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Research paper

Integrated management of childhood illness (IMCI) strategy for children under five

The Cochrane Database of Systematic Reviews
Q1
Jun 2016
Citations: 160
Influential: 8
Systematic Reviews / Meta-Analyses
83

Study answer

What this study found

Implementing the IMCI strategy may lead to a reduction in child mortality, particularly infant mortality, but shows little effect on nutritional status. There is some evidence of improved care-seeking behavior, but results are mixed for vaccination coverage and other health metrics.

Study & population
The intervention utilized data from cluster-randomized trials and controlled before-after studies involving children in South Asia and Tanzania, assessing outcomes such as mortality, nutritional status, and health care practices.
Intervention
The integrated management of childhood illness (IMCI) strategy aims to reduce mortality and morbidity in children under five by integrating a variety of health interventions and improving health care delivery.
Key limitation
The certainty of evidence varies, with many results rated as low or very low due to indirectness and precision issues.
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Original abstract

Abstract Background More than 7.5 million children younger than age five living in low‐ and middle‐income countries die every year. The World Health Organization (WHO) developed the integrated management of childhood illness (IMCI) strategy to reduce…