Integrated Management of Childhood Illness (IMCI) is a strategy formulated by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF), presented in 1996 as the principal strategy to improve child health.
IMCI was introduced in Bangladesh in 2002 with assistance from UNICEF, WHO and other development partners.
IMCI diseases in Bangladesh Distribution of various diseases among 1-5 years children (n=1,301,503) Source: IMCI Performance Report- 2010 - Management Information System (MIS), Directorate General of Health Services (DGHS), www.dghs.gov.bd According to the figure : Majority of the children were found to suffer from Acute Respiratory Infection (ARI) i.e. cough and cold, pneumonia & very severe disease
ARI Acute respiratory infection (ARI), mostly in the form of pneumonia, is the leading cause of death in children under five, killing over two million children annually.
Improved medical treatment combined with wider access to health care could help to reduce child mortality but huge numbers of children continue to die needlessly. Many of these children were never seen at a health facility due to :
Lack of service delivery centers
Lack accessibility to the existing services
Families and other caregivers do not recognize the warning signs of life-threatening illness.
Source: IMCI Performance Report- 2010 - Management Information System (MIS), Directorate General of Health Services (DGHS), www.dghs.gov.bd
BSPs are the social change agents in their respective territories and themselves are very much enthusiastic to contribute in ARI control program. Build the capacity of BSPs through providing them training to make them competent to
Deliver correct information to the community
Quick case detection & treatment
Effective referral whenever necessary to the nearby service delivery center.
People expressed lot of interest towards SMC’s outreach activities and had high participation from the locality.
The local leaders and influential people made their commitment to extend their utmost support to implement the SMC’s programs
Blue-Star centers became the primary referral point in any health related issues from the community
BSPs become competent and confident in delivering health services upon which they got training from SMC e.g. FP, MNH, TB
Conclusion About 90 per cent of the children die each year, die at home. How children are cared for at home and in their community has a decisive impact on their chances of survival. We need to provide parents and caregivers with essential knowledge and commodities that can save the lives of their children. SMC has enormous capability to overcome the challenges to avoid such unwanted deaths of the children of Bangladesh.