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