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The introduction of IMCI or other public health approaches into pre-service training requires actions at two levels: 

• National

• Institutional 

The process of introduction and implementation can go through 4 main phases, as shown in this table. They are: 

1. Preparatory and orientation

2. Planning

3. Implementation and monitoring

4. Review and re-planning

The preparatory and orientation phase for IMCI pre-service is essential for the sustainability of the initiative and aims at creating at both national and institutional levels a conducive supportive environment for implementation. The planning phase “sets the scene” for the initiative and plays a critical role. The other two phases relate to the implementation of the intervention and its review to re-plan for a new cycle. Each phase consists of a number of steps.