UC Nursing CESDEV Imci

IMCI Integrated Management of Childhood Illnesses Community Extension Services and Development

ASSESS AND CLASSIFY THE SICK YOUNG CHILD AGED 2 MONTS TO 5 YEARS

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CHECK FOR GENERAL DANGER SIGNS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],IF YES

[object Object],[object Object],[object Object]

Does the child have cough or difficulty in breathing?

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],THE CHILD MUST BE CALM Classify Cough or Difficulty In breathing

If the child is : Fast breathing is : 2 – 12 months old * 50 or more breaths per minute 12 months old * 40 or more breaths per minute ,[object Object],[object Object],[object Object],[object Object],NO PNEUMONIA : COUGH OR COLD * No signs of pneumonia or a very severe disease ,[object Object],[object Object],[object Object],[object Object],PNEUMONIA * Fast Breathing ,[object Object],[object Object],[object Object],SEVERE PNEUMONIA OR VERY SEVERE DISEASE ,[object Object],[object Object],[object Object],Treatment (Urgent pre-referral treatments are in bold print) Classify as Signs

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],For DEHYDRATION If there has been Diarrhea for 14 Days or more? And if there is Blood in the Stool? Classify for

Classify for DEHYDRATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SEVERE DEHYDRATION ,[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],NO DEHYDRATION Not enough signs to allow classification as some or sever dehydration ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SOME DEHYDRATION ,[object Object],[object Object],[object Object],[object Object]

And if there has been diarrhea for 14 days or more ,[object Object],[object Object],[object Object],PERSISTANT DIARRHEA ,[object Object],[object Object],[object Object],[object Object],SEVERE PERSISTENT DIARRHEA ,[object Object]

And if there is blood in the stool ,[object Object],[object Object],[object Object],DYSENTERY * Blood in the stool

CLASSIFY FEVER DECIDE IF THERE IS MALARIA RISK If the child has MEASLES or had it within the last 3 months DECIDE IF THERE IS DENGUE RISK : YES or NO

IF THERE IS MALARIA RISK ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

MALARIA RISK ,[object Object],[object Object],[object Object],[object Object],FEVER: MALARIA UNLIKELY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],MALARIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],VERY SEVERE FEBRILE DISEASE / MALARIA ,[object Object],[object Object]

NO MALARIA RISK ,[object Object],[object Object],[object Object],[object Object],FEVER : NO MALARIA ,[object Object],[object Object],[object Object],[object Object],[object Object],VERY SEVERE FEBRILE DISEASE ,[object Object],[object Object]

IF THE CHILD HAS MEASLES OR HAD IT WITHIN THE LAST THREE MONTHS ,[object Object],[object Object],[object Object],[object Object],Classify

** Temp. are based on axilliary temperature. *** Other important complications of measles – pneumonia, stridor, diarrhea, ear infection - malnutrition ,[object Object],MEASLES ,[object Object],[object Object],[object Object],[object Object],[object Object],MEASLES WITH EYE OR MOUTH COMPLICATIONS*** ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SEVERE COMPLICATED MEASLES ,[object Object],[object Object]

DECIDE IF THERE IS DENGUE RISK: YES OR NO ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

If there is DENGUE risk, classify : ,[object Object],[object Object],[object Object],FEVER: DENGUE HEMORRHAGIC FEVER UNLIKELY ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SEVERE DENGUE HEMORRHAGIV FEVER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Does the child have ear problem

[object Object],[object Object],[object Object],[object Object],[object Object],Classify the ear problem

[object Object],NO EAR INFECTION ,[object Object],[object Object],[object Object],[object Object],CHRONIC EAR INFECTION ,[object Object],[object Object],[object Object],[object Object],[object Object],ACUTE EAR INFECTION ,[object Object],[object Object],[object Object],[object Object],[object Object],MASTOIDITIS ,[object Object]

Check for MALNUTRITION and ANEMIA ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Classify The NUTRITIONAL STATUS

Classify The NUTRITIONAL STATUS

[object Object],[object Object],[object Object],NO ANEMIA AND NOT VERY LOW WEIGHT FOR AGE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],ANEMIA OR VERY LOW WEIGHT FOR AGE ,[object Object],[object Object],[object Object],[object Object],SEVERE MALNUTRITION OR SEVERE ANEMIA ,[object Object],[object Object],[object Object]

CHECK THE CHILD’S IMMUNIZATION STATUS

IMMUNIZATION SCHEDULE AGE VACCINE Birth BCG 6 wks DPT-1 OPV-1 Hep B-1 10 wks DPT-2 OPV-2 Hep B-2 14 wks DPT-3 OPV-3 Hep B-3 9 months Measles

CHECK THE CHILD’S VITAMIN A STATUS

VITAMIN A SUPPLEMETATION SCHEDULE : The first dose at 6 months or above. Subsequent doses every 6 months.

ASSESS, CLASSIFY AND TREAT THE SICK YOUNG INFANT AGED 1 WEEK TO 2 MONTHS

CHECK FOR POSSIBLE BACTERIAL INFECTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],LOCAL BACTERIAL INFECTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],POSSIBLE SERIOUS BACTERIAL INFECTION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],TREATMENT CLASSIFY SIGNS

Does the young infant have diarrhea?

CLASSIFY FOR DEHYDRATION ,[object Object],NO DEHYDRATION ,[object Object],[object Object],[object Object],[object Object],[object Object],SOME DEHYDRATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SEVERE DEHYDRATION ,[object Object],[object Object],[object Object],[object Object],TREATMENT CLASSIFY AS SIGNS

If there has been diarrhea for 14 days or more And if there is blood in the stool ,[object Object],[object Object],SEVERE PERSISTENT DIARRHEA * Diarrhea lasting for 14 days or more TREATMENT CLASSIFY ASSESS ,[object Object],[object Object],DYSENTERY * Blood in the stool TREATMENT CLASSIFY ASSESS

CHECK FOR FEEDDING PROBLEMS OR A LOW WEIGHT FOR AGE

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],NO FEEDING PROBLEM * Does not have low weight and no other sign ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],FEEDING PROBLEM OR WEIGHT LOW FOR AGE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],POSSIBLE SERIOUS BACTERIAL INFECTION ,[object Object],[object Object],[object Object]

Check the infant’s Immunization Status DPT – 1 OPV – 1 Hep B-1 6 weeks BCG Birth Immunization Schedule VACCINE AGE

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