Community-Based Integrated Management of Neonatal and Childhood Illnesses (CB-IMNCI)
CB-IMNCI is an integration of CB-IMCI and CB-NCP Program that is being implemented across the country after the decision of MoH on 2071/6/28 (October 14, 2015). This integrated package of child‐survival intervention addresses the major problem of sick newborn such as birth asphyxia, bacterial infection, jaundice, hypothermia, low birth weight, counseling of breastfeeding. Among the age group of 2 months to 59 months children, it addresses major childhood illnesses like Pneumonia, Diarrhea, Malaria, Measles and Malnutrition in a holistic way.
In CB‐IMNCI program, FCHVs are expected to carry out health promotional activities for maternal, newborn and child health and dispensing of essential commodities which do not require assessment and diagnostic skills like distribution of iron, zinc, ORS, chlorhexidine and immediate referral in case of any danger signs appear among sick newborn and child. And health workers will counsel, and provided the health service like management of non‐breathing cases, skin to skin contact and management of neonatal sepsis and common childhood illness. Also program has provisioned the post‐natal visits by trained health workers through primary health care outreach clinic. For treatment of possible severe bacterial infection (PSBI), treatment recommended is injection Gentamicin and inj. Ampicillin or oral Amoxicillin.
Goal: Improve new born and child survival and healthy growth and development.
Targets of Nepal Health Sector Strategy (2015-2020)
- Reduction of Under-five mortality rate (per 1,000 live births) to 28 by 2020
- Reduction of Neonatal mortality rate (per 1,000 live births) to 17.5 by 2020
Children can benefit from the diagnosis and treatment of major childhood killer diseases (Pneumonia, Diarrhoea, Malnutrition, Measles and Malaria). Key interventions include:
Newborn Specific Interventions
- Promotion of birth preparedness plan
- Promotion of essential newborn care practices and postnatal care to mothers and newborns
- Identification and management of nonbreathing babies at birth
- Identification and management of preterm and low birth weight babies
- Management of sepsis among young infants (0-59 days) including diarrhea
Child Specific Interventions
- Case management of children aged between 2‐59 months for 5 major childhood killer diseases (Pneumonia, Diarrhoea, Malnutrition, Measles and Malaria)
Cross Cutting Interventions
- Behavior change communications for healthy pregnancy, safe delivery and promote personal hygiene and sanitation
- Improved knowledge related to Immunization and Nutrition and care of sick children
- Improved inter personal communication skills of HW sand FCHVs
The services are available at District Hospitals, Primary Health Care Centres and Health Posts and up to the community level.
All children are eligible to receive the services under CB-IMNCI
No documents or certifications need to receive services under this program.
If you wish to find out more about the program, contact any of the following health facilities nearest to you -
District Health Office
Primary Health Care Centre
Female community Health volunteers during campaigns
Program implemented by:
Child Health Division
Department of Health Services (DoHS)
T : +977 1 4261660
F : +977 1 4251173