Gaps in policy-relevant information on burden of disease in children: a systematic review
Valid information about cause-specific child mortality and morbidity is an essential foundation for national and international health policy. We undertook a systematic review to investigate the geographical dispersion of and time trends in publication for policy-relevant information about children&#...
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| Veröffentlicht in: | The Lancet (British edition) Jg. 365; H. 9476; S. 2031 - 2040 |
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| Hauptverfasser: | , , , , , , , , , , , , , , , , |
| Format: | Journal Article |
| Sprache: | Englisch |
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London
Elsevier Ltd
11.06.2005
Lancet Elsevier Limited |
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| ISSN: | 0140-6736, 1474-547X, 1474-547X |
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| Abstract | Valid information about cause-specific child mortality and morbidity is an essential foundation for national and international health policy. We undertook a systematic review to investigate the geographical dispersion of and time trends in publication for policy-relevant information about children's health and to assess associations between the availability of reliable data and poverty.
We identified data available on Jan 1, 2001, and published since 1980, for the major causes of morbidity and mortality in young children. Studies with relevant data were assessed against a set of inclusion criteria to identify those likely to provide unbiased estimates of the burden of childhood disease in the community.
Only 308 information units from more than 17 000 papers identified were regarded as possible unbiased sources for estimates of childhood disease burden. The geographical distribution of these information units revealed a pattern of small well-researched populations surrounded by large areas with little available information. No reliable population-based data were identified from many of the world's poorest countries, which account for about a third of all deaths of children worldwide. The number of new studies diminished over the last 10 years investigated.
The number of population-based studies yielding estimates of burden of childhood disease from less developed countries was low. The decreasing trend over time suggests reductions in research investment in this sphere. Data are especially sparse from the world's least developed countries with the highest child mortality. Guidelines are needed for the conduct of burden-of-disease studies together with an international research policy that gives increased emphasis to global equity and coverage so that knowledge can be generated from all regions of the world. |
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| AbstractList | Valid information about cause-specific child mortality and morbidity is an essential foundation for national and international health policy. We undertook a systematic review to investigate the geographical dispersion of and time trends in publication for policy-relevant information about children's health and to assess associations between the availability of reliable data and poverty.
We identified data available on Jan 1, 2001, and published since 1980, for the major causes of morbidity and mortality in young children. Studies with relevant data were assessed against a set of inclusion criteria to identify those likely to provide unbiased estimates of the burden of childhood disease in the community.
Only 308 information units from more than 17 000 papers identified were regarded as possible unbiased sources for estimates of childhood disease burden. The geographical distribution of these information units revealed a pattern of small well-researched populations surrounded by large areas with little available information. No reliable population-based data were identified from many of the world's poorest countries, which account for about a third of all deaths of children worldwide. The number of new studies diminished over the last 10 years investigated.
The number of population-based studies yielding estimates of burden of childhood disease from less developed countries was low. The decreasing trend over time suggests reductions in research investment in this sphere. Data are especially sparse from the world's least developed countries with the highest child mortality. Guidelines are needed for the conduct of burden-of-disease studies together with an international research policy that gives increased emphasis to global equity and coverage so that knowledge can be generated from all regions of the world. Valid information about cause-specific child mortality and morbidity is an essential foundation for national and international health policy. We undertook a systematic review to investigate the geographical dispersion of and time trends in publication for policy-relevant information about children's health and to assess associations between the availability of reliable data and poverty. We identified data available on Jan 1, 2001, and published since 1980, for the major causes of morbidity and mortality in young children. Studies with relevant data were assessed against a set of inclusion criteria to identify those likely to provide unbiased estimates of the burden of childhood disease in the community. Only 308 information units from more than 17,000 papers identified were regarded as possible unbiased sources for estimates of childhood disease burden. The geographical distribution of these information units revealed a pattern of small well-researched populations surrounded by large areas with little available information. No reliable population-based data were identified from many of the world's poorest countries, which account for about a third of all deaths of children worldwide. The number of new studies diminished over the last 10 years investigated. The number of population-based studies yielding estimates of burden of childhood disease from less developed countries was low. The decreasing trend over time suggests reductions in research investment in this sphere. Data are especially sparse from the world's least developed countries with the highest child mortality. Guidelines are needed for the conduct of burden-of-disease studies together with an international research policy that gives increased emphasis to global equity and coverage so that knowledge can be generated from all regions of the world. Valid information about cause-specific child mortality and morbidity is an essential foundation for national and international health policy. We undertook a systematic review to investigate the geographical dispersion of and time trends in publication for policy-relevant information about children's health and to assess associations between the availability of reliable data and poverty.BACKGROUNDValid information about cause-specific child mortality and morbidity is an essential foundation for national and international health policy. We undertook a systematic review to investigate the geographical dispersion of and time trends in publication for policy-relevant information about children's health and to assess associations between the availability of reliable data and poverty.We identified data available on Jan 1, 2001, and published since 1980, for the major causes of morbidity and mortality in young children. Studies with relevant data were assessed against a set of inclusion criteria to identify those likely to provide unbiased estimates of the burden of childhood disease in the community.METHODSWe identified data available on Jan 1, 2001, and published since 1980, for the major causes of morbidity and mortality in young children. Studies with relevant data were assessed against a set of inclusion criteria to identify those likely to provide unbiased estimates of the burden of childhood disease in the community.Only 308 information units from more than 17,000 papers identified were regarded as possible unbiased sources for estimates of childhood disease burden. The geographical distribution of these information units revealed a pattern of small well-researched populations surrounded by large areas with little available information. No reliable population-based data were identified from many of the world's poorest countries, which account for about a third of all deaths of children worldwide. The number of new studies diminished over the last 10 years investigated.FINDINGSOnly 308 information units from more than 17,000 papers identified were regarded as possible unbiased sources for estimates of childhood disease burden. The geographical distribution of these information units revealed a pattern of small well-researched populations surrounded by large areas with little available information. No reliable population-based data were identified from many of the world's poorest countries, which account for about a third of all deaths of children worldwide. The number of new studies diminished over the last 10 years investigated.The number of population-based studies yielding estimates of burden of childhood disease from less developed countries was low. The decreasing trend over time suggests reductions in research investment in this sphere. Data are especially sparse from the world's least developed countries with the highest child mortality. Guidelines are needed for the conduct of burden-of-disease studies together with an international research policy that gives increased emphasis to global equity and coverage so that knowledge can be generated from all regions of the world.INTERPRETATIONThe number of population-based studies yielding estimates of burden of childhood disease from less developed countries was low. The decreasing trend over time suggests reductions in research investment in this sphere. Data are especially sparse from the world's least developed countries with the highest child mortality. Guidelines are needed for the conduct of burden-of-disease studies together with an international research policy that gives increased emphasis to global equity and coverage so that knowledge can be generated from all regions of the world. |
| Author | Cousens, Simon Rudan, Igor Campbell, Harry Lanata, Claudio F Black, Robert E Lawn, Joy Carneiro, Ilona Rowe, Alexander K Schellenberg, Joanna A Polašek, Ozren Boschi-Pinto, Cynthia Roca-Feltrer, Arantxa Mendoza, Walter Weber, Martin Morris, Saul S Bryce, Jennifer Tomašković, Lana |
| Author_xml | – sequence: 1 givenname: Igor surname: Rudan fullname: Rudan, Igor organization: Department of Community Health Sciences, University of Edinburgh Medical School, Edinburgh, UK – sequence: 2 givenname: Joy surname: Lawn fullname: Lawn, Joy organization: International Perinatal Care Unit, Institute of Child Health, London, UK – sequence: 3 givenname: Simon surname: Cousens fullname: Cousens, Simon organization: Departments of Infectious and Tropical Diseases and Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK – sequence: 4 givenname: Alexander K surname: Rowe fullname: Rowe, Alexander K organization: Malaria Branch, Division of Parasitic Diseases, National Center for Infectious Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA – sequence: 5 givenname: Cynthia surname: Boschi-Pinto fullname: Boschi-Pinto, Cynthia organization: Child and Adolescent Health Department, WHO, Geneva, Switzerland – sequence: 6 givenname: Lana surname: Tomašković fullname: Tomašković, Lana organization: Child and Adolescent Health Department, WHO, Geneva, Switzerland – sequence: 7 givenname: Walter surname: Mendoza fullname: Mendoza, Walter organization: Instituto de Investigacion Nutricional, La Molina, Lima, Peru – sequence: 8 givenname: Claudio F surname: Lanata fullname: Lanata, Claudio F organization: Instituto de Investigacion Nutricional, La Molina, Lima, Peru – sequence: 9 givenname: Arantxa surname: Roca-Feltrer fullname: Roca-Feltrer, Arantxa organization: Departments of Infectious and Tropical Diseases and Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK – sequence: 10 givenname: Ilona surname: Carneiro fullname: Carneiro, Ilona organization: Departments of Infectious and Tropical Diseases and Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK – sequence: 11 givenname: Joanna A surname: Schellenberg fullname: Schellenberg, Joanna A organization: Departments of Infectious and Tropical Diseases and Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK – sequence: 12 givenname: Ozren surname: Polašek fullname: Polašek, Ozren organization: Department of Medical Statistics, Epidemiology and Medical Informatics, School of Public Health, Andrija Stampar, University of Zagreb Medical School, Zagreb, Croatia – sequence: 13 givenname: Martin surname: Weber fullname: Weber, Martin organization: Child and Adolescent Health Department, WHO, Geneva, Switzerland – sequence: 14 givenname: Jennifer surname: Bryce fullname: Bryce, Jennifer organization: Child and Adolescent Health Department, WHO, Geneva, Switzerland – sequence: 15 givenname: Saul S surname: Morris fullname: Morris, Saul S organization: Europe, Middle East, and Americas Division, Department for International Development of the UK Government, London, UK – sequence: 16 givenname: Robert E surname: Black fullname: Black, Robert E organization: Department of International Health, Johns Hopkins University, School of Hygiene and Public Health, Baltimore, MD, USA – sequence: 17 givenname: Harry surname: Campbell fullname: Campbell, Harry email: Harry.Campbell@ed.ac.uk organization: Department of Community Health Sciences, University of Edinburgh Medical School, Edinburgh, UK |
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| Copyright | 2005 Elsevier Ltd 2005 INIST-CNRS Copyright Lancet Ltd. Jun 11-Jun 17, 2005 |
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| Publisher | Elsevier Ltd Lancet Elsevier Limited |
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| SubjectTerms | Acute Disease Biological and medical sciences Child Mortality Child, Preschool Children & youth Cost of Illness Developed countries Developing Countries - statistics & numerical data Diarrhea - epidemiology Diarrhea - mortality Disease General aspects Geographical distribution Health Health Policy Humans Infant Infant, Newborn Infant, Newborn, Diseases - epidemiology Infant, Newborn, Diseases - mortality International policy Malaria Malaria, Falciparum - epidemiology Malaria, Falciparum - mortality Medical sciences Morbidity Mortality Policy research Population studies Poverty Respiratory Tract Infections - epidemiology Respiratory Tract Infections - mortality Systematic review Vector-borne diseases |
| Title | Gaps in policy-relevant information on burden of disease in children: a systematic review |
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