RT Journal Article
SR Electronic
T1 Integrated management of childhood illness: what have we learned and how can it be improved?
JF Archives of Disease in Childhood
JO Arch Dis Child
FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health
SP archdischild-2011-301191
DO 10.1136/archdischild-2011-301191
A1 Mickey Chopra
A1 Nancy J Binkin
A1 Elizabeth Mason
A1 Cathy Wolfheim
YR 2012
UL http://adc.bmj.com/content/early/2012/01/25/archdischild-2011-301191.abstract
AB Integrated management of childhood illness (IMCI) was developed by the WHO and UNICEF in the mid-1990s as a strategy to reduce under-five mortality. Aimed at countries with mortalities >40/1000 live births, it has been adopted by more than 100 countries. Repeated evaluations have demonstrated that IMCI can improve the quality of clinical care for sick children, but coverage has rarely reached high enough levels to achieve the expected reductions in mortality. In this paper, we discuss the reasons why IMCI has fallen short of its full potential, what has already been done to address some of these issues, and how it could be repositioned to achieve its original goals.