Bottlenecks, barriers, and solutions: results from multicountry consultations focused on reduction of childhood pneumonia and diarrhoea deaths

Gill, Christopher J.; Young, Mark; Schroder, Kate; Carvajal, Liliana; McNabb, Marion; Aboubaker, Samira; Qazi, Shamim; Bhutta, Zulfiqar Ahmed

doi:10.1016/s0140-6736(13)60314-1

Cited by 81 publications

(68 citation statements)

References 25 publications

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“…Moving forward, several challenges remain 10. Lack of coordination and intersectoral collaboration, shortage of human resources, insufficient financial resources, inadequate access to healthcare, poor logistics and supply chain management, inadequate supervision and poor health information systems are barriers that must be overcome.…”

Section: Discussionmentioning

confidence: 99%

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Ending preventable child deaths from pneumonia and diarrhoea by 2025. Development of the integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea

et al. 2015

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Despite the existence of low-cost and effective interventions for childhood pneumonia and diarrhoea, these conditions remain two of the leading killers of young children. Based on feedback from health professionals in countries with high child mortality, in 2009, WHO and Unicef began conceptualising an integrated approach for pneumonia and diarrhoea control. As part of this initiative, WHO and Unicef, with support from other partners, conducted a series of five workshops to facilitate the inclusion of coordinated actions for pneumonia and diarrhoea into the national health plans of 36 countries with high child mortality. This paper presents the findings from workshop and postworkshop follow-up activities and discusses the contribution of these findings to the development of the integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea, which outlines the necessary actions for elimination of preventable child deaths from pneumonia and diarrhoea by 2025. Though this goal is ambitious, it is attainable through concerted efforts. By applying the lessons learned thus far and continuing to build upon them, and by leveraging existing political will and momentum for child survival, national governments and their supporting partners can ensure that preventable child deaths from pneumonia and diarrhoea are eventually eliminated.

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Section: Discussionmentioning

confidence: 99%

“… i Refer to the following source for a further discussion of the major barriers identified by workshop participants to the implementation of a coordinated response to childhood pneumonia and diarrhoea: Gill et al 10…”

mentioning

confidence: 99%

Ending preventable child deaths from pneumonia and diarrhoea by 2025. Development of the integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea

et al. 2015

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“…Efforts have been made to implement this knowledge, which has contributed to the rapid improvements in child survival. Even if the gains have favoured the more disadvantaged, with a decreasing inequity in child illness and greater survival as a result [4], there are still reasons to raise concerns about the unequally distributed burden of childhood disease and deaths [5].…”

Section: Introductionmentioning

confidence: 99%

Care seeking for children with fever/cough or diarrhoea in Nepal: equity trends over the last 15 years

Singh¹,

2017

Scand J Public Health

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Aims: Childhood illnesses such as diarrhoea and pneumonia remain major contributors to child mortality globally and need to be continually targeted in pursuit of universal health coverage. This study analyses time trends in the prevalence of fever/ cough and diarrhoea in Nepal and applies an equity lens in order to identify disadvantaged groups. Methods: Data from the Nepal Demographic Health Surveys of 2001, 2006, and 2011, together with data from the most recent Multiple Indicator Cluster Survey of 2014 performed in Nepal, were utilized for analysis. Results: Analyses revealed improvements (lower prevalence) of diarrhoea and fever/cough in children under five in Nepal over the last 15 years, with an equitable distribution of symptoms over socio-economic determinants. There was, however, a marked and maintained inequity in care seeking for these symptoms, with less educated mothers and those from poor households being only approximately half as likely to seek care for their children. Conclusions: Results highlight the persisting need for targeting care-seeking and societal barriers to treatment in order to achieve universal health access.

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“…Verbatim notes of focus group discussions were transcribed to provide a record of what was said. Transcription of data was done which pro-rhea-related mortality in low-income countries [4]. These included: the absence of national coordination within ministries and other stakeholders to deliver interventions; insufficient financial resources; inadequate training and support for health workers; poor systems for monitoring and assessment of key programmatic indicators and sporadic availability of key commodities [4].…”

Section: Qualitative Analysismentioning

confidence: 99%

“…Transcription of data was done which pro-rhea-related mortality in low-income countries [4]. These included: the absence of national coordination within ministries and other stakeholders to deliver interventions; insufficient financial resources; inadequate training and support for health workers; poor systems for monitoring and assessment of key programmatic indicators and sporadic availability of key commodities [4]. However, care-seeking behaviors by families, and their belief systems around diarrheal diseases were not identified as possible barriers, although these are well described in the literature [5].…”

Section: Qualitative Analysismentioning

confidence: 99%

Predictors of diarrheal mortality and patterns of caregiver health seeking behavior in in Karachi, Pakistan

Qamar¹,

Zaman²,

Quadri³

et al. 2016

Journal of Global Health

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Predictors of diarrheal mortality and patterns of caregiver health seeking behavior in in Karachi, PakistanBackground Pakistan is unfortunately among the five countries that contributed to the most deaths due to diarrhea and pneumonia in 2010. To explore factors associated with diarrheal deaths we assessed care-seeking behavior and other predictors of diarrhea-related mortality in children in selected low-income peri-urban communities of Karachi, Pakistan.

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Bottlenecks, barriers, and solutions: results from multicountry consultations focused on reduction of childhood pneumonia and diarrhoea deaths

Cited by 81 publications

References 25 publications

Ending preventable child deaths from pneumonia and diarrhoea by 2025. Development of the integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea

Ending preventable child deaths from pneumonia and diarrhoea by 2025. Development of the integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea

Care seeking for children with fever/cough or diarrhoea in Nepal: equity trends over the last 15 years

Predictors of diarrheal mortality and patterns of caregiver health seeking behavior in in Karachi, Pakistan

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