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вЂ¦Even when provided Quality of Care is a major constraintвЂ¦ 6 | IAEA International Symposium on MAM, Vienna, Austria | 03 June 2014 Clinical careincomplete assessment of patientspoor communication with parentsirrational treatments & counsellingHealth system issuesaccess to services or organization of servicesavailability of appropriate medicines, vaccines & suppliessupport supervision Home/Community 1st level facility Hospital Specialised care Number of children seenEquipment, supplies, case management skills Interventions delivered at home, primary health facility and hospital Where are these Interventions Needed Most? 5 | IAEA International Symposium on MAM, Vienna, Austria | 03 June 2014 4 | IAEA International Symposium on MAM, Vienna, Austria | 03 June 2014

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So how do we take effective interventions to those who need them? Effective interventions exist, but one of the main challenges is how to take them where they are needed. Lancet, 2013 45% of global under-five deaths are associated with Nutrition- related factors* 3 | IAEA International Symposium on MAM, Vienna, Austria | 03 June 2014 Global Health Observatory ()*For undernutrition: Black et al.

Major Causes of Death in Neonates and Children Under-five: World - 2012 Sources: WHO.

Outline of Presentation 2 | IAEA International Symposium on MAM, Vienna, Austria | 03 June 2014 BackgroundWhat is IMCI?Lessons learnt from IMCI trainingNew training optionsConclusion 1 | IAEA International Symposium on MAM, Vienna, Austria | 03 June 2014 Pre-service and In-service Capacity Building: Lessons Learned fromIntegrated Management of Childhood Illness (IMCI)Dr Wilson Were Medical OfficerChild Health Services