Maternal, newborn, child and adolescent health

Report of a technical consultation on IMCI training approaches and pre service IMCI

Geneva, Switzerland, 19-23 November, 2007

World Health Organization

Cover image

Publication details

Number of pages: 46
Publication date: 2008
Languages: English
ISBN: 9789241597159



The implementation of Integrated Management of Childhood Illnesses (IMCI) strategy has been shown to improve health workers' performance and quality of service. Currently, more than 100 countries have adopted the IMCI strategy. However, the number of IMCI-trained health workers is limited. Among the challenges are:

  • lack of resources;
  • inadequate number of trained facilitators;
  • long duration of training (11 days); and
  • the need to expand/adapt the IMCI training materials to accommodate other conditions (e.g. HIV, Infant and Young Child Feeding, Dengue, and care in the first week of life).

In order to review IMCI training approaches, IMCI pre-service experience and make recommendations to increase IMCI coverage, WHO's Department of Child and Adolescent Health and Development organized a technical consultation from 19-23 November 2007. Preliminary results of a survey on IMCI training approaches, pre-service IMCI and a meta- analysis of findings from studies on the effects of IMCI training duration and effectiveness were presented at the meeting. The experiences from countries and regions were also shared.

The survey concluded that IMCI training is progressing slowly. A meta-analysis that compared the effectiveness of the standard (11 day) IMCI in-service training with shortened training (<11 days) suggested that the standard in-service IMCI training course is more effective than short training; although the magnitude of the difference is unclear.

The report summarizes the proceedings of the consultation.