The ALgorithm for the MANAgement of CHildhood illness (ALMANACH) is an innovation developed by Swiss Tropical and Public Health Institute. ALMANACH is an enhanced digitalised version of WHO’s IMCI guidelines which can be run on tablets and smartphones and fully exploits IMCI’s potential. The digitial version includes conditions relevant to Nigeria’s epidemiological picture and it is tailored to both the Ministry of Health’s clinical guidelines as well as the resources available locally at the primary health care facilities in terms of drug supply, equipment and staff. With a stepwise, user-friendly format, the ALMANACH’s algorithms guide healthcare providers (from hospital doctors to community health workers in remote, resource scarce locations) to take clinical history and to performe physical examinations, leading to the diagnosis and treatment. ALMANACH’s records of consultations are uploaded to a Health Management Information System (DHIS2) and are available in real time to health workers and health managers who can monitor more closely cases of malnourishment, oversight of case management, trends of diseases like malaria as well as other outbreak-prone diseasesand in general, be more aware of any change in the epidemiological profile of the paediatric population. An epidemiological bulletin from the health facilities implementing ALMANACH is issued monthly and downloadable from the web site of the Adamawa State Primary Healthcare Development Agency, Nigeria (ASPHDA).
From December 2016 to mid 2018, ALMANACH has been running in 11 health facilities and in one hospital (outpatient department) in Adamawa State Nigeria with the support of the Adamawa State Primary Healthcare Development Agency (ASPHDA), the Ministry of Health and ICRC. In 2018 scale up activities were initiated and gradually Almanach is implemented in all 410 health facilities until end 2021.