Background
Clinical guidance frameworks set the responsibilities, assessment steps, and treatment algorithms that health workers use when managing common childhood illnesses. Integrated Management of Childhood Illness (IMCI) is a clinical framework that standardizes assessment, classification, and treatment protocols for common pediatric conditions.
The Ministry of Health uses technical working groups to draft and update national clinical guidance, bringing together clinicians from national centres and hospitals to align scope and responsibilities. The July 30, 2026 meeting in Phnom Penh convened a technical working group to update IMCI integration guidance and included representatives from the National Maternal and Child Health Centre, Angkor Children’s Hospital, the National Pediatric Hospital, and the Department of Communicable Disease Control (16 participants reported).
Scope of Application
The updated guidance under preparation is framed as a national clinical directive for the coordination of assessment and treatment responsibilities across maternal-child and pediatric facilities. Drafting and review are focused on public-sector clinical actors represented in the working group, including the National Maternal and Child Health Centre and referral pediatric hospitals.
Key Provisions or Decisions
- The technical working group held an initial meeting to present the proposed framework and work schedule for updating IMCI guidance.
- Members reviewed existing IMCI guidance to assess current content and to define the update’s scope and boundaries.
- Technical responsibilities and task allocations were assigned to working-group members to support drafting and review.
- State Secretary Professor Oum Sittikary provided four formal recommendations for the update process: (1) ensure policy drafting is led by appropriately skilled technical experts; (2) systematically surface implementation challenges for prioritised action items; (3) focus training on competencies and clear assignment of responsibilities; and (4) maintain regular working-group communication to monitor ongoing tasks.
Implications for Compliance and Implementation
If finalized, the updated IMCI integration guidance will establish national expectations for clinical roles, training priorities, and coordination across maternal-child and pediatric services. Health facilities and training entities engaged in pediatric care will need to align local clinical protocols and competency development with the national guidance once it is released.
Official Source
Ministry of Health Facebook post, 30 July 2026: source.





