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Background  The Integrated Management of Childhood Illness (IMCI) strategy provides guidelines for supporting and improving the health system to reduce under-5 children’s mortality rates. This strategy specifically assists professional nurses with the case management of children aged birth–5 years.    Aim  The purpose of this study was to investigate how professional nurses provided counselling to caregivers of under-5 children based on the IMCI strategy in Primary Health Care facilities of one district in the North West Province of South Africa.    Setting  Primary Health Care (PHC) facilities of one district in the North West Province.    Method  A quantitative, descriptive and observational design was used. Counselling provided by the professional nurses was observed and a checklist was completed. This IMCI counselling checklist was based on aspects in the counselling section of the Health Facility Survey, formulated according to the IMCI strategy’s requirements.    Results  Counselling that focused on feeding, administration of medication and counselling skills used during the consultation were good. However, counselling of caregivers of children aged 13 months to 5 years could be improved and the caregivers’ health status should also be addressed.    Conclusion  Counselling provided to caregivers of under-5 children regarding feeding, administering of medication and caregivers’ health status used effective communication skills. However, technicalities of feeding such as lactation and nutritional guidance posed challenges.

Evaluating the Integrated Management of Childhood Illness counselling skills of professional nurses in the North West Province of South Africa