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HANDBOOK IMC Integrated Management of Childhood IIIness ¢ (ay World Health 87 organization Gt sles How to adapt the Model IMCI Handbook ‘Note: Do not nue this seton in te adapted IMCl Handbook The WHO/UNICEF guidelines for tarred Management of Chfdhood ines (ICI offer simple and effective methods to prevent and manage the leading causes of seriousness and mortality in young children. The clinical quidelines promote evidence-based assessment and testment, using _asyndromic approach that supports the rational effective and affordable use of drugs The {guidelines include methods for checking a childs immunization and nutrition status teaching patents how to gve treatments at homezassessing a chil feding and counseling tosolve feeding problems; and advising parents about when to return toa heath faclty. The approach s {esigned for use in outpatent clinical settings with imited agnostic tools limited mecestons andlimited opportunites to practice complicated clinical procedures Ineach country.the IMC clinical guidelines are adapted: 1B To cover the mos serious chikhood illnesses typically seen at first-level health facies, IN Tomake the guidelines consistent with national treatment guidelines and other policies, and [To make the guidelines feasible to Implement through the health system and by families cating fr thelr children at hame. The IMCI charts and related in-service training materals provided by WHO and UNICEF, are considered to bea “generic” version. This model ICI handbookis ao a generic document. The WHO Department of Child and Adolescent Health and Development (CR) created this handbook ‘tohelp teaching institutions nconporateIMCI into academic programmes for doctors, nurses and athe health professionals Before the handbook can be used, however it needs tobe adapted in two ways: (Technical Adaptation: Al textcharts and illustrations inthe model handbook should be carefully reviewed and, if needed, revised to make them consistent withthe nationally adapted IMcI guidelines. IB Pedagogical Adaptation: the model handbcok should be modified to correspond tothe ‘teaching/learning methads use by a facut. For example, a faculty may choose to revise or re format the handbook sa stand-alone docament oro incorporate the contents of the handbook into other materials or textbooks The two step process of adaptation will ensure thatthe content of the handbook s consistent vith a country’s national IMC guidelines, and tha its style and format are compatible with a faculty sapproach to teaching Technical Adaptation When the IMC strategy was nly inttodvcedin your coukry.a atonal taskforce adapted the generic IMC guidelines and created -sevcetralning materia. The n-erve trang materia normally Include nC chart booklet MCI mother’ car, et of MACH traning modules, photograph Bock, video and wall charts. Te atlonlly adapted IM charts and in-service traning modules shouldbe tefered to when making techrical adaptation to thishandbook I counties whete the guidlines have been adopted the MCIin-srvice taining materi can be requested fiom the Ministry cf Heath Conpute tet ofthe model NE andook ae acide fom WHO CAH Each section ofthe model IMC handbook should e adapted inthe follwing ways: |B Forward. Its recommended to incuee some information and/or graphs about the main causes of

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