Annex: Where Referral I s Not Possible, and WHO guidelines for inpatient care. DANGERSIGNS,COUGH. DIARRHOEA. ASSESS AND CLASSIFY. 3. The IMNCI clinical guidelines target children less than 5 years old — the age group that bears the highest burden of deaths from common childhood diseases. Operational Guidelines for F-IMNCI, PDF file that opens in new window. To know how to open PDF file refer ( KB). Participants Manual.

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The awareness of the mother regarding breastfeeding time and interruptions during feeding was also assessed.

Guidelines – Governnment of India

This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Treatment is what will get the child better and may include referral to a hospital. Identify treatment and treat After classifying all conditions, identify specific treatments for the child. The child is drowsy and does not show interest in what is happening around him.

It is concluded that although IMNCI guidelines of breastfeeding are a useful tool for effective breastfeeding in rural areas, socio-cultural barriers should be taken care of while designing these guidelines, which are to be implemented in developing countries like India.


Also ask if each time the child swallows food or fluids, does the child vomit? A lethargic child is not awake and alert when he should be. The IMNCI guidelines address most, but not all, of the major reasons a sick child is brought to a health facility.

Since IMNCI takes a holistic approach to assessing, classifying and treating childhood illnesses it is important to look for general danger signs as well as symptoms and signs of specific childhood illnesses.


The health worker looked to see if Salem was convulsing or lethargic or unconscious. Use words the mother understands. The presence of any one of the general danger signs indicates a severe classification. Now that you have completed this study session, you can assess guicelines well you have achieved its Learning Outcomes by answering these questions.

Post-intervention observations were done after a gap of days using the same proforma. A follow-up visit has a different purpose from an initial visit. She had not had convulsions during this illness. When you guideliness completed the above steps, you should record what you have found on the sick child case recording form. Most children with a general danger sign need u rgent referral to hospital.

Integrated Management of Neonatal and Childhood Illness (IMNCI)

The response rate was You need to understand how it works because you will be the person who will be using the strategy and explaining to parents the reasons for everything you do. You should assess all sick children who come to your health post for general danger signs.


If the child has a general danger sign you should complete the rest of the assessment process immediately. Footnotes Source of Support: Pre- and post-intervention observations pertaining to position and attachment in breastfeeding.

Please read this licence in full along with OpenLearn terms and conditions before making use of the content. Since she is able to feed, you would ask the mother to breastfeed Fatuma or give her a coffee cup of milk or sugar-water solution.

You will learn more about follow-up visits in all of the study sessions in this Module. Learning Outcomes for Study Session 1 When you have studied this session, you should be able to: She asked the mother to shake the child.

Table 1 Pre- and post-intervention observations pertaining to position and attachment in breastfeeding. As you can see in Box 1. Since iimnci of the young infant aged from birth up to two months is somewhat different from the management of older infants and children, it is described on a different chart:. Mothers had significantly shown improvement in breastfeeding time per session.