Integrated management of childhood illness by outpatient health workers: technical basis and overview. The WHO Working Group on Guidelines for Integrated Management of the Sick Child

Bull World Health Organ. 1997;75 Suppl 1(Suppl 1):7-24.


This article describes the technical basis for the guidelines for the integrated management of childhood illness (IMCI), which are presented in the WHO/UNICEF training course on IMCI for outpatient health workers at first-level health facilities in developing countries. These guidelines include the most important case management and preventive interventions against the leading causes of childhood mortality--pneumonia, diarrhoea, malaria, measles and malnutrition. The training course enables health workers who use the guidelines to make correct decisions in the management of sick children. The guidelines have been refined through research studies and field-testing in the Gambia, Ethiopia, Kenya, and United Republic of Tanzania, as well as studies on clinical signs in the detection of anaemia and malnutrition. These studies, and two others from Uganda and Bangladesh, are presented in this Supplement to the Bulletin of the World Health Organization.

Publication types

  • Guideline
  • Practice Guideline

MeSH terms

  • Ambulatory Care Facilities
  • Ambulatory Care*
  • Anemia / prevention & control
  • Antinematodal Agents / therapeutic use
  • Child
  • Child Nutrition Disorders / prevention & control
  • Child, Preschool
  • Developing Countries
  • Diarrhea / therapy
  • Disease Management*
  • Health Personnel / education
  • Humans
  • Infant
  • Measles / therapy
  • Mebendazole / therapeutic use
  • Reproducibility of Results
  • Therapeutics*
  • Workforce


  • Antinematodal Agents
  • Mebendazole