Introduction to the Concept of IMCI Goals and Objectives of CBIMCI

Introduction to the concept of IMCI goals and objectives of CBIMCI

An integrated approach to child health that emphasizes the wellbeing of the whole child is known as "integrated management of childhood illness" (IMCI). The integrated management of childhood illness strategy was created by the World Health Organization in the middle of the 1990s in collaboration with UNICEF and many other organizations. It is a curative, preventive, and promotional strategy meant to decrease under-five child mortality, illness, and disability while fostering their growth and development.

Community-based integrated management of childhood illness (CB-IMCI) is a comprehensive approach to addressing major childhood killer diseases such pneumonia, diarrhea, malaria, measles, and undernourishment in children between the ages of 2 months and 5 years. Additionally, it covers the treatment of infections, jaundice, hypothermia, and advice on nursing for newborns less than two months.

Goals and objectives

Goals

• To decrease the incidence and mortality of pneumonia, diarrhea, malnutrition, measles, and malaria in children under five
• To encourage children's healthy growth and development.

Objectives

• Enhanced access to healthcare facilities, integrated community-based management of pediatric illness, and infant care services.
• Demand for services as well as increased utilization of important family practices for newborn and pediatric care.
• Improved standard of community- and health-level integrated management of pediatric sickness and neonatal care services.

According to IMCI, the procedure for diagnosing and treating illnesses in children

1. Assess the child or young infant

 When a young person or child arrives at the clinic,

• Look out for any overt danger indications that can point out any potentially fatal circumstances, such as
• Abnormally sleep/unconsciousness
• Convulsion
• Not able to drink or breastfeed
• Severe vomiting/vomits everything
• Assess for main symptoms of the child
• A cough or difficult breathing
• Diarrhea
• Ear pain
• Fever
• Check his or her nutrition and immunization status
• Look for indications of very serious illnesses and localized bacterial infections in a young infant.

2.Classify the illness

Classify the child's illness using a specially developed color-coded classification based on the assessment. Due to the fact that many kids have multiple conditions, each one is categorized based on whether it requires

• After pre-referral therapy, urgent referral.
• specific medical care and home management guidance
• Simple home management suggestions.
• Start the pink rows wherever we use a categorization tablet. Look at the pink or yellow rows and choose the classification in the green raw if the young infant or child doesn't have the severe classification.
• If the clinic is unable to assist the young infant or child, refer.

3.Identify treatment

A healthcare professional decides on a specific course of treatment for the ill child or newborn infant after categorizing all the conditions that are present.

• Give necessary therapy before transferring a child who needs an urgent referral (pink classification).
• Create a treatment plan for the child and provide the first dosage of the medication at the clinic if they require home therapy (yellow classification). It is decided on the advice's subject matter to be offered to the mother.
• The mother should be properly advised on the best course of action to take for the care of the child at home if no serious conditions have been found (green classification).

4.Treat the child or refer

After determining the best course of action

• For unwell children who require referral, administer pre-referral care, such as management of low blood sugar through the administration of breast milk or sugar water.
• If the infant's temperature is below 36.5 degrees Celsius, warm the child via skin-to-skin contact while making a referral. On the journey to the hospital, give the mother advice on how to keep the baby warm.
• It is possible to begin a single dosage of pre-referral antibiotic medication.
• Provide affordable essential drugs for outpatient treatment to those who require at-home care.
• Always begin with first-line medications. Only administer second-line medications if a first-line medication is unavailable or if the child's disease does not improve with the first-line medications.
• Teach the mother or caregiver how to administer oral medications, how to feed and hydrate the child while they are ill, and how to treat local infections at home.
• Give guidance on how to care for sick children at home.

5.Counsel the mother

Use these three fundamental teaching techniques when instructing a woman on child care:

• Young children who are ill should continue receiving care, food, and fluids at home.
• The mother or caregiver of the kid must be able to tell when the child is not feeling well or is getting worse, and when it is time to seek medical attention again.
• Provide information based on their level of comprehension; provide an example; and let her try it out.
• Give instructions on how to administer oral medications or treat local infections; continue feeding and increase fluid intake while sick; and when to return.

6.Give follow-up care

Every mother or caregiver who brings a sick child home should be informed that they should return to the facility. The medical professionals should

• Teach the indications that indicate you should return right away for more care.
• Schedule the next well child or immunization visit and let the patient know when to come back for a follow-up appointment.

If the child is sick, the mother is advised to come back right away.

• not nursing or consuming inadequately,
• increases illness, gets a temperature, or feels chilly to the touch
• possesses rapid or labored breathing, or has bloody diarrhea
• A young child with yellow soles and palms should also visit the hospital right away.