World Health Organization
 Collaborating Center on
 Pharmaceutical Policy

    Improving Access to and Use of Essential Medicines

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Medicines and Insurance Coverage (MedIC) Initiative



Glossary of Terms Used for Pharmaceuticals and Pharmaceutical Policies in Low- and Middle-Income Countries


IMCI Intervention Manual

The primary reason for developing interventions to improve community medicines management for childhood illnesses is to ensure that correct treatment is available and that families are able to seek, obtain, and appropriately use medicines for common childhood illnesses such as malaria, pneumonia, coughs and colds, or diarrhea. In many countries, as recommended by the WHO, these common child health problems are addressed using an approach known as Integrated Management of Childhood Illness (IMCI). However, in addition to comprehensive IMCI training programs, many other public and private health programs have developed interventions intended to improve access to pediatric medicines by caregivers or prescribing and dispensing of these medicines by health providers. These approaches are often developed in a haphazard way and do not always take advantage of what is known about how to increase the effectiveness of behavioral interventions.

With support from the USAID Rational Pharmaceutical Management Plus Project, Dr. Dennis Ross-Degnan and colleagues at DACP have developed a manual entitled Improving Community Use of Medicines in the Management of Child Illness: A Guide to Developing Interventions. This guide is designed to help key decision makers national and district level program managers, policy makers in health delivery systems, and staff of non-governmental organizations (NGOs) working on child survival or pharmaceutical management issues plan and implement effective interventions to improve the availability and appropriate use of medicines for child illness at the community level. The manual introduces, as part of the IMCI process, a logical approach to identifying and addressing child health problems related to the availability and use of medicines. The approach is similar to the way a thoughtful clinician would diagnose and treat a sick patient.

Topics covered include identifying problems in managing childhood illness, exploring and analyzing those problems, examining intervention options to address the problems throughout the health care system, and planning and designing interventions to address specific childhood illness problems. The manual is currently under final review by key international experts at WHO and USAID, and will be available on the CCPP website when completed.


Information from the Third International Conference for Improving Use of Medicines, ICIUM2011