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Integrated Management of Childhood Illness (IMCI) is a strategy for improving the health of children. The objectives of the multi-country evaluation (MCE) are to evaluate the impact of the IMCI strategy on child health, and the cost-effectiveness of the strategy. The report provides a summary of the evaluation work to date and directions for the future. The chapters cover the methods used in the MCE, summaries of progress and plans in each of the four countries where the evaluation has taken place, and a list of the products of the MCE in terms of evaluation tools, capacity building and the establishment of new knowledge about IMCI implementation. These demonstrate how the MCE is strengthening the knowledge base and capacity for child health programming in developing countries