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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Vydané v:The Lancet (British edition) Ročník 362; číslo 9377; s. 65 - 71
Hlavní autori: Jones, Gareth, Steketee, Richard W, Black, Robert E, Bhutta, Zulfiqar A, Morris, Saul S
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London Elsevier Ltd 05.07.2003
Lancet
Elsevier Limited
Predmet:
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
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Popis
Shrnutí: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.
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ISSN:0140-6736
1474-547X
1474-547X
DOI:10.1016/S0140-6736(03)13811-1