C-IMCI is implemented through village health support groups (VHSGs) and other groups of community volunteers and health activists, with some supports and involvements from public health system, and other relevant ministries and institutions from national level down to community level. Focal persons at sub-national levels are trained on 11 modules including introduction, adult learning & basic communication skills, antenatal & postnatal care, breastfeeding & complementary feeding, micronutrients, immunization, hygiene & infectious disease prevention, home care of sick child & care seeking, psychosocial development of the child, malaria prevention and treatment, community case management of pneumonia, diarrhea and fever.
Roles and responsibilities are set for the focal persons at national levels down to community level. C-IMCI focal persons at national level are responsible for conducting training of trainer (TOT) for C-IMCI focal persons at provincial health department (PHD) and operational district (OD) of their respective modules and the supervisory skills. Provincial and district C-IMCI focal persons in turn roll out the relevant trainings for health center staff, and the trained health center staff conduct training, with assistance from PHD and OD, for VHSGs, relevant community volunteers and school teachers. Finally, the trained VHSGs organize community health education session on all modules and facilitate case referral to health facilities.
At all levels of facilities, some approaches are developed to effectively manage the implementation of C-IMCI including planning, organization, coordination, implementation, and monitoring & evaluation.
