Interview guide for physicians (Abridged version) What is your understanding of IMCI strategy? Objective of the strategy Significance of the strategy In your experience, which factors influence application of IMCI guidelines in managing under-five cases at your work place? Support received Constraints observed In your experience, what problems are faced by physicians while referring under-five cases according to IMCI guidelines? How do you perceive the role and significance of monitoring and supervision for trained IMCI doctors working at PHC facilities? In your opinion, how can you better implement IMCI strategy at your work place? Recommendations for the effective implementation of IMCI at first level care facilities

Interview guide for policy makers/planners & implementers (Abridged version) What is your understanding of IMCI strategy? Objective of the strategy Significance of the strategy What roles do you play in your current designation for implementation of IMCI strategy at public-sector primary health care facilities in Matiari district? In your best judgment, what factors influence IMCI implementation at public-sector PHC facilities in Matiari district? Supports for implementation Constraints influencing implementation In your opinion, what is the role and significance of monitoring and supervision of trained IMCI doctors working at PHC facilities in ensuring effective IMCI implementation? In your view what mechanisms are in place for monitoring and supervision for trained IMCI doctors in Matiari? In your view, what policy and planning initiatives have been taken in Matiari district to ensure effective IMCI implementation? What policy-level initiatives would you recommend for effective implementation of IMCI strategy at public-sector PHC facilities in Matiari?