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ACUTE RESPIRATORYILLNESS :

The National ARI Control Program was

launched in !"! in order to reduce the

mortalit# attri$uted to %neumonia and

rationali&e the use o' drugs in the managemento' %atients with ARI(

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YearIn'ant

mortalit#

rate

Ran)PercentChange

*ate o'In'ormation

+,,- ./(0- -- +,,- est(

+,,1 .+(11 -/ 20(-1 3 +,,1 est(

+,,0 .+(11 -. ,(,, 3 +,,0 est(

+,,/ .,(10 -. 2+(.0 3 +,,/ est(

+,,. /"("1 -- 2+(+! 3 +,,. est(+,," //(!1 -+ 2+(./ 3 +,," est(

+,,! /0(1 -+ 2+(/! 3 +,,! est(

+,, /.(-/ +" -(1 3 +,,! est(

Infant mortality rate: total: /.(-/ deaths45,,, li6e

$irths

male:.,(/0 deaths45,,, li6e $irthsfemale:/-(! deaths45,,, li6e $irths 7+,,! est(8

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Attention to counselling skills to promote exclusive

breastfeeding, complementary feeding & micronutrient

supplementation is a key strength of IMNCI

Acute espiratoryInfections!

"#$

%iarrhoea!

"#$

Measles!

Malaria!

$'ther

()$

*erinatal"+$

Malnutrition!

$

! -ased on data taken from .he /lobal -urden of %isease "##0, edited by Murray C12 and

2ope3 A%, and 4pidemiologic evidence for a potentiating effect of malnutrition on child

mortality, *elletier %2, 5rongillo 4A and 6abicht 1*, Am1 *ublic 6ealth "##(7+(:""(89""((

$

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/oals of IMNCI;tandardi3ed case management of sick

ne

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The Com%onents o' the Res%irator#

S#stem

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=**4 4;*IA.'> .AC.IN54C.I'N

2'?4 4;*IA.'> .AC.IN54C.I'N

9iral9;acterial

6iral$acterial

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*OES T

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;I/N; C2A;;I5> .4A.M4N.

Sore throat AN* not a$le todrin)

T

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;I/N; C2A;;I5> A; .4A.M4N.

Not enough signs to classi'#as throat a$scess orstre%tococcal sore throat

IRAL SORE T

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BIE AN ANTI;IOTIC ?OR

STREPTOCOCCAL SORET

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*OES T

C

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Cuto'' %oint 'or 'ast $reathingFI' the child is

+months u% to + #ears

+ months u% to 0

#ears

0, $reaths %er minute or

more

1, $reaths %er minute or

more

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;I/N; C2A;;I5> .4A.M4N.

An# danger sign orStridor in calm child or

Chest indrawing or7i' whee&e then godirectl# to treatwhee&ing8

SEEREPNEU=ONIA OR

ERY SEERE*ISEASE

Bi6e 'irst dose o' a%%ro%riateanti$iotic

Treat whee&ing i' %resentTreat the child to %re6ent low$lood sugarRe'er URBENTLY to hos%ital

9'ast $reathing97i' whee&e then godirectl# to treatwhee&ing8

PNEU=ONIA Bi6e an a%%ro%riate anti$iotic'or 0 da#Treat whee&ing i' %resentSoothe the throat G relie6ethe cough with sa'e remed#Ad6ice mother when to returnimmediatel#?ollow u% in + da#s(

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No sign of severepneumonia orpneumonia7i' whee&e then godirectl# to treatwhee&ing8

N' *N4=M'NIAC'=/6 ' C'2%

.reat

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BIE AN APPROPIRATE

ORAL ANTIO;IOTIC

?OR PNEU=ONIA G EAR IN?ECTION

5irst lineantibiotic

amoxil #8"88mgDkgDdy t

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*OES T

I' #es5'or how long>

Loo) 'or %us draining 'rom the

ear

?eel 'or tender swelling

$ehind the ear

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;I/N; C2A;;I5> .4A.M4N.

9 tender swelling $ehindthe ear

=ASTOI*ITIS Bi6e 'irst dose o' a%%ro%riate anti$ioticTreat the child to %re6ent low $lood sugarBi6e %aracetamol 'or high 'e6er or %ainRe'er URBENTLY to hos%ital

Pus is seen draining'rom the ear and4ordischarge is re%orted'or less than 1da#s5ORSe6ere ear %ain

ACUTE EARIN?ECTON

Bi6e an a%%ro%riate anti$iotic 'or 0 da#sBi6e %aracetamol 'or high 'e6er or %ain*r# the ear $# wic)ingAd6ice mother when to return immediatel#?ollow u% in 0 da#s i' not im%ro6ing

*ischarge is re%orted'or 1 or more

da#s7%us is seen or notseen draining 'rom theear8

C

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;I/N; C2A;;I5> A; .4A.M4N.

no ear %ain and no %usdraining 'rom the ear

NO EAR IN?ECTION i' an# other ear %ro$lemgi6e a%%ro%riate treatmentand re'er to ear nose Gthroat s%ecialist