This meeting, inaugurated by Dr Hussein A. Gezairy, the WHO Regional Director for the Eastern Mediterranean, and Dr Ali Asaad, acting Minister of Health of Jordan, had the main purpose to review progress of 10 years of implementation of the Integrated Management of Child Health (IMCI) strategy since it was introduced in the Region in 1996 and set the way forward, also in relation to achieving the Millennium Development Goal no. 4 on reduction of child mortality. A total of 76 participants attended the meeting, including representatives from ministries of health and universities of 16 countries in the Region, partners (Aga Khan Health Services/Pakistan, Medicus Mundi/Andalucia, UNICEF and United Nations Relief and Works Agency/Jordan) and WHO. Through review of country experiences, especially during the many interactive group work sessions, approaches were discussed to scaling up IMCI towards universal coverage and sustaining achievements while keeping the quality of implementation. A session was devoted to the issue of reporting on outcome indicators periodically to monitor progress. Meeting deliberations are summarized in a set of conclusions and recommendations.