THE IMCI STRATEGY
Integrated Management of Childhood Illness
▪ An integrated approach to child health that focuses on the
well-being of the whole child.
▪ Aims to reduce death, illness & disability, and to promote
growth and development among under under 5 children.
▪ It combines improved management of childhood illness with
aspects of Nutrition, VAC supplementation, deworming,
immunization, and other factors influencing child and
maternal health.
▪ A strategy for reducing mortality and morbidity associated
with major causes of childhood illness.
▪ A joint WHO/UNICEF initiative since 1992
▪ Currently focused on first level health facilities
▪ Comes as a generic guidelines for management which have
been adapted to each country
Diseases comprising 70% of deaths among under 5 children
▪ Pneumonia
▪ Diarrhea
▪ Dengue hemorrhagic fever
▪ Malaria
▪ Measles
▪ Malnutrition
Objectives of IMCI
▪ To reduce significantly global mortality and morbidity
associated with the major causes of disease in children.
▪ To contribute to healthy growth and development of children.
▪ Assess for “General Danger Signs”
▪ Routinely assess for major symptoms.
▪ Use limited number of carefully selected clinical signs.
▪ Address most, if not all of the major reasons a child is brought
to the clinic.
▪ Use a limited number of essential drugs and encourage
participation of caretakers in the treatment.
▪ Counseling of caretakers.
Components of IMCI
▪ Improving case management skills of health workers.
o Standard guidelines
o Training (pre-service and in-service)
o Follow-up after training
▪ Improving the health system to deliver IMCI:
o Essential drug supply and management
o Organization of work in health facilities
o Management and supervision
▪ Improving family and community practices
Benefits of IMCI
▪ Addresses major child health problems
▪ Responds to demand
▪ Promotes preventive as well as curative care
▪ Cost-effective
▪ Promotes cost saving
▪ Improves equity
The IMCI Case Management Process
1. Assess
2. Classify
3. Identify Treatment
4. Treat
5. Counsel the Mother
6. Follow-Up
Age groups
▪ Sick Child Aged 2 months up to 5 years
▪ Young Infants Aged Up to 2 months
The IMCI Case Management Process
ASSESS AND CLASSIFY
Check for GENERAL DANGER SIGNS
▪ not able to drink or breastfeed
▪ vomits everything
▪ convulsions
▪ abnormally sleepy or difficult to awaken
Not able to drink or breastfeed
▪ Not able to suck or swallow when offered a drink or breast
milk because he/she is too weak or cannot swallow
▪ Ask: Is the child able to take fluid into his/her mouth and
swallow it?
Vomits everything
▪ Not able to hold anything down
▪ What goes down comes back up
▪ Check: offer the child fluid – water or expressed breast milk
Convulsion
▪ Arms and legs stiffen because the muscles are contracting
▪ The child may lose consciousness or not able to respond to
spoken directions or handling, even if the eyes are open
▪ May be due to fever or associated with meningitis, cerebral
malaria or other life threatening conditions
Abnormally sleepy or difficult to awaken
▪ Drowsy and does not take notice of his/her surroundings
▪ Does not respond normally to sounds or movement
▪ Stares blankly and appear not to notice what is going on
▪ Cannot be wakened. Does not respond when touched, shaken,
or spoken to
Assess & Classify THE 4 MAIN SYMPTOMS
▪ Cough or difficult breathing
▪ Diarrhea
▪ Fever
▪ Ear problem
Assess and classify cough or difficult breathing
▪ How long?
▪ Count the breaths in one minute. Decide if fast breathing is
present
▪ Look for chest indrawing
▪ Look and listen for stridor
▪ Look and listen for wheeze
o If wheezing and either fast breathing or chest
indrawing:
- Give a trial rapid acting inhaled bronchodilator for
up to three times 15-20 minutes apart. Count the
breaths and look for chest indrawing again, then
classify.
- 0.5 ml salbutamol diluted in 2.0 ml of sterile water
per dose nebulization should be used.
▪ Assess and Classify Cough or Difficult breathing
If child is:
Fast Breathing is:
2 months up to 12
50 breaths per minute or more
months
12 months up to 5 years
40 breaths per minute or more
Chest Indrawing – the lower chest wall goes IN as the child breaths
IN
Stridor – a harsh noise as the child breaths IN
Wheeze – soft musical noise made when the child breaths OUT
▪ If child has measles now or within the last 3 months:
o Look for mouth ulcers
o Look for pus draining from the eyes.
o Look for clouding of the cornea
Generalized Rash of Measles
Classify the illness
Urgent pre-referral treatment and referral
Specific medical treatment and advice
Simple advice on home management
Classify cough or difficult breathing
Any general danger sign
Chest indrawing
Stridor in calm child
Fast breathing
(If wheezing go directly to treat
wheezing)
No signs of pneumonia or very
severe disease
(If wheezing go directly to treat
wheezing)
Severe pneumonia or
Very Severe Disease
Pneumonia
No Pneumonia: Cough
or Cold
Assess diarrhea
▪ For how long?
▪ Is there blood in the stool?
▪ Look at the child’s gen. condition.
▪ Look for sunken eyes.
▪ Offer the child fluid – drinking normally/poorly/eagerly? Not
able to drink?
▪ Pinch the skin of the abdomen.
o Look for sunken eyes
o Skin Pinch that goes back Very Slowly
Classify diarrhea for dehydration
Two of the following signs:
Abnormally sleepy or difficult to
awaken
Sunken eyes
Not able to drink or drinking poorly
Skin pinch goes back very slowly
Two of the following signs:
Restless, irritable
Sunken eyes
Drinks eagerly, thirsty
Skin pinch goes back slowly
Not enough signs to classify as
some or severe dehydration
Severe Dehydration
Some Dehydration
No Dehydration
If diarrhea is 14 days or more
Dehydration present.
No Dehydration.
Severe persistent diarrhea
Persistent Diarrhea
If there is blood in stool
Blood in the stool
Dysentery
Assess Fever
▪ Decide malaria risk
▪ If malaria risk, obtain a blood smear
▪ For how long?
▪ If more than 7 days, has fever been present every day?
▪ Has the child had measles within the last 3 months
▪ Look or feel for stiff neck.
▪ Look for runny nose.
▪ Look for signs of measles.
Measles Complications:
▪ Mouth Ulcer
▪ Pus Draining from Eye
▪ Clouding of the Cornea
Classify fever (Malaria Risk)
Any general danger sign
Stiff neck
Blood smear (+)
If no blood smear: no runny nose
and no measles and no other
causes of fever
Blood smear (-) or runny nose or
measles or other causes of fever
Classify fever (No Malaria Risk)
Any general danger sign
Stiff neck
No signs of very severe febrile
disease
Classify Measles
Clouding of the cornea
Deep or extensive mouth ulcers
Any general danger sign
Pus draining from the eye, or
Mouth ulcers
Measles now or within the last 3
months
Very Severe Febrile
Disease/Malaria
Malaria
Fever: Malaria Unlikely
Very Severe Febrile
Disease
Fever: No Malaria
Severe Complicated
Measles
Measles with Eye or
Mouth Complications
Measles
Assess/Classify Dengue Hemorrhagic Fever
▪ Bleeding from nose or gums
▪ Bleeding in stools/vomitus
▪ Black stools/vomitus
▪ Skin petechiae
▪ Cold and clammy extremities
▪ Capillary refill more than 3 seconds
▪ Persistent abdominal pain
▪ Persistent vomiting
▪ Tourniquet test positive
Assess DHF
▪ Skin petechiae – dark red spots or patches in the skin. When
skin is streached, they do not disappear
▪ Persistent abdominal pain – continuous, without relief
▪ Persistent vomiting – not associated with food intake
▪ Positive tourniquet test – 20 or more petechiae in one square
inch
Assess/Classify Dengue Hemorrhagic Fever
▪ Any one sign present: Severe Dengue Hemorrhagic Fever
▪ No sign present - Fever: Dengue Hemorrhagic Fever Unlikely
Assess Ear Problem
▪ Is there ear pain?
▪ Is there ear discharge? For how long?
▪ Look for pus draining from the ear.
▪ Feel for tender swelling behind the ear.
Classify ear problem
Tender swelling behind the ear
Mastoiditis
Ear Pain
Pus is seen draining from the ear
and discharge is reported for less
than 14 days
Pus is seen draining from the ear
and discharge is reported for 14
days or more
No ear pain
No pus seen draining from the ear
Acute Ear Infection
Chronic Ear Infaction
Acute respiratory infection
First-line/second line antibiotic for non-severe pneumonia
PREVIOUS
UPDATED
First line
Cotrimaxazole
Amoxicillin
Second line Amoxicillin
Cotrimaxazole
No Ear Infection
Duration of antibiotic treatment from 5 days to 3 days
Frequency of administration of antibiotics from 3x to 2x a day
Check for malnutrition and anemia
For all Children:
▪ Determine weight for age.
▪ Look for edema of both feet.
▪ Look for visible severe wasting.
For children aged 6 months or more, determine if MUAC is less
than 115 mm
Signs of Severe Malnutrition
▪ Edema of Both Feet
▪ Visible Severe Wasting
Classify Nutritional Status:
If age up to 6 months
- and visible severe wasting
- and edema of both feet
SEVERE
MALNUTRITION
If age 6 months and above and:
- MUAC less than 115mm or
edema of both feet or visible
severe wasting
Very low weight for age
Not very low weight for age and no
other signs of malnutrition
VERY LOWWEIGHT
NOT VERY LOW
WEIGHT
Check for Anemia
LOOK AND FEEL:
▪ Look for palmar pallor. Is it
▪ Severe palmar pallor?
▪ Some palmar pallor
Check for Signs of Anemia
▪ No palmar pallor
▪ Some palmar pallor
▪ Severe palmar pallor
Classify for Anemia:
Severe palmar pallor
Some palmar pallor
No palmar pallor
▪ Refer the child with a referral note.
SEVERE ANEMIA
ANEMIA
NO ANEMIA
Check for:
▪ Immunization Status
▪ Vitamin A Supplementation Status
▪ Deworming Status
▪ Assess for Other Problems
Identify Treatment
▪ Determine if urgent referral is needed.
▪ Identify treatment for patient who do not need urgent referral.
▪ For patients who need urgent referral, identify urgent prereferral treatment.
▪ Give pre-referral treatment.
Management for non-severe pneumonia therefore:
First line - Oral amoxicillin to be given in 25mg/kg dose twice
daily in children 2-59 months of age for 3 days
Second line - Oral Cotrimoxazole to be given 2x daily for 3 days
Technical basis:
▪ 3 days treatment is equally effective as the 5 day treatment
▪ Reduces cost of treatment
▪ Improves compliance
▪ Reduces antimicrobial resistance in the community
▪ Use of oral Amoxicillin vs injectable penicillin in children
with severe pneumonia
o Where referral is difficult and injection is not available,
oral Amoxicillin in 45 mg/kg/dose 2x daily should be
given to children with severe pneumonia for 5 days
Technical basis: Clinical outcome with oral
amoxicillin was comparable to injectable penicillin in
hospitalized children with severe pneumonia
▪ Gentamicin plus ampicillin vs chloramphenicol for very
severe pneumonia
o Injectable ampicillin plus injectable gentamicin is a better
choice than injectable
o chloramphenicol for very severe pneumonia in children
2-59 months of age.
o A pre-referral dose of 7.5mg/kg intramuscular injection
gentamicin and 50 mg/kg injection ampicillin can be used
▪ Use of oral Amoxicillin vs injectable penicillin in children
with severe pneumonia
o Where referral is difficult and injection is not available,
oral Amoxicillin in 45 mg/kg/dose 2x daily should be
given to children with severe pneumonia for 5 days
Technical basis: Clinical outcome with oral
amoxicillin was comparable to injectable penicillin in
hospitalized children with severe pneumonia
Give Extra Fluid for Diarrhea and Continue Feeding
Treatment Plan A for No Dehydration
1. Give Extra Fluid:
a. Up to 2 yrs. : 50-100 ml after each loose stool
b. 2 yrs. Or more: 100-200 ml after each loose stool
2. Give Zinc Supplements (for 10-14 days):
a. < 6 mos. : 10 mg/day
b. 6 mos. – 5 yrs: 20 mg/day
3. Continue feeding
4. When to Return
Diarrheal diseases
Use or oral osmolarity oral rehydration salt
Technical basis:
▪ Efficacy of ORS solution for tx of acute non-cholera in
children is improved by reducing its sodium
concentration to 75 mEq/l, its glucose concentration to
75 mmol/l, and its total osmolarity to 245mOsm/l.
▪ The need for unscheduled supplemental IV is reduced by
33%, stool output is reduced by about 20% and the
incidence of vomiting by about 30%.
Composition
mmol/liter
Sodium
Chloride
Glucose,
anhydrous
Potassium
Citrate
Total Osmolarity
New
75
65
75
Old
90
80
111
20
10
245
20
10
311
Benefits of Zinc Supplementation
▪ Reduces the severity of diarrhea
▪ Shortens the duration of diarrhea
▪ Lowers the number of diarrhea episodes – protects the child
from diarrhea for the next 2 – 3 months.
Treatment Plan B for Some Dehydration
Give recommended amount of Reformulated ORS:
Up to 4 4 months up
12 months
AGE
months
to 12 months up to 2
years
Less 6
6 to less than 10 to less
WEIGH
kg
10 kg
than 12 kg
T
Amount
of fluid
(ml)
over 4
hours
200450
450-800
800-960
2 years
up to 5
years
12 to
less than
20 kg
9601600
▪ The approximate amount of ORS required can also be
calculated by multiplying child’s weight by 75
▪ If the child wants more ORS, give more
▪ For infants below 6 months who are not breastfed, also give
100-200 ml clean water during this period.
▪ Give frequent small sips from a cup.
▪ If child vomits, wait 10 minutes then continue – more slowly
▪ Continue breastfeeding whenever the child wants
▪ After 4 hours: Reassess, classify, select appropriate treatment
plan; begin feeding the child in the clinic.
Treatment Plan C for Severe Dehydration
▪ Can you give IV fluid? If yes, give IV fluid immediately.
▪ If No: Is IV treatment available nearby (within 30 minutes)?
If yes, refer immediately to hospital for IV treatment.
▪ If No: Are you trained to use NG tube for rehydration? If yes,
start rehydration by NG
▪ If No: Can the child drink? If yes, give ORS by mouth
▪ If No, refer URGENTLY to hospital for IV or NG treatment.
Diarrheal Diseases
Use of antibiotics in the management of bloody diarrhea (shigella
dysentery)
▪ Ciprofloxacin is the most appropriate drug in place of
nalidixic acid which leads to rapid development of resistance
▪ Dose: 15 mg/kg body weight 2x a day for 3 days
▪ Treat the Child: Oral Antibiotics/Antimalarial
For Cholera:
▪ First Line: Tetracycline
▪ Second Line: Erythromycin
Oral Antimalarial:
▪ First Line: Artemether-Lumefantrine
▪ Second Line: Chloroquine, Primaquine, Sulfadoxine and
Pyrimethamine
Fever
Treatment of drug-resistant malaria
▪ In case of parasitological or clinical failure to a given drug,
refer patient to the next level with proper documentation
(blood smear result incl. parasite count on day7, 14, 21, & 28
o Quinine sulfate(300 or 600 mg/tab)
o 10 mg/kg/dose every 8 hours for 7 days + Clindamycin
10 mg/kg 2x a day for 3 days
Pre-referral treatment:
▪ Artesunate suppository for uncomplicated P. falciparum
malaria in infants or young children who cannot swallow.
EAR INFECTIONS
Chronic ear infection
▪ Chronic ear infection should be treated with otical quinolone
ear drops for at least 2 weeks in addition to dry ear by wicking
Acute ear infection
▪ Oral amoxicillin is a better choice for the management of
suppurative otitis media in countries where antimicrobial
resistance to cotrimoxazole is high
▪ Dry the Ear by Wicking and Instill Quinolone Eardrops
▪ Dry the ear using wick of clean absorbent cloth or soft, strong
tissue paper.
▪ Instill quinolone eardrops after wicking 3 times daily for 2
weeks
▪ Quinolone eardrops may include: ciprofloxacin, norfloxacin,
or ofloxacin
▪ Follow the “Rule of Three” : 3 drops, tilt head for 3 minutes,
instill 3 times a day
Other Treatments
▪ Vitamin A for sick children
▪ Iron for anemia
▪ Paracetamol for high fever (38.5 C or more) and for ear pain.
▪ Mebendazole/Albendazole for deworming.
▪ Multivitamins and minerals for Persistent Diarrhea (with at
least 2 of Recommended Energy and Nutrient Intake: folate,
Vitamin A, zinc, magnesium, copper)
▪ Tetracycline Eye Ointment for eye infection (TID)
▪ Quinolone Eardrops & Ear Wicking for ear discharge (TID).
▪ Half-strength Gentian Violet for mouth ulcers ( BID).
▪ Cough Remedies: breastmilk
▪ tamarind, calamansi, ginger (SKL)
▪ Given at Health Center Only:
o IM Antibiotic for children being referred who cannot take
oral antibiotic :
- Give Gentamicin (7.5 mg/kg) AND Ampicillin 50
mg/kg
Treat to Prevent Low Blood Sugar
▪ Breastfeed more frequently
▪ Give sugar 30-50 ml of milk or sugar water before departure
(for referral)
▪ To make sugar water: Dissolve 4 level teaspoon (20 grams) of
sugar in 200 ml cup of clean water
▪ If unconscious, give D10 5ml/kg over a few minutes or give
D50 1ml/kg by slow push.
Revised Immunization Schedule
Age
Vaccine
Birth
BCG, HepB1
6 weeks
DPT1, OPV1, HepB2
10 weeks
14 weeks
9 months
12 – 15 months
o immediately
o for immunization
DPT2, OPV2
DPT3, OPV3, HepB3
Anti – measles
MMR
When to Return Immediately
Any sick child
Routinely Check for Deworming Status
Give Mebendazole/Albendazole
- Give 500 mg. Mebndazole/400mg Albendazole as a single
dose in the health center if the child is 12 months up to 59
months and has not received a dose in the previous 6
months
No Pneumonia: Cough or
cold
Diarrhea
Fever: DHF Unlikely
Mebendazole/Albendazole Dose:
AGE OR WEIGHT
Albendazole
400 mg tab.
12 months up to 23
½ tablet
months
24 months up to 59
1 tablet
months
Mebendazole
500 mg tab.
1 tablet
1 tablet
Vitamin A Treatment/Supplementation
AGE
Vitamin A Capsules
100,000 IU 200,000 IU
6 months up to 12
1 capsule
½ capsule
months
12 months up to 5 yrs
1 capsule
▪ Counsel the Mother on Infant Feeding
1. Exclusive breastfeeding up to 6 mos.
▪ Breastfeed as often as the child wants, day and night
at least 8 times in 24 hours
▪ Breastfeed when the child shows signs of hunger,
beginning to fuss, sucking fingers, or moving the
lips
▪ Do not give other foods or fluids
2. Complementary feeding 6 mos. up to 23 mos.
▪ Breastfeed as often as the child wants
▪ Give adequate serving of complementary foods: 3
times per day if breastfed, with 1-2 nutritious snacks
as desired from 9-23 mos.
▪ Give foods 5 times per day if not breastfed with 1 or
2 cups of milk
▪ Give small chewable items to eat with fingers. Let
the child try to feed itself, but provide help
3. Management of severe malnutrition where referral is not
possible
▪ Where a child is classified as having severe
malnutrition and referral is not possible, the IMCI
guidelines should be adapted to include management
at first-level facilities
▪ modified milk diet is given
4. HIV and Infant Feeding
▪ In areas where HIV is a public health problem all
women should be encouraged to receive HIV testing
and counseling
▪ If a mother is HIV-infected and replacement feeding
is acceptable, feasible, affordable, sustainable and
safe for her and her infant, avoidance of all
breastfeeding is recommended. Otherwise, exclusive
breastfeeding is recommended during the first
months of life
▪ The child of HIV-infected mother who is not
breastfed should receive complementary foods
▪ Care for Development – communication and play
▪ Increase fluids during illness
▪ When to Return:
o for follow-up
Not able to drink or breastfeed
Becomes sicker
Develops fever
Fast breathing
Difficult breathing
Blood in stool
Drinking poorly
Any sign of bleeding
Persistent abdominal pain
Persistent vomiting
Skin petechiae/ Skin rash
Give Follow-Up Care: Persistent Diarrhea
▪ After 5 days:
▪ Ask: Has the diarrhea stopped?
▪ How many loose stools is the child having per day?
Treatment
▪ If diarrhea has not stopped (3 or more/day), do a full
reassessment. Give any treatment needed. Refer to hospital.
▪ If diarrhea has stopped, tell the mother to follow the feeding
recommendation for child’s age.
Assess: Age up to 2 months
Previous
Age:
1 week up to 2
months
Updated
Birth up to 2 months
Main symptom:
Previous: Possible serious bacterial infection
Updated: Very severe disease and local bacterial infection
Signs to look for in assessment:
Previous: 12 signs
Updated: 7 signs
Classify: Aged Up to 2 months (Updated)
▪ Not feeding well, or
▪ Convulsions, or
▪ Fast breathing (60 bpm or more), or
▪ Severe chest indrawing, or
▪ Fever (37.5 C or above), or
▪ Low body temp. (less than 35.5 C), or
▪ Movement only when stimulated or no movement at all
Classify, Identify Treatment
Red
Local
• Give an appropriate oral
umbilicus Bacterial
antibiotic.
Skin
Infection
• Teach the mother to treat
pustules
local infections at home.
• Advise mother how to give
home care for the young
infant.
• Follow-up in 2 days.
Checking for jaundice is added in the protocol
Classification: Severe jaundice (pink), Jaundice (yellow), No
jaundice (green)
▪ Any jaundice if age less
SEVERE
than 24 hrs, or
JAUNDICE
▪ Yellow palms and soles at
any age
▪ Jaundice appearing after
24 hrs of age, and
▪ Palms and soles not yellow
▪ No Jaundice
JAUNDICE
NO JAUNDICE
Assess and Classify diarrhea
▪ For dehydration ( severe, some or no dehydration)
▪ If diarrhea is 14 days or more: Severe Persistent Diarrhea
▪ If blood in stool: Dysentery
Check for feeding Problem or Low Weight
Not well attached to breast
Feeding Problem
Not suckling effectively
or Low Weight
Less than 8 feeds in 24 hrs.
Receives other foods or drinks
Low weight for age
Thrush
Not low weight for age and no No feeding
other signs of inadequate
Problem
feeding
Assess: Age up to 2 months
▪ Check for the young infant’s immunization status
▪ Assess other problems
Treat the Young Infant
▪ Give an appropriate oral antibiotic:
▪ First Line: Amoxycillin
▪ Second Line: Cotrimoxazole ( Not given in infants less than
1month of age who are premature or jaundiced).
▪ Injectable Antibiotic (for referred patients unable to take oral
antibiotic or for cases where referral is not possible):
Ampicillin and Gentamicin
Treat Skin Pustules
▪ Wash hands.
▪ Gently wash off pus and crusts with soap and water.
▪ Dry the area.
▪ Paint with full-strength Gentian Violet.
▪ Wash hands.
Treat Umbilical Infection
▪ Wash hands.
▪ Paint with full-strength Gentian Violet.
▪ Wash hands.
Treat Oral Thrush
▪ Wash hands.
▪ Wash mouth with clean soft cloth wrapped around the finger
and wet with salt water.
▪ Paint the mouth with half-strength Gentian Violet.
▪ Wash hands.
Teach Correct Positioning and Attachment for Breastfeeding
▪ Show her how to help the infant to attach. She should:
▪ Touch her infant’s lips with her nipple.
▪ Wait until her infant’s mouth opening wide,
▪ Move her infant quickly onto breast, aiming the infant’s lower
lip well below the nipple.
▪ Look for signs of good attachment and effective suckling. If
the attachment or suckling is not good, try again.
Signs of Good Attachment
▪ Chin touching the breast
▪ Mouth wide open.
▪ Lower lip turned outward.
▪ More areola visible above the top lip than below the lower lip.
Advise Mother to Give Home Care for the Young Infant
▪ Food and Fluid: Breastfeed frequently, as often and for as long
as the infant wants.
▪ When to Return:
o For Follow-up Visit
o Immediately
o For Immunization
▪ Make sure the young infant stays warm at all times.
When to Return Immediately
▪ Breastfeeding or drinking poorly.
▪ Becomes sicker.
▪ Develops fever.
▪ Fast breathing.
▪ Difficult breathing.
▪ Blood in stool.
Follow-Up Care: Oral Thrush
▪ After 2 days:
▪ Look for ulcers or white patches in the mouth.
▪ Reassess feeding
▪ If thrush is worse, or if the infant has problems with
attachment or suckling, refer to hospital.
▪ If thrush is the same or better, and the infant is feeding well,
continue half-strength Gentian Violet for a total of 5 days.
Technical updates adapted in Philippine IMCI
▪ Antibiotic treatment of non-severe and severe pneumonia
▪ Low osmolarity ORS and antibiotic treatment for bloody
diarrhea
▪ Treatment of fever/malaria
▪ Treatment of ear infections
▪ Infant feeding
▪ Treatment of helminthiasis
▪ Management of sick young infant aged up to 2 months