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if visit, use the instructions on TREAT THE CHILD chart. if initial visit, assess the child as follows: CHECK FOR GENERAL DANGER SIGNS. Integrated Management of Childhood Illness. Caring for Newborns and Children in the Community. Caring for the Sick Child age 2 months up to 5 years. Chart. INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSSICK CHILD AGE 2 MONTHS UP TO 5 YEARS Assess, Classify and Identify Treatment General Dang .

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Because the vast majority of ARI are located in the upper tract and of viral origin, these children do not require antibiotics and cure by themselves. Requests for permission to reproduce or translate WHO publications — whether for sale or for noncommercial distribution — should be addressed to WHO Press, at the above address fax: At day 3 he was brought to the same HF and diagnosed omci severe dehydration. The study was conducted as part of a larger project which aimed at improving the quality of care and rational use of medicines for children in Tanzania PeDiAtrick project, registration number PACTR at www.

Feverish illness in children. Evidence for recommendations on treatment of fever conditions. Received Oct 3; Accepted Feb Measuring inequalities in the distribution of health workers: In the control arm, the observing study clinician filled another CRF that included all relevant information mentioned above.

In a study by Wammanda chxrt al. Children were declared cured if the caretaker reported the child to be well.

Integrated Management of Childhood Illness(IMCI) CHART BOOKLET

Reduction in the proportion of fevers associated with Plasmodium falciparum parasitaemia in Africa: The assignments to multiple classifications may represent misclassifications or may accurately reflect the presence of more than one clinical problem e. He was brought 5 days later to another HF where he was admitted for the same diagnosis and died 4 days later see Fig 2.


This was achieved through more accurate diagnoses and hence better identification of children in need of antibiotic treatment or not. Five mls of venous blood were aspirated under complete a septic condition by sterile venipuncture and divided as follows: This article has been cited by other articles in PMC.

This diversity shows that it is not possible to predict at day 0 if, and what these children may develop in the following days.

Statistical methods The collected data were coded, tabulated and statistically analyzed using SPSS program Statistical package for social science software version Many children fulfilled the criteria for several different IMCI classifications.

Streptococcus pneumoniae accounts for most of the bacteria recovered by tympanocentesis.

Integrated Management of Childhood Illness(IMCI) CHART BOOKLET

The above proportions were compared between the intervention and control group using Chi-square test and, when appropriate, Fisher exact test. Improving performance with clinical standards: Ambulatory short-course high-dose oral amoxicillin for treatment of severe pneumonia in children: Bull World Health Organ. World Health Organization; Withholding antimalarials in febrile children who have a negative result for a rapid diagnostic test.

In Egypt, the Ministry of Health and Population adopted the IMCI strategy in in the context of its efforts to integrate vertical program activities.

The analytic review of the integrated Management of Childhood Illness strategy. The imfi of an efficient clinical algorithm is indeed not to have zero follow-up visits, but rather to have no child dying because of a delay once antibiotic are required.

Integrated management of Childhood Illness Adaptation Guide: Primary outcomes were proportion of children cured at day 7 and who received antibiotics on day 0.

Gul Rehman and a team of CAH staff members drafted the updated chart booklet based on the above. Integrated approach to child heath in developing countries.


The level of significance was taken at P value less than 0. Effect of adopting Integrated Management of Childhood Illness guidelines on iimci use at a primary health care center: The significant improvement of illness with IMCI standard approach helps reduction of pediatric morbidity outcomes which have been similarly reported in a number of studies from different countries.

Conclusion The new ALMANACH algorithm for the management of childhood illness, primarily aimed at the rational use of antimicrobials, improved clinical outcome and led to a drastic i,ci of unnecessary antibiotic prescription when compared to standard practice. In both arms, information regarding visits to other health facilities than the study facilities, and on additional treatment received, was recorded during the follow-up visit at day 7.

Fever is the primary presentation for a host of childhood illnesses and its underlying cause is generally benign. All children either group I or Group II were admitted and followed up until discharge with the total cost in Egyptian pounds was calculated since time of admission till discharge.

Distribution of the outcome after treatment to time of diagnosis in IMCI approach. Limitations of the study One can argue that the appropriate control arm would have been a perfectly complied to IMCI algorithm.

One can argue that the appropriate control arm would have been a perfectly complied to IMCI algorithm. Acknowledgments The study was part of PeDiAtrick project which aimed to improve the quality of health care and rational use of medicines for children in Tanzania. Also a perfectly implemented IMCI does not exist, which shows its limitation in terms of feasibility.

20111 and strategies to improve the use of antimicrobials in developing countries: