Implementation of the IMCI strategy involves
the following three components:
- Improvements in the case management skills
of health staff through the provision of locally
adapted guidelines on integrated management
of childhood illness and activities to promote
- Improvements in the health system required
for effective management of childhood illness.
- Improvements in family and community practices.
By improving the coordination and quality of
existing services, the IMCI strategy will increase
the effectiveness of care and reduce costs as
to achieve the following objectives:
- To reduce morbidity and mortality associated
with the major causes of diseases in children.
- To promote healthy growth and development
Phases of implementing the IMCI strategy:
- Introduction phase
- Early implementation phase
- Expansion phase
Stepwise progress of IMCI in Bangladesh
The Government of
Bangladesh decided to pilot the IMCI strategy in 1998. A national steering
committee was formed and a functional secretariat established under the
auspices of the Deputy Programme Manager CDD. After adaptation of the
generic guidelines, implementation started in 2001 in three upazillas. A
formal review meeting held in February 2003 and concluded that the IMCI
strategy was feasible and effective to address the needs of children in
Bangladesh and recommended that the Government make provisions for rapid
scaling up. (GOB/WHO Report of the review of early implementation of IMCI,
February 2003). Accordingly, in December 2003, the National Working Team
(NWT) has developed a plan for scaling-up of IMCI in Bangladesh with
technical assistance from WHO-HQ. Till date facility based IMCI has been
implemented in 48 upzillas. The NWT also has developed C-IMCI strategy and
government has endorsed the document in 2004.
IMCI In-service Training Status:
Training centers: 3 of them are
situated in Dhaka, I in Matuail (Narayangonj) and 1 in Rajshahi. Another one
in Mymensing will be starting its activity very soon.
All trainings provided to the Doctors and other health workers till date,
are supported by WHO and UNICEF. The Clinical Management Trainings (11-days
CMT) are on going and all service providers (doctors, paramedics) from
selected expansion upzilas are being trained on a regular basis.
IMCI Pre-service training status:
During 2004 pre-service training on IMCI
has been piloted in 6 medical colleges. By end of 2007, IMCI should be
included into the curricula of all medical colleges, Nursing Institutes and
IMCI implementation status in
Till date, IMCI is being implemented in 48 upzillas of 15
Current WHO support
WHO will support all those
activities mentioned above regarding implementation
of IMCI in 30 more upzillas in 2004 and 50 upzillas
in 2005 in collaboration with GOB and other
active partners like UNICEF, USAID.
Moreover WHO will be supporting training of
Basic Health Workers through the BHW package
developed by WHO & UNICEF, adapted by GOB.
WHO will be supporting implementation of C-IMCI
through its cadre of VHV's , located at 84 Upzillas
WHO is supporting the adaptation of the
Global strategy for Infant and Young Child Feeding (IYCF) and development of
a national guideline on IYCF.