lives saved tool (list): what is modeled? by: ingrid friberg updated may 2010
TRANSCRIPT
Lives Saved Tool (LIST):What is modeled?
By: Ingrid Friberg
Updated May 2010
Risk Factors
Multiple micronutrientsupplementation
IUGR
Balanced energy supplementation
IPTp
Water connection in the home
Diarrheal incidence
Improved H2O source within 30 minutes Improved excreta
disposal (latrine, toilet)
Hand washing with soap
Hygienic disposal of children’s stools
Stunting
Zinc
Diarrhea incidence
IUGRComplementary Feeding
Complementary feeding education and/or supplementation
Wasting
Therapeutic Feeding
Mortality
TetanusMortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Tetanus toxoid
Clean delivery (home)
Essential childbirth care for all women(including BEmOC and CEmOC)
IUGR
AsphyxiaMortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Neonatal resuscitation
Essential childbirth care for all women(including BEmOC and CEmOC)
Full supportive care (oxygen, iv fluids, antibiotics, etc.)
PrematurityMortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Full supportive care (oxygen, iv fluids, antibiotics, etc.)
Newborn resuscitation
Essential childbirth care for all women (including BEmOC and CEmOC)
Kangaroo mother carePreventive post natal care (healthy practices and illness detection)
Antibiotics for pPRoM
Antenatal corticosteroids
IUGR
Neonatal DiarrhealMortality
ORS
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Breast Feeding Breast FeedingPromotion
Neonatal Sepsis/Pneumonia Mortality
Breast FeedingPrevalence
IUGR
Breast FeedingPromotion
Essential childbirth care for all women (including BEmOC and CEmOC)
Full supportive care (oxygen, iv fluids, antibiotics, etc.)
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Oral antibiotics
Antibiotics for pPRoM
Preventive post natal care (healthy practices and illness detection)
Syphilis detection and treatment
Clean delivery (home)
Injectable antibiotics
CongenitalAnomalyMortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Periconceptual folic acid supplementation or fortification
NeonatalOther Mortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Full supportive care (oxygen, iv fluids, antibiotics, etc.)
Malaria Mortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
ITNs
Antimalarials Stunting
Wasting
Measles Mortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Vitamin A Stunting
Measles vaccine
Wasting
Pneumonia Mortality
Breast Feeding Breast FeedingPromotion
Stunting
Oral antibiotics
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Pneumococcal vaccine
Hib vaccine
Zinc
Wasting
PertussisMortality
DPT
Oral antibiotics
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Zinc
MeningitisMortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Pneumococcal vaccine
Hib vaccine
Stunting
Breast FeedingBreast FeedingPromotion
Post-Neonatal DiarrhealMortality
Vitamin A
Zinc
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Antibiotics for dysentery
ORS
Rotavirus vaccine
Zinc Water connection in the home orImproved H2O source within 30 minutes
Improved excreta disposal (latrine, toilet)
Hand washing with soap
Hygienic disposal of children’s stools
Wasting
AIDSMortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Cotrimoxizole
Infant Feeding (exclusive breast, mixed breast, replacement)
Child ART
PMTCT (neviripine, 2ARV or 3ARV for prevention, 3ARV for treatment)
Complete diagram
For Post Neonatal diarrhea only
Stunting
Post-Neonatal DiarrhealMortality
Rotavirus vaccine
Vitamin A
Zinc
Water/Sanitation
Zinc
Antibiotics for dysentery
ORS
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
IUGR
Syphilis detection and treatment
IPTp
Maternal energy and/or micronutrient supplementation
Zinc
Complementary Feeding
Complementary feeding education and/or supplementation
Diarrhea incidence
Improved H2O source within 30 minutes
Hand washing with soap Water connection
in the home
Improved excreta disposal (latrine, toilet)
Hygienic disposal of children’s stools
DistalFactors
Breast Feeding
Breast Feeding Promotion
WastingTherapeutic Feeding
Maternal Mortality
Antepartum Hemorrhage
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Access to BEmOC
Access to CEmOC
Postpartum hemorrhage
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Active Management of the 3rd stage of labor
Access to BEmOC
Access to CEmOC
Hypertensive Diseasesof Pregnancy
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Pre-eclampsia case management with MgSO4
Calcium supplementation
Access to CEmOC
Management of eclampsia with MgSO4
SepsisMortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Sepsis Case management
Antibiotics for pPRoM
Clean delivery (home)
Essential childbirth care for all women (including BEmOC and CEmOC)
Post abortion case management
Safe abortion (including D&C, vacuum aspiration, medical)
Abortion-relatedMortality
Obstructed labor
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Access to BEmOC
Access to CEmOC
Ectopic pregnancy
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Case management of ectopic pregnancy at BEmOC level
Case management of ectopic pregnancy at CEmOC level
Other direct causes of mortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Maternal Malaria mortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Case management of malaria during pregnancy
IPTp
Other indirect causes of mortality
DiseaseSpecificTreatments
DiseaseSpecific Preventions
Risk factors
Tetanus toxoid
Notes on Maternal Mortality Modelling
• Anemia– Too much confounding to use as a risk factor
currently
• Age of mother– Has not yet been considered in way to
separate the individual causes of mortality