Integrated Management of Childhood Illness

IMCI is the internationally and nationally (South Africa) recommended clinical approach to Primary Health Care (PHC) of Children. The primary goal of IMCI is to significantly reduce morbidity and mortality of children below the age of 5 years old. It is targeted at nurses and clinicians; it promotes standardised diagnostic and treatment algorithms for common childhood illnesses as well as HIV/TB management.

The IMCI model adopts a holistic approach to case-management, with a special follow-up module for HIV management that encompasses antiretroviral therapy (ART).

Zoë-Life’s involvement in IMCI
Zoë-Life supports the South African Government to improve the quality of healthcare services to children younger than five.  A significant role of Zoë-Life at national level has been the adaptation of breakthrough training methodology developed by WHO called IMCI-ICATT.

IMCI Training is offered by a team of Zoë-Life specialists. The training and implementation support package assists primary healthcare workers to:

  • Identify and treat diseases
  • Prescribe appropriate treatment
  • Counsel the caregiver effectively, and
  • Refer very ill children to critical care.

IMCI Training is offered in two ways:

  • 11-day training
  • 4-day computer-based training (I-CATT)

IMCI Technical Advice (TA) to Government is provided to improve implementation, monitoring and evaluations and skills at National, Provincial and District levels.

IMCI Resources

Zoë-Life has developed IMCI work-aids to assist healthcare workers to understand and implement the algorithms using colourful and simple graphics and workflows.  Zoë-Life has developed graphic based algorithms which assist nurses and doctors to remember the complex processes more easily.

Zoë-Life has also adapted the generic World Health Organisation (WHO) I-CATT content specifically for South Africa.

What is c IMCI?

c IMCI is the Community component supporting clinical IMCI ( Integrated Management of Childhood Illnesses)

It  was developed by the World Health Organisation (WHO) and the United Nations Children Fund (UNICEF) to improve the quality of healthcare services to children younger than 5.

It is aimed at empowering communities at a household level to develop healthy and safe practises with children to ensure a significant reduction in the mortality and morbidity of children under 5 years of age.

c IMCI also links community to the facility for speedy and accurate referrals, clarifying the roles and responsibilities of both the community and the facilities.

Equipping the community

c IMCI promotes 16 key family practices that can be implemented in homes, early childhood development (ECD) centres, schools and community-based organisations (CBOs).  c IMCI guides parents, community workers and ECD facilitators to improve outcomes of their children regarding nutrition, growth, sanitation, TB/HIV and stunting.

Zoë-Life provides c IMCI Training to community healthcare workers (CHWs), teachers and community-based organisations, and provides ongoing support and mentorship to empower families and communities. This includes enabling CCG’s(Community Care Givers) and ECD facilitators to assess nutrition, supply Vitamin A and deworming medication and identify most at risk children.

c IMCI Resources

Zoë-Life has developed a c IMCI work-aid to equip community workers to share their knowledge with families and teachers. This is a critical part of ensuring sustainability and standardization of messaging.