Interventions in Global Child Health Donna M. Denno GLOBAL CHILD HEALTH PROBLEMS Big Picture: What are they? How Many? Where? Disease Specific: Interventions for Prevention & Treatment Strategies for Intervention Delivery: Integrated Management of Childhood Illnesses (IMCI)
Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.
Donna M. Denno
What are they? How Many? Where?
Interventions for Prevention & Treatment
Strategies for Intervention Delivery:
Integrated Management of Childhood Illnesses (IMCI)
10.6 million children under 5 years of age die each year.
Source: WHO Report 2005: Make Every Mother and Child Count
Bryce J, et al. “WHO estimates of the causes of death in children.” Lancet 2005.
Respiratory diseases (17%)
Diarrhoeal diseases (17%)
All other (18%)
Malnutrition is estimated to
contribute to around 50% of
all childhood deaths.
Underlying Cause/Contributor in 50% of Childhood Deaths
7x risk death
5x risk death
CG Victoria et al, Am J Epidemiol 1989Impact of Breastfeeding on Childhood DiseaseRisk in not BF vs exclusively BF
Vit A Deficiency
20-24% Risk of death from Diarrhea, Measles, (Malaria)
AL Rice et al In: Comparative quantification of health risks, 2004
Lack of access to care
Currently not well elucidated
WarDisruption Immunization Services
Child with measles
Diarrhea & Pneumonia
Source: Based on UNICEF, End-Decade Databases, January 2005.
How to increase ORT utilization?
individual, community, country
Will further increased ORT utilization have same dramatic impact on mortality?
How will water privatization impact clean water supplies?
Elucidating etiologies of diarrhea/surveillance
Case management can pneumonia associated childhood mortality by 40%
50 % world wide
1.7 million annual deaths
BCG=Bacillus Calmette-Guerin (against TB)
DPT=Diphtheria, Tetanus, Pertussis
OPV=Oral Polio Vaccine
HepB=Hepatitis B *
and treatment by health workers
and functions of
health systemImproving Health Worker Skills, Community Care, and Health Systems