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National implementation of Integrated Management of Childhood Illness (IMCI): Policy constraints and strategies

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  • Ahmed, Haitham M.
  • Mitchell, Marc
  • Hedt, Bethany

Abstract

Integrated Management of Childhood Illness (IMCI) is a pediatric care management strategy that has been shown to improve health care service quality and increase health care cost savings in multi-country evaluations. However, many countries have faced significant training, health system, political, and financial constraints to national implementation and, as a result, have not been able to observe sustained benefits of IMCI. This article reviews the literature for evidence of IMCI health impacts, common implementation constraints, and policy strategies for health system strengthening and successful implementation.

Suggested Citation

  • Ahmed, Haitham M. & Mitchell, Marc & Hedt, Bethany, 2010. "National implementation of Integrated Management of Childhood Illness (IMCI): Policy constraints and strategies," Health Policy, Elsevier, vol. 96(2), pages 128-133, July.
    • Handle: RePEc:eee:hepoli:v:96:y:2010:i:2:p:128-133
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    1. AfDB AfDB, . "AfDB Group Annual Report 2007," Annual Report, African Development Bank, number 63 edited by Koua Louis Kouakou.
    2. Adam, Taghreed & Edwards, Sally J. & Amorim, Débora G. & Amaral, João & Victora, Cesar G. & Evans, David B., 2009. "Cost implications of improving the quality of child care using integrated clinical algorithms: Evidence from Northeast Brazil," Health Policy, Elsevier, vol. 89(1), pages 97-106, January.
    3. David Bishai & Gita Mirchandani & George Pariyo & Gilbert Burnham & Robert Black, 2008. "The cost of quality improvements due to integrated management of childhood illness (IMCI) in Uganda," Health Economics, John Wiley & Sons, Ltd., vol. 17(1), pages 5-19, January.
    4. Bruno Marchal & Anna Cavalli & Guy Kegels, 2009. "Global Health Actors Claim To Support Health System Strengthening—Is This Reality or Rhetoric?," PLOS Medicine, Public Library of Science, vol. 6(4), pages 1-5, April.
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    Cited by:

    1. Lê, Gillian & Morgan, Rosemary & Bestall, Janine & Featherstone, Imogen & Veale, Thomas & Ensor, Tim, 2016. "Can service integration work for universal health coverage? Evidence from around the globe," Health Policy, Elsevier, vol. 120(4), pages 406-419.
    2. Lange, Siri & Mwisongo, Aziza & Mæstad, Ottar, 2014. "Why don't clinicians adhere more consistently to guidelines for the Integrated Management of Childhood Illness (IMCI)?," Social Science & Medicine, Elsevier, vol. 104(C), pages 56-63.
    3. Duyen Thi Kim Nguyen & Karen K Leung & Lynn McIntyre & William A Ghali & Reg Sauve, 2013. "Does Integrated Management of Childhood Illness (IMCI) Training Improve the Skills of Health Workers? A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 8(6), pages 1-1, June.
    4. Shankar Prinja & Pankaj Bahuguna & Pavitra Mohan & Sarmila Mazumder & Sunita Taneja & Nita Bhandari & Henri van den Hombergh & Rajesh Kumar, 2016. "Cost Effectiveness of Implementing Integrated Management of Neonatal and Childhood Illnesses Program in District Faridabad, India," PLOS ONE, Public Library of Science, vol. 11(1), pages 1-19, January.
    5. Anatole Manzi & Jean Claude Mugunga & Hari S Iyer & Hema Magge & Fulgence Nkikabahizi & Lisa R Hirschhorn, 2018. "Economic evaluation of a mentorship and enhanced supervision program to improve quality of integrated management of childhood illness care in rural Rwanda," PLOS ONE, Public Library of Science, vol. 13(3), pages 1-12, March.

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