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IMCI INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS DISTANCE LEARNING COURSE Module 2 The sick young infant WHO Library Cataloguing-in-Publication Data: Integrated Management of Childhood Illness: distance learning course. 15 booklets Contents: – Introduction, self-study modules – Module 1: general danger signs for the sick child – Module 2: The sick young infant – Module 3: Cough or difficult breathing – Module 4: Diarrhoea – Module 5: Fever – Module 6: Malnutrition a
  DISTANCE LEARNING COURSE IMCI INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS The sick young infant Module 2  WHO Library Cataloguing-in-Publication Data:Integrated Management of Childhood Illness: distance learning course.15 bookletsContents: – Introduction, self-study modules – Module 1: general danger signs for the sick child – Module 2: The sick young infant – Module 3: Cough or difficult breathing – Module 4: Diarrhoea – Module 5: Fever – Module 6: Malnutrition and anaemia – Module 7: Ear problems – Module 8: HIV/AIDS – Module 9: Care of the well child – Facilitator guide – Pediatric HIV: supplementary facilitator guide – Implementation: introduction and roll out – Logbook – Chart book 1.Child Health Services. 2.Child Care. 3.Child Mortality – prevention and control. 4.Delivery of Health Care, Integrated. 5.Disease Management. 6.Education, Distance. 7.Teaching Material. I.World Health Organization.ISBN 978 92 4 150682 3 (NLM classification: WS 200) © World Health Organization 2014 All rights reserved. Publications of the World Health Organization are available on the WHO website ( or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: Requests for permission to reproduce or translate WHO publications –whether for sale or for non-commercial distribution– should be addressed to WHO Press through the WHO website ( The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication. However, the published material is being distributed without warranty of any kind, either expressed or implied. The responsibility for the interpretation and use of the material lies with the reader. In no event shall the World Health Organization be liable for damages arising from its use. Printed in Switzerland  3 IMCI DISTANCE LEARNING COURSE |  MODULE 2. THE SICK YOUNG INFANT 󰁮  CONTENTS Acknowledgements 42.1 Module Overview 5 PART I. Assess, classify, and treat the sick young infant 9 2.2 Introduction to sick young infant 102.3 Assess a sick young infant for signs of serious disease 122.4 Assess & classify jaundice 222.5 Assess & classify diarrhoea in young infant 272.6 Treat the young infant requiring urgent referral 302.7 Treat the young infant not requiring urgent referral 352.8 Provide follow-up care for the sick young infant 39 PART II. Feeding problems and counselling the caregiver 42 2.9 Assess feeding problems or low weight 432.10 Check immunizations 542.11 Counsel the caregiver on feeding 562.12 Counsel the caregiver on infant care 652.13 Using this module in your clinic 682.14 Review questions 702.15 Answer key 71  IMCI DISTANCE LEARNING COURSE |  MODULE 2. THE SICK YOUNG INFANT 4 Acknowledgements Te WHO Department of Maternal, Newborn, Child and Adolescent Health initiated the development of these distance learning materials on the Integrated Management of Childhood illness (IMCI), in an effort to increase access to essential health services and meet demands of countries for materials to train primary health workers in IMCI at scale. Tese materials are intended to serve as an additional tool to increase coverage of trained health workers in countries to support the provision of basic health services for children. Te technical content of the modules are based on new WHO guidelines in the areas of pneumonia, diarrhoea, febrile conditions, HIV/ AIDS, malnutrition, newborn sections, infant feeding, immunizations, as well as care for development.Lulu Muhe of the WHO Department of Maternal, Newborn, Child and Adolescent Health (MCA) led the development of the materials with contributions to the content from WHO staff: Rajiv Bahl, Wilson Were, Samira Aboubaker, Mike Zangenberg, José Martines, Olivier Fontaine, Shamim Qazi, Nigel Rollins, Cathy Wolfheim, Bernadette Daelmans, Elizabeth Mason, Sandy Gove, from WHO/Geneva as well as eshome Desta, Sirak Hailu, Iriya Nemes and Teopista John from the African Region of WHO.  A particular debt of gratitude is owed to the principal developer, Ms Megan owle. Megan helped in the design and content of the materials based on the field-test experiences of the materials in South Africa. A special word of thanks is also due to Gerry Boon, Elizabeth Masetti and Lesley Bamford from South Africa and Mariam Bakari, Mkasha Hija, Georgina Msemo, Mary Azayo, Winnie Ndembeka and Felix Bundala, Edward Kija, Janeth Casian, Raymond Urassa from the United Republic of anzania WHO is grateful for the contribution of all external experts to develop the distance learning approaches for IMCI including professor Kevin Forsyth, Professor David Woods, Prof S. Neirmeyer. WHO is also grateful to Lesley-Anne Long of the Open University (UK), Aisha Yousafzai who reviewed the care for development section of the well child care module, Amha Mekasha from Addis Ababa University and Eva Kudlova, who have contributed to different sections of the distance learning modules.We acknowledge the help from Ms Sue Hobbs in the design of the materials. Financial and other support to finish this work was obtained from both the MCA and HIV departments of WHO.
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