Topic outline
Topic 1
An Introduction to the Integrated Management of Newborn and Childhood Illness (IMNCI)
The IMNCI strategy
Importance and objectives of the IMNCI strategy
Objectives and advantages of IMNCI
The IMNCI assessment
IMNCI case management
The IMNCI case management process
General danger signs (GDS)
Topic 2
Maternal, Newborn and Child Health
Essential newborn care
The eight steps of essential newborn care
Newborn danger signs
Birth asphyxia
Assess and classify birth asphyxia
Assess, classify and manage low birth weight babies
Characteristics of premature babies
Assess birth weight and gestational age
Treatment for low birth weight babies
Kangaroo mother care (KMC)
Newborn postnatal follow-up home visits
Six to 24 hours’ visit and evaluation
Two days’ visit to low birth weight/preterm, low body temperature babies
Three days’ visit
Seven days’ visit
Topic 3
Management of Bacterial Infection and Jaundice in the Newborn and Young Infants
Assess and classify the young infant
Gaining the mother’s trust
Good communication skills
Assessment
Initial visit assessment
Assess for bacterial infection
Assess for jaundice
Classify bacterial infection and jaundice
Identify appropriate treatment
Possible serious bacterial infection or very severe disease
Local bacterial infection
Severe disease or local infection unlikely
Low body temperature
Severe jaundice
Referral
Urgent pre-referral treatment
Treatment for a young infant who does not need urgent referral
Follow-up visits and care for the sick young infant
Topic 4
Assess and Classify Coughs or Difficult Breathing
Assessing coughs or difficult breathing
Classifying coughs or difficulty in breathing
How to use the classification table
Treatment of cough or difficult breathing
Treatment for severe pneumonia or very severe disease
Treatment for pneumonia
Treatment for no pneumonia: cough or cold
Follow-up care for pneumonia
Topic 5
Management of Diarrhoeal Disease in Young Infants and Children
Assess and classify diarrhoea
Assess diarrhoea in children
Classifying diarrhoea
Classifying dehydration
Treatment for dehydration
Severe dehydration
Some dehydration
No dehydration
Classify persistent diarrhoea
Severe persistent diarrhoea
Persistent diarrhoea
Follow-up care for persistent diarrhoea
Classify dysentery
Classify diarrhoea in young infants
Topic 6
Management of Sick Children with Fever
Assess and classify fever
Assess fever
Assessing for malaria
Assessing for other diseases
Assessing measles
Classifying fever
Classification of malaria
Treatment for fever and malaria
Very severe febrile disease or severe malaria
Malaria
Fever (no malaria)
Follow-up care and treatment for fever or malaria
Classifying measles
Severe complicated measles
Measles with eye or mouth complications
Measles
Severe complicated measles
Measles with eye or mouth complications
Follow-up care for measles with eye or mouth complications
Topic 7
Assessment of Malnutrition and Anaemia in the Sick Child
Malnutrition
Causes of malnutrition
Types of malnutrition
Checking the sick child for malnutrition and anaemia
Assessing for malnutrition
Visible severe wasting in infants less than six months of age
The mid upper arm circumference (MUAC)
Look and feel for oedema of both feet
Measuring a child’s weight
Assessing appetite
Assessing for anaemia
Classification of malnutrition and anaemia
Classification of malnutrition
Classification of anaemia
Classification of malnutrition and anaemia using a classification table
Topic 8
Treatment of a Child with Malnutrition and Anaemia
Treatment of a child with malnutrition or anaemia
Treatment of severe complicated malnutrition
Treatment of severe uncomplicated malnutrition
Treatment of moderate acute malnutrition
Treatment when there is no moderate acute malnutrition
Treatment of severe anaemia
Treatment of anaemia
Treatment when there is no anaemia
The out-patient therapeutic programme (OTP)
Follow-up care of the child with malnutrition and anaemia
Follow-up care for severe malnutrition
Follow-up care for moderate acute malnutrition
Follow-up care for anaemia