Integrated Management of Childhood Illness (IMCI)

OBJECTIVES OF IMCI

Name of Office: FHO, NCDPC

  • Reduce death and frequency and severity of illness and disability
  • Contribute to improved growth and development

 

PRINCIPLES OF THE IMCI CASE MANAGEMENT GUIDELINES

Name of Office: FHO, NCDPC

  • All sick children aged up to 5 years are examined for general danger signs and all sick young infants are examined for very severe disease. These signs indicate immediate referral or admission to hospital
  • The children and infants are then assessed for main symptoms. For older children, the main symptoms include: cough or difficulty breathing, diarrhea, fever and ear infection. For young children, local bacterial infection, diarrhea and jaundice. All sick children are routinely assessed for nutritional and immunization and deworming status and other problems
  • Only a limited number of clinical signs are used
  • A combination of individual signs leads to a child’s classification within one or more symptom groups rather than a diagnosis.
  • IMCI management procedures use limited number of essential drugs and encourage active participation of  caretakers in the treatment of children
  • Counseling of caretakers on home care, correct feeding and giving of fluids, and when to return to clinic is an essential component of IMCI

 

WHAT ARE THE BENEFITS OF THE IMCI STRATEGY?

Name of Office: FHO, NCDPC

  1. Addresses major child health problems because it systematically address the most important causes of children illness and death.
  2. Responds to demands.
  3. Promotes prevention as well as cure because IMCI emphasizes important preventive interventions such as immunization and breastfeeding.
  4. Is cost-effective- most cost-effective interventions in low and middle income countries (World Bank).
  5. Promotes cost-saving.
  6. Improves equity – IMCI improves inequity in global health care.

 

WHAT ARE THE FOCUS OF IMCI?

Name of Office: FHO, NCDPC

  • Improving case management skills of health workers
  • Improving over-all health systems
  • Improving family and community health practices

 

WHAT ARE THE STEPS IN THE IMCI CASE MANAGEMENT PROCESS?

Name of Office: FHO, NCDPC

  1. ASSESS THE CHILDS ILLNESS
  2. CLASSIFY THE ILLNESS BASED ON SIGNS
  3. IDENTIFY TREATMENT
  4. TREAT THE CHILD
  5. COUNSEL THE CARETAKER
  6. FOLLOW-UP

 

WHAT IS IMCI?

Name of Office: FHO, NCDPC

IMCI is an integrated approach to child health that focuses on the well-being of the whole child. IMCI aims to reduce death, illness and disability and to promote improved growth and development among children under five years of age. IMCI include curative and preventive elements that are implemented by families and communities and by health facilities.

The strategy was developed by World Health Organization and UNICEF and is used by most countries in the world.

WHAT IS THE EXTENT OF IMCI IMPLEMENTATION?

Name of Office: FHO, NCDPC

IMCI is implemented in 70% of all health facilities nationwide.  IMCI is also integrated in the Nursing, Midwifery and Medical Pre- Service Education. The attached lists/addresses of DOH Centers for Development (CHDs) in 17 regions can provide technical assistance in IMCI training. The list also includes the Nursing and Midwifery Schools designated as Training Institution for IMCI Pre-Service.

 

WHY AN INTEGRATED APPROACH?

Name of Office: FHO, NCDPC

Ten million children die each year and majority of these deaths are caused by 5 preventable and treatable conditions namely: pneumonia, diarrhea, malaria, measles and malnutrition. Three (3) out of four (4) episodes of childhood illness are caused by these five conditions

Most children have more than one illness at one time. This overlap means that a single diagnosis may not be possible or appropriate.