GOALS OF IMNCI • Standardized case management of sick and new‐ borns and children. • Focused on most common causes of mortality like perinatal, ARI, diarrhoea, measles, malaria • Home care of new‐borns - To promote exclusive breastfeeding - To prevent hypothermia In each country, the IMCI clinical guidelines are adapted: To cover the most serious childhood illnesses typically seen at first-level health facilities, To make the guidelines consistent with national treatment guidelines and other policies, and To make the guidelines feasible to implement through the health system and by families IMNCI Integrated Management of Newborn and Childhood Illnesses IMR Infant Mortality Rate IYCF Infant and Young Child Feeding KMC Kangaroo Mother Care the under-five deaths in Ethiopia has declined from nearly half a million, 444,000 a year in 1990, to about 196,000 in 2013. However, the mortality reduction was not uniform across the IMNCI has 3 components- capacity building of health workers, health system strengthening and improving community and family practice. For best results, all three components of the IMNCI strategy should be implemented in a coordinated fashion. IMNCI implementation in india has been uneven. The main focus has been on capacity building and with These guidelines will be reviewed and updated regularly, based on any additional evidence regarding the severity and magnitude of the pandemic and its effect on children in Ethiopia. Any changes or modifications to the Integrated Community Case Management (iCCM), Integrated Management of Newborn and Childhood Illnesses (IMNCI) and hospital Policy guideline was available in India and Ethiopia but implementation was challenging Some countries wanted more implementation experience before making Benefits of IMNCI in design and impact * Cochrane review on IMCI (2016) "IMNCI is very relevant for the country. It is a complete holistic module with child Integrated management of neonatal and childhood illness (IMNCI), a universally acclaimed community-based child-survival programme was rolled out in Odisha during 2006 and the Anganwadi workers updated as new information is acquired. The guidelines in the manual are consistent and support IMNCI training materials for outpatient management of sick children. Young infants (up to 2 months) and children (2 months up to 5 years) referred with severe classifications based on IMNCI strategy are assessed and investigated on the basis of The Federal Ministry of health of Ethiopia has been working towards standardization and institutionalization of in-service (IST) trainings at national level. As part of this initiative the Trauma care, distribute ambulances to each woredas and develop guidelines and protocols for emergency medical service system to run efficiently and Fast Breathingand / or Lower Chest Indrawin g No signs ofbreathing or chest indrawing: pneumonia or very severe disease. (if wheeze go directlyto treat IMNCI guidelines recommend standardized case management procedures That based on two age categories: - 1. Upto 2 months and 2. 2 months to 5 years 17. Care of Newborns and Young Infants (infants under 2 months) 1. Keeping the child warm. 2. Initiation of breastfeeding immediately after birth and counseling for exclusive breastfeeding and non Childhood Illness (IMNCI)'. The IMNCI clinical guidelines target children less than 5 years old — the age group that bears the highest burden of deaths from common chil