assessed for main
symptoms.
PNEUMONIA
Then ask
about the
main
symptoms:
Does the child
have cough/
difficulty of
breathing? Yes/
No?
QUESTION:
The child who is exactly 12 months old
has fast breathing if you count 40
breaths per
Minute. True or False?
TRUE
CHEST INDRAWING
The child has
chest
indrawing if
the lower chest
wall goes IN
when the child
breathes IN.
Note:
For chest indrawing to be present, it
must be clearly visible and present
all the time.
If you only see chest indrawing when
the child is crying or feeding, the
child does not have chest indrawing.
STRIDOR
To look and listen for stridor, look to see when the child
breathes IN. Then listen for stridor. Put your ear near the
childs mouth because stridor can be difficult to hear.
Sometimes you will hear a wet noise if the childs nose is
blocked. Clear the nose, and listen again. A child who is not
very ill may have stridor only when he is crying or upset.
Be sure to look and listen for stridor when the child is calm.
You may hear a wheezing noise when the child breathes OUT.
This is not stridor.
THEN CLASSIFY
CASE STUDY
Fatima is 18 months old. She weighs 11.5 kg. Her temperature is 37.5
C. The health worker asked, What are the childs problems? The
mother said Fatima has been coughing for 6 days, and she is having
trouble breathing.
This is the initial visit for this illness. The health worker checked
Fatima for general danger signs. The mother said that Fatima is able
to drink. She has not been vomiting. She has not had convulsions
during this illness. The health worker asked, Does Fatima seem
unusually sleepy? The mother said, Yes. The health worker
clapped his hands. He asked the mother to shake the child. Fatima
opened her eyes, but did not look around. The health worker talked to
Fatima, but she did not watch his face. She stared blankly and
appeared not to notice what was going on around her.
DIARRHEA
Does the
child have
diarrhea?
Yes or No?
Types of Diarrhea
Acute
Persistent
Dysentery
FEVER
Measles
EAR PROBLEM
If yes.. classify
THEN CHECK
FOR ACUTE
MALNUTRITIO
N
Anemia
CHECK FOR
VERY SEVERE
DISEASE AND
LOCAL
BACTERIAL
INFECTION
Classify Jaundice
Classify
DIARRHEA
for
DEHYDRATION
THEN CHECK
FOR FEEDING
PROBLEM OR
LOW WEIGHT
FOR AGE
Good attachment??
POST-TEST
1.What does IMCI stands for?
Integrated Management of
Childhood Illnesses
TRUE
40 BREATHS OR MORE