Provinces which have started implementing IMCI
Districts which have started implementing IMCI
Health facilities implementing IMCI | Graphs
Health providers trained in IMCI
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MOH&ME official, written endorsement to implement the IMCI strategy |
June 1997 |
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National IMCI Orientation Meeting for decision-makers |
November 1997 |
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National Committee established, IMCI structure set up with appointment of IMCI coordinator and focal point |
November 1998 |
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Adaptation of MCI clinical guidelines completed |
August 1998 |
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First 6-day IMCI case management course for doctors at central level conducted |
October 1999 |
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IMCI early implementation phase started at district level (6-day courses for physicians and 10-day courses for behvarzes) |
January 2000 |
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First IMCI follow-up visits after training conducted |
March 2000 |
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Review of Early Implementation Phase and planning for the Expansion Phase conducted |
December 2001 |
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Beginning of expansion to the whole country |
January 2002 |
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IMCI introduced in pre-service training |
March 2002 |
IMCI implementation
Selection of provinces/districts for IMCI implementation
Criteria used to select provinces and districts for the early implementation phase have included:
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Good physical access to central staff, to enable follow-up;
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Availability of committed staff at district level for planning and management.
Since 2002, all provinces in the country have been implementing IMCI. Top
Preparation of health facilities prior to IMCI implementation
Preparatory activities include ensuring regular supplies of drugs and vaccines. Top
Targeted providers at health facility
Staff working at primary health care (PHC) facilities—including health centres and health houses—and managing children under-five are the primary target of IMCI in the country (see current coverage). Top
IMCI clinical guidelines
The generic WHO/UNICEF IMCI technical guidelines have served as a starting point for the development of the Iranian IMCI guidelines, prepared for different categories of health providers. Top
IMCI case management training course duration
Course duration varies according to the category of health provider involved:
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Physicians: 6 days
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Behvarzes: 10 days Top
Follow up after training (skills reinforcement)
The first follow-up visit after IMCI case management training is usually conducted 4 to 6 weeks after the course. Data collected during the visits are collated at central level. Top
Supervision
Supervision of health providers trained in IMCI is carried out using a 39-item supervisory checklist (in Farsi) developed specifically for this purpose. Top
