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Table 1 Implementation strategies for community-based and facility-based integrated management of childhood illness in Nepal

From: Integrated Management of Childhood Illness implementation in Nepal: understanding strategies, context, and outcomes

Implementation strategy

Facility-based IMCI

Community-based IMCI

Adaptation

X

X

Adaptation of existing training and guidelines to reflect local context

x

x

Expansion and adaptation of existing programs

x

x

Data use

X

X

Data driven adaptations for cost and feasibility

x

x

Piloting

x

x

Local research

 

x

Strengthening management and monitoring and evaluation

x

 

Engagement

X

X

Engagement of community and local stakeholders

x

x

Engagement of partners in preparation and for implementation

x

x

Engagement across sectors

x

 

Engagement of traditional healers

 

x

Integration

X

X

Integration of program into existing structures

x

x

Integration into existing community worker capacity

 

x

Integrating monitoring and evaluation with supervision

 

x

Integration of supervision into existing district health offices

x

 

Training

X

X

Facility staff trained in management and monitoring and evaluation

 

x

Initial and ongoing training through refresher courses

 

x

Training of trainers and cascade to district control and responsibility

x

 
  1. IMCI Integrated management of childhood illness