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DESCRIPTION
One million children under five years old die each year in less developed countries. Just five diseases (pneumonia, diarrhea, malaria, measles and dengue hemorrhagic fever) account for nearly half of these deaths and malnutrition is often the underlying condition. Effective and affordable interventions to address these common conditions exist but they do not yet reach the populations most in need, the young and impoverish.
The Integrated Management of Childhood Illness strategy has been introduced in an increasing number of countries in the region since 1995.  IMCI is a major strategy for child survival, healthy growth and development and is based on the combined delivery of essential interventions at community, health facility and health systems levels. IMCI includes elements of prevention as well as curative and addresses the most common conditions that affect young children. The strategy was developed by the World Health Organization (WHO) and United Nations Children’s Fund (UNICEF). 
In the Philippines, IMCI was started on a pilot basis in 1996, thereafter more health workers and hospital staff were capacitated to implement the strategy at the frontline level.
Majority of these deaths are caused by 5 preventable and treatable conditions namely: pneumonia, diarrhea, malaria, measles and malnutrition. Three (3) out of four (4) episodes of childhood illness are caused by these five conditions. Most children have more than one illness at one time. This overlap means that a single diagnosis may not be possible or appropriate.
 
VISION
 
   
MISSION
 
   
OBJECTIVES
  • Reduce death and frequency and severity of illness and disability, and
  • Contribute to improved growth and development
   
 
PROGRAM COMPONENTS
Improving case management skills of health workers
Improving over-all health systems
Improving family and community health practices
The children and infants are then assessed for main symptoms. For sick children, the main symptoms include: cough or difficulty breathing, diarrhea, fever and ear infection. For sick young infants, local bacterial infection, diarrhea and jaundice. All sick children are routinely assessed for nutritional, immunization and deworming status and for other problems. Only a limited number of clinical signs are used.
A combination of individual signs leads to a child’s classification within one or more symptom groups rather than a diagnosis.
IMCI management procedures use limited number of essential drugs and encourage active participation of caretakers in the treatment of children.
Counseling of caretakers on home care, correct feeding and giving of fluids, and when to return to clinic is an essential component of IMCI.
IMCI Color-coded Triage System
PINK – indicates urgent hospital referral or admission
YELLOW – indicates initiation of specific Outpatient Treatment
GREEN – indicates supportive home care
The following is the flow of the IMCI process. At the out-patient health facility, the health worker should routinely do basic demographic data collection, vital signs taking, and asking the mother about the child's problems. Determine whether this is an initial or a follow-up visit. The health worker then proceeds with the IMCI process by checking for general danger signs, assessing the main symptoms and other processes indicated in the chart below. The pink box, referral facility includes district, provincial and tertiary hospitals. Once admitted, the hospital protocol is used in the management of the sick child.
 
  
TARGET POPULATION/CLIENT
  • Sick children birth up to 2 months (Sick Young Infant)
  • Sick children 2 months up to 5 years old (Sick child)
 
 
 
 
AREA OF COVERAGE
Zamboanga Peninsula (Region-wide: 3 provinces and 5 cities)
 
 
 
PARTNER INSTITUTIONS
Local Government Units (LGUs), Government Agencies (GAs), Non-government Agencies (GAs)
 
 
 
 
POLICIES AND LAWS
IMCI Protocol (WHO)
Administrative Order 2008-0029 MNCHN (Maternal, Neonatal and Child Health and Nutrition) Strategy
 
 
  
 
STRATEGIES, ACTION POINTS, AND TIMELINE
Trainings, Advocacies, Monitoring, and Technical Assistance
 
 
 
 
PROGRAM ACCOMPLISHMENTS/STATUS 
 
 
 
 
CALENDAR OF ACTIVITIES
1. IMCI Basic Course Training for Nurses under Nurse Deployment Project (NDP)
2. IMCI Basic Course Training for Doctors and Nurses (RHU & Hospitals)
3. IMCI Training of Trainers (TOT)
4. IMCI Consultative Meeting
5. IMCI Facility Monitoring
6. Procurement of IMCI commodities
 
 
 
STATISTICS 
CY 2016
(0-59 months)
Pneumonia
Seen
Given Treatment
REGION IX
Male
Female
Total
Male
Female
Total
%
AREA
(2)
(3)
(4)
(5)
(6)
(7)
(8)
Zamboanga del Norte
1,634
1,350
2,984
1,613
1,339
2,952
98.93
Zamboanga del Sur
1,534
1,395
2,929
1,485
1,385
2,870
97.99
Zamboanga Sibugay
207
200
407
207
200
407
100.00
Dapitan City
21
18
39
21
18
39
100.00
Dipolog City
20
13
33
16
10
26
78.79
Pagadian City
71
58
129
71
58
129
100.00
Isabela City
138
125
263
121
116
237
90.11
Zamboanga City
248
226
470
242
226
461
98.09
TOTAL
3,873
3,385
7,254
3,776
3,352
7,121
98.17
 
CY 2016
Diarrhea
Cases
given ORT
given ORS
given ORS with Zinc
 
(0-59 months)
(0-59 months)
(0-59 months)
(0-59 months)
AREA
Male
Female
Total
Male
Female
Total
%
Male
Female
Total
%
Male
Female
Total
%
Zamboanga del Norte
1,682
1,482
3,164
1,059
907
1,966
62.14
1,253
1,059
2,312
73.07
1,008
839
1,847
58.38
Zamboanga del Sur
1,232
1,121
2,353
1,123
993
2,116
89.93
980
966
1,946
82.70
1,12
993
2,116
89.93
Zamboanga Sibugay
864
776
1658
606
563
1171
70.63
519
477
996
60.07
606
563
1171
70.63
Dapitan City
89
80
169
81
63
144
85.21
87
77
164
97.04
81
63
144
85.21
Dipolog City
103
106
209
62
54
116
55.50
93
94
187
89.47
56
50
106
50.72
Pagadian City
17
6
23
15
5
20
86.96
17
6
23
100.00
15
5
20
86.96%
Isabela City
362
313
675
197
165
362
53.63
278
232
510
75.56
197
165
362
53.63
Zamboanga City
2,031
1,870
3,901
1,148
934
2,082
53.37
1,865
1,747
3,612
92.59
1,148
934
2,082
53.37
TOTAL
6,380
5,754
12,152
4,291
3,684
7,977
65.64
5,092
4,658
9,750
80.23
3,111
3,612
7,848
64.58
 
 
PROGRAM MANAGER CONTACT INFORMATION
Ms. Apryl Joy Calibot-Gresones, RN
IMCI Coordinator
Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
Mobile No. 09288169834