CB-IMNCI Program

 

 CB-IMNCI (Community Based Integrated Management of Childhood Illness) program (FY 2075/76 Annual Report, DoHS, Nepal) 




Ø CB-IMNCI is an integrated package of child survival program and addresses

1.    < 2 months : septicemia, hypothermia, jaundice and counseling of breast feeding

2.    2 months to 5 years :major killer diseases @3MAD -  malnutrition , malaria , ARI (pneumonia) , diarrhea , measles

Ø CDD program was initiated in 1983 AD and ARI was initiated in 1987 AD.

Ø ARI and CDD was renamed as CBAC in 2055/56 BS (1997/98 AD) in 5 districts. 

Ø IMCI program was launched in 1997AD as a pilot program in Mahottari.

Ø CBAC (Community Based ARI and CDD) program was merged into IMCI in 1999 AD and called CB-IMCI in 3 districts.

Ø CB-IMCI has been expanded to 75 districts by 2065/66 BS (2008/09 AD).

Ø Zinc supplementation and low osmolar ORS for diarrhea treatment was introduced in FY 2062/63 as pilot program in Rautahat and Parbat.

Ø Zinc supplement program has be implemented to all 75 districts by FY 2066/67.

Ø In 2004 AD, newborn component was added to CB-IMCI with 10 districts.

Ø CMAM program was started since 2008 AD in 5 districts.

Ø CB-IMCI program data has been incorporated with HMIS since FY 2064/65 BS.







Ø In September 2011, MoH decided to implement chlorhexidine (CHX) digluconate (7.1% w/v) aiming to prevent umbilical infection of newborn.

Ø On 2071/6/28 (14 October 2015) MoH had decided to integrate the CB-IMCI and CB-NCP into CB-IMNCI

Ø It is implemented in 30 districts in FY 2071/72.

Ø Vision: Contribute to survival, healthy growth and development of under five years children of Nepal







Ø Goal : To improve newborn and child survival and healthy growth and development 

Ø Targets of NHSS 2015-2020

•     To reduce under five mortality from the current rate to 38/1000 and IMR to 17.5/1000 live births.

Ø Objectives

•     To reduce neonatal morbidity and mortality by promoting essential newborn care services.

•     To reduce neonatal morbidity and mortality by managing major causes of illness.

•     To reduce morbidity and mortality by managing major causes of illness among under five years children.


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