Evaluation of Indian Adaptation of Integrated Management of Neonatal and Childhood Illness (IMNCI) algorithm: A Prospective Study from Tertiary Care Institute of Haryana

Abstract

Background: Every year more than 12.9 million children die in developing countries before they reach their fifth birthday. Seven out of ten deaths are due to acute respiratory infections (mostly due to pneumonia), diarrhea, measles, malaria, malnutrition and are often a combination of these illnesses. In India, nearly 17 lakh group children death occur each year and childhood mortality rate is one of the highest mortality in the world. The Government of India recognized the need to strengthen child-health activities in the country and decided to launch IMCI

Materials: Present study was carried in Department of Pediatrics at Pt. B.D. Sharma, Post Graduate Institute of Medical Sciences, Rohtak  from August 2010 to January 2012 and included 500 500 children of which 250 children were aged 0-2 months and rest 250 children were aged 2- 59 months, were included in the study.

Results: Among the children enrolled as per IMNCI, possible serious bacterial infection (69%) was the most common cause of morbidity, followed by jaundice (20.8%) and very low weight (14.4%). Discussion/summary: The overall mortality in our study subjects was 14 (2.8%) with highest in 0-7 days age group [9 (6.5%)]. Out of these 14 cases, 5 (35.7%) were mismatched and 3 (21.4%) were undiagnosed by IMNCI algorithm.

Keywords: Children, Mortality, Infections.