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Geneva September 2002

Cost-effective Interventions and Strategies to Accelerate Child Survival & Development in the context of Health Reform & Poverty Reduction. Geneva September 2002. From conception to 5th birthday . Antenatal intervention Early childhood intervention up to 5 years of age Prevention Care.

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Geneva September 2002

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  1. Cost-effective Interventions and Strategies to Accelerate Child Survival & Development in the context of Health Reform & Poverty Reduction Geneva September 2002

  2. From conception to 5th birthday • Antenatal intervention • Early childhood intervention up to 5 years of age • Prevention • Care

  3. EPI PLUS • IMMUNIZATION • VIT A Supplementation • Deworming • Intermittent presumptive Treatement ( linked with EPI once cleared with WHO TDR/ research action)

  4. IMCI plus • Anti Malarial drugs( early and adequate treatment at home WHO TDR research action) • ITNS • ARI Treatment, pneumonia (home or community based, WHO TDR research action) • Oral Rehydration • Exclusif breastfeeding • Iodized salt • Hygien

  5. Antenatal care • Tetanos immunization • Iron Supplement • Intermittent treatment against malaria • ITNS • PMTCT / HIV AIDS

  6. Coverage Objectives Increase effective coverage of : • EPI+ 80%(Immunization, Vit A) • IMCI +50%(prevention and care of malaria, ARI, diarrhea and malnutrition) • ANC 80%(malaria and anemia prevention HIV AIDS)

  7. Reduction of U5MR through high impact package

  8. Impact Objectives: WCAR • Reduce under-five mortality by: • 15% after 3 years of full implementation of high impact intervention packages & strategies; • 25 % after 5 years of full implemen-tation of the interventions/strategies • 35% after 7 years of full implemen-tation of the interventions/strategies (after 7 years a full cohort will have benefitted from -9 months-5 years)

  9. Monitoring effective coverage determinants

  10. Service Delivery Strategies for the proposed intervention packages. • to 25-50% of population with access to HC(<5km) • Health Centre Based Strategy: integrated delivery of all priority interventions • for 50-75% of population without access to HC. • Community based strategyfor IMCI+ (home based prevention and care) • Outreach/Mobile Strategy: (three) monthly delivery of EPI+ and ANC services

  11. Support Strategies for effective coverage • Social mobilization & communication to improve service use and family care • A results based approach to financing service delivery including performance bonuses (monetary or in kind),contracting with community groups, health staff etc. • Community based monitoring & micro-planning to increase effective coverage and empower communities

  12. Complementarity of Child Survival, SWAp &PRSP 1. Health Sector reforms increase Health System Capacities through enabling health policies, decentralization and partnerships 2. PRSP/HIPCprovides opportunities for: • Increased Financing for Health • Increasing Health Staff Availability/Salaries • Focussing on poorest=high U5MR regions 3. Accelerated Child Survival & Development: • Accelerates Impact of Health Reforms on children • Ensures poverty/disparity reduction for children • Makes the case for additional health sector funding

  13. 4 demonstration countriesDistricts of demonstration: 3 millionsRegion for expansion: 7 millions • Senegal • Ghana • Mali • Benin

  14. 7 expansion countriespopulation: 4 millions • Gambia • Burkina Faso • Cameroun • Tchad • Niger • Guinea Bissau • Guinee Conakry

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