Child and Adolescent Health and Development

Note: the data on IMCI implementation in Sudan reported here currently refer mostly to Northern States (see table in “IMCI implementation in the states”), but will be updated for the whole country as soon as more information becomes available.

Click here to see the progress of IMCI implementation in the different states for which information is available. 

Targeted coverage of providers at health facility

§              Physicians and especially medical assistants at PHC facilities are the main target for IMCI training. Nurses and nutritionists have also been trained in IMCI in selected cases.

11-day courses for both physicians and medical assistants

Training materials are based on the Sudanese-adapted version of the IMCI guidelines, available in English and Arabic

Courses conducted and health providers trained

122 IMCI clinical courses have been conducted (see graph), including 15 ‘modified training courses for crisis’, and over a total of 2600 physicians and paramedical staffs—especially medical assistants—have been trained in IMCI case management (see graph) as of the end of 2005. Efforts to build capacity for IMCI training at state level have continued (see  graph). Top

1. One-day IMCI orientation workshop

2. Establishment of an IMCI committee at state level

3. Assessment and preparation of a training centre

4. Training of trainers

5. Selection of locality for IMCI implementation

6. Collection of baseline data

7. Assessment of health facility basic needs and supplies

8. IMCI district planning workshop

9. Training in case management (skills acquisition)

10. Training in facilitation and follow up skills

11. Follow up after training (skills reinforcement)

12. Supervision

13. Selection of a community for IMCI implementation

1.   One-day IMCI orientation workshop for staff from State Ministry of Health, local government, and non-governmental organizations operating in the state. Top

2. Establishment of an IMCI committee at state level with assignment of an IMCI coordinator, including the state minister of health, state ministry of health director-general, EPI coordinator, nutrition coordinator, director of pharmacy, and representative of state non-governmental organizations. Top

3. Assessment and preparation of a training centre for IMCI training activities. Top

4. Training of trainers to build state capacity for IMCI training (see graph). Top

5. Selection of locality for IMCI implementation based on the following considerations:

1. Number, conditions and functionality  of health centres in the area;

2. Implementation of other initiatives in the area (e.g., community-based basic development needs or BDN);

3. Presence of non-governmental organizations working in the area with a focus on health;

4. High proportion of children under-5;

5. High prevalence of the main problems targeted by IMCI. Top

6. Collection of baseline data , with findings discussed in an IMCI orientation workshop. Top

7. Assessment of health facility basic needs and supplies (e.g. daily register, sick young infant and child recording forms, monthly reporting forms, IMCI chart booklets and mother cards, timers to count the respiratory rate, thermometers and scales).  Top

8. IMCI district planning workshop

9. Training in case management (skills acquisition) for doctors and medical assistants. Top

10. Training in facilitation and follow up skills

11. Follow up after training (skills reinforcement), conducted 6-12 weeks after the IMCI training course. Top

12. Supervision, carried out at Federal, state and lower level (routine supervision). Federal supervision includes review of implementation of the annual plan, visit to the IMCI training site and drug store, and visit to at least 3 health facilities implementing IMCI in the state (using the form for follow-up visits after IMCI training, which includes review of health provider and health facility performance). All health facilities are supposed to be visited on a quarterly basis. Supervisors undergo a 3-day training on IMCI supervision, including practising the use of the IMCI supervisory checklist under the supervision of the course facilitators. Reports are collated on a quarterly basis and sent to the central office in Khartoum. Top

13. Selection of a community for IMCI implementation to introduce the IMCI community component; training of trainers of volunteers; assignment of a community component coordinator; KAP survey; training of volunteers.  Top