Integrated Management of Childhood Illness (IMCI) — MDC LICENSE Viva & Clinical Scenarios (Maternal and Child Health Programmes)

Exam-style integrated management of childhood illness (imci) viva scenarios with examiner probes and model answers for Community Health and Public Health…

Scenarios covered

• SCENARIO 1: An 11-month-old infant weighing 8.5 kg is brought to the health center with a 3-day history of cough and fever. On examination, the child is alert and able to drink breast milk eagerly. The respiratory rate is 54 breaths per minute. There is no chest indrawing and no stridor. Axillary temperature is 38.8°C. Rapid Diagnostic Test for malaria is negative. Palmar pallor is absent, and MUAC is 135 mm. Using the IMCI guidelines, classify this child's illness, outline the complete treatment plan including drug dosage, and state the exact counseling points and follow-up instructions for the caregiver
• SCENARIO 2: A 3-week-old neonate is brought to the outpatient department due to poor feeding and lethargy for 24 hours. Physical examination reveals an axillary temperature of 35.2°C, respiratory rate of 68 breaths per minute with severe chest indrawing and grunting. The umbilical stump has foul-smelling purulent discharge with erythema extending 1.5 cm onto the abdominal skin. Formulate the IMCI classification, detail the immediate emergency pre-referral interventions required before transfer to a neonatal intensive care unit, and outline safe transit measures.
• SCENARIO 3: A 2-year-old child presents with watery diarrhea for 4 days. The child is irritable and restless. The eyes are moderately sunken. When offered water, the child drinks eagerly and reaches for the cup. A skin pinch of the abdomen goes back slowly (under 2 seconds). The child has no blood in stool and no fever. Classify the diarrheal disease and dehydration status under IMCI, calculate the fluid requirements according to the appropriate treatment plan, and state the nutritional management.
• SCENARIO 4: During a district clinical audit, it was discovered that primary healthcare centers consistently fail to evaluate general danger signs and nutritional status in under-five children presenting with simple complaints. As the District Child Health Coordinator, describe how you would conduct an IMCI clinical supervisory and mentoring visit to improve compliance with the integrated case management process.