Just five diseases pneumonia, diarrhea, malaria, measles and dengue hemorrhagic fever account for nearly half of these deaths and malnutrition is often the underlying condition. Effective and affordable interventions to address these common conditions exist but they do not yet reach the populations most in need, the young and impoverish. The Integrated Management of Childhood Illness strategy has been introduced in an increasing number of countries in the region since IMCI is a major strategy for child survival, healthy growth and development and is based on the combined delivery of essential interventions at community, health facility and health systems levels. IMCI includes elements of prevention as well as curative and addresses the most common conditions that affect young children.

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Integrated Management of Childhood Illness IMCI WHO releases guidelines to address overweight and obesity in children As part of its response to the global epidemic of obesity, WHO is releasing guidelines to support primary healthcare workers identify and help children who are overweight or obese. In an estimated 41 million children under 5 were affected by overweight or obesity. Without effective treatment they are very likely to remain overweight and obese throughout their lives, putting them at risk of cardiovascular disease, diabetes and premature death, as well as suffering physical and psychological consequences in childhood.

Read about the new guidelines Towards a grand convergence for child survival and health: a strategic review of options for the future building on lessons learnt from IMNCI Taking as its departure point the implementation of Integrated Management of Childhood Illness IMNCI , developed by WHO and UNICEF in , this strategic review shares analysis from 20 years of implementation of child health strategies and provides direction to the global child health community on how to better assist countries to deliver the best possible strategies to help each child survive and thrive.

Read the strategic review Background Every day, millions of parents seek health care for their sick children, taking them to hospitals, health centres, pharmacists, doctors and traditional healers. Surveys reveal that many sick children are not properly assessed and treated by these health care providers, and that their parents are poorly advised.

At first-level health facilities in low-income countries, diagnostic supports such as radiology and laboratory services are minimal or non-existent, and drugs and equipment are often scarce.

Limited supplies and equipment, combined with an irregular flow of patients, leave health workers at this level with few opportunities to practice complicated clinical procedures. Instead, they often rely on history and signs and symptoms to determine a course of management that makes the best use of the available resources. These factors make providing quality care to sick children a serious challenge.

What is IMCI? IMCI is an integrated approach to child health that focuses on the well-being of the whole child. IMCI aims to reduce death, illness and disability, and to promote improved growth and development among children under five years of age. IMCI includes both preventive and curative elements that are implemented by families and communities as well as by health facilities.

The strategy includes three main components: Improving case management skills of health-care staff Improving overall health systems Improving family and community health practices. In health facilities, the IMCI strategy promotes the accurate identification of childhood illnesses in outpatient settings, ensures appropriate combined treatment of all major illnesses, strengthens the counselling of caretakers, and speeds up the referral of severely ill children. In the home setting, it promotes appropriate care seeking behaviours, improved nutrition and preventative care, and the correct implementation of prescribed care.

Why is IMCI better than single-condition approaches? Children brought for medical treatment in the developing world are often suffering from more than one condition, making a single diagnosis impossible. IMCI is an integrated strategy, which takes into account the variety of factors that put children at serious risk. It ensures the combined treatment of the major childhood illnesses, emphasizing prevention of disease through immunization and improved nutrition.

How is IMCI implemented? Introducing and implementing the IMCI strategy in a country is a phased process that requires a great deal of coordination among existing health programmes and services.

It involves working closely with local governments and ministries of health to plan and adapt the principles of the approach to local circumstances. The main steps are: Adopting an integrated approach to child health and development in the national health policy. Upgrading care in local clinics by training health workers in new methods to examine and treat children, and to effectively counsel parents.

Making upgraded care possible by ensuring that enough of the right low-cost medicines and simple equipment are available. Strengthening care in hospitals for those children too sick to be treated in an outpatient clinic. Developing support mechanisms within communities for preventing disease, for helping families to care for sick children, and for getting children to clinics or hospitals when needed. IMCI has already been introduced in more than 75 countries around the world.

What has been done to evaluate the IMCI strategy? The results of the MCE support planning and advocacy for child health interventions by ministries of health in developing countries, and by national and international partners in development.

The results of the MCE indicate that: IMCI improves health worker performance and their quality of care; IMCI can reduce under-five mortality and improve nutritional status, if implemented well; IMCI is worth the investment, as it costs up to six times less per child correctly managed than current care; child survival programmes require more attention to activities that improve family and community behaviour; the implementation of child survival interventions needs to be complemented by activities that strengthen system support; a significant reduction in under-five mortality will not be attained unless large-scale intervention coverage is achieved.

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Integrated Management of Childhood Illness (IMCI)

Dr Kenneth Kaunda District Physical dkh of the district office: The top 10 best performing districts based on the average district score for facilities that are identified to be ideal in year. Take note that for the pink box, referral facility includes district, provincial and tertiary hospitals. John Taolo Gaetsewe District Physical address of the district office: The purpose of Integrated Clinical Services Management is to respond to the growing burden of chronic diseases in South Africa in an efficient and cost effective manner. Effective and affordable interventions to address these common conditions exist but they do not yet reach the populations most in need, the young and impoverish. It uses applicable clinical policies, protocols and guidelines, and it harnesses partner and stakeholder support. The Ideal Health Facility category i,ci and number of ideal and non-ideal facilities that are identified to be ideal in year. Department of Health, No.








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