Lambrechts T, Bryce J, Orinda V
World Health Organization, Geneva, Switzerland.
Bull World Health Organ. 1999;77(7):582-94.
The strategy of Integrated Management of Childhood Illness (IMCI) aims to reduce child mortality and morbidity in developing countries by combining improved management of common childhood illnesses with proper nutrition and immunization. The strategy includes interventions to improve the skills of health workers, the health system, and family and community practices. This article describes the experience of the first countries to adopt and implement the IMCI interventions, the clinical guidelines dealing with the major causes of morbidity and mortality in children, and the training package on these guidelines for health workers in first-level health facilities. The most relevant lessons learned and how these lessons have served as a basis for developing a broader IMCI strategy are described.
儿童疾病综合管理（IMCI）策略旨在通过将改善常见儿童疾病的管理与适当的营养和免疫接种相结合，降低发展中国家儿童的死亡率和发病率。该策略包括提高卫生工作者技能、卫生系统以及家庭和社区做法的干预措施。本文介绍了首批采用和实施IMCI干预措施的国家的经验、处理儿童发病和死亡主要原因的临床指南，以及针对一级卫生设施卫生工作者的这些指南培训包。还描述了汲取的最相关经验教训以及这些经验教训如何成为制定更广泛IMCI策略的基础。
