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Liquid, sanitation and health interventions have to be enhanced. © The Author(s). 2019.Background The Integrated handling of Childhood Illness (IMCI) method ended up being used in Burundi in 2003. Our aim was to evaluate to what extent the malnutrition element of the IMCI guidelines is implemented at health services degree. Techniques We carried out direct findings of curative outpatient consultations for children aged 6-59 months in