Table 3 Status of adoption and implementation of WHO recommendations for the case management of childhood pneumonia in Bangladesh

Updated national IMCI training manual (2016) following the revised 2014 WHO protocol for the case management of childhood pneumonia

Support from UNICEF, WHO, and other international development partners such as Save the Children.

Budget allocation for amoxicillin DT included in MNC&AH Operational Plan 2017–2022 under DGHS

Proactive leadership of national IMCI program

Delayed national procurement of amoxicillin DT under IMCI program and limited supply to select districts provided by UNICEF for interim period

Lack of procurement planning between Central Medical Stores Depot and IMCI program augmented by temporary support from UNICEF

Budget allocation for amoxicillin DT not included in Operational Plans for MCR&AH under DGFP and CBHC Project under DGHS

Lack of communication and coordination among different operating divisions under MOHFW