Re-imagining the Package of Care for Children

Since the Millennium Development Goals (MDGs) ended in 2015 and the Sustainable Development Goals (SDGs) started, a global paradigm shift has occurred in the definition of “child” and concept of the child health package of interventions.

The iCCM Task Force focused on improving delivery of case management for diarrhea, malaria, and pneumonia for hard to reach populations. Many actors have advocated - with varying degrees of success - for the incorporation into iCCM, IMCI, and Primary Health Care (PHC) platform, of nutrition, newborn care, pediatric HIV and TB, WASH, and Care for Child Development (CCD). Additionally, important emergent issues such as non-communicable and chronic diseases in children call for use of integrated platforms to deliver essential services in the PHC settings.

In line with the SDG agenda, the Re-imagining the Package of Care for Children subgroup (formerly the Expansion of the Child Health Package subgroup) aims to advocate for integrated service delivery through expanding packages of care using existing service delivery platforms. The subgroup will contribute evidence to ensure that the addition of new packages or interventions is systematic, uses a systems approach, and aims for high coverage to achieve impact. Potential focus areas include Early Childhood Development (ECD) interventions, TB/HIV, and care of the newborn.


That child health services: 1. Apply evidence-based approaches, 2. Are delivered as comprehensive packages, and 3. Are implemented in an integrated manner and with realistic and context-appropriate procedures.


  • Establish a global platform for sharing experiences and evidence, identifying best practices, offering solutions to overcome challenges, and opportunities for cross-learning.
  • Advocating for integrated packages when supported by evidence.
  • Increase evidence generation, including development of a proof-of-concept from small-scale programs to inform the design of integrated large-scale interventions.
  • Improve translation of knowledge into practice, in respective country programs, and to document lessons learned through program implementation.
  • Increase the use of member experiences and presence in the field to influence the course of the global paradigm shift needed in designing and packaging child health interventions.
  • Supporting the translation of the WHO Pediatric Quality of Care Standards in “expanded packages of care.”



  • Cara Endyke-Doran, PCI
  • Raoul Bermejo, UNICEF

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