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Analysis Strategic Review of Child Health

Methods for the strategic review of programmes for integrated management of childhood illness and community cases

BMJ 2018; 362 doi: https://doi.org/10.1136/bmj.k2989 (Published 30 July 2018) Cite this as: BMJ 2018;362:k2989

Strategic review of child health

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  1. Sarah L Dalglish, study coordinator
  1. Strategic review of IMCI and iCCM, World Health Organization, Geneva, Switzerland
  1. Correspondence to: S L Dalglish sarah.dalglish{at}gmail.com

Sarah Dalglish describes the purpose, methods, and process used to conduct the 2016 strategic review of Integrated Management of Childhood Illness and integrated Community Case Management

Key messages

  • The strategic review of Integrated Management of Childhood Illness and integrated Community Case Management aimed to learn from implementation of past strategies to inform recommendations on meeting global child health goals.

  • Review authors synthesised 34 quantitative and qualitative data sources, with data collection methods including literature and desk reviews, in-depth interviews, a global implementation survey, and country case studies and implementation vignettes

  • Data analysis was iterative and used pre-defined research questions to interrogate data, discussion at in-person analysis workshops, and consultation with global, regional, and country level stakeholders.

  • As health needs, scientific evidence, and technology change, exercises such as the strategic review may help guide global and national public health strategies.

Twenty years after the introduction of Integrated Management of Childhood Illness (IMCI) as a global child health strategy, later complemented by integrated Community Case Management (iCCM), the World Health Organization and the United Nations Children’s Fund (Unicef) sought to re-envision their approach to reducing child mortality and promoting the wellbeing of children worldwide. The strategic review of IMCI and iCCM was designed to provide evidence based recommendations towards achieving child health goals under the sustainable development goals and Global Strategy for Women’s, Children’s, and Adolescents’ Health (2016-30). This article provides an overview of the strategic review’s methods to contextualise and situate the findings presented in this online collection (www.bmj.com/child-health).

In 2015, concerns about the lack of sustained interest and funding of child health globally coincided with the advent of new priorities under the sustainable development goals, prompting WHO to seek to review its global child health strategies. Initial discussion among stakeholders led to the formation of a WHO-Unicef coordinating group and an …

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