Abstract
India has the world’s greatest burden of neonatal and under- five mortality. In 2008, approximately 1.8 million under five children, including 1 million neonates, died. At the current rate of progress, India will not be able to achieve the MDG 4 target of reduction of under- five mortality to 38 per 1,000 live births by 2015. The Reproductive and Child Health programme (RCH) II under the National Rural Health Mission (NRHM) comprehensively integrates interventions that improve child health and addresses factors contributing to infant and under-five mortality. Under the RCH II National Programme—Implementation Plan, IMNCI approach is the major instrument of newborn and child health strategy. IMNCI clinical guidelines focus on assessment, classification and providing treatment according to disease severity. Severe illnesses (red classification) require urgent referral after pre-referral treatment. Further diagnosis and management is dependent on the skills of health workers of the referral hospital. Therefore, capacity building of professionals for providing optimum care for sick children in referral units is an obvious path to optimize the benefits of IMNCI on child survival. With these objectives, F-IMNCI (Facility based IMNCI) package was developed by a committee of experts constituted by the Ministry of Health and Family welfare, Government of India.
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References
Black RE, Cousens S, Johnson HL, et al. Global, regional, and national causes of child mortality in 2008: a systematic analysis. Lancet. 2010;375:1969–87.
IIPS and Macro International. National Family Health Survey (NFHS-3), 2005–06: India: volume I.Mumbai: International Institute for Population Sciences and Macro International;2007.
Rajaratnam JK, Marcus JR, Flaxman AD, et al. Neonatal, postneonatal, childhood, and under-5 mortality for 187 countries, 1970–2010: a systematic analysis of progress towards Millennium Development Goal 4. Lancet. 2010;375:1988–2008.
Bhutta ZA, Chopra M, Axelson H, et al. Countdown to 2015 decade report (2000–10): taking stock of maternal, newborn, and child survival. Lancet. 2010;375:2032–44.
Registrar General of India. Sample Registration System (SRS) statistical report 2008. New Delhi: Registrar General of India; 2009.
MoHFW. National population policy 2000. New Delhi: Ministry of Health and Family Welfare, Government of India; 2000.
Registrar General of India. Compendium of India’s fertility and mortality indicators, 1971–1997 (based on the Sample Registration System). New Delhi: Registrar General of India; 1999.
Cash R, Keusch GT, Lamstein J. Child health and survival: the UNICEF GOBI-FFF program. London: Croom Helm; 1987. pp. 253.
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Annexure
Annexure
Management process of the sick child
Immediate treatment of a child with emergency signs
Management algorithm for acute asthma cases
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Maheshwari, A., Kumar, P. & Dutta, A.K. Facility Based IMNCI. Indian J Pediatr 79, 75–84 (2012). https://doi.org/10.1007/s12098-011-0540-8
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DOI: https://doi.org/10.1007/s12098-011-0540-8