Abstract
A prospective observational study was conducted on 500 children to evaluate the Integrated Management of Neonatal and Childhood Illnesses (IMNCI) algorithm for diagnosis and referral of children aged 0–59 mo. IMNCI algorithm performed well in diagnosis [except sepsis in 0–7 d (p < 0.01) and malaria in 2–59 mo (p < 0.01)] and referral of under five illnesses. The proportion of children with the mismatch between ‘IMNCI’ diagnosis and ‘Gold Standard’ diagnosis were highest (38.7 %) among children 0–7 d of age. The authors conclude that IMNCI algorithm in young children has good sensitivity for referring children with severe illnesses and is a good tool for diagnosis of most of childhood illnesses in under-five children.
This is a preview of subscription content, log in via an institution to check access.
References
WHO/UNICEF. Integrated Management of Neonatal and Childhood Illness. New Delhi: Ministry of Health & Family Welfare, Govt. of India; 2003.
Shah D, Sachdev HPS. Evaluation of the WHO/UNICEF algorithm for integrated management of childhood illness between the ages of two months to five years. Indian Pediatr. 1999;36:767–77.
Goswami V, Dutta AK, Singh V, Chandra J. Evaluation of simple clinical signs of illness in young infants (0–2 months) and its correlation with WHO IMCI algorithm (7 days to 2 months). Indian Pediatr. 2006;43:1042–9.
Kaur S, Singh V, Dutta AK, Chandra J. Validation of IMNCI algorithm for young infants (0–2 months) in India. Indian Pediatr. 2011;48:955–60.
Kundra S. Utility of Indian adaptation of Integrated Management of Childhood Illness (IMCI) algorithm. Indian J Pediatr. 2008;75:781–5.
Simoes EAF, Desta T, Tessema T, Gertresellassie T, Dagnew M, Gove S. Performance of health workers after training in integrated management of childhood illness in Gondar, Ethiopia. Bull WHO. 1997;75:43–53.
Kalter HD, Schillinger JA, Hossain M, Burnham G, Saha S, de Witt V, et al. Identifying sick children requiring referral to hospital in a developing country. Bull WHO. 1997;75:65–75.
Conflict of Interest
None.
Role of Funding Source
None.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Mittal, K., Gupta, V., Khanna, P. et al. Evaluation of Integrated Management of Neonatal and Childhood Illness (IMNCI) Algorithm for Diagnosis and Referral in Under-Five Children. Indian J Pediatr 81, 797–799 (2014). https://doi.org/10.1007/s12098-013-1225-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s12098-013-1225-2