How many child deaths can we prevent this year?

This is the second of five papers in the child survival series. The first focused on continuing high rates of child mortality (over 10 million each year) from preventable causes: diarrhoea, pneumonia, measles, malaria, HIV/AIDS, the underlying cause of undernutrition, and a small group of causes lea...

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Published in:	The Lancet (British edition) Vol. 362; no. 9377; pp. 65 - 71
Main Authors:	Jones, Gareth, Steketee, Richard W, Black, Robert E, Bhutta, Zulfiqar A, Morris, Saul S
Format:	Journal Article
Language:	English
Published:	London Elsevier Ltd 05.07.2003 Lancet Elsevier Limited
Subjects:	Biological and medical sciences Child, Preschool Children & youth Developing Countries Disease Evidence-Based Medicine Humans Infant Infant Mortality Low income areas Malaria Malnutrition Medical sciences Medical treatment Mortality Poverty Preventable deaths Prevention and actions Preventive Health Services - methods Public health. Hygiene Public health. Hygiene-occupational medicine Specific populations (family, woman, child, elderly...) Universal Coverage Vector-borne diseases United States North America America Human Performance evaluation Prevention Statistical analysis Mortality Therapeutic schedule Child Survival Public health
ISSN:	0140-6736, 1474-547X, 1474-547X
Online Access:	Get full text
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Abstract	This is the second of five papers in the child survival series. The first focused on continuing high rates of child mortality (over 10 million each year) from preventable causes: diarrhoea, pneumonia, measles, malaria, HIV/AIDS, the underlying cause of undernutrition, and a small group of causes leading to neonatal deaths. We review child survival interventions feasible for delivery at high coverage in low-income settings, and classify these as level 1 (sufficient evidence of effect), level 2 (limited evidence), or level 3 (inadequate evidence). Our results show that at least one level-1 intervention is available for preventing or treating each main cause of death among children younger than 5 years, apart from birth asphyxia, for which a level-2 intervention is available. There is also limited evidence for several other interventions. However, global coverage for most interventions is below 50%. If level 1 or 2 interventions were universally available, 63% of child deaths could be prevented. These findings show that the interventions needed to achieve the millennium development goal of reducing child mortality by two-thirds by 2015 are available, but that they are not being delivered to the mothers and children who need them.
AbstractList	This is the second of five papers in the child survival series. The first focused on continuing high rates of child mortality (over 10 million each year) from preventable causes: diarrhoea, pneumonia, measles, malaria, HIV/AIDS, the underlying cause of undernutrition, and a small group of causes leading to neonatal deaths. We review child survival interventions feasible for delivery at high coverage in low-income settings, and classify these as level 1 (sufficient evidence of effect), level 2 (limited evidence), or level 3 (inadequate evidence). Our results show that at least one level-1 intervention is available for preventing or treating each main cause of death among children younger than 5 years, apart from birth asphyxia, for which a level-2 intervention is available. There is also limited evidence for several other interventions. However, global coverage for most interventions is below 50%. If level 1 or 2 interventions were universally available, 63% of child deaths could be prevented. These findings show that the interventions needed to achieve the millennium development goal of reducing child mortality by two-thirds by 2015 are available, but that they are not being delivered to the mothers and children who need them. 2nd of 5 articles, focusing on global prevention of child mortality in the under 5s. [(BNI unique abstract)] 63 references This is the second of five papers in the child survival series. The first focused on continuing high rates of child mortality (over 10 million each year) from preventable causes: diarrhoea, pneumonia, measles, malaria, HIV/AIDS, the underlying cause of undernutrition, and a small group of causes leading to neonatal deaths. We review child survival interventions feasible for delivery at high coverage in low-income settings, and classify these as level 1 (sufficient evidence of effect), level 2 (limited evidence), or level 3 (inadequate evidence). Our results show that at least one level-1 intervention is available for preventing or treating each main cause of death among children younger than 5 years, apart from birth asphyxia, for which a level-2 intervention is available. There is also limited evidence for several other interventions. However, global coverage for most interventions is below 50%. If level 1 or 2 interventions were universally available, 63% of child deaths could be prevented. These findings show that the interventions needed to achieve the millennium development goal of reducing child mortality by two-thirds by 2015 are available, but that they are not being delivered to the mothers and children who need them.This is the second of five papers in the child survival series. The first focused on continuing high rates of child mortality (over 10 million each year) from preventable causes: diarrhoea, pneumonia, measles, malaria, HIV/AIDS, the underlying cause of undernutrition, and a small group of causes leading to neonatal deaths. We review child survival interventions feasible for delivery at high coverage in low-income settings, and classify these as level 1 (sufficient evidence of effect), level 2 (limited evidence), or level 3 (inadequate evidence). Our results show that at least one level-1 intervention is available for preventing or treating each main cause of death among children younger than 5 years, apart from birth asphyxia, for which a level-2 intervention is available. There is also limited evidence for several other interventions. However, global coverage for most interventions is below 50%. If level 1 or 2 interventions were universally available, 63% of child deaths could be prevented. These findings show that the interventions needed to achieve the millennium development goal of reducing child mortality by two-thirds by 2015 are available, but that they are not being delivered to the mothers and children who need them.
Author	Black, Robert E Steketee, Richard W Morris, Saul S Bhutta, Zulfiqar A Jones, Gareth
Author_xml	– sequence: 1 givenname: Gareth surname: Jones fullname: Jones, Gareth email: gjones@unicef.org organization: Division of Policy and Planning, United Nations Children's Fund, 3 United Nations Plaza, New York, NY 10017, USA – sequence: 2 givenname: Richard W surname: Steketee fullname: Steketee, Richard W organization: Division of Parasitic Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA – sequence: 3 givenname: Robert E surname: Black fullname: Black, Robert E organization: Division of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA – sequence: 4 givenname: Zulfiqar A surname: Bhutta fullname: Bhutta, Zulfiqar A organization: Department of Paediatrics, The Aga Khan University, Karachi, Pakistan – sequence: 5 givenname: Saul S surname: Morris fullname: Morris, Saul S organization: Public Health Nutrition Unit, London School of Hygiene and Tropical Medicine, London, UK
BackLink	http://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14924670$$DView record in Pascal Francis https://www.ncbi.nlm.nih.gov/pubmed/12853204$$D View this record in MEDLINE/PubMed
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Snippet	This is the second of five papers in the child survival series. The first focused on continuing high rates of child mortality (over 10 million each year) from... 2nd of 5 articles, focusing on global prevention of child mortality in the under 5s. [(BNI unique abstract)] 63 references
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SubjectTerms	Biological and medical sciences Child, Preschool Children & youth Developing Countries Disease Evidence-Based Medicine Humans Infant Infant Mortality Low income areas Malaria Malnutrition Medical sciences Medical treatment Mortality Poverty Preventable deaths Prevention and actions Preventive Health Services - methods Public health. Hygiene Public health. Hygiene-occupational medicine Specific populations (family, woman, child, elderly...) Universal Coverage Vector-borne diseases
Title	How many child deaths can we prevent this year?
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