Abstract
                 Background: Integrated management of neonatal and childhood illness (IMNCI) is an important reproductive and child  health strategy to lower infant and neonatal mortality in the country. In India, Assam is one of the states with very high  infant mortality. Objectives: Assess the status of IMNCI implementation in Barpeta and Nalbari district/s of Assam.  Materials and Methods: A rapid appraisal of IMNCI was undertaken in Nalbari and Barpeta districts of Assam. Qualitative  survey methods and secondary data analysis was used. Interview of stakeholders, observation of services, logistic, and  supervisory support to the program was assessed. The data were manually analyzed for thematic areas. Results: Logistics  and drug support were good. Gaps in program implementation were found at all level. Integrated Child Development  Services involvement lacked clear direction. Conclusion: An intersectoral resource intensive program requires supportive  environment for implementation.