Annex: Where Referral I s Not Possible, and WHO guidelines for inpatient care. DANGERSIGNS,COUGH. DIARRHOEA. ASSESS AND CLASSIFY. 3. The IMNCI clinical guidelines target children less than 5 years old — the age group that bears the highest burden of deaths from common childhood diseases. Operational Guidelines for F-IMNCI, PDF file that opens in new window. To know how to open PDF file refer ( KB). Participants Manual.

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You should always use the chart booklet whenever you manage under-five children. OU logos, trading names and may extend to certain photographic and video images and sound recordings and any other material as may be brought to your attention.

Feasibility Study of IMNCI Guidelines on Effective Breastfeeding in a Rural Area of North India

A child with a general danger sign has a serious problem. If the child was seen a few days before for the same illness, this is a follow-up jmnci. North Indian women usually wear the salwaar kameej. We have also identified as Proprietary other material included in the content which is not subject to Creative Commons Licence.

For example, the guidelines do not describe the management of trauma or other acute emergencies due to accidents or injuries. Improving the health systems.

This strategy addresses various aspects of nutrition, immunization and other important elements of disease prevention and health promotion in addition to early detection and prompt management of cited childhood illnesses. When you ask the mother if the child is able to drink, make sure that she understands the question. You can see the relevant information from the case study has been recorded. She asked the mother to shake the child. Look to see if the child is swallowing the breastmilk or water.

Integrated Management of Neonatal and Childhood Illness (IMNCI)

You should assess all sick children who come to your health post for general danger signs. Pre- and post-intervention observations related to position and attachment of the baby while breastfeeding are shown in Table 1.


Look to see if the child wakens when the mother talks imnnci shakes the child or when you clap your hands. However, no significant improvement was observed in supporting the baby with both hands because of the menace of house flies; as a result supporting the baby with guidelones hands was impractical as one hand was needed to drive the flies away.

There are five general danger signs and these are set out in Box 1. Whether it is an initial or follow-up visit, the mother may well guidslines feeling anxious and it is important that you put her at her ease. See also if the child is convulsing now.

In these stances, unless stated otherwise, the content may be used for personal and non-commercial use. Then counsel the mother about her own health. The case management guldelines for sick children aged two months up to five years is presented on three charts:. Pre- and post-intervention observations pertaining to position and attachment in breastfeeding. She lives in a high malaria risk area.

If the child has a general danger sign you should complete the rest of the assessment process immediately. Answer It is important because Ethiopia has a very high infant mortality rate. The health worker looked to see if Salem was convulsing or lethargic or unconscious. Salem is 15 guidelihes old. For recording post-intervention observations, we contacted 25 mothers in our second visit after a gap of 10 days, 5 mothers in our third visit after a gap of 15 days, and 2 mothers could not be contacted.

Try to explain why each of these steps is essential and must guidelinws be missed out, using your own words. Identify treatment and treat After classifying all conditions, identify specific treatments for the child. Ask the caregiver to return for follow-up on a specific date, and teach her how to recognise signs gjidelines indicate the child should return immediately to the health post. As you can also see in Figure 1.

Now that you have completed this study session, you can assess how well you have achieved its Learning Outcomes by answering these questions. The paired t -test was used to test differences in observations between pre- and post-intervention periods.


IMNCI chart booklet was used to illustrate correct and wrong breastfeeding practices. The health worker gave Salem some water. Support Center Support Center.

Guidelines – Governnment of India

A child who vomits several times but can hold down some fluids does not have this general danger sign. IMNCI is a strategy that integrates all available measures for health promotion, prevention and integrated management of childhood diseases through their early detection and effective treatment, and guidelinse of imnfi habits within the family and community.

And finally, follow-up is to ensure the child continues to improve. You will learn about the pre-referral treatments in the subsequent study sessions in this Module. From the materials you have read so far, you know that if a child has any one of the five general danger signs, that child must be considered seriously ill and therefore you should make an immediate referral to a health centre.

Feasibility Study of IMNCI Guidelines on Effective Breastfeeding in a Rural Area of North India

The IMNCI guidelines are designed for the management of sick children from birth up to five years old. As you read in the introduction, the core of the IMNCI strategy is integrated case management of the most common childhood problems, with a focus on the most important causes of death. Moreover, back pain as a result of supporting the baby with both hands prevented some ugidelines from using this particular technique while breastfeeding.

Other responses like tiredness after breastfeeding, frequency of feeding, complaints in breasts were also noted. You need to know the age of the child in order to select the appropriate chart and begin the assessment process. LOOK to see if the child is lethargic or unconscious A lethargic child is not awake and alert when he should be.