Table 3. Interventions at national level & at PML and expected effects.
Hospital based interventions | Duration | Proportion of deaths prevented (expected) |
1 Doctor with MSc in Paediatrics | March 2001-Oct. 2008 | 7% reduction in child mortality per unit increase in paediatricians [18] and from 10–18% per week to 6–8% per week [19]; Reduction of total mortality from 80.5 to 70.5 deaths per 1000 admissions [20]. |
1 Specialist | October 2003 to 2009 | |
1 Doctor with MSc in Paediatric (Specialist from 2008) | 2003 to present | |
2 Doctors with Diploma in Child Health | June 2006 for 1–1½ years | |
2 Specialists | October 2007 to present | |
1 Specialist | October 2008 to present | |
Emergency Unit | 2005 to present | From 10–18% per week to 6–8% [19] |
Housemen Rotations | May 2007 to present | - |
WHO Pocket Book on Paediatrics | 2007 to present | 2.4%, using antibiotic guidelines [21]* |
HIV Clinic (ARVs) | 2007 to present | 75% reduction in mortality in < 2 [22] |
Medical Officers Rotations | 2008 to present | - |
CMAM Training | 2009 to present | 55% Case Fatality (SAM) [23] |
Special Care Babies Unit | 2009 to present | 61% survival for VLBW babies [24] |
ETAT Training | 2010 to present | From 10–18% per week to 6–8% [19]*; From 80.5 to 70.5 deaths per 1000 admissions [20]* |
Paediatric Nurses Rotation | 2012 to present | - |
Interventions at national level | Duration | Proportion of deaths prevented (expected) |
IMNCI Training | 2000; 2004 to Present | 33% of all U5M [6], 13% [25] |
Penta-valent vaccine (Hib) | 2002 to present | 4% of U5M [6] |
Measles vaccine and measles campaigns | 2002, 2006, 2010 and 2013 (yearly) | 1% of U5M [6]; 20% reduction in mortality from non-specific effects [26] |
Child Health Record Book & Danger signs | 2002 to present | 3%, 6%,13% of all U5M [6] $ |
Anaemia Control Strategy | 2003 (1 year) | 24% reduced risk of death per 1-g/dL increase in Hb [27] |
National Health Insurance Scheme | 2003 to present | 7% decrease in infant mortality, in US [28];46% lower risk of death in Burkina Faso [29] |
Antiretroviral drugs for PMTCT | 2003 to Present | 2% of all U5M [6] |
Change in Malaria Treatment protocol | 2004 to present | 5% [6], & from 29%-16% [30] of U5M |
Maternal & Child Health Promotion Week | 2004 to present (yearly) | 3%, 6%,13% of all U5M [6] $ |
Vitamin A supplementation for under-fives | 2005 to present | 2% of U5M [6] |
ITN distribution | 2005–2007, 2011, 2012 | 7% of U5M [6] |
CMAM (outpatients management) | 2008 to present | - |
CMAM (Inpatient management) | 2009 to present | 55% reduction from SAM (CF)[23] |
Child Health Policy | 2010 to present | - |
Rotavirus Vaccine | 2012 to present | 30–39% reduction in deaths in 1–2 year olds, 29–33% in1-4 year olds [31] |
Pneumococcal Vaccine | 2012 to present | 16% of all-cause mortality [32] |
Zinc Supplementation in Diarrhoea | 2012 to present | 4% of U5M [6] |
ACTs = Artemisinin Combination Therapies; ARVs = Anti-retrovirals; CMAM = Community-based Management of Acute Malnutrition in the community; ETAT = Emergency Triage Assessment and Treatment; Hib = Hemophilus influenza b; IMNCI = Integrated Management of Neonatal and Childhood Illnesses; ITN = Insecticide Treated Net; WHO = World Health Organisation; U5M = under-five mortality; SAM = Severe Acute Malnutrition; CF = Case Fatality; VLBW = very low birth weight infant (birth weight less than 1500g (up to and including 1499g)
* as part of multiple interventions
$Selected interventions