What is IMCI?

IMCI is an approach that focuses on the well-being of the child with aims to reduce death, illness, disability and to promote growth and development among children below 5 years. In health care centers they promote strategies to accurately identify illnesses in outpatients, appropriate treatment of diseases, counselling of caretakers on how to take care of severely ill patients.


What are the worldwide leading causes of death in children?

The most common causes of death in children under 5 years include pneumonia, diarrhoea and malaria, pre-term birth, birth asphyxia, trauma, congenital anomalies. Access to basic lifesaving interventions e.g., skilled delivery at birth, postnatal care, breastfeeding, adequate nutrition, vaccinations, and treatment for common childhood diseases. Malnourished children, especially those with severe acute malnutrition, Nutrition-related factors contribute to about 45% of deaths in children under-5 years of age.


What do l do if baby is not breathing?

  1. Check for responsiveness. Shake or tap the infant gently and find out if the infant is moving or making any sound.
  2. If there is no response, ask someone to call 911, do not leave the infant alone because you must perform CPR.
  3. Carefully place the infant on their back, give 30 chest compressions
  4. Open the airway. Lift the chin with one hand.
  5. Look, listen, and feel for breathing.
  6. If the infant is not breathing: give 2 breaths, each breath should take about a second and make the chest rise (keep the chin lifted and head lifted, hold the mouth shut)
  7. Continue with CPR for 2 more minutes.
  8. After 2 more minutes of CPR, if there is no action from the child, leave it to call 911.


What to do I do if my baby is not feeding?

Here are some top tips to encourage your unwilling baby to breastfeed:

  1. Hand expressing to keep your milk supply up.
  2. Try lots of skin-to-skin contact.
  • Try to find a comfortable feeding position.
  1. Get your baby ready for a feed.
  2. Do not force your little one to feed.


What to do I do if my baby is not conscious?

Do not panic when you discover your baby is unconscious. What you are going to do is to observe the steps below:

  1. Check their breathing- faintly move their head back it helps open their airway and feel for pulses.
  2. Hold him on his side- slightly tilt their head and support it to lower than the bottom, this position will keep their airway open. Ensuring their tongue falls forward and any fluids come out and the baby will continue to breathe out.
  • Call for help- dial the emergency number and converse with you bay while waiting. Make sure the head is still tilted back.


What to do if my baby is convulsion?

You should remain calm and gently place your child on the floor or the ground also remove any objects nearby. Put your child on his/her side to prevent chocking. Loosen any clothing especially around the neck and head. Watch closely for any signs of breathing problems, including a bluish colour in the face. Try to keep track of how long the seizure lasts. If the seizure lasts more than 5 minutes, or your child turns blue, it may be a more serious type of seizure so call an ambulance. Also take not of what you must not do during a convulsion. Make sure not to hold or restrain your baby, do not put anything in his/her mouth, do not try to put your baby into cool or lukewarm water to cool off. Do not try to give the baby fever- reducing medicine.

When the seizure is over, call your doctor for an appointment to find the cause of the fever. The doctor might do tests if your child is under 1 year old and had other symptoms, such as vomiting or diarrhea.



What are the signs that my baby might be sick?

If your child is listless, cranky, lethargic, hot, pale or flushed, it is a good idea to take them to the doctor. Signs that your baby might be sick are a weak, high-pitched or continuous cry, increased floppiness or lack of responsiveness, reduced activity, a bulging fontanelle(the soft spot on a baby’s head),a stiff neck, high temperature but cold feet and hands, difficulty in breathing; could be fast breathing, grunting while breathing, or if the baby is working hard to breath. Other signs are having a spotty, purple-red rash anywhere on the body, your babyish unable to wake up, stiff neck, repeated vomiting or bile- stained(green) vomiting. A high temperature (being 37.5⁰C or above) is often an indication of illness.