Imci-Chn Notes

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Community-Integrated Management of Childhood Illness (CIMCI)

For WHOM?
Community Children:
❑ One week to 2 months
❑ Age 2 months to 5 years

Main Concerns:
• Cough or Difficult Breathing (ARI)
• Diarrhea
• Malaria
• Measles
• Ear Infections
• Malnutrition
• Breastfeeding
• Preventive Activities: Vaccinations & Vitamin A

Algorithm:

Check for Danger Signs

Assess Main Symptoms

Assess Immunization, Nutrition and feeding problems and other problems

Classify conditions and Identify treatment actions

Referral FacilityOut Patient FacilityHome Management
(pink) (yellow) (green)

Out-patient Management:
Children 2 months to 5 years
• History-taking
• General Danger Signs
• Main Symptoms
• Nutritional Status
• Immunization Status
• Other Problems

• History-taking
• General Danger Signs
• Main Symptoms
• Nutritional Status
• Immunization Status
• Other Problems

• Convulsions
• Unconscious or lethargic
• Unable to drink or breastfeed
• Vomits everything

• History-taking
• General Danger Signs
• Main Symptoms
• Nutritional Status
• Immunization Status
• Other Problems

❖ Cough or difficult breathing
❖ Diarrhea
❖ Fever
❖ Ear problems

History-taking
General Danger Signs
Main Symptoms
- Cough or difficult breathing
- Diarrhea
- Fever
- Ear problems
Nutritional Status
Immunization Status
Other Problems
Assess for:
• Respiratory rate
• Lower chest wall in-drawing
• Stridor

Classification of Cough or Difficult Breathing

|(pink) |(pink) | |Any danger sign or |Severe Pneumonia | |Chest in-drawing or |or | |Stridor |Very Severe Disease | |(yellow) |(yellow) | |Fast Breathing |Pneumonia | |(green) |(green) | |No signs of pneumonia or |No Pneumonia | |very severe disease |Cough or Cold |

Interventions:
• Give the 1st dose of an appropriate antibiotic
• Give Vitamin A
• Treat the child to prevent the lowering of his or her blood sugar level • Refer the child URGENTLY to a hospital
• Give an appropriate antibiotic for 5 days
• Soothe the throat and relieve the cough with a safe remedy • Advice the mother regarding when to return to the health center • Follow-up in 2 days
• If the coughing persists for more than 30 days, refer to a hospital for assessment • Soothe the throat and relieve the cough with a safe remedy • Advise the mother regarding when to return to the health center • Follow-up in 5 days if no improvement is observed

• If the coughing persists for more than 30 days, refer to a hospital for assessment • Soothe the throat and relieve the cough with a safe remedy • Advise the mother regarding when to return to the health center • Follow-up in...
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