A follow-up assessment of health facilities was completed in 2003 and showed tremendous improvement in the availability of equipment and drugs necessary to implement IMCI. Assessment practices of providers also improved - checking for the three danger signs increased from 0% to 37%; checking for cough, diarrhea and fever increased from 25% to 89%; and checking immunization status increased from 19% to 58%.

Immunization coverage increased in fully vaccinated children 12-23 months from 41% in 1995 to 76% in 2002. According to the Demographic and Health Survey (DHS), this level of immunization coverage is the highest among sub-Saharan African countries in the past five years and the rate of improvement - 83% over 7 years - is remarkable at a time when immunization coverage has decreased in Africa on average.

The 2002 DHS also showed remarkable progress in the reduction of infant mortality - from 72 per 1000 children in 1995 to 48 per 1000 children in 2002; and under-five mortality - from 136 per 1000 children to 93 per 1000 children - during the same period. This pace of decline is among the fastest experienced in any developing country.