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Lives Saved Tool (LIST): What is modeled?

Lives Saved Tool (LIST): What is modeled?. By: Ingrid Friberg Updated May 2010. Risk Factors. IUGR. Multiple micronutrient supplementation. Balanced energy supplementation. IPTp. Diarrheal incidence. Improved H 2 O source within 30 minutes. Hygienic disposal of children’s stools.

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Lives Saved Tool (LIST): What is modeled?

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  1. Lives Saved Tool (LIST):What is modeled? By: Ingrid Friberg Updated May 2010

  2. Risk Factors

  3. IUGR Multiple micronutrient supplementation Balanced energy supplementation IPTp

  4. Diarrheal incidence Improved H2O source within 30 minutes Hygienic disposal of children’s stools Improved excreta disposal (latrine, toilet) Hand washing with soap Water connection in the home

  5. Stunting Complementary Feeding IUGR Zinc Diarrhea incidence Complementary feeding education and/or supplementation

  6. Wasting Therapeutic Feeding

  7. Mortality

  8. Tetanus Mortality Clean delivery (home) Tetanus toxoid Essential childbirth care for all women (including BEmOC and CEmOC) Disease Specific Treatments Disease Specific Preventions Risk factors

  9. Asphyxia Mortality Full supportive care (oxygen, iv fluids, antibiotics, etc.) IUGR Neonatal resuscitation Essential childbirth care for all women (including BEmOC and CEmOC) Disease Specific Treatments Disease Specific Preventions Risk factors

  10. Prematurity Mortality Full supportive care (oxygen, iv fluids, antibiotics, etc.) Kangaroo mother care Preventive post natal care (healthy practices and illness detection) Essential childbirth care for all women (including BEmOC and CEmOC) Newborn resuscitation Antibiotics for pPRoM Antenatal corticosteroids Disease Specific Treatments Disease Specific Preventions Risk factors

  11. Neonatal Diarrheal Mortality Breast Feeding Promotion Breast Feeding ORS IUGR Disease Specific Treatments Disease Specific Preventions Risk factors

  12. Neonatal Sepsis/ Pneumonia Mortality Full supportive care (oxygen, iv fluids, antibiotics, etc.) Breast Feeding Promotion Breast Feeding Prevalence Injectable antibiotics IUGR Preventive post natal care (healthy practices and illness detection) Oral antibiotics Clean delivery (home) Essential childbirth care for all women (including BEmOC and CEmOC) Antibiotics for pPRoM Syphilis detection and treatment Disease Specific Treatments Disease Specific Preventions Risk factors

  13. Congenital Anomaly Mortality Periconceptual folic acid supplementation or fortification Disease Specific Treatments Disease Specific Preventions Risk factors

  14. Neonatal Other Mortality Full supportive care (oxygen, iv fluids, antibiotics, etc.) Disease Specific Treatments Disease Specific Preventions Risk factors

  15. Malaria Mortality Antimalarials Stunting Wasting ITNs Disease Specific Treatments Disease Specific Preventions Risk factors

  16. Measles Mortality Vitamin A Stunting Wasting Measles vaccine Disease Specific Treatments Disease Specific Preventions Risk factors

  17. Pneumonia Mortality Oral antibiotics Breast Feeding Promotion Breast Feeding Stunting Wasting Hib vaccine Pneumococcal vaccine Zinc Disease Specific Treatments Disease Specific Preventions Risk factors

  18. Pertussis Mortality Oral antibiotics Zinc DPT Disease Specific Treatments Disease Specific Preventions Risk factors

  19. Meningitis Mortality Hib vaccine Pneumococcal vaccine Disease Specific Treatments Disease Specific Preventions Risk factors

  20. Post-Neonatal Diarrheal Mortality Breast Feeding Promotion Zinc Breast Feeding Antibiotics for dysentery Stunting Wasting ORS Improved excreta disposal (latrine, toilet) Vitamin A Hygienic disposal of children’s stools Rotavirus vaccine Hand washing with soap Zinc Water connection in the home or Improved H2O source within 30 minutes Disease Specific Treatments Disease Specific Preventions Risk factors

  21. AIDS Mortality Cotrimoxizole Child ART PMTCT (neviripine, 2ARV or 3ARV for prevention, 3ARV for treatment) Infant Feeding (exclusive breast, mixed breast, replacement) Disease Specific Treatments Disease Specific Preventions Risk factors

  22. Complete diagram For Post Neonatal diarrhea only

  23. Post-Neonatal Diarrheal Mortality Breast Feeding Promotion Zinc Antibiotics for dysentery ORS Breast Feeding Syphilis detection and treatment IPTp Maternal energy and/or micronutrient supplementation Therapeutic Feeding Wasting Stunting IUGR Rotavirus vaccine Vitamin A Zinc Water/Sanitation Complementary Feeding Zinc Diarrhea incidence Complementary feeding education and/or supplementation Improved H2O source within 30 minutes Hygienic disposal of children’s stools Improved excreta disposal (latrine, toilet) Hand washing with soap Water connection in the home Disease Specific Treatments Disease Specific Preventions Risk factors Distal Factors

  24. Maternal Mortality

  25. Antepartum Hemorrhage Access to BEmOC Access to CEmOC Disease Specific Treatments Disease Specific Preventions Risk factors

  26. Postpartum hemorrhage Access to BEmOC Access to CEmOC Active Management of the 3rd stage of labor Disease Specific Treatments Disease Specific Preventions Risk factors

  27. Hypertensive Diseases of Pregnancy Access to CEmOC Management of eclampsia with MgSO4 Pre-eclampsia case management with MgSO4 Calcium supplementation Disease Specific Treatments Disease Specific Preventions Risk factors

  28. Sepsis Mortality Sepsis Case management Clean delivery (home) Essential childbirth care for all women (including BEmOC and CEmOC) Antibiotics for pPRoM Disease Specific Treatments Disease Specific Preventions Risk factors

  29. Abortion-related Mortality Post abortion case management Safe abortion (including D&C, vacuum aspiration, medical)

  30. Obstructed labor Access to BEmOC Access to CEmOC Disease Specific Treatments Disease Specific Preventions Risk factors

  31. Ectopic pregnancy Case management of ectopic pregnancy at BEmOC level Case management of ectopic pregnancy at CEmOC level Disease Specific Treatments Disease Specific Preventions Risk factors

  32. Other direct causes of mortality Disease Specific Treatments Disease Specific Preventions Risk factors

  33. Maternal Malaria mortality Case management of malaria during pregnancy IPTp Disease Specific Treatments Disease Specific Preventions Risk factors

  34. Other indirect causes of mortality Tetanus toxoid Disease Specific Treatments Disease Specific Preventions Risk factors

  35. Notes on Maternal Mortality Modelling • Anemia • Too much confounding to use as a risk factor currently • Age of mother • Has not yet been considered in way to separate the individual causes of mortality

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