After this Study Session, you have learned that:
  • Integrated community case management assessment (ICCM assessment) is a systematic approach to collecting data about childhood illness.
  • ICCM case management process is an integrated approach to managing childhood illness that includes assessment, classification, treatment and counselling.
  • Childhood case management classification is done based on signs and symptoms in the coloured tables.The pink colour of the tables indicates the child requires urgent referral to the health centre or the hospital; the yellow colour indicates the childhood illness can be managed at the health post; and the green colour shows that the childhood illness can be managed at home.
  • General danger signs of an older infant include: unable to breastfeed or eat, vomit everything, lethargy, convulsions and unconsciousness. If you are getting one of those symptoms, you should immediately refer the child after giving a pre-referral treatment.
  • Essential newborn care is the care given to the newborn immediately after birth. This is critical to reducing child mortality rate at the time of birth.
  • Essential newborn care has critical steps so you should not miss any one of these steps.
  • Low-birth-weight baby (LBW) is a baby with a lower weight than expected. LBW babies are vulnerable to many infections. You should properly counsel the mother to manage the LBW babies: breastfeed frequently, warm the child, give health education about prevention of childhood infections and keep a regular follow-up.
  • Young infants are highly susceptible to bacterial infections if you assess and find any clinical signs and symptoms of infections: child unable to feed, fever > 37.5 or <35.5, fast breathing ≥60 b/m, chest in-drawing, skin pustules, umbilical pus, or yellow discolorations of the eye or skin, you should classify carefully the problem and give an appropriate treatment.
  • If a referral is not possible for the young infant with very severe disease, you should give amoxicillin and gentamycin injection for seven days and follow-up the progress of the disease daily.
Last modified: Wednesday, 31 August 2016, 8:57 PM