MS Word Doc

advertisement
List Analysis Projects
LiST ANALYSIS PROJECT: Interventions to reduce mortality in Ethiopia
Question:
Estimate the impact of scaling up a package of interventions (with or without scaling up the
contraceptive prevalence rate, and with or without IPTp recommendation) impact on neonatal, U5, maternal
mortality rate, rate of stillbirths, U5 deaths and lives saved in Ethiopia
Packages/Interventions of interest:
See table on next page.
Target values:
Time frame: Base year of coverage 2010, Target year of coverage 2015
Baseline coverage and scale up values were provided and based on Ethiopia’s Health Sector
Development Plan IV
LiST Version Used:
Version 4.34 beta 3
Outputs of Interest:
Neonatal mortality rate
U5 mortality rate
Maternal mortality rate
Rate of stillbirths
Number of U5 deaths
Number of U5 lives saved
Baseline Coverage Values:
Population trend is obtained from the The 2008 Revision of the World Population Prospects published by the
Population Division of the United Nations Department of Economic and Social Affairs of the United Nations
Secretariat. http://esa.un.org/unpd/wpp2008/index.htm
Child mortality estimates are obtained from http://www.childmortality.org. The estimates from year 2008.5
were used.
Causes of death in children under 5 are obtained from the following article

Black, Robert E , Simon Cousens, Hope L Johnson, Joy E Lawn, Igor Rudan, Diego G Bassani, Prabhat Jha,
Harry Campbell, Christa Fischer Walker, Richard Cibulskis, Thomas Eisele, Li Liu, Colin Mathers, for the Child
Health Epidemiology Reference Group of WHO and UNICEF (2010). Global, regional, and national causes of
child mortality in 2008: a systematic analysis. Lancet. 375 (9730): 1969 - 1987.
Coverage values for interventions were obtained from Ethiopia’s Health Sector Development Plan IV
LiST Intervention
ANC
IPTp
Tetanus Toxoid
Multiple micronutrient
supplementation
Clean practices/ essential
newborn care
Neonatal resuscitation
PMTCT
Postnatal care service
coverage
Exclusive breast feeding
Complementary feeding
ITN/IRS
Indicator Used (from Ethiopia’s HSDP
IV)
4+ Visits / Focused antenatal care
coverage
2 doses SP or sleeping under an ITN
[Proportion of pregnant women who slept
under LLIN the previous night]
2+ doses / Focused antenatal care
coverage
Proportion of pregnant women
supplemented with iron during pregnancy
Proportion of HCs with available BEmONC services
Proportion of asphyxiated newborns
who are resuscitated [this may include
hospitals which is not what we want. We
only want health center and below for
coverage]
Proportion of pregnant women who
receive ANC at PMTCT site who receive
testing for HIV
Postnatal care coverage
Proportion of children 0-6 months
exclusively BF
Proportion of children 6-9 months
receiving complementary food and
continued breastfeeding
Proportion of children under 5 sleeping
under LLIN the previous night
Baseline
(%)
Target
(2015)
31
86
41.2
86
31
86
10
5
86
100
(62)
7
75
16
83
34
78
49
70
54
65
42.5
86
Latrine coverage
Proportion of households with latrine
60
93
DPT3 coverage
PENTA coverage
82
96
77
90
0
25
32
66
18.4
62
Proportion of deliveries attended by a
Health Extension Worker (HEW)
11
38
Percentage of children aged 6-59
months who received at least two doses of
Vitamin-A in the last 12 months
94
96
0
90
Measles coverage
Zinc for diarrhea
management
Family Planning –
Contraceptive Prevalence
Rate
Facility Based Birth
Skilled birth attendant
(HEWs)
Vitamin A
Rotavirus coverage
[No GOE target for this]
CPR
Proportion of deliveries attended by a
skilled health attendant [Note, we want
BEmOC interventions, not CEmOC because
we only want services at Health Center
level, not hospital level]
Pneumococcal coverage
Case management of
pneumonia (oral antibiotics)
ORS
Antimalarials
Improved water source
Improved excreta disposal
0
90
Proportion of under five children with
pneumonia who received antibiotics at
community level by HEWs
0 (4.9)
Proportion of under five children with
diarrhea who received ORT
37
89
32
82
7
77
15
20
Proportion of U5 children diagnosed &
treated for malaria
Increase proportion of households using
HH water treatment and safe storage
practices
Proportion of villages free of open
defecation
41
(45.9)
Results:
With IPTp recommendation, more than 687,400 U5 lives are saved with CPR scaled up, and more than 475,300
U5 lives are saved without CPR scaled up. When IPTp is not recommended, more than 687,100 U5 lives are saved with
CPR scaled up, while more than 474,900 U5 lives are saved.
Download