Integrated Management of Newborn and Childhood Illness Part 1 - Ethiopia (Full)
Topic outline
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An Introduction to the Integrated Management of Newborn and Childhood Illness (IMNCI)
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The IMNCI strategy
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Importance and objectives of the IMNCI strategy
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Objectives and advantages of IMNCI
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The IMNCI assessment
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IMNCI case management
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General danger signs (GDS)
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Maternal, Newborn and Child Health
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Essential newborn care
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The eight steps of essential newborn care
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Newborn danger signs
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Birth asphyxia
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Assess and classify birth asphyxia
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Assess, classify and manage low birth weight babies
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Characteristics of premature babies
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Assess birth weight and gestational age
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Treatment for low birth weight babies
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Kangaroo mother care (KMC)
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Newborn postnatal follow-up home visits
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Six to 24 hours’ visit and evaluation
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Two days’ visit to low birth weight/preterm, low body temperature babies
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Three days’ visit
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Seven days’ visit
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Management of Bacterial Infection and Jaundice in the Newborn and Young Infants
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Assess and classify the young infant
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Gaining the mother’s trust
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Good communication skills
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Assessment
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Initial visit assessment
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Assess for bacterial infection
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Assess for jaundice
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Classify bacterial infection and jaundice
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Identify appropriate treatment
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Possible serious bacterial infection or very severe disease
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Local bacterial infection
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Severe disease or local infection unlikely
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Low body temperature
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Severe jaundice
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Referral
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Urgent pre-referral treatment
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Treatment for a young infant who does not need urgent referral
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Follow-up visits and care for the sick young infant
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Assess and Classify Coughs or Difficult Breathing
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Assessing coughs or difficult breathing
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Classifying coughs or difficulty in breathing
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How to use the classification table
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Treatment of cough or difficult breathing
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Treatment for severe pneumonia or very severe disease
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Treatment for pneumonia
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Treatment for no pneumonia: cough or cold
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Follow-up care for pneumonia
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Management of Diarrhoeal Disease in Young Infants and Children
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Assess and classify diarrhoea
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Assess diarrhoea in children
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Classifying diarrhoea
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Classifying dehydration
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Treatment for dehydration
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Severe dehydration
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Some dehydration
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No dehydration
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Persistent diarrhoea
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Follow-up care for persistent diarrhoea
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Classify dysentery
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Classify diarrhoea in young infants
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Management of Sick Children with Fever
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Assess and classify fever
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Assess fever
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Assessing for malaria
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Assessing for other diseases
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Assessing measles
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Classifying fever
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Classification of malaria
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Treatment for fever and malaria
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Very severe febrile disease or severe malaria
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Malaria
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Fever (no malaria)
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Follow-up care and treatment for fever or malaria
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Classifying measles
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Measles
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Assessment of Malnutrition and Anaemia in the Sick Child
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Malnutrition
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Causes of malnutrition
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Types of malnutrition
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Checking the sick child for malnutrition and anaemia
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Assessing for malnutrition
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Visible severe wasting in infants less than six months of age
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The mid upper arm circumference (MUAC)
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Look and feel for oedema of both feet
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Measuring a child’s weight
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Assessing appetite
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Assessing for anaemia
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Classification of malnutrition
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Classification of anaemia
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 Classification of malnutrition and anaemia using a classification table
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Treatment of a Child with Malnutrition and Anaemia
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Treatment of a child with malnutrition or anaemia
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Treatment of severe complicated malnutrition
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Treatment of severe uncomplicated malnutrition
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Treatment of moderate acute malnutrition
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Treatment when there is no moderate acute malnutrition
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Treatment of severe anaemia
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Treatment of anaemia
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Treatment when there is no anaemia
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The out-patient therapeutic programme (OTP)
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Follow-up care of the child with malnutrition and anaemia
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Follow-up care for severe malnutrition
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Follow-up care for moderate acute malnutrition
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Follow-up care for anaemia