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IntegratedManagement ofChildhoodIllness
Department of Child and Adolescent Healthand Development (CAH)
© World Health Organization 2005
All rights reserved. Publications of the World Health Organization can be obtained from Marketing and Dissemination, World HealthOrganization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel: +41 22 791 2476; fax: +41 22 791 4857; email: bookorders@who.int).Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should beaddressed to Publications, at the above address (fax: +41 22 791 4806; email: permissions@who.int).The designations employed and the presentation of the material in this publication do not imply the expression of any opinion whatsoeveron the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, orconcerning the delimitation of its frontiers or boundaries. Dotted lines on maps represent approximate border lines for which there may notyet be full agreement.The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by theWorld Health Organization in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters.The World Health Organization does not warrant that the information contained in this publication is complete and correct and shall not beliable for any damages incurred as a result of its use.Designed by minimum graphics
WHO Library Cataloguing-in-Publication DataHandbook : IMCI integrated management of childhood illness.1.Disease – in infancy and childhood2.Disease management3.Child healthservices – organization and administration 3.Delivery of health care, Integrated4.Community health aides – education7.ManualsI.World Health OrganizationISBN 92 4 154644 1(NLM classification: WS 200)
How to adapt the Model IMCI Handbook
Note: Do not include this section in the adapted IMCI Handbook 
The WHO/UNICEF guidelines for
Integrated Management of Childhood Illness
(IMCI) offer simple andeffective methods to prevent and manage the leading causes of serious illness and mortality inyoung children. The clinical guidelines promote evidence-based assessment and treatment, usinga syndromic approach that supports the rational, effective and affordable use of drugs. Theguidelines include methods for checking a child’s immunization and nutrition status; teachingparents how to give treatments at home; assessing a child’s feeding and counselling to solvefeeding problems; and advising parents about when to return to a health facility. The approach isdesigned for use in outpatient clinical settings with limited diagnostic tools, limited medicationsand limited opportunities to practice complicated clinical procedures.In each country, the IMCI clinical guidelines are adapted:
To cover the most serious childhood illnesses typically seen at first-level health facilities,
To make the guidelines consistent with national treatment guidelines and other policies, and
To make the guidelines feasible to implement through the health system and by familiescaring for their children at home.The IMCI charts and related in-service training materials, provided by WHO and UNICEF, areconsidered to be a “generic” version. This model IMCI handbook is also a generic document. TheWHO Department of Child and Adolescent Health and Development (CAH) created this handbookto help teaching institutions incorporate IMCI into academic programmes for doctors, nurses andother health professionals.Before the handbook can be used, however, it needs to be adapted in two ways:
Technical Adaptation:
All text, charts and illustrations in the model handbook should becarefully reviewed and, if needed, revised to make them consistent with the nationally adaptedIMCI guidelines.
Pedagogical Adaptation:
The model handbook should be modified to correspond to theteaching/learning methods used by a faculty. For example, a faculty may choose to revise or re-format the handbook as a stand-alone document, or to incorporate the contents of the handbookinto other materials or textbooks.The two step process of adaptation will ensure that the content of the handbook is consistentwith a country’s national IMCI guidelines, and that its style and format are compatible with afaculty’s approach to teaching.

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