IMCI - Integrated Management of Childhood Illnesses

Even though child mortality has been reduced over the past decades, still today, nearly seven million children die every year before reaching their fifth birthday. Integrated Management of Childhood Illness (IMCI), developed by WHO and UNICEF, is one of the key strategies of the drive to improve child health. Multi-country evaluations show that IMCI is cost-effective and helps improve health worker performance and their quality of care, ultimately contributing to reducing under-five mortality. To date, IMCI has been introduced in over 100 countries as a strategy to improve child health.

The introduction of IMCI at country level, however, requires a great deal of coordination among existing health programs and services. Main challenges include the adaptation of national IMCI guidelines on a regular basis as well as training and re-training of a sufficient number of staff in IMCI.


ICATT – IMCI Computerized Adaptation and Training Tool

In order to tackle these challenges, the Novartis Foundation has supported the WHO in the development of an eLearning tool called ICATT. ICATT (IMCI Computerized Adaptation and Training Tool) on the one hand facilitates the adaptation of IMCI guidelines to meet country-specific requirements and on the other hand helps scale up IMCI training.

ICATT has been tested in several countries, indicating that the tool can facilitate the scaling-up of training in IMCI as it reduces training time and costs while maintaining the same training outcomes as traditional IMCI training. To date, 24 countries have completed IMCI adaptation through ICATT and WHO is further disseminating the software at global level. The ICATT software is maintained by the Swiss Tropical and Public Health Institute (Swiss TPH) and can be downloaded here.

IMPAC - Integrated Management of Pregnancy And Childbirth

Apart from childhood diseases, one of the biggest challenges today is maternal and newborn mortality. Every day approximately 800 women die from preventable causes related to pregnancy and childbirth. 99% of all maternal deaths occur in developing countries. In addition, newborn deaths account for 40% of all deaths among children under five.


The WHO guidelines IMPAC (Integrated Management of Pregnancy And Childbirth) aim addressing the improvement of skills of health workers to better respond to the needs of pregnant women and their newborns.


IMPACtt - Integrated Management of Pregnancy And Childbirth training tool

To increase the skilled health workforce in maternal and newborn health, the Novartis Foundation has supported the WHO and the Swiss TPH to develop IMPACtt - the Integrated Management of Pregnancy and Childbirth training tool. IMPACtt is based on the ICATT software and will comprise four modules on antenatal care, childbirth care, essential newborn care and postnatal care.


To date, the module on Essential Newborn Care has been finalized and is available in the download section. The module on Focused Antenatal Care is under development.