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ILLNESS :
The National ARI Control Program was
Year
2003
2004
2005
2006
2007
2008
2009
2010
Infant
mortality
rate
76.53
72.44
72.44
70.45
68.84
66.94
65.14
67.36
Percent
Change
Rank
33
36
37
37
33
32
32
28
-5.34 %
0.00 %
-2.75 %
-2.29 %
-2.76 %
-2.69 %
3.41 %
Date of
Information
2003 est.
2004 est.
2005 est.
2006 est.
2007 est.
2008 est.
2009 est.
2009 est.
Other
Malaria*
Measles*
5%
7%
32%
Diarrhoea*
Malnutrition*
54%
Perinatal
18%
19%
Acute Respiratory
Infections*
19%
* Based on data taken from The Global Burden of Disease 1996, edited by Murray CJL and
Lopez AD, and Epidemiologic evidence for a potentiating effect of malnutrition on child
mortality, Pelletier DL, Frongillo EA and Habicht JP, AmJ Public Health 1993;83:1130-1133
Goals of IMNCI
Standardized case management of sick
seeking
Viral
Bacterial
viral
bacterial
LOOK,AND FEEL:
throat?
Is the child not able to drink?
Does the child have fever?
SIGNS
CLASSIFY
THROAT
ABSCESS
TREATMENT
SIGNS
CLASSIFY AS
TREATMENT
NO THROAT PROBLEM
No addition treatment
Penicillin
AGE
< 5years
6 lac unit
OR
Amoxil
minute
Look for chest indrawing
Look and listen for stridor
Look and listen for
wheeze
12 months up to 5
years
more
40 breaths per minute or
more
SIGNS
CLASSIFY
TREATMENT
SEVERE
PNEUMONIA OR
VERY SEVERE
DISEASE
fast breathing
(if wheeze then go
directly to treat
wheezing)
PNEUMONIA
SIGNS
CLASSIFY
TREATMENT
No sign of severe
pneumonia or
pneumonia
(if wheeze then go
directly to treat
wheezing)
NO PNEUMONIA
COUGH OR COLD
GIVE AN APPROPIRATE
ORAL ANTIOBIOTIC
FOR PNEUMONIA & EAR INFECTION
First line
antibiotic
amoxil
Second line
antibiotic
First generation
cephalosporin
90_100mg/kg/dy
LOOK,AND FEEL:
ear
Feel for tender swelling
behind the ear
SIGNS
CLASSIFY
TREATMENT
ACUTE EAR
INFECTON
SIGNS
CLASSIFY AS
TREATMENT
NO EAR INFECTION