Table of Contents
COMMUNITY BASED INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESSES (CB-IMC) AND NEWBORN CARE
Community Based Integrated Management of Childhood Illness (CB-IMCI) Program is an integrated package of child-survival interventions and addresses major childhood killer diseases like Pneumonia, Diarrhoea, Malaria, Measles, and Malnutrition in 2 months to 5 year children in holistic way. CBIMCI also includes management of infection, Jaundice, Hyperthermia and counseling on breastfeeding for young infants less than 2 months of age. At the community level to increase community participation.
In 1997, the program was initiated n Mahottari as a piloting district for IMCI. Community based ARI and CDD (CBAC) program was merged into IMCI in 1999 and is now called the Community Based IMCI (CB-IMCI).
To reduce morbidity and mortality among children under-five due to pneumonia, diarrhoea, malnutrition, measles and malaria.
- To reduce neonatal mortality from the current rate of 33/1,000 live births to 17/1,000 live births by 2015.
- To reduce neonatal morbidity among infants less than 2 months of age.
- Reduce frequency and severity of illness and death related to ARI, Diarrhoea, Malnutrition, measles and Malaria.
- Contribute to improved growth and development.
Components that are strengthen by CB-IMCI programmes
Management of sick children below 2 months of age
Health workers assess each case and classify into following categories (one or more) according to IMCI protocol.
- Possible Severe Bacterial Infection (PSBI).
- Local Bacterial Infection (LBI).
- Low weight or feeding problem
Management of sick children 2 months to 5 years of age Management of Acute Respiratory Infection (ARI)
The Ministry of Health and Population (MoHP) recognises Acute Respiratory Infection (ARI) as one of the major public health problems in Nepal among children under 5 years of age. CB-IMCI Program follows WHO guidelines (IMCI Protocol) on standard ARI case management. Accordingly, all cases of ARI assessed by health should be classified into one of the following categories:
- Severe pneumonia or Very severe disease
- No pneumonia-cough and cold
All health workers should be able to communicate the necessary information effectively to mothers and caretakers.
Management of Diarrhoeal Diseases
Diarrhoea is still a leading killer disease in Nepal. CB-IMCI program intensely focuses on management of Diarrhoeal diseases among the under-five year’s children. Standard diarrhea case management with Oral Rehydration Therapy (ORT), continued feeding and Zinc tablet have been providing in the health institutions. All health facilities and providers in the treatment of Diarrhoea with Low Osmolar Oral Rehydration Solutions (ORS) and Zinc supplementation.
Zinc tablet in the treatment of diarrhea was introduced in FY 2062/63 as a pilot program in two districts of Nepal (Rautahat and Parbat). Now it’s being implemented in all 75 districts.