2023
Integrated Management of Childhood Illness - ANSWER-IMCI stands for
WHO and Unicef - ANSWER-who developed IMCI in the mid-1990s?
Children in developing countries are 10x more likely to die before reaching the age of 5 than children
living in the industrial world.- - ANSWER-1999 World Health Report said that
-preterm birth complications
-birth asphyxia/trauma
-pneumonia
-congenital anomalies
-diarrhea
-malaria - ANSWER-leading causes of death of children below 5 years old according to World Health
Report, 2019 (6)
1. UPGRADING case management and counseling skills of HCP
2. STRENGTHENING health system for effective mgmt of childhood illness
3. IMPROVING family and community practices related to child health and nutrition - ANSWER-3
components of IMCI
-ASSESS
-CLASSIFY
-IDENTIFY
-TREAT
-COUNSEL
, -FOLLOW UP CARE - ANSWER-Elements of IMCI case management process (6)
-all sick must be examined for GENERAL DANGER SIGNS
-all sick must be assessed for MAJOR SYMPTOMS
-assessment should include nutrition, immunization, feeding problems and other potential problems
-only limited number of clinical signs are used
-combination of signs lead to CLASSIFICATION rather than diagnosis
-address most but NOT ALL reasons why sick child is brought to clinic
-used of limited number of drugs and ENCOURAGE PARTICIPATION of caretakers
-COUNSELING of caretakers (essential component) - ANSWER-Principles of Integrated Care (8)
-greet mother appropriately
-use good communication and reassure mother that child will receive good care
-listen carefully
-use words mother understands
-give mother time to answer
-ask additional questions when mother not sure about her answer - ANSWER-Guide on how to ask
mother about child's problems (6)
-ask if unable to suck or swallow when offered a drink
-offer the child a drink and observe
-check nose if blocked - ANSWER-how to check for inability of the child to drink/breastfeed (3)
-fits
-spasms
-jerky movements - ANSWER-other terms for convulsions (3)
-drowsy
-does not show interest