INTEGRATED MANAGEMENT
OF CHILDHOOD ILLNESS
(IMCI)
Prepared by:
Yvette M. Batar, RN, MAN, DM
Objectives
Upon completion of the topic, students are expected
to have knowledge & skills to:
1. Assess, classify & treat sick children accurately
following the IMCI case management guidelines.
2. Administer pre-referral treatment correctly & refer ill
children.
3. Counsel caretakers about home care including how
to give treatment, what signs to look for that
indicate a child should be brought back immediately
to the health facility & when to return for follow-up
care.
4.
Objectives
4.Check children’s immunization status
routinely & recommend/give immunizations
when needed.
5. Carry out feeding assessments of children
who are less than 2 years old or who are
very low weight for age.
6. When necessary, provide care takers with
appropriate nutrition & breastfeeding
■
counseling.
What is IMCI?
IMCI is an integrated approach to
that focuses on the well-being of
the whole child.
Use by doctors, nurses and other
health professionals who see
young infants and children less
than five years old.
Reference: WHO
Objectives of IMCI
To reduce significant global mortality
& morbidity associated w/ the major
causes of disease in children under
five.
To contribute to healthy growth &
development of children.
Reference: WHO
Rationale of IMCI
Most sick children present w/
signs & symptoms related to
more than one disease.
A single diagnosis may not be
possible or appropriate.
Treatment may be complicated by
the need to combine therapy for
several conditions.
Reference: WHO
About IMCI
A joint WHO & UNICEF initiative since
1992.
Comes as a generic guidelines for
management w/c have been adapted to
each country.
Addresses important element of disease
prevention & health promotion.
Integrated evidence-based, syndromic
approach to case management.
Reference: WHO
IMCI in the Philippines
Introduced in 1995 & piloted in 1997 in
Sarangani & Zamboanga del Norte.
Philippines as one of the 12 countries in an
expansion phase.
DOH as the lead implementing agency w/
technical assistance from:
-UNICEF: 20 provinces & 5 cities in 14 regions
-HKI (USAID funding) 2 provinces & 1 city in 4 regions (1, 3, 10,
12) & ARMM
-World Bank/Asian Development Bank: Regions 6, 7, 12
-PAGCOR (ECCD): nationwide, selected provinces
■
Reference: DOH
Key Strategy of IMCI
Focus on the health &
development needs of the child
rather than the treatment of an
illness.
Coordination/integration of the
various child health services to
meet the child’s needs.
Reference: WHO
Key Strategy of IMCI
Combines improved management of childhood
illness w/ aspects of nutrition, immunization &
other important factors influencing child health,
including maternal health.
Other
disease
Management
Nutrition Immunization prevention &
of Illness
growth
development
Integrated Management of
childhood Illness
Reference: WHO
3 Main Components of
IMCI Strategy
Improving Health System
Reference: WHO
Major Conditions in IMCI
Strategy
Respiratory Diseases
Diarrheal Diseases
Measles
Malaria
Malnutrition
Dengue (for the Phils)
HIV & TB (new update)
Reference: WHO
Thank you for Reading!