Table 4. Projected number of lives saved due to a hypothetical package of measles vaccine with a set of additional maternal and child health interventions during the measles supplementary immunization activity, India 2010–2013.
Compliance scenario and state | No. of lives saved |
||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Due to specific interventiona |
Not attributable to specific intervention |
Total | |||||||||||
Measles vaccine | Bednets | Zinc | Complementary feeding | Micronutrients | Vitamin A | Calciumb | Diarrhoea | Pneumonia | Measles | ||||
By state (70% scenario) | |||||||||||||
Assam | 365 | 3 611 | 810 | 254 | 149 | 131 | 16 | 121 | 93 | 31 | 5 581 | ||
Bihar | 3 265 | 3 981 | 3 030 | 1 076 | 595 | 415 | 43 | 417 | 421 | 169 | 13 412 | ||
Chhattisgarh | 76 | 1 691 | 301 | 123 | 126 | 41 | 10 | 33 | 56 | 8 | 2 465 | ||
Gujarat | 256 | 733 | 677 | 156 | 250 | 107 | 11 | 63 | 75 | 53 | 2 381 | ||
Haryana | 421 | 374 | 246 | 61 | 122 | 50 | 5 | 23 | 19 | 15 | 1 336 | ||
Jharkhand | 338 | 2 945 | 773 | 192 | 172 | 101 | 13 | 92 | 100 | 24 | 4 750 | ||
Madhya Pradesh | 1 791 | 4 240 | 2 163 | 532 | 499 | 264 | 28 | 234 | 301 | 97 | 10 149 | ||
Manipur | 31 | 177 | 62 | 42 | 12 | 8 | 1 | 46 | 53 | 35 | 467 | ||
Meghalaya | 32 | 180 | 82 | 9 | 14 | 10 | 1 | 48 | 56 | 35 | 467 | ||
Rajasthan | 962 | 2 256 | 1 604 | 268 | 479 | 175 | 34 | 95 | 204 | 41 | 6 118 | ||
Tripura | 27 | 206 | 69 | 9 | 10 | 10 | 1 | 4 | 6 | 1 | 343 | ||
Uttar Pradesh | 10 671 | 4 539 | 5 712 | 1 562 | 1 333 | 781 | 108 | 662 | 643 | 449 | 26 460 | ||
All states | |||||||||||||
70% scenario | 18 235 | 24 933 | 15 529 | 4 284 | 3 761 | 2 093 | 271 | 1 838 | 2 027 | 958 | 73 929 | ||
50% scenario | 18 314 | 24 929 | 13 346 | 4 292 | 2 687 | 2 109 | 196 | 1 647 | 1 806 | 829 | 70 155 | ||
90% scenario | 18 159 | 24 934 | 19 849 | 4 235 | 4 838 | 2 080 | 350 | 1 870 | 2 061 | 945 | 79 321 |
a Lives saved due to the intervention listed in the column header.
b These are maternal deaths; all other deaths represent children younger than 5 years.
c Additional lives saved due to prevention of disease (not intervention-specific).
Note: Including 12 states participating in India’s 2010–2013 measles supplementary immunization activity. Analyses use proportional mortality from the Million Deaths Study22 and vitamin A effectiveness from the Deworming and Enhanced Vitamin A Trial.21 Lives saved were calculated for the period 2010–2013. Compliance figures apply to multiple micronutrients and calcium for pregnant women, and preventive zinc for children; compliance scenarios are outlined in Table 2.