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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