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(2)2 Dear Colleagues, I am pleased to inform you of the rapid progress in implementing the Integrated Management of Child Care Strategy (IMCI) in Member States of the Region

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In the Name of God, the Compassionate, the Merciful

Address by

DR HUSSEIN A. GEZAIRY REGIONAL DIRECTOR

WHO EASTERN MEDITERRANEAN REGION to the

INTERCOUNTRY WORKSHOP ON PLANNING AND IMPLEMENTATION OF THE IMCI COMMUNITY CHILDCARE COMPONENT IN FIVE IMCI

MEMBER STATES OF THE MEDITERRANEAN REGION

EMRO, Cairo, 29 June–4 July 2002

Distinguished Participants, Dear Colleagues, Ladies and Gentlemen,

It gives me great pleasure to welcome you to this important event, the Intercountry workshop on planning and implementation of the IMCI community childcare component in five IMCI Member States of the Eastern Mediterranean Region. I would like also to welcome our colleagues from WHO headquarters and from UNICEF regional and country offices.

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Dear Colleagues,

I am pleased to inform you of the rapid progress in implementing the Integrated Management of Child Care Strategy (IMCI) in Member States of the Region. Currently, 15 of the 23 countries are implementing this strategy in our Region and 4 more countries have included the IMCI introduction and implementation in their plans of action for the current biennium 2002–

2003. Therefore, by the end of 2003, 19 countries will be implementing the IMCI strategy.

It is a strategy that is both based on evidence, and flexible, and so it can be adapted to the various different health systems, health policies and socioeconomic situations in our Region, a Region which is characterized by the remarkable diversification of its Member States.

I am also glad to note that IMCI implementation in the Region is currently shifting its focus from integrated management of the sick child, to the integrated management of child care, covering both sick and healthy children, whether taken to a health facility or cared for at home.

Dear Colleagues.

I believe you will agree with me that the family and the community where the child lives play a major role in child care. It is the family that cares for the child, feeds him, stimulates his psycho-social development, protects him against accidents and threats, makes sure that he is immunized against preventable illness, treats him when he is unwell, decides when and from which source to seek care when he becomes sick, administers the treatment advised by the health provider and carries out his or her instructions. To provide good care, the family needs knowledge, skills, motivation and support. The child has the right to have a family that is able to protect his or her health and that provides a supportive environment that is adequate to the child’s physical and psycho-social development.

Families have the major responsibility for caring for children and success requires partnership between the health system and families, with support from their communities. Let me emphasize the indispensable role of the community in child care. Because of this role, the Regional Office has taken major steps to provide guidelines to assist the Member States in the implementation of the IMCI community component. In order to achieve this objective, the

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Regional Office organized a special intercountry meeting with a main focus on the IMCI community component in October last year in Lattakia, Syrian Arab Republic, and also developed a framework for the community component of the integrated child care strategy. This framework was based on the discussions and recommendations of countries and international multilateral and bilateral agencies at the regional IMCI consultation held in Alexandria, Egypt, in November 2000 and the meeting in the Syrian Arab Republic last year.

Substantial and critical input was ensured from the field work with Member States during the process of development of this framework. The framework is being proposed in the Region as a major instrument to facilitate the implementation of the IMCI community component and some countries are already adopting it to strengthen their plans.

Therefore, I am very glad to note that this Workshop will be a follow-up of the recommendations of the meeting in the Syrian Arab Republic. This follow-up reflects our awareness of the importance of the community component of IMCI, aiming at strengthening the role of families and communities to provide care for their children’s health and development.

These efforts also highlight the emphasis the Regional Office is giving to accelerate the pace of implementation of the IMCI community component in order to replicate the progress achieved in the other two components.

Dear Colleagues,

I would like to thank you all for participating in this important Workshop. I am confident that you will be able to develop comprehensive plans of action to ensure the successful implementation of child health-related community interventions. I look forward to a successful outcome for your Workshop.

I wish you fruitful discussions and a pleasant stay in the beautiful and hospitable city of Cairo.

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